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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03916029
Additional trial details provided through ANZCTR are available at the end of this record.
Registration number
NCT03916029
Ethics application status
Date submitted
12/04/2019
Date registered
16/04/2019
Titles & IDs
Public title
Hearing for Learning Initiative - a Health Facilitator Model for Otitis Media
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Scientific title
The Hearing for Learning Initiative - a Service-enhancement Model of Ear Health Facilitators to Address the Crisis in Ear and Hearing Health of Aboriginal Children in the Northern Territory: a Stepped-wedge Cluster Randomised Trial
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Secondary ID [1]
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TEHREC -18-3264
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Secondary ID [2]
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R813
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Universal Trial Number (UTN)
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Trial acronym
HfLI
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Otitis Media
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Conductive Hearing Loss
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Condition category
Condition code
Ear
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0
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Deafness
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Ear
0
0
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0
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Other ear disorders
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Infection
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0
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0
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Other infectious diseases
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Infection
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0
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0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
BEHAVIORAL - facilitator
Active comparator: Facilitator - 120 hours training for local community members delivered on-country face-to-face during 6 4-day weeks and over a 3-6 month period. Certificate II modules in Aboriginal Primary Health Care, ear and hearing health skills development (otoscopy, tympanometry, and hearScreen) and employment as Ear Health Facilitators to the end of the trial.
No intervention: Control - No Facilitator. Brief 6-monthly 2 to 3 hour in-service training via zoom for health professionals.
BEHAVIORAL: facilitator
Training and employment of community members to assist the diagnosis and management of otitis media
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Intervention code [1]
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BEHAVIORAL
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Ear assessment
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Assessment method [1]
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Proportion of children who have had a documented ear assessment
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Timepoint [1]
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6-monthly
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Secondary outcome [1]
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Prevalence of otitis media
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Assessment method [1]
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Proportion of children with any otitis media
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Timepoint [1]
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6-monthly
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Secondary outcome [2]
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Management plan
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Assessment method [2]
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Proportion of otitis media cases with a management plan
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Timepoint [2]
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6-monthly
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Secondary outcome [3]
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Appropriate management plan
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Assessment method [3]
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Proportion of management plans that are appropriate
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Timepoint [3]
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6-monthly
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Secondary outcome [4]
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Follow-up
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Assessment method [4]
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Proportion of cases with follow-up within 10 days
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Timepoint [4]
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6-monthly
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Eligibility
Key inclusion criteria
Aboriginal or Torres Strait Islander, resident in participating community (cluster)
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Minimum age
1
Week
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Maximum age
16
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
none
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Study design
Purpose of the study
Other
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
3/02/2019
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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
31/12/2024
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Actual
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Sample size
Target
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Accrual to date
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Final
18
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Recruitment in Australia
Recruitment state(s)
NT
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Recruitment hospital [1]
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Ali Curung - Ali Curung
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Recruitment hospital [2]
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Ampilatwatja - Ampilatwatja
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Recruitment hospital [3]
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Darwin - Darwin
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Recruitment hospital [4]
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0
Galiwin'ku - Galiwin'ku
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Recruitment hospital [5]
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0
Gunbalanya - Gunbalanya
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Recruitment hospital [6]
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0
Kalkarindji Primary Health Centre - Kalkarindji
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Recruitment hospital [7]
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0
Wurli Wurlinjang Health Service - Katherine
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Recruitment hospital [8]
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0
Lajamanu Primary Health Centre - Lajamanu
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Recruitment hospital [9]
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0
Mala'la Health Service - Maningrida
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Recruitment hospital [10]
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0
Milikapiti Community Health Centre - Milikapiti
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Recruitment hospital [11]
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Milingimbi Health Clinic - Milingimbi
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Recruitment hospital [12]
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Minjilang Community Health Centre - Minjilang
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Recruitment hospital [13]
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Nauiyu - Nauiyu
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Recruitment hospital [14]
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0
Palumpa Community Health Centre - Palumpa
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Recruitment hospital [15]
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0
Pirlangimpi Health Clinic - Pirlangimpi
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Recruitment hospital [16]
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Ti Tree Community Health Centre - Ti Tree
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Recruitment hospital [17]
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Wadeye Community Health Centre - Wadeye
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Recruitment hospital [18]
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Warruwi Community Health Centre - Warruwi
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Recruitment hospital [19]
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Julanimawu (Nguiu) Community Health centre - Wurrumiyanga
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Recruitment hospital [20]
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Yirrkala Clinic - Yirrkala
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Recruitment postcode(s) [1]
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- Ali Curung
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Recruitment postcode(s) [2]
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- Ampilatwatja
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Recruitment postcode(s) [3]
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0800 - Darwin
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Recruitment postcode(s) [4]
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- Galiwin'ku
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Recruitment postcode(s) [5]
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- Gunbalanya
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Recruitment postcode(s) [6]
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0852 - Kalkarindji
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Recruitment postcode(s) [7]
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0850 - Katherine
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Recruitment postcode(s) [8]
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- Lajamanu
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Recruitment postcode(s) [9]
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0820 - Maningrida
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Recruitment postcode(s) [10]
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- Milikapiti
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Recruitment postcode(s) [11]
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0822 - Milingimbi
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Recruitment postcode(s) [12]
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0
- Minjilang
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Recruitment postcode(s) [13]
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0
- Nauiyu
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Recruitment postcode(s) [14]
0
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0822 - Palumpa
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Recruitment postcode(s) [15]
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0822 - Pirlangimpi
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Recruitment postcode(s) [16]
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0872 - Ti Tree
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Recruitment postcode(s) [17]
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0822 - Wadeye
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Recruitment postcode(s) [18]
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0822 - Warruwi
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Recruitment postcode(s) [19]
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0822 - Wurrumiyanga
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Recruitment postcode(s) [20]
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0880 - Yirrkala
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Funding & Sponsors
Primary sponsor type
Other
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Name
Menzies School of Health Research
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Address
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Country
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Other collaborator category [1]
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Government body
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Name [1]
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Australian Government Department of Health and Ageing
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Address [1]
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Country [1]
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Other collaborator category [2]
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Government body
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Name [2]
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Northern Territory Government of Australia
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Address [2]
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Country [2]
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Ethics approval
Ethics application status
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Summary
Brief summary
The Hearing for Learning Initiative is a stepped-wedge cluster randomised controlled trial. The HfLI will implement and rigorously evaluate an innovative community-based service-enhancement model of ear and hearing health, in partnership with participating communities and health and education services. This initiative will address the following research question: In urban, rural and remote Aboriginal communities in the Northern Territory, does employment, training and integration of local Ear and Hearing Clinical and Education Support Officers into health and education services (the Hearing for Learning initiative), compared to current practice, increase the proportion of children who receive an ear assessment, reduce the prevalence of ear and hearing problems and improve education outcomes of Aboriginal and Torres Strait Islander children, during a four year trial period?
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Trial website
https://clinicaltrials.gov/study/NCT03916029
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Trial related presentations / publications
Kong K, Cass A, Leach AJ, Morris PS, Kimber A, Su JY, Oguoma VM. A community-based service enhancement model of training and employing Ear Health Facilitators to address the crisis in ear and hearing health of Aboriginal children in the Northern Territory, the Hearing for Learning Initiative (the HfLI): study protocol for a stepped-wedge cluster randomised trial. Trials. 2021 Jun 16;22(1):403. doi: 10.1186/s13063-021-05215-7.
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Public notes
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Contacts
Principal investigator
Name
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Amanda Leach, PhD
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Address
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Menzies School of Health Research
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Country
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Phone
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Fax
0
0
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Email
0
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Contact person for public queries
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 scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03916029
Additional trial details provided through ANZCTR
Accrual to date
Recruiting in Australia
Recruitment state(s)
NT
Funding & Sponsors
Funding source category [1]
4
Charities/Societies/Foundations
Name [1]
4
The Balnaves Foundation
Address [1]
4
Macquarie Street, Sydney
Country [1]
4
Australia
Funding source category [2]
5
Government body
Name [2]
5
Northern Territory Government
Address [2]
5
Mitchell Street, Darwin
Country [2]
5
Australia
Funding source category [3]
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Government body
Name [3]
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Australian Federal Government
Address [3]
6
Country [3]
6
Australia
Primary sponsor
Other
Primary sponsor name
Menzies School of Health Research
Primary sponsor address
PO Box 41096
Casuarina, 0811
Northern Territory
Primary sponsor country
Australia
Ethics approval
Ethics application status
Approved
Ethics committee name [1]
7
Human Research Ethics Committee of Northern Territory Department of Health and Menzies School of Health Research (EC 00153)
Address [1]
7
Ethics Administrator Officer, Human Research Ethics Committee (HREC) of the Northern Territory Department of Health and Menzies School of Health Research, PO Box 41096, Casuarina NT 0811.
Country [1]
7
Australia
Date submitted for ethics approval [1]
7
07/11/2018
Approval date [1]
7
05/04/2019
Ethics approval number [1]
7
HREC 2018-3264 20190405
Ethics committee name [2]
8
Central Australian Human Research Ethics Committee
Address [2]
8
PO Box 4066 Alice Springs NT Australia 0871
Country [2]
8
Australia
Date submitted for ethics approval [2]
8
16/01/2019
Approval date [2]
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18/04/2019
Ethics approval number [2]
8
CA-19-3308
Public notes
Contacts
Principal investigator
Title
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Prof
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Name
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Amanda Leach
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Address
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POBox 41096
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Country
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Australia
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Phone
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+61889468560
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Fax
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0
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Email
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[email protected]
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Contact person for public queries
Title
82
0
Prof
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Name
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Amanda Leach
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Address
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POBox 41096
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Country
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Australia
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Phone
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+61889468560
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Fax
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0
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Email
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0
[email protected]
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Contact person for scientific queries
Title
83
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Prof
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Name
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Amanda Leach
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Address
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POBox 41096
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Country
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Australia
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Phone
83
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+61889468560
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Fax
83
0
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Email
83
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[email protected]
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