ISRCTN ISRCTN31685626
DOI https://doi.org/10.1186/ISRCTN31685626
Secondary identifying numbers 9575
Submission date
02/02/2011
Registration date
02/02/2011
Last edited
03/06/2014
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mrs Susan Broomfield
Scientific

Primary Medical Care
Aldermoor Health Centre
Aldermoor Close
Southampton
SO16 5ST
United Kingdom

Email seb4@soton.ac.uk

Study information

Study designRandomised multicentre interventional prevention/process of care trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)GP practice
Study typePrevention
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titlePositive Online Weight Reduction Study (POWeR): a randomised multicentre interventional prevention/process of care trial
Study acronymPOWeR
Study objectivesObesity is a major and rapidly rising public health threat. Recent NICE guidelines provide recommendations to implement lifestyle changes (diet and exercise) supported by behavioural techniques. Unfortunately, an average practice will have more than 1000 patients with obesity, and most practice staff have neither the training nor the time to implement intensive obesity management programmes based on 1:1 counselling, or even group counselling, to cope with such numbers. The problem will become worse as the obesity epidemic progresses. By providing an intervention which requires fewer resources for training and for intervention this study will allow a much greater group of patients to benefit both locally and nationally.

We have developed written behavioural manuals for both patient and practitioner. This study will create a less resource intensive intervention to support behavioural change by converting these materials into web format, taking advantage of a grant to our group which supports the development of generic web programming for behavioural interventions. After materials have been converted to web format, and are acceptable to patients and practitioners, we will then explore the impact of different levels of nurse support required to achieve effective weight change.
Ethics approval(s)IOW, Portsmouth and SE Hampshire Research Ethics Committee approved on the 13th September 2010 (ref: 10/H0501/46)
Health condition(s) or problem(s) studiedTopic: Primary Care Research Network for England; Subtopic: Not Assigned; Disease: All Diseases
InterventionPhase 1:
Study 1: In-depth interviews will be carried out with up to 30 patients from 3 - 4 GP practices to elicit views of the intervention materials (including reactions to content and usability).

Study 2: Up to 5 focus groups will be held for health professionals with practice nurses and GPs from 10 - 20 practices. Participants will be invited to use the training materials and patient website prior to taking part in the focus group to stimulate discussion of the issues relating to content, format and feasibility.

Phase 2:
Pilot RCT: Patients will be offered:
1. Web access and email support
2. Minimal face to face support
3. Intensive face to face visits
4. Normal care

GP records will be reviewed for cost-effectiveness.
Intervention typeOther
Primary outcome measureWeight, measured at baseline, one month and end of study (6 months)
Secondary outcome measures1. EQ5D, measured at baseline, one month and 6 months
2. Food Frequency Questionnaire, measured at baseline, one month and 6 months
3. Godin Leisure Time Physical Activity Questionnaire, measured at baseline, one month and 6 months
4. GP record review, measured at the end of the study
5. Physical measurements, measured at baseline, one month and 6 months
Overall study start date01/12/2010
Completion date31/05/2013

Eligibility

Participant type(s)Patient
Age groupNot Specified
Lower age limit18 Years
SexNot Specified
Target number of participantsPlanned sample size: 265
Key inclusion criteria1. Patients aged over 18 years, either gender
2. Body mass index (BMI) greater than or equal to 30 (or 28 with hypertension or hypercholesterolaemia) documented in the GP case records
Key exclusion criteria1. Current major mental problems (difficulty completing outcomes)
2. Very ill/unable to change diet (e.g. severe left ventricular failure [LVF])
3. Pregnancy/breast feeding
4. Perceived inability to walk 100 metres (i.e. physical activity difficult)
Date of first enrolment01/12/2010
Date of final enrolment31/05/2013

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Primary Medical Care
Southampton
SO16 5ST
United Kingdom

Sponsor information

University of Southampton (UK)
University/education

Primary Medical Care
Aldermoor Health Centre
Aldermoor Close
Southampton
SO16 5ST
England
United Kingdom

Website http://www.soton.ac.uk/
ROR logo "ROR" https://ror.org/01ryk1543

Funders

Funder type

Government

National Institute for Health Research (NIHR) (UK) - Research for Patient Benefit (RfPB) programme (ref: PB-PG-0808-17077)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 21/05/2014 Yes No