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Trial registered on ANZCTR
Registration number
ACTRN12620000476932
Ethics application status
Approved
Date submitted
12/03/2020
Date registered
15/04/2020
Date last updated
15/04/2020
Date data sharing statement initially provided
15/04/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Design of a Theory-based Mobile Health Coaching App for Surgery in Obese Patients: A Study Protocol
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Scientific title
User-centred Design of a Theory-based, Ontology-driven Mobile Health Coaching App for Fitness before Surgery in Obese Patients: A Study Protocol
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Secondary ID [1]
300785
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none
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Universal Trial Number (UTN)
nil
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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
316647
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diet and nutrition
316716
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Condition category
Condition code
Surgery
314891
314891
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0
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Other surgery
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Diet and Nutrition
315065
315065
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Material: A mobile app will be developed to provide multi-disciplinary health coaching
Procedure: Patients will log on to the app, complete a questionnaire to describe their current health status. The app will direct them to health resources, send them 4 coaching notifications a week, and will track their progress towards their self-nominated goals. Participants will be able to use the app as often as they wish.
Delivery: automatically via the mobile phone app
Duration: the study will cease at 6 months, or earlier if a person has their scheduled surgery before 6 months
Location: in participants' own time and space
Content: examples of coaching notifications include:
Diet: "Make sure you eat a rainbow of different colours of fruit and vegetables to reach your nutrition needs", "Cutting down your food proportions slowly over time will create long term changes"
Exercise: "Walking for 30 minutes a day improves heart and lung health", "Aim to increase your daily step count by 500 steps this week"
Psychology: "By making repeated small changes in habits, most people can reach their goals. You can too", " All of us can do with a little support from time to time. Do you know that you can talk to your GP about your mental well being?"
Medical: "Need some extra help reaching your goals this week? Contact NSW Get Healthy on xxxxx for free lifestyle coaching'
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Intervention code [1]
317107
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Treatment: Other
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Comparator / control treatment
no control group, as this first trial is a pilot study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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change in weight
All outcomes will be self-reported as entered into the app
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Assessment method [1]
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Timepoint [1]
323213
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For each participant, the study will end 6 months after enrolment or at the time of surgery, whichever happens first.
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Secondary outcome [1]
381188
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Change in physical activity using the International Physical Activity Questionnaire
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Assessment method [1]
381188
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Timepoint [1]
381188
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For each participant, the study will end 6 months after enrolment or at the time of surgery, whichever happens first.
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Secondary outcome [2]
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Change in nutrition, using the Australian Bureau of Statistics, Australian Health Survey short questions
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Assessment method [2]
381379
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Timepoint [2]
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For each participant, the study will end 6 months after enrolment or at the time of surgery, whichever happens first.
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Secondary outcome [3]
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Change in health engagement, using the Patient Activation Measure
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Assessment method [3]
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Timepoint [3]
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For each participant, the study will end 6 months after enrolment or at the time of surgery, whichever happens first.
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Eligibility
Key inclusion criteria
Age >=18yr, body mass index >= 30 kg/m2, booking for elective surgery with a Category C (up to 12 months) waiting period
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Minimum age
18
Years
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Maximum age
90
Years
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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
not having a smartphone, difficulties understanding English
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Study design
Purpose of the study
Educational / counselling / training
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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)
N/A
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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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
Single group
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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
This is a pilot study. Our sample size will be based on convenience, with approximately 50-100 patients. Statistics will be mainly descriptive. Changes at the end of the study will be compared to baseline measures from the beginning of the study using t-tests with continuous parametric data, and ordinal measures for non-parametric data.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/05/2020
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Actual
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Date of last participant enrolment
Anticipated
1/12/2020
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Actual
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Date of last data collection
Anticipated
1/05/2021
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Actual
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Sample size
Target
100
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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]
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Wollongong Hospital - Wollongong
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Recruitment postcode(s) [1]
29632
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2500 - Wollongong
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Wollongong, Illawarra Health and Medical Research Institute
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Address [1]
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Northfields Avenue, Wollongong, NSW 2500
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Country [1]
305243
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Australia
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Primary sponsor type
Individual
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Name
Dr Natalie Smith
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Address
c/o Wollongong Hospital, Crown St, Wollongong. NSW 2500
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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]
305599
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Address [1]
305599
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Country [1]
305599
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
305586
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UOW and ISLHD Health and Medical Human Research Comittee
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Ethics committee address [1]
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University of Wollongong, Northfields Ave, Wollongong. NSW, 2500
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Ethics committee country [1]
305586
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Australia
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Date submitted for ethics approval [1]
305586
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Approval date [1]
305586
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23/07/2019
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Ethics approval number [1]
305586
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2019/ETH03698
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Summary
Brief summary
Obesity is the leading public health challenge in Australia. Approximately 3,300 patients who undergo elective surgery in the Illawarra and Shoalhaven Local Health District each year are obese.. This area does not currently offer a comprehensive multi-disciplinary weight management clinic. The waiting time for many patients with obesity booked for common operations is three months or longer. Losing weight and increasing cardio-respiratory fitness can improve aerobic capacity and physiological reserve. The majority of people routinely carry a ‘smart’ mobile phone. We will design, build, pilot, and evaluate a mobile application to provide patient-centered interactive health coaching specifically designed for patients with obesity who are waiting for surgery. Our hypothesis is that mobile health coaching via an app utilising the time that patients with obesity spend on surgical waiting lists will improve their health, fitness, and motivation at the time of operation.
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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 Natalie Smith
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Address
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Dept Anaesthesia, Wollongong Hospital, Crown St, Wollongong, NSW 2500
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Country
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Australia
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Phone
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+61 0439473790
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Fax
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Email
100866
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[email protected]
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Contact person for public queries
Name
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Natalie Smith
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Address
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Dept Anaesthesia, Wollongong Hospital, Crown St, Wollongong, NSW 2500
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Country
100867
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Australia
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Phone
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+61 0439473790
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Fax
100867
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Email
100867
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[email protected]
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Contact person for scientific queries
Name
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Natalie Smith
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Address
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Dept Anaesthesia, Wollongong Hospital, Crown St, Wollongong, NSW 2500
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Country
100868
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Australia
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Phone
100868
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+61 0439473790
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Fax
100868
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Email
100868
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Patient information will be collected individually, but kept anonymous for analysis and study purposes
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
7349
Study protocol
[email protected]
379452-(Uploaded-12-03-2020-14-43-57)-Study-related document.docx
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.
Download to PDF