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Trial registered on ANZCTR
Registration number
ACTRN12611000133932
Ethics application status
Approved
Date submitted
31/01/2011
Date registered
4/02/2011
Date last updated
4/02/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial of 'Wide Awake Parenting': A program for the management of parental fatigue.
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Scientific title
An effectiveness trial of 'Wide Awake Parenting': A program for the management of parental fatigue and parental behaviours in parents of infants aged 0-6 months.
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Secondary ID [1]
253203
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Not applicable
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fatigue
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Parental Behaviours
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Condition category
Condition code
Mental Health
258888
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0
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Studies of normal psychology, cognitive function and behaviour
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Mental Health
259201
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0
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Depression
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
"Wide Awake Parenting" (WAP) is a psycho-educational intervention offering:
1. Psyho-education about fatigue, the experience and symptoms of fatigue, the relationship of fatigue to mental health and well-being during early parenting, and the effect of fatigue on parenting behaviours and practices.
2. Behavioural strategies aimed to improve symptoms of fatigue, parenting competence and parent mood and well-being, including:
a. support for improved parental self-care, including information on sleep hygeine, rest, health eating and acitivity. b. negotiating practical and emotional support
c. challenging unhelpful thinking
d. managing priorities and expectations
e. negotiating discretionary leisure time
f. problem-solving
g. planning and evaluation of strategies tailored to each parents'needs; tips to sustain this beyond the life of the intervention
WAP is a written resource, and includes information, tips, strategies and acitivities for parents to complete. The trial will evaluate two modes of WAP delivery:
a. Profesionally led by clinical psychologists: Includes an initial one hour home visit; three telephone-support follow-up sessions, of approximately 20 mins duration, one per week for three weeks, for a total duration of one month.
b. Parent self-directed: parents will be given the WAP workbook with instructions to complete one of four 'sessions' of information and activities per week, for a total of one month duration, but will have no further contact with research team about the WAP materials.
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Intervention code [1]
257682
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Behaviour
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Intervention code [2]
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Lifestyle
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Comparator / control treatment
Parents randomised to the control arm of the study will not receive any of the WAP materials. They will have standard community-based care received by all parents in the postnatal period.
Following the completion of data collection, parents in the control arm of the study will be offered the option of receiving the WAP intervention (with or without professional support).
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Control group
Active
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Outcomes
Primary outcome [1]
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Reduced parental fatigue and improved well-being, assessed using the following standardised measures:
1. Fatigue Assessment Scale (Michielsen et al., 2004)
2. Profile of Mood States (McNair et al., 1971)
3. Depression, Anxiety and Stress Scale (Lovibond et al., 1995)
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Assessment method [1]
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Timepoint [1]
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T1: Baseline (recruitment)
T2: Post test (2 weeks following intervention)
T3: Follow-up (2 months following intervention)
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Secondary outcome [1]
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Improved parent-child interactions, assessed using standardised measures including:
1. Higher parenting self-efficacy (Parenting Sense of Competence Scale, Jonhston et al., 1989)
2. More warmth, less hostility (Scales adapted from Longitudinal Study of Australian Children, Sanson et al., 2002)
3. Lower parenting stress (Parenting Stress Index, Abidin, 1986)
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Assessment method [1]
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Timepoint [1]
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T2: Post-test
T3: Follow-up (2 months post intervention)
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Eligibility
Key inclusion criteria
Over 18 years of age
Sufficient English literacy for completion study materials
Parent of an infant aged <4 months at recruitment
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Under 18 years of age
Parents of an infant < 4 months of age
Insufficient English for completion of study materials
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Recruitement:
All eligible parents will be provided information during routine maternal and child health nurse visits in participating Local Government Areas. Parents who express interest in the study and agree to be contacted by the Research Team will be provided further written and verbal information about the study. Signed consent will be secured from those parents who agree to study participation.
Randomisation:
The random allocation sequence will be generated before the recruitment period begins. Participants will be allocated to either one of the two intervention groups, or the control group following completion of baseline data. Randomisation will be performed at the individual or family level using a simple randomisation method. Senior team researchers will set up the randomisation system but will not be involved in the allocation of participants. Allocation concealment will be conducted to shield the project staff responsible for registering parents into the trial from knowing upcoming assignments, sequentially numbered, opaque, sealed envelopes will be used.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
A true random number sequence will be acquired from the service provided by www.random.org.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/03/2011
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
221
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Victorian Government Dept. of Education and Early Childhood Development
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Address [1]
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Office for Children and Early Childhood Development
35 Spring Street, Melbourne
Victoria, 3001
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Country [1]
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Australia
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Primary sponsor type
Other Collaborative groups
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Name
Parenting Research Centre
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Address
Level 5 / 232 Victoria Parade
East Melbourne
VIC 3002
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Parenting Research Centre Human Research Ethics Committee
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Ethics committee address [1]
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232 Victoria Parade East Melbourne Vic 3002
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
260379
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Approval date [1]
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17/11/2010
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Ethics approval number [1]
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App06; 2010
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Summary
Brief summary
A efficacy trial of Wide Awake Parenting: A program for the management of parental fatigue in the postpartum Fatigue is reported to be one of the most common health concerns in the postnatal period, for both mothers and fathers (Ansara, Cohen, Gallop, Kung, & Shei, 2005; Glazener, Abdalla, & Stroud, 1995; Parks, Lenz, & Milligan, 1999). "Wide Awake Parenting" (WAP) is a psychologically informed, written resource for parents aimed to assist parents to manage fatigue and promote well-being in the early postpartum. A systematic cohort of 220 parents of a newborn infant aged between 0-4 months will be recruited from Maternal and Child Health Centres in a diverse range of Local Govt. Areas in Metropolitan Melbourne. The primary aim of this study is to assess the effectiveness of the Wide Awake Parenting Programme in reducing fatigue and improving well-being for parents. It is hypothesised that parents who receive the WAP intervention – either the WAP resources only (intervention group one), or with the addition of professionally-led enhanced support (intervention group two), will have reduced fatigue and improved well-being compared to parents who are receiving standard care (control group). The following parental outcomes will be assessed, using validated self-report, psychometric instruments, at baseline, two weeks and two-months post intervention: 1. Symptoms of fatigue 2. Parental mood, reduced symptoms of depression, confusion, anxiety and irritability 3. Improved parenting sense of competence 4. Reduced parenting stress
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Rebecca Giallo
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Address
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C/-Parenting Research Centre
Level 5
232 Victoria Parade
East Melbourne
Victoria 3002
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Country
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Australia
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Phone
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+61 3 8660 3500
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Rebecca Giallo
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Address
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C/-Parenting Research Centre
Level 5
232 Victoria Parade
East Melbourne
Victoria 3002
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Country
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Australia
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Phone
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+61 3 8660 3500
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Wide Awake Parenting: study protocol for a randomised controlled trial of a parenting program for the management of post-partum fatigue
2013
https://doi.org/10.1186/1471-2458-13-26
N.B. These documents automatically identified may not have been verified by the study sponsor.
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