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Trial registered on ANZCTR
Registration number
ACTRN12613000893707
Ethics application status
Approved
Date submitted
7/08/2013
Date registered
12/08/2013
Date last updated
12/08/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Maternal Pertussis Study: best practice for the communication of pertussis (whooping cough) booster vaccine recommendations to new mothers.
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Scientific title
The influence of baseline attitudes, modifiable factors and health message framing on whooping cough booster vaccine uptake among new mothers on the postnatal ward in a public hospital.
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Secondary ID [1]
282988
0
Nil
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Universal Trial Number (UTN)
Nil Known
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Trial acronym
Nil
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
pertussis
289815
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Condition category
Condition code
Reproductive Health and Childbirth
290165
290165
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0
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Childbirth and postnatal care
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Public Health
290166
290166
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0
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Health promotion/education
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Infection
290182
290182
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Health-message framing: The tri-fold, coloured A4 pamphlet was written either in a gain or loss frame, indicating either what mothers gain from the cocooning strategy or what mothers would lose by not receiving the pertussis booster vaccine (for adults). The intervention was administered by the research nurse once the baseline questionnaire was completed. The interventions ( gain or loss pamphlet) were allocated to participants using sequential block allocation by week.
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Intervention code [1]
287700
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Behaviour
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Comparator / control treatment
The control was the standard NSW Health pertussis facts sheet (A4, double sided). The printed factsheet was accessed from http://www.health.nsw.gov.au/factsheets/infectious/pertussis.html (Date: 14/SEPT/2009) and was the only available pertussis resource at the commencement of the study.
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Control group
Active
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Outcomes
Primary outcome [1]
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Pertussis booster vaccine uptake by postpartum women, assessed by follow up questionnaire completed prior to discharge.
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Assessment method [1]
290193
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Timepoint [1]
290193
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Immediate postpartum period (prior to discharge from hospital following childbirth).
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Secondary outcome [1]
304084
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Baseline attitude and other factors influencing vaccine uptake were assessed using a self-administered, paper-based questionnaire completed at the participant's bedside.
The questionnaire was comprised of 5 parts structure according to the Health Belief Model framework, with questions on: a) pertussis vaccination information sources b) pertussis susceptibility and severity c) vaccine benefits and barriers d) intentions to be vaccinated and e) demographic information.
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Assessment method [1]
304084
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Timepoint [1]
304084
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At baseline (following completion of the baseline questionnaire, prior to allocation of the intervention or control).
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Secondary outcome [2]
304085
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Additional follow up ( by preferred method of phone or email) to assess household pertussis vaccine status and household exposure to pertussis and/or epidsode/s of pertussis.
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Assessment method [2]
304085
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Timepoint [2]
304085
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from six months postpartum
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Eligibility
Key inclusion criteria
Postpartum women not up to date with pertussis booster recommendations ( dTpa <10 years)
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Requires an interpreter.
Unable to given written informed consent.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
All postpartum women present during recruitment days ( 3 week days) are approached sequentially (room by room on the postnatal ward) by the research nurse. Following consent, an paper-based, self-administered baseline questionnaire is completed. Next, the allocated intervention for that week is given to the participant by the research nurse.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
sequential block allocation by week
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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
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A sample size of N=1080 is required to detect a difference between the gain-frame, loss-frame and control, with 80% confidence at the 0.05 level. This includes a 20% margin for non-response. Calculation based on vaccine coverage of 75%-80% post intervention.
Frequencies reported as percentages for all questions. Chi-square analysis to test for association of pertussis booster vaccine uptake and demographic, attitudinal, awareness and behavioural variables. Multiple logistic regression of significant variables in the univariate analysis is undertaken to determine predictors of vaccine uptake on the postnatal ward.
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
1/11/2010
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Actual
1/11/2010
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Date of last participant enrolment
Anticipated
31/03/2012
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Actual
30/07/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1080
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
1426
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Royal North Shore Hospital - St Leonards
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Recruitment postcode(s) [1]
7260
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2065 - Royal North Shore Hospital
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Funding & Sponsors
Funding source category [1]
287758
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Commercial sector/Industry
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Name [1]
287758
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Sanofi Pasteur Pty Limited
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Address [1]
287758
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Talavera Corporate Centre, Building D
12-24 Talavera Road, Macquarie Park, NSW 2113
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Country [1]
287758
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Australia
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Primary sponsor type
Individual
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Name
Associate Professor John Sinn
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Address
Department of Neonatology
Level 5 Douglas Building
Royal North Shore Hospital
Pacific Highway,
St Leonards, NSW, 2065
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Country
Australia
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Secondary sponsor category [1]
286483
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None
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Name [1]
286483
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Address [1]
286483
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Country [1]
286483
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Other collaborator category [1]
277568
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Government body
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Name [1]
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National Centre for Immunisation Research and Survelliance
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Address [1]
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The Children's Hospital at Westmead
Cnr Hawkesbury Rd & Hainsworth St, Westmead
NSW, 2145
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Country [1]
277568
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289705
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HARBOUR HREC (NSCCH)
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Ethics committee address [1]
289705
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Research Business Unit Northern Sydney Local Health District Level 13 Kollings Building Royal North Shore Hospital Pacific Highway St Leonards, NSW 2065
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Ethics committee country [1]
289705
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Australia
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Date submitted for ethics approval [1]
289705
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23/02/2010
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Approval date [1]
289705
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24/06/2010
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Ethics approval number [1]
289705
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0905-087M
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Summary
Brief summary
The cocooning strategy, which was implemented in Australia in 2009, can have a strong protective effect (indirect) against pertussis in infants. To achieve high maternal coverage, understanding maternal attitudes and other potentially influential factors is important. In this study, we examined the influence of baseline attitudes, modifiable factors and health message framing on pertussis booster vaccine uptake among postpartum women in the public hospital setting.
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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
42058
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A/Prof John Sinn
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Address
42058
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Department of Neonatology level 5 Douglas Building Royal North Shore Hospital Pacific Highway, St Leonards, NSW, 2065
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Country
42058
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Australia
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Phone
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+61294632183
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Fax
42058
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Email
42058
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[email protected]
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Contact person for public queries
Name
42059
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Elizabeth Hayles
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Address
42059
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Department of Neonatology level 5 Douglas Building Royal North Shore Hospital Pacific Highway, St Leonards, NSW, 2065
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Country
42059
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Australia
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Phone
42059
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+61294632197
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Fax
42059
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Email
42059
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[email protected]
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Contact person for scientific queries
Name
42060
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Elizabeth Hayles
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Address
42060
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Department of Neonatology level 5 Douglas Building Royal North Shore Hospital Pacific Highway, St Leonards, NSW, 2065
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Country
42060
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Australia
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Phone
42060
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+61294632197
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Fax
42060
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Email
42060
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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
No additional documents have been identified.
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