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Trial registered on ANZCTR
Registration number
ACTRN12621000806864
Ethics application status
Approved
Date submitted
12/03/2021
Date registered
25/06/2021
Date last updated
12/11/2021
Date data sharing statement initially provided
25/06/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Co-designing a Pacific diabetes prevention program with families and communities
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Scientific title
Effect of a co-designed Pacific diabetes prevention program for improving the health and wellbeing of families and communities
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Secondary ID [1]
303680
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Nil.
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Universal Trial Number (UTN)
U1111-1266-0219
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Trial acronym
F-DIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Type 2 diabetes
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prediabetes
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Condition category
Condition code
Diet and Nutrition
318882
318882
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0
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Other diet and nutrition disorders
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Metabolic and Endocrine
318883
318883
0
0
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Diabetes
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Diet and Nutrition
319316
319316
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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
Participants with a recently diagnosed prediabetes and/or diabetes (defined by having an HbA1c test in the last 12 months) will be invited to join the study from Phase 1 of the study, that focuses on co-designing the intervention programme. The co-design programme will be delivered to the community over a 24 week period, every week for up to 2 hours per meeting. These co-design meetings will be conducted in face-to-face workshops, delivered by the Community Coordinator (who is already trained in the co-design methodology).
Phase 2 study participants include the same participants with prediabetes/diabetes diagnosis from phase 1, and their families (approximately 100 individuals >18years old).
It is anticipated that the co-designed life-style based and behavioural change intervention programme may include weekly activities, such as increased physical activities (eg. organised community 4km walks, community-based fitness classes), and behavioural change activities (eg. educational modules related to cooking and nutritional skills). The intervention programme will be measured at baseline (time-point 1: week 0) and at post-intervention (time-point 2: week 24).
Data collection at Time-point 1:
• Socio-demographic data: date of birth, gender, ethnicity, highest education level, and annual household income;
• Anthropometry: self-reported weight (kilograms) and height (centimetres); blood pressure; diet diversity
• Health status: self-reported health condition(s) defined as being told by a doctor that they have this condition, including prediabetes, diabetes, and heart disease;
• Holistic wellbeing (for Pasifika participants): spiritual, physical, mental and family wellbeing measured by 10-items based on the Fonofale Model. All answers are measured on a 5-point Likert scale.
Data collection at Time-point 2:
Anthropometry: self-reported weight (kilograms) and height (centimetres); blood pressure; diet diversity
• Health status: self-reported health condition(s) defined as being told by a doctor that they have this condition, including prediabetes, diabetes, and heart disease;
• Holistic wellbeing (for Pasifika participants): spiritual, physical, mental and family wellbeing measured by 10-items based on the Fonofale Model. All answers are measured on a 5-point Likert scale.
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Intervention code [1]
320279
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Lifestyle
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Intervention code [2]
320280
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Prevention
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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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The primary outcome is family adherence to a co-designed healthy lifestyle behavior change programme to reduce prediabetes and diabetes levels, over a 6 month period. This will primarily be determined by a positive change in anthropometric measurements (eg. decrease in weight (kg), reduced BMI status, and improved dietary behaviors).
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Assessment method [1]
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Timepoint [1]
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At baseline (week 0) and post-intervention (week 24), Phase 1 / year 1 of the study, data collection includes:
Anthropometry: self-reported weight (kilograms) and height (centimeters); blood pressure; diet diversity.
Positive change in anthropometric measurements (eg. decrease in weight (kg), reduced BMI status, and improved dietary behaviors).
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Primary outcome [2]
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Improved physical activity
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Assessment method [2]
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Timepoint [2]
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At baseline (week 0) and post-intervention (week 24), Phase 1 / year 1 of the study, data collection includes:
Improved physical activity level as determined by the Physical Activity (using 6 minute walking test)
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Primary outcome [3]
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Overall improved health and wellbeing of the Pacific participants as a result of the intervention programme
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Assessment method [3]
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Timepoint [3]
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At baseline (week 0) and post-intervention (week 24) using the FonoFale Health and Wellbeing questionnaire
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Secondary outcome [1]
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To examine whether co-designing a family diabetes intervention programme is practically feasible for Pacific families.
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Assessment method [1]
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Timepoint [1]
392813
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The secondary outcome will involves mini-focus groups (phase 3 / year 2 of the study). end date 30 October 2022. The outcome will be assessed in relation to implementation of the program 6 months post intervention of phase .
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Eligibility
Key inclusion criteria
The inclusion criteria: Pacific ethnicity (self-identified), with at least one family member at high risk of developing diabetes (defined by having a BMI>30 and high blood-pressure) and resides in a moderate-high deprivation area.
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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
Non-Pacific participants; Has had chronic diabetes and have had medical complications related to diabetes longer than 12months; Has not been amendable to previous interventions offered (ie. non-compliant).
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
do not qualify as a random order generation
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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
A full statistical analysis plan will be developed a priori by our research centre statistician to guide final analysis and reporting. No interim analyses will be undertaken during the trial.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/07/2021
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Actual
27/07/2021
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Date of last participant enrolment
Anticipated
2/08/2021
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Actual
9/08/2021
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Date of last data collection
Anticipated
30/11/2022
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Actual
9/08/2021
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Sample size
Target
100
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Accrual to date
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Final
100
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Recruitment outside Australia
Country [1]
23534
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New Zealand
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State/province [1]
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South Waikato region
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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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National Science Challenge: Healthier Lives
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Address [1]
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Hosted by the University of Otago, University of Otago, PO, Box 56 Dunedin 9054, New Zealand.
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Country [1]
308098
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New Zealand
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Primary sponsor type
University
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Name
Massey University
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Address
Research Centre for Hauora and Health, College of Health, Massey University, PO Box 756, Wellington 6140, New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
308844
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Prof Jeroen Douwes
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Address [1]
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Research Centre for Hauora and Health, College of Health, Massey University, PO Box 756, Wellington 6140, New Zealand
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Country [1]
308844
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
308085
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
308085
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Ministry of Health Health and Disability Ethics Committees PO Box 5013 Wellington 6140 New Zealand
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Ethics committee country [1]
308085
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New Zealand
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Date submitted for ethics approval [1]
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15/06/2021
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Approval date [1]
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19/07/2021
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Ethics approval number [1]
308085
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21/CEN/176
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Summary
Brief summary
The distribution of and access to resources to enable better health and wellbeing for Pacific families with members who have long-term conditions, continues to be unequal, and lacks cultural responsiveness that is acceptable to Pacific groups living in hard to reach regions. This project uses a co-design approach, and the central research questions are: Is a family-centered diabetes intervention programme for Pacific families an effective approach to prevent diabetes? The impact of the overall research programme will provide a methodological approach that can be replicated in other communities and ethnic groups.
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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 Riz Firestone
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Address
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Research Centre for Hauora and Health, Massey University
PO Box 756
Wellington 6140
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Country
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New Zealand
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Phone
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+64 4 9793107
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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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Riz Firestone
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Address
109479
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Research Centre for Hauora and Health Massey University
PO Box 756
Wellington 6140
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Country
109479
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New Zealand
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Phone
109479
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+64 4 9793107
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Fax
109479
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Email
109479
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[email protected]
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Contact person for scientific queries
Name
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Riz Firestone
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Address
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Research Centre for Hauora and Health Massey University
PO Box 756
Wellington 6140
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Country
109480
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New Zealand
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Phone
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+64 4 9793107
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Fax
109480
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Email
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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)?
Yes
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What data in particular will be shared?
Base line data and post intervention data as outlined in phases 1 and 2, in particular: Anthropometry: self-reported weight (kgs) and height (cm); blood pressure; diet diversity
Health status: self-reported health condition(s) defined as being told by a doctor that they have this condition;
Holistic wellbeing: spiritual, physical, mental and family wellbeing measured by 5-point Likert scale
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When will data be available (start and end dates)?
Immediately following initial publication and for only available for 5 years following the main results of the study
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Available to whom?
Only researchers who provide a methodologically sound proposal, case-by-case basis at the discretion of the Research Team
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Available for what types of analyses?
Only to align with the aims in the approved proposal
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How or where can data be obtained?
access subject to approvals by Principal Investigator (Dr R.T. Firestone
[email protected]
+6449793107)
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
11430
Study protocol
381605-(Uploaded-21-04-2021-15-42-39)-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