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Trial registered on ANZCTR
Registration number
ACTRN12607000018415
Ethics application status
Approved
Date submitted
19/07/2006
Date registered
10/01/2007
Date last updated
21/08/2008
Type of registration
Retrospectively registered
Titles & IDs
Public title
An evaluation of the ACC Tai Chi programme
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Scientific title
An evaluation of the Accident Compensation Corporation (ACC) Tai Chi programme in older adults: does it reduce falls
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Falls in older adults
Balance
1519
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Condition category
Condition code
Injuries and Accidents
1617
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0
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Other injuries and accidents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All training sessions are of 1 hour duration for a 20 week period.
Tai Chi training 1x week (intervention group)
Tai Chi training 2X week (intervention group)
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Intervention code [1]
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Prevention
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Comparator / control treatment
Flexibility training 1x week (control group)
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Control group
Active
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Outcomes
Primary outcome [1]
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Falls
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Assessment method [1]
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Timepoint [1]
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At 20 weeks, 6 months and 12 months
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Secondary outcome [1]
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Balance confidence (ABC scale)
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Assessment method [1]
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Timepoint [1]
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Measured at baseline, then at 20 weeks, 6 months and 12 months
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Secondary outcome [2]
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Balance (step test, single leg stance)
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Assessment method [2]
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Timepoint [2]
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Measured at baseline, then at 20 weeks, 6 months and 12 months
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Secondary outcome [3]
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Functional mobility (timed up and go)
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Assessment method [3]
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Timepoint [3]
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Measured at baseline, then at 20 weeks, 6 months and 12 months
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Secondary outcome [4]
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Lower limb strength (30s chair stand test)
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Assessment method [4]
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Timepoint [4]
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Measured at baseline, then at 20 weeks, 6 months and 12 months
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Secondary outcome [5]
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Health related quality of life (SF36 v2)
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Assessment method [5]
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Timepoint [5]
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Measured at baseline, then at 20 weeks, 6 months and 12 months
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Eligibility
Key inclusion criteria
Participants will be included if they are over the age of 65 years (55 years if Maori or Pacific Islander) have experienced at least one fall in the previous 12 months or have a falls risk factor according to the Falls Risk Assessment Tool (FRAT).
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Minimum age
55
Years
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Unable to walk independently (with or without walking aid), chronic medical condition that would limit participation in low-moderate exercise, severe cognitive limitations (telephone Mini mental state examination score <20), currently participating in an organised exercise programme of equivalent intensity as the study intervention.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Central randomisation by computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Sequence generation will be made on eligible individuals stratified by site and blocked to ensure balanced numbers over the three interventions. This will be done using a specialist computer program (see: http://www.randomization.com/).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Independent assessors will be blinded.
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Phase
Phase 3 / Phase 4
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
30/07/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
684
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
381
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Accident Compensation Corporation (New Zealand)
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Address [1]
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ACC, Wellington, New Zealand
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Country [1]
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New Zealand
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Primary sponsor type
Individual
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Name
Dr Denise Taylor (Auckland University of Technology)
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Address
Health & Rehabilitation Research Centre, AUT, Auckland, NZ
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Country
New Zealand
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr Leigh Hale
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Address [1]
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University of Otago
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Country [1]
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New Zealand
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Secondary sponsor category [2]
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Individual
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Name [2]
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Professor Kathryn McPherson
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Address [2]
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AUT
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Country [2]
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New Zealand
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Secondary sponsor category [3]
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Individual
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Name [3]
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Dr Noela Wilson
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Address [3]
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University of Otago
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Country [3]
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New Zealand
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Secondary sponsor category [4]
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Individual
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Name [4]
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Dr Debra Waters
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Address [4]
1566
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University of Otago
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Country [4]
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New Zealand
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Secondary sponsor category [5]
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Individual
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Name [5]
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Professor Philip Schluter
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Address [5]
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AUT
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Country [5]
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New Zealand
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Secondary sponsor category [6]
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Individual
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Name [6]
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Mr Hamish McCracken
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Address [6]
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University of Auckland
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Country [6]
1568
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Auckland
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Ethics committee address [1]
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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Approval date [1]
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08/05/2006
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Ethics approval number [1]
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06/67
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Ethics committee name [2]
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Dunedin
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Ethics committee address [2]
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Ethics committee country [2]
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New Zealand
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Date submitted for ethics approval [2]
3293
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Approval date [2]
3293
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18/05/2006
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Ethics approval number [2]
3293
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06/045
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Ethics committee name [3]
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Christchurch
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Ethics committee address [3]
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Ethics committee country [3]
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New Zealand
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Date submitted for ethics approval [3]
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Approval date [3]
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18/05/2006
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Ethics approval number [3]
3294
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06/045
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Ethics committee name [4]
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Whangarei
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Ethics committee address [4]
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Ethics committee country [4]
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New Zealand
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Date submitted for ethics approval [4]
3295
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Approval date [4]
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04/12/2006
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Ethics approval number [4]
3295
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06/67
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Summary
Brief summary
Falls and injuries resulting from falls are a major concern to New Zealand Health providers and the population in general. The consequences of falling in older age can be devastating to the individual and costly to health providers, such as ACC. We already know that interventions aimed at reducing risk factors for falls in frailer older adults can be effective, and the results of the Otago Exercise Programme support this. However, we don’t know how effective ACC funded Tai Chi programmes are in reducing falls. This proposal seeks to clarify the effectiveness of ACC funded Tai Chi programmes as a means of reducing the incidence of falls in older adults. It will also aim to determine if the frequency of practice of Tai Chi is an important determinant of effectiveness. Clarifying if Tai Chi programmes, as delivered in New Zealand, reduce falls and fall related injuries, and clarifying the frequency of delivery and the longer term effects of the programmes would be of significant benefit to older individuals who are at risk of falling, to ACC as a major funder of falls prevention programmes, and to the health industry in general. An economic evaluation of the Tai Chi programmes would be of benefit in enabling ACC to plan and implement future cost effective programmes.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Denise Taylor
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Address
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Physical Rehabilitation Research Centre
School of Physiotherapy
Auckland University of Technology (AUT)
Akoranga Campus
Northcote
Auckland
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Country
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New Zealand
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Phone
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+64 9 9219680
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Fax
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Query!
Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Denise Taylor
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Address
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Physical Rehabilitation Research Centre
School of Physiotherapy
Auckland University of Technology (AUT)
Akoranga Campus
Northcote
Auckland
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Country
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New Zealand
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Phone
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+64 9 9219680
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Fax
1332
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Email
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[email protected]
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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
No additional documents have been identified.
Download to PDF