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The Aberdeen Behaviour Change (ABC) Weight Loss Study
ISRCTN ISRCTN90101501
ClinicalTrials.gov identifier
Public title The Aberdeen Behaviour Change (ABC) Weight Loss Study
Scientific title Feasibility study for a randomised controlled trial of a behavioural intervention to reduce weight in obese adults with additional risk factors for chronic disease
Acronym ABC weight loss study
Serial number at source V2 30 June 2009
Study hypothesis The purpose of the proposed study is to test the feasibility and acceptability of the intervention, measurement and trial procedures for a Randomised Controlled Trial (RCT) of a newly developed behaviour change intervention in a sample of obese adults with additional risk factors for disease recruited from GP practice lists.
Lay summary Not provided at time of registration
Ethics approval Approved by North of Scotland Research Ethical Committee (REC) (ref: 09/S0801/54)
Study design Pilot single centre single-blinded randomised active controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Obesity with additional risk factors
Participants - inclusion criteria Current inclusion criteria as of 05/04/2011:
1. Adult patients from the lists of GP practices in Grampian
2. BMI ≥ 30
3. Co-morbidities such as type 2 diabetes, impaired glucose tolerance or hypertension.

Previous inclusion criteria:
1. Adult patients from the lists of GP practices in Grampian
2. BMI ≥ 35
3. Co-morbidities such as type 2 diabetes, impaired glucose tolerance or hypertension.
Participants - exclusion criteria 1. Insufficient knowledge of the English language to take part in group interventions and use written materials
2. Conditions preventing participants from engagement in mild-moderate physical activities such as walking
Anticipated start date 15/09/2009
Anticipated end date 30/08/2010
Status of trial Completed
Patient information material Not available in web format, please use contact details below to request a patient information sheet
Target number of participants 90
Interventions Participants will be randomised to a group based manual based intervention or a leaflet control condition in accordance to a 2:1 allocation ratio.

1. Intervention group (Nurse-led 6 session group intervention):
The group intervention focuses on changing activity and dietary behaviours, and in turn weight and waist/hip ratio, in a sample of obese participants with additional risk factors. It is based on a comprehensive systematic review and a systematic intervention development process.
An experienced nurse will deliver six group sessions (five weekly sessions in the beginning of the intervention and a refresher session 3 weeks after session 5). The nurse will be trained and instructed in delivering the intervention in accordance with a detailed manual consisting of behaviour change techniques that have been identified as successful in terms of weight loss in our systematic review. Groups will include up to ten participants. The introduction of behaviour change techniques will follow a logical pattern with the introduction of action planning and self−monitoring in the first few sessions, followed by the introduction of subsequent techniques on a weekly basis concluding with relapse prevention towards the end of the intervention.
In addition, participants in the intervention group will receive brief encouraging letters if they miss sessions, offering to send additional study materials (e.g. self-monitoring or goal setting sheets) and the leaflets 'So you want to lose weight... for good - A guide to losing weight for men and women' and 'Get Active' issued by the British Heart Foundation.
Intervention sessions will be recorded and anonymously transcribed.

2. Control group (standard care plus written information from the British Heart Foundation):
Participants in the control group will receive the leaflets 'So you want to lose weight... for good - A guide to losing weight for men and women' and 'Get Active' issued by the British Heart Foundation.
Primary outcome measure(s) Acceptability and feasibility for the pilot trial
Secondary outcome measure(s) 1. Changes in physical activity, diet (kcal/fat intake) and weight at 3 and 6 months (these will be primary outcomes for the main trial)
2. Changes in psychological predictors of physical activity and dietary behaviours
Sources of funding Scottish Government, Chief Scientist Office (UK) (Ref: CZG/2/390)
Trial website
Publications 1. 2011 results in http://www.ncbi.nlm.nih.gov/pubmed/21897841
Contact name Dr  Falko  Sniehotta
  Address University of Aberdeen
William Guild Building
  City/town Aberdeen
  Zip/Postcode AB24 2UB
  Country United Kingdom
Sponsor University of Aberdeen (UK)
  Address King's College
Aberdeen
  City/town Aberdeen
  Zip/Postcode AB24 3FX
  Country United Kingdom
  Email e.rattray@abdn.ac.uk
  Sponsor website: http://www.abdn.ac.uk
Date applied 17/11/2009
Last edited 03/01/2012
Date ISRCTN assigned 16/03/2010
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