Is it feasible and acceptable to deliver HELPclinic (Healthy Eating Lifestyle Programme by Clinicians) in the medical office (outpatient) setting?

ISRCTN ISRCTN10921803
DOI https://doi.org/10.1186/ISRCTN10921803
Secondary identifying numbers 10/H0706/53
Submission date
20/08/2016
Registration date
26/10/2016
Last edited
30/01/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
A programme called HELPclinic has been developed for young people aged 12 to 18 who are obese. It is designed to be used by doctors, nurses and dieticians to help young people control their weight by changing the way they eat and exercise. This programme has been developed using an existing programme called HELP. The aim is to test this intervention for the first time to see whether it is possible to recruit young people and their families to join the study, to see whether they are able to complete the whole study, and to find out whether is possible for doctors, nurses and dieticians to deliver this type of programme in the outpatient clinic.

Who can participate?
Patients aged 12-18 who are obese

What does the study involve?
At the start of the study participants undergo blood tests and blood pressure measurement and complete quality of life and psychological questionnaires. All participants in this study attend five sessions of the HELPclinic programme at monthly intervals. Participants are then invited for an interview one month later to find out what they and their families think about the study. The doctors and nurses in the clinic who have been trained to deliver the programme are also interviewed to find out their views. The participants’ changes in weight and health are measured.

What are the possible benefits and risks of participating?
Possible benefits are the health benefits of having a healthy diet and increased levels of exercise. There are no anticipated risks associated with this study. The diet and lifestyle advice follows national recommendations and does not involve any unsafe diet or exercise plans.

Where is the study run from?
University College London Hospital (UK)

When is the study starting and how long is it expected to run for?
March 2010 to March 2013

Who is funding the study?
Institute of Child Health, University College London (UK)

Who is the main contact?
Dr Billy White
billy.white@ucl.ac.uk

Contact information

Dr Billy White
Public

University College London Hospital
250 Euston Road
London
NW1 2PG
United Kingdom

ORCiD logoORCID ID 0000-0002-0109-6935
Phone +44 (0)20 3447 9221
Email billy.white@ucl.ac.uk

Study information

Study designRandomised control trial, subsequently adapted to a pre-post observational study
Primary study designObservational
Secondary study designPre-post study
Study setting(s)Hospital
Study typeTreatment
Participant information sheet ISRCTN10921803_PIS_12-15_v2.1_02Sep10.pdf
Scientific titleHealthy Eating Lifestyle Programme by Clinicians: a feasibility randomised control pilot trial
Study objectivesThis feasibility study is part of a research program that will examine the following hypotheses:
1. A family-­based lifestyle intervention, delivered by clinicians (doctors, nurses and dieticians) using two psychological techniques (solution-focused therapy and motivational interviewing) is efficacious in reducing body mass index.
2. The intervention is efficacious in improving quality of life, reducing waist circumference and cardiometabolic risk factors and improving psychological function in obese adolescents.

This study will:
1. Establish feasibility and acceptability of recruitment, randomisation and delivery of the program.
2. To obtain estimates of outcomes to plan a full randomised control trial.
Ethics approval(s)West London REC3 NRES Committee, 17/09/2010, ref: 10/H0706/53
Health condition(s) or problem(s) studiedObesity
InterventionAll participants in this study undertake the HELPclinic intervention, a five-session individual lifestyle programme delivered at monthly intervals. The lifestyle intervention uses behavioural tools from motivational interviewing and solution-focused therapy to enable behaviour change aligned with contemporary dietary and exercise recommendations. It was originally planned to undertake a waiting-list control randomised control trial where half of the participants would wait 5 months to start the intervention. This was subsequently changed to an observational study where all participants undertake the study immediately at the time of entry into the study. All participants are invited for review one month after the intervention by their referring clinician.

Baseline measurements are taken at baseline to characterise the sample: cardio-metabolic measurements (HbA1c or oral glucose tolerance test, blood pressure measurement, lipids), quality of life and psychological function measurements (SDQ, PedsQL, RSE, EDEQ and DEBQ questionnaires) and auxology measurements (height and weight). Height and weight measurements are repeated at each session.
Intervention typeBehavioural
Primary outcome measure1. Feasibility - recruitment, attendance and attrition rates are continually monitored in order to test the ability to recruit and retain participants
2. Acceptability - qualitative interviews are performed with participants and clinicians after 6-12 months of study completion
Secondary outcome measuresChange in BMI over the course of the programme: height and weight are measured at each session and 1 month after completion of the programme
Overall study start date01/03/2010
Completion date01/03/2013

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Years
Upper age limit18 Years
SexBoth
Target number of participants40
Key inclusion criteria1. Aged 12-18 years
2. Male and female
3. BMI between 98th centile and 45kg/m2
Key exclusion criteria1. Subjects with significant mental health problems or undergoing mental health treatment
2. Other chronic illness, monogenic obesity syndrome or use of medications known to promote obesity
3. Patients who have signs or symptoms which require them to have immediate investigations, e.g. diabetes
4. Participants with significant learning disability or lack of command of English sufficient to render them unable to participate effectively in the planned intervention. The great majority of eligible young people from black or minority ethnic groups in this population have good command of English. Given the importance of standardising the intervention, it will not be possible to use interpreters to enable parents with poor English to participate. We will ensure that the external validity of the study is maintained by allowing another relative with good English to participate
5. BMI>45 kg/m2 as they are unlikely to respond to lifestyle changes alone
6. Participants who have been involved in a weight management research program greater than 12 months previously will be eligible but those who are actively involved in a weight management program will be excluded
Date of first enrolment17/10/2010
Date of final enrolment03/04/2012

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

University College London Hospital
250 Euston Road
London
NW1 2PG
United Kingdom

Sponsor information

University College London Hospital
Hospital/treatment centre

250 Euston Road
London
NW1 2PG
England
United Kingdom

Phone +44 (0)207 380 9833
Email billy.white@ucl.ac.uk
ROR logo "ROR" https://ror.org/02jx3x895

Funders

Funder type

University/education

Institute of Child Health, University College London
Private sector organisation / Universities (academic only)
Alternative name(s)
UCL Great Ormond Street Institute of Child Health, GOS ICH
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination plan1. Publish the results of this study in an open-source peer-reviewed journal
2. Send a plain English summary to all participants
3. Present outcomes at an international conference

2016 results in thesis: https://discovery.ucl.ac.uk/id/eprint/1546430/9/Thesis%20submitted%20version%20without%20copyright%2027oct2016.pdf
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet version v2.1 02/09/2010 26/10/2016 No Yes
Participant information sheet version v2.0 19/08/2010 26/10/2016 No Yes

Additional files

ISRCTN10921803_PIS_12-15_v2.1_02Sep10.pdf
Uploaded 26/10/2016
ISRCTN10921803_PIS_16-19_v2.0_19Aug10.pdf
Uploaded 26/10/2016

Editorial Notes

30/01/2020: Thesis added to publication and dissemination plan.