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Trial registered on ANZCTR
Registration number
ACTRN12618000331235
Ethics application status
Approved
Date submitted
28/02/2018
Date registered
6/03/2018
Date last updated
6/03/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
A Community Jury on initiating weight management conversations in Primary Care
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Scientific title
A Community Jury on initiating weight management conversations in Primary Care
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Secondary ID [1]
294192
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None
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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:
Obesity
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Condition category
Condition code
Public Health
305932
305932
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0
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Health promotion/education
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Diet and Nutrition
305955
305955
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0
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Obesity
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
We will conduct a community jury (CJ) to elicit informed community preferences for GPs initiating conversations about weight management in primary care. This Community Jury will consider two interconnected questions about potential provision of weight management advice within primary care. Firstly, should GPs be initiating discussions about weight management? And secondly, if so, when: a) opportunistically, b) in the context of disease prevention, c) in the context of disease management or d) other?
The CJ will consist of one group of 15 participants and will be facilitated by Dr Rae Thomas, a Psychologist with over 20 years experience. We will conduct the Community Jury over two days (Saturday and Sunday). On Day 1, following consent, participants will complete a brief pre-jury survey. We will provide the participants with expert presenter biographies and handouts of their presentations. The participants will listen to a 20-minute voice-over-power point presentation from experts with a further 10 minutes after each presentation for questions and answers directly to the experts via mobile phone. Participants will hear presentations from experts in obesity, primary care, and weight management. The first expert will provide a scientific overview of obesity. The second will present an overview of the available resources and services for weight management in the Gold Coast. The third and fourth experts will represent differing views on whether GPs should be initiating these conversations; one will present in support of this and the other will present against.
The presentations will be followed by a facilitated discussion to elicit participants’ reflections and responses to the information presented. These discussions will be led by an experienced facilitator (RT), who will facilitate discussion, ensure all participants have an equal chance to voice opinions, record questions, and note any participant concerns.
At the start of Day 2 the jury will be asked to reflect on the discussions from Day 1 and to put forward any additional questions for the experts. The experts will provide answers to any identified questions via speaker-phone. The jury will then deliberate without a facilitator present on the 2 questions put to the jury about initiating conversations about weight management within primary care. Participants will deliberate until a consensus or impasse is reached and present their decision to the facilitator and researchers.
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Intervention code [1]
300484
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Not applicable
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Our primary outcome will be juror recommendations for the posed question: should GPs be initiating discussions about weight management? This will be assessed through transcribed audio recordings of the recommendations presented by the jury at the end of the 2 days. Reasons for the recommendation and the mechanisms and dynamic processes of the community jury will be explored using thematic analysis.
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Assessment method [1]
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Timepoint [1]
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End of Community jury (i.e. after two days of presentations and deliberation)
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Secondary outcome [1]
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The time point at which jurors achieve consistency in their individual responses to the jury question (i.e. enough information has been given for the jury to no longer change their answer). Individual responses to the primary jury question: Should GPs be initiating discussions about weight management? will be recorded throughout the weekend. Responses will be on a 5 point Likert Scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
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Assessment method [1]
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Timepoint [1]
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End of Community jury (i.e. after two days of presentations and deliberation)
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Secondary outcome [2]
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Desire for a discussion about weight management to be initiated with participants by their GP. Throughout the weekend, participants will be asked if they would want their GP to initiate a discussion about weight management with them, with responses on a 5 point Likert Scale from 1 (Strongly Disagree) to 5 (Strongly Agree).
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Assessment method [2]
343757
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Timepoint [2]
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End of Community jury (i.e. after two days of presentations and deliberation).
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Secondary outcome [3]
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Knowledge about obesity and weight management in primary care will be assessed through a survey designed specifically for this study.
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Assessment method [3]
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Timepoint [3]
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End of Community jury (i.e. after two days of presentations and deliberation).
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Secondary outcome [4]
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Attitudes towards GPs initiating conversations about weight management will be assessed through a survey designed specifically for this study.
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Assessment method [4]
343759
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Timepoint [4]
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End of Community Jury (i.e. after two days of presentations and deliberation).
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Eligibility
Key inclusion criteria
Individuals with a body mass index greater than or equal to 25 (Calculated from self-reported heights and weights), as this is the clinically determined cut-off for overweight.
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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?
No
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Key exclusion criteria
(i) unable to provide informed consent due to mental incapacity or active psychotic illness, or (ii) unable to speak or understand English.
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Study design
Purpose
Psychosocial
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Quantitative and qualitative analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
9/03/2018
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Actual
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Date of last participant enrolment
Anticipated
10/03/2018
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Actual
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Date of last data collection
Anticipated
11/03/2018
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Actual
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Sample size
Target
15
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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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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Australia Endeavour Award
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Address [1]
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Department of Education & Training
GPO Box 9880
Canberra ACT 2601
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Country [1]
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Australia
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Funding source category [2]
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Government body
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Name [2]
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NHMRC
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Address [2]
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Level 5 20 Allara Street, Canberra Australian Capital Territory 2601
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Country [2]
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Australia
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Funding source category [3]
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Charities/Societies/Foundations
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Name [3]
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Yorkshire Cancer Research University Academic Fellowship
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Address [3]
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7 Grove Park Court, Harrogate HG1 4DP
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Country [3]
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United Kingdom
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Primary sponsor type
University
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Name
Bond University
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Address
14 University Drive, Robina Queensland 4226
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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]
298021
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299772
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Bond University Human Research Ethics Committee
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Ethics committee address [1]
299772
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Ethics committee country [1]
299772
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Australia
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Date submitted for ethics approval [1]
299772
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Approval date [1]
299772
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16/01/2018
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Ethics approval number [1]
299772
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Summary
Brief summary
There is a growing body of evidence that identifies obesity as a major risk factor for a number of diseases, including Type 2 diabetes, cardiovascular disease and some cancers. In Australia, the prevalence of overweight and obesity has been increasing; 63% of adults were classed as overweight or obese in 2014-15, up from 57% in 1995. The National Health and Medical Research Council clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia identifies primary care as playing an important role in weight management. Obesity has also recently been classified as a disease by the Royal Australian College of General Practice (RACGP), and there are increasing calls for primary care to screen for overweight and obesity. Previous studies suggest few patients attending general practice in Australia are weighed, and few at risk patients are given advice or referred to other services. Identified barriers include concerns about upsetting patients and perceptions that effective interventions are lacking. Few studies have evaluated the impact of weight management interventions delivered by primary care practitioners, but there is some evidence that GP referrals to programmes outside of the primary care setting can be effective, though studies are limited. Initiating weight management conversations in primary care is therefore a controversial issue, and there is a need to explore the views of those directly affected by overweight and obesity. Community Juries are a deliberative democracy technique that involve providing a jury, made up of community members, with expert information about both sides of a controversial issue. The jury then deliberate amongst themselves, and are asked to form a consensus or majority “verdict” on the topic question, which can influence health policy decision-making. The aim of this Community Jury is to elicit the views of well-informed people with overweight and obesity about the role of GPs in initiating conversations about weight management.
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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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Dr Rebecca Beeken
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Address
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Leeds Institute of Health Sciences
University of Leeds
Level 10, Worsley Building,
Clarendon Way,
Leeds, LS2 9NL
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Country
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United Kingdom
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Phone
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+44 113 343 3228
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Rebecca Beeken
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Address
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Leeds Institute of Health Sciences
University of Leeds
Level 10, Worsley Building,
Clarendon Way,
Leeds, LS2 9NL
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Country
81519
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United Kingdom
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Phone
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+44 113 343 3228
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Fax
81519
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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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Rebecca Beeken
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Address
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Leeds Institute of Health Sciences
University of Leeds
Level 10, Worsley Building,
Clarendon Way,
Leeds, LS2 9NL
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Country
81520
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United Kingdom
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Phone
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+44 113 343 3228
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Fax
81520
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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
No additional documents have been identified.
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