ISRCTN ISRCTN25260464
DOI https://doi.org/10.1186/ISRCTN25260464
Secondary identifying numbers G0802038
Submission date
11/01/2010
Registration date
16/04/2010
Last edited
24/05/2021
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

Not provided at time of registration

Study website

Contact information

Dr Sharon Simpson
Scientific

Department of Primary Care and Public Health
South East Wales Trials Unit
7th floor Neuadd Meirionnydd
Cardiff University
Heath Park
Cardiff
CF14 4YS
United Kingdom

Phone +44 (0)29 2068 7181
Email SimpsonSA@cf.ac.uk

Study information

Study designCluster randomised controlled trial
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details to request a patient information sheet
Scientific titleHealthy Eating and Lifestyle in Pregnancy (HELP): a cluster randomised trial to evaluate the effectiveness of a weight management intervention in pregnancy on weight at 12 months following birth, gestational weight gain and pregnancy and birth outcomes
Study acronymHELP
Study hypothesisIs a weight management intervention for obese pregnant women, which targets physical activity and healthy eating, effective in reducing women’s body mass index (BMI) at 12 months from giving birth and at what cost?
Ethics approval(s)Research Ethics Committee for Wales, 15/12/2009, ref: 09/MRE09/58
ConditionObesity
InterventionWomen will be invited to attend a weekly 1.5 hour group run jointly by NHS midwives and 'Slimming World' (SW) consultants. These groups differ from usual SW sessions because in addition to the diet and lifestyle advice there is midwife input and additional exercise advice and monitoring.

Women will be recruited at 12 - 20 weeks gestation and the intervention will run until 6 months post-partum. The treatment period will therefore vary dependent on what stage in pregnancy the woman was recruited and when she gives birth. However, it will be between 43 and 56 weeks (taking into account normal gestation is 37 - 42 weeks).

Those in the control group will receive usual care from their midwife which includes between 7 and 10 antenatal consultations, as well as a leaflet on healthy eating and physical activity in pregnancy.

The follow up is until one year from giving birth for both arms of the trial.
Intervention typeOther
Primary outcome measureMaternal BMI at one year from birth
Secondary outcome measuresCurrent secondary outcome measures as of 19/03/2020:
1. General mental health measured at 36 weeks during pregnancy, 6 weeks post-birth, 6 months and 1 year from birth
2. Breastfeeding intentions, measured at 36 weeks during the pregnancy and breastfeeding
behaviour and weaning (6 weeks, 6 months and 1 year)
3. Child weight centile, collected at birth, 6 weeks, 6 months and 1 year
4. Pregnancy and birth outcomes known to be related to obesity, collected at birth
5. Health service costs, measured at 36 weeks during pregnancy, 6 weeks post-birth, 6 months and 1 year from birth
6. Pregnancy weight gain (36 weeks)
7. Waist circumference and waist-hip ratio (12 months)
8. Self-report physical activity (36 weeks while pregnant, 6 weeks post-birth, 6 months and 12 months)
9. Self-report diet (36 weeks while pregnant, 6 weeks post-birth, 6 months and 12 months)
10. Self-report alcohol and smoking (36 weeks while pregnant, 6 weeks post-birth, 6 months and 12 months)
11. Health-related quality of life 36 weeks while pregnant, 6 weeks post-birth, 6 months and 12 months)
_____
Previous secondary outcome measures:
1. Psychological factors, measured at 36 weeks during pregnancy, 6 weeks post-birth, 6 months and one year from birth
2. Breast feeding intentions, measured at 36 weeks during the pregnancy
3. Child weight centile, collected at birth, 6 weeks, 6 months and one year
4. Pregnancy and birth outcomes known to be related to obesity, collected at birth
5. Health service costs, measured at 36 weeks during pregnancy, 6 weeks post-birth, 6 months and one year from birth
Overall study start date01/02/2010
Overall study end date31/01/2014

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexFemale
Target number of participants570
Total final enrolment598
Participant inclusion criteriaWomen will be included in the trial if they:
1. Are 18 years or over
2. Have a BMI of greater than or equal to 30 kg/m^2
3. Are at the earliest hospital contact (around 12 weeks) up to 20 weeks (and 6 days)
Participant exclusion criteriaWomen will not be eligible for the trial if:
1. They are greater than 20 weeks gestation
2. They are unable to understand the intervention, e.g. insufficient understanding of spoken English
3. They have antenatal maternal or foetal complications; serious physical or psychological disorders and previous surgery for weight problems
Recruitment start date28/02/2011
Recruitment end date31/01/2014

Locations

Countries of recruitment

  • United Kingdom
  • Wales

Study participating centre

Cardiff University
Cardiff
CF14 4YS
United Kingdom

Sponsor information

Cardiff University (UK)
University/education

Research and Commercial Division
7th Floor, 30 - 36 Newport Road
Cardiff
CF24 0DE
Wales
United Kingdom

Phone +44 (0)29 2087 9274
Email davieskp2@cardiff.ac.uk
Website http://www.cardiff.ac.uk/
ROR logo "ROR" https://ror.org/03kk7td41

Funders

Funder type

Research council

Medical Research Council (MRC) (UK) - National Prevention Research Initiative (NPRI)
Government organisation / National government
Alternative name(s)
Medical Research Council (United Kingdom), UK Medical Research Council, MRC
Location
United Kingdom

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?
Protocol article protocol 10/05/2014 Yes No
Other publications process evaluation framework 01/07/2014 Yes No
Results article results 01/07/2014 Yes No
Results article 01/08/2021 24/05/2021 Yes No
HRA research summary 28/06/2023 No No

Editorial Notes

24/05/2021: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
19/03/2020: The secondary outcome measures were changed.
12/03/2020: The recruitment start date was changed from 01/02/2010 to 28/02/2011.
04/10/2018: Publication references added.