PMCCPMCCPMCC

Search tips
Search criteria 

Advanced

 
Logo of bmcphBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Public Health
 
BMC Public Health. 2012; 12: 667.
Published online Aug 16, 2012. doi:  10.1186/1471-2458-12-667
PMCID: PMC3490723
Study protocol for the 10 Top Tips (10TT) Trial: Randomised controlled trial of habit-based advice for weight control in general practice
Rebecca J Beeken,1 Helen Croker,1 Stephen Morris,1 Baptiste Leurent,2 Rumana Omar,3 Irwin Nazareth,2 and Jane Wardlecorresponding author1
1Department of Epidemiology & Public Health, University College London, Gower Street, London, WC1E 6BT, UK
2Department of Primary Care & Population Health, University College London, Gower Street, London, WC1E 6BT, UK
3Department of Statistical Science, University College London, Gower Street, London, WC1E 6BT, UK
corresponding authorCorresponding author.
Rebecca J Beeken: r.beeken/at/ucl.ac.uk; Helen Croker: h.croker/at/ucl.ac.uk; Stephen Morris: steve.morris/at/ucl.ac.uk; Baptiste Leurent: b.leurent/at/ucl.ac.uk; Rumana Omar: rumana/at/stats.ucl.ac.uk; Irwin Nazareth: i.nazareth/at/ucl.ac.uk; Jane Wardle: j.wardle/at/ucl.ac.uk
Received July 20, 2012; Accepted August 9, 2012.
Abstract
Background
Primary care is the first port of call for advice about weight control. There is hence a need for simple, effective interventions that can be delivered without specialist skills. We have developed such an intervention; the 10 Top Tips (10TT). This intervention was effective with respect to weight loss in a volunteer population, but has yet to be tested in primary care. The aim of this trial is therefore to test the effectiveness of the 10TT intervention in primary care, incorporating clinical outcomes and health economic analyses.
Methods/Design
The trial is a two-arm, individually-randomised, controlled trial in obese (BMI  30) adults (n = 520) in primary care, comparing weight loss in patients receiving the 10TT intervention with weight loss in a control group of patients receiving usual care. The intervention is based on habit formation theory, using written materials to take people through a set of simple weight control behaviours with strategies to make them habitual; an approach that could make it more successful than others in establishing long-term behaviour change. Patients will be recruited from 14 General Practices across England. Randomisation will be through telephoning a central randomisation service using a computer-generated list of random numbers. Patients are followed up at 3, 6, 12, 18 and 24 months. The primary outcome is weight loss at 3 months, with assessment by a health professional who is blind to group allocation. Other follow-ups will be un-blinded. We will examine whether weight loss is maintained up to 24 months. We will also assess changes in the automaticity of the 10TT target behaviours and improvement in clinical markers for potential co-morbidities. Finally, we will undertake a full economic evaluation to establish cost-effectiveness in the NHS context.
Discussion
If proven to be effective when delivered through primary care, 10TT could make a highly cost-effective contribution to improvements in population health.
Trial Registration
ISRCTN16347068
Keywords: Obesity, Primary care, Weight control, Habits
Articles from BMC Public Health are provided here courtesy of
BioMed Central