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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Retrospectively registered

Titles & IDs
Public title
An efficacy trial of lifestyle risk factor management delivered by generalist community nurses
Scientific title
The efficacy of brief lifestyle intervention in changing multiple behavioural risk factors in clients attending generalist community nursing services: A quasi-experimental study
Secondary ID [1] 1205 0
Universal Trial Number (UTN)
Trial acronym
CN SNAP trial (Community nursing smoking, nutrition, alcohol and physical activity)
Linked study record

Health condition
Health condition(s) or problem(s) studied:
smoking in clients attending generalist community nursing services 256395 0
diet in clients attending generalist community nursing services 256396 0
'at-risk' alcohol consumption in clients attending generalist community nursing services 256397 0
physical activity in clients attending generalist community nursing services 256398 0
Condition category
Condition code
Public Health 256574 256574 0 0
Health promotion/education
Public Health 256575 256575 0 0
Health service research

Study type
Description of intervention(s) / exposure
Clinician-level intervention: A one day training program for participating nurses, the integration of standard screening tools and prompts for SNAP risk factors into the service specific standard assessment process used by the nurses, the development and dissemination of resources including a local service referral directory for lifestyle risk factors, a written guide for nurses, written action plans for use with clients, tape measures for measuring waist circumference, and pedometers to loan out to clients to promote self monitoring.

Client level intervention: Brief lifestyle counselling based on the 5As model tailored to the clients readiness change. The 5As model consists of assessing risk factors, advising on recommendations, agreeing goals for change, assisting with strategies for change and arranging referral to support services for more intensive intervention where appropriate
Intervention code [1] 255696 0
Intervention code [2] 255697 0
Comparator / control treatment
Usual care provided by generalist community nurses. This consists of a comprehensive assessment (including asking about lifestyle risk factors) and clinical service provision (eg wound management). As part of usual care nurses may refer clients with lifestyle risk factors to support services but do not typically provide intervention themselves
Control group

Primary outcome [1] 257465 0
The number and % of high risk clients offered evidence based interventions to modify their risk factors
Timepoint [1] 257465 0
3 and 6 months from baseline
Primary outcome [2] 257466 0
Change in mean physical activity scores as measured by a brief validated physical activity tool
Timepoint [2] 257466 0
3 and 6 months from baseline
Primary outcome [3] 257467 0
Change in mean alcohol intake score as measured by the validated AUDIT-C tool
Timepoint [3] 257467 0
3 and 6 months from baseline
Primary outcome [4] 257468 0
Change in mean number of serves of fruit and vegetables as measured by validated questions from the NSW Health survey
Timepoint [4] 257468 0
3 and 6 months from baseline
Primary outcome [5] 257469 0
Mean self reported weight change
Timepoint [5] 257469 0
3 and 6 months from baseline
Secondary outcome [1] 262645 0
Change in the number and percentage of clients who report smoking
Timepoint [1] 262645 0
3 and 6 months from baseline
Secondary outcome [2] 262646 0
Change in number and percentage of clients reporting adequate levels of physical activity
Timepoint [2] 262646 0
3 and 6 months from baseline
Secondary outcome [3] 262647 0
Change in the number and percentage of clients reporting ?at risk? alcohol consumption
Timepoint [3] 262647 0
3 and 6 months from baseline
Secondary outcome [4] 262648 0
Change in the number and percentage of clients consuming >=2 serves of fruit and >=5 serves of vegetables per day
Timepoint [4] 262648 0
3 and 6 months from baseline
Secondary outcome [5] 262649 0
Change in nurse self reported SNAP risk factor assessment and management scores
Timepoint [5] 262649 0
6 and 12 months from baseline

Key inclusion criteria
Clients referred to participating generalist community nursing services, age 30-80 years, able to read and understand English at a level that enables the client to participate in a telephone administered survey and to understand the participant information sheet.
Minimum age
30 Years
Maximum age
80 Years
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
Palliative care clients, clients receiving one off visit or service, clients with significant cognitive impairment (unable to complete telephone administer survey), clients who are currently receiving help in changing their lifestyle from a health professional (other than their general practitioner) such as a dietitian or exercise physiologist, clients who are currently attending a chronic disease management program such as cardiac rehabilitation, diabetes education program, clients who have attended the generalist community nursing service in the previous six months (and therefore may have already received lifestyle intervention)

Study design
Purpose of the study
Educational / counselling / training
Allocation to intervention
Non-randomised trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Blinded (masking used)
Who is / are masked / blinded?

Intervention assignment
Other design features
Type of endpoint/s
Statistical methods / analysis

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment in Australia
Recruitment state(s)
Recruitment postcode(s) [1] 2359 0
Recruitment postcode(s) [2] 2357 0
Recruitment postcode(s) [3] 2358 0
Recruitment postcode(s) [4] 2353 0
Recruitment postcode(s) [5] 2354 0
Recruitment postcode(s) [6] 2355 0
Recruitment postcode(s) [7] 2356 0
Recruitment postcode(s) [8] 2352 0
Recruitment postcode(s) [9] 2361 0
Recruitment postcode(s) [10] 2360 0
Recruitment postcode(s) [11] 2364 0
Recruitment postcode(s) [12] 2363 0
Recruitment postcode(s) [13] 2362 0
Recruitment postcode(s) [14] 2366 0
Recruitment postcode(s) [15] 2367 0
Recruitment postcode(s) [16] 2365 0

Funding & Sponsors
Funding source category [1] 256180 0
Government body
Name [1] 256180 0
NSW Department of Health
Country [1] 256180 0
Primary sponsor type
Centre for Primary Health Care and Equity, University of New South Wales
Centre for Primary Health Care and Equity, Australian Graduate School of Management Building, University of New South Wales. NSW, Australia, 2052.
Secondary sponsor category [1] 251523 0
Government body
Name [1] 251523 0
Sydney South West Area Health Service
Address [1] 251523 0
Private Mail bag 17
Liverpool NSW
BC 1871
Country [1] 251523 0
Secondary sponsor category [2] 251524 0
Government body
Name [2] 251524 0
South Eastern Sydney Illawarra Area Health Service
Address [2] 251524 0
Locked Mail Bag 8808
Country [2] 251524 0
Secondary sponsor category [3] 251525 0
Government body
Name [3] 251525 0
Hunter New England Area Health Service
Address [3] 251525 0
Locked Bag 1
New Lambton NSW 2305
Country [3] 251525 0

Ethics approval
Ethics application status
Ethics committee name [1] 258287 0
Hunter New England Health Human Research Ethics Committee
Ethics committee address [1] 258287 0
Hunter New England Health
Locked Bag 1
New Lambton NSW 2305
Ethics committee country [1] 258287 0
Date submitted for ethics approval [1] 258287 0
Approval date [1] 258287 0
Ethics approval number [1] 258287 0

Brief summary
This study aims to evaluate the impact of a brief intervention delivered by community nurses in routine practice on the change in clients’ lifestyle risk factors.The trial will use a quasi experimental design involving four generalist community nursing sites in NSW Australia. Sites will be randomly allocated to ‘early intervention’ group or ‘late intervention’ (comparison) group. ‘Early intervention’ sites will be provided with training and support for nurses in identifying and offering brief lifestyle intervention for clients during routine consultations. ‘Late intervention’ sites’ will provide usual care and be offered the study intervention following the final data collection point. A total of 720 eligible generalist community nursing clients will be recruited at the time of referral from both early and late intervention sites. Data collection consists of 1) telephone surveys with clients at baseline, three months and six months to examine change in SNAP risk factors and readiness change 2) nurse survey at baseline, six and 12 months to examine changes in SNAP risk factor confidence, attitudes and practices 3) semi-structured interviews/focus with nurses, managers and clients in ‘early intervention’ sites to explore the feasibility, acceptability and sustainability of the intervention.

The study will provide evidence about the effectiveness and feasibility of brief lifestyle interventions delivered by generalist community nurses as part of routine practice. This will inform future community nursing practice and Primary health care (PHC) policy.
Trial website
Trial related presentations / publications
Nil to date
Public notes

Principal investigator
Name 30617 0
Address 30617 0
Country 30617 0
Phone 30617 0
Fax 30617 0
Email 30617 0
Contact person for public queries
Name 13864 0
Dr Bibiana Chan
Address 13864 0
Centre for Primary Health Care and Equity
AGSM Building
Sydney NSW 2052
Country 13864 0
Phone 13864 0
Fax 13864 0
Email 13864 0
Contact person for scientific queries
Name 4792 0
Prof Mark Harris
Address 4792 0
Centre for Primary Health Care and Equity
AGSM Building
Sydney NSW 2052
Country 4792 0
Phone 4792 0
Fax 4792 0
Email 4792 0

No information has been provided regarding IPD availability

What supporting documents are/will be available?

No Supporting Document Provided

Results publications and other study-related documents

Documents added manually
No documents have been uploaded by study researchers.

Documents added automatically
SourceTitleYear of PublicationDOI
EmbaseThe impact of a brief lifestyle intervention delivered by generalist community nurses (CN SNAP trial).2013
Dimensions AIThe impact of a team-based intervention on the lifestyle risk factor management practices of community nurses: outcomes of the community nursing SNAP trial2013
N.B. These documents automatically identified may not have been verified by the study sponsor.