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Trial registered on ANZCTR
Registration number
ACTRN12609000525280
Ethics application status
Approved
Date submitted
23/06/2009
Date registered
1/07/2009
Date last updated
17/02/2020
Date data sharing statement initially provided
17/02/2020
Date results provided
17/02/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Encouraging, Assisting and Time to EAT: Comparison of mealtime assistance interventions in elderly medical inpatients
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Scientific title
Encouraging, Assisting and Time to EAT: Comparison of mealtime assistance interventions in elderly medical inpatients
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Secondary ID [1]
280517
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Nil
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Secondary ID [2]
300569
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
EAT
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malnutrition in hospitalised older adults
237085
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Condition category
Condition code
Diet and Nutrition
237408
237408
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0
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Other diet and nutrition disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
3 feeding assistance models across 3 internal medicine wards. Each will run for a duration of 3 months (with 2 weeks lead in time prior to collecting data):
1. additional assistant-in-nursing (AIN) to assist with nutrition intake and care: 1 additional AIN per ward (existing 10 nurses per ward) with nutrition specific-role to feed patients, set up, fill in menus, liaise with dietitian and speech pathologist etc.
2. team-based nutrition care including protected meal times: education of multidisciplinary team (allied health, nursing and medical) to encourage and assist nutritional intake and observe protected meal times (limit non-urgent interruptions to patients at mealtimes)
3. additional AIN introduced to ward with team-based model
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Intervention code [1]
236805
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Treatment: Other
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Comparator / control treatment
Usual care (nutritional care model centres around nutrition and dietetics staff with lack of responsibility for nutritional care by other staff)
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Control group
Historical
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Outcomes
Primary outcome [1]
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Energy intake - 24hr dietary intake assessed by direct observation and plate waste methods, Foodworks software and known nutritional composition of standard serving sizes will be used to calculate energy intake.
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Assessment method [1]
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Timepoint [1]
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24hr dietary intake data on day 4 of admission
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Secondary outcome [1]
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Protein intake - 24hr dietary intake assessed by direct observation and plate waste methods, Foodworks software and known nutritional composition of standard serving sizes will be used to calculate protein intake.
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Assessment method [1]
244526
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Timepoint [1]
244526
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24hr dietary intake data on day 4 of admission
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Eligibility
Key inclusion criteria
65 years or older
Admitted to Internal Medicine study wards
Expected length of stay >3 days
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Minimum age
65
Years
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Maximum age
No limit
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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
Palliative or terminal intent of admission
Expected length of stay <3 days
Transferred to another hospital ward/ treating team
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised 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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
Patients are admitted to study wards based on the existing centralised bed allocation system. This pseudorandmisation has been shown to effectively match groups for chacteristics and outcomes in other studies on these wards.
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/01/2009
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Actual
1/01/2009
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Date of last participant enrolment
Anticipated
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Actual
30/06/2009
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Date of last data collection
Anticipated
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Actual
30/06/2009
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Sample size
Target
120
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Accrual to date
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Final
141
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
1813
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4029
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Funding & Sponsors
Funding source category [1]
237197
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Hospital
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Name [1]
237197
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Queensland Health Strengthening Aged Care
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Address [1]
237197
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Aged Care Unit,
Statewide Health & Community Services Branch
GPO Box 48
Brisbane QLD 4001
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Country [1]
237197
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Australia
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Funding source category [2]
237198
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Charities/Societies/Foundations
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Name [2]
237198
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Royal Brisbane Women's Hospital Research Foundation
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Address [2]
237198
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Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [2]
237198
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Australia
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Funding source category [3]
237199
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Hospital
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Name [3]
237199
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QH Health Practitioner Research Scheme
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Address [3]
237199
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Health Practitioner Research Scheme
Director
Allied Health Workforce Advice and Coordination Unit (AHWACU)
6th Floor, Queensland Health Building
147-163 Charlotte St.
GPO Box 48
Brisbane Qld 4001
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Country [3]
237199
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Australia
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Primary sponsor type
Individual
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Name
Adrienne Young
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Address
Department of Nutrition and Dietetics
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Merrilyn Banks
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Address [1]
4693
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Department of Nutrition and Dietetics
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [1]
4693
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Australia
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Other collaborator category [1]
715
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Individual
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Name [1]
715
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Alison Mudge
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Address [1]
715
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Department of Internal Medicine and Aged Care
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [1]
715
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Australia
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Other collaborator category [2]
716
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Individual
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Name [2]
716
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Lynda Ross
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Address [2]
716
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Department of Nutrition and Dietetics
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country [2]
716
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Australia
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Other collaborator category [3]
717
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Individual
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Name [3]
717
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Lynne Daniels
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Address [3]
717
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Institute of Health and Biomedical Innovation
QUT, Kelvin Grove campus
GPO Box 2434
Brisbane Qld 4001
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Country [3]
717
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
239293
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RBWH
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Ethics committee address [1]
239293
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Royal Brisbane and Women's Hospital Herston Qld 4029
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Ethics committee country [1]
239293
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Australia
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Date submitted for ethics approval [1]
239293
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Approval date [1]
239293
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22/12/2008
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Ethics approval number [1]
239293
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HREC/OS/QRBW/25
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Ethics committee name [2]
239294
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Queensland University of Technology
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Ethics committee address [2]
239294
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GPO Box 2434 Brisbane Qld 4001
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Ethics committee country [2]
239294
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Australia
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Date submitted for ethics approval [2]
239294
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Approval date [2]
239294
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21/01/2009
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Ethics approval number [2]
239294
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0900000036
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Summary
Brief summary
This intervention trial is a pragmatic study to investigate the impact of three feeding assistance models on energy intake of older hospitalised patients (compared with pre-intervention data) and will provide some pilot data for other clinical outcomes, such as functional capacity, length of stay and mortality. This study will add to the limited evidence base on interventions to improve nutritional intake in elderly hospital patients. While this study will not be adequately powered to determine whether clinical outcomes are improved with these interventions, findings could be used to inform the design of larger trials to further evaluate outcomes such as functional status, hospital readmission and mortality. This study will also explore the impact of the different feeding assistance models on ward culture. As implementation of these interventions will require complex changes to service delivery, it is imperative that changes in staff behaviours and their perspective and acceptability of interventions are explored.
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Trial website
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Trial related presentations / publications
Young AM, Mudge AM, Banks MD, Ross LJ, Daniels L. Encouraging, assisting and time to EAT: improved nutritional intake for older medical patients receiving Protected Mealtimes and/or additional nursing feeding assistance. Clin Nutr. 2013;32(4):543-9.
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Public notes
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Contacts
Principal investigator
Name
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Dr Adrienne Young
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Address
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Department of Nutrition and Dietetics Royal Brisbane and Women's Hospital Herston Qld 4029
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Country
29791
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Australia
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Phone
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+61 7 36467997
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Fax
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Email
29791
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[email protected]
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Contact person for public queries
Name
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Adrienne Young
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Address
13038
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Department of Nutrition and Dietetics
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country
13038
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Australia
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Phone
13038
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+61 7 3636 7997
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Fax
13038
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Email
13038
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[email protected]
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Contact person for scientific queries
Name
3966
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Adrienne Young
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Address
3966
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Department of Nutrition and Dietetics
Royal Brisbane and Women's Hospital
Herston Qld 4029
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Country
3966
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Australia
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Phone
3966
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+61 7 3636 7997
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Fax
3966
0
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Email
3966
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[email protected]
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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
Not covered under ethics approval
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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.
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