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Trial registered on ANZCTR
Registration number
ACTRN12609000973213
Ethics application status
Approved
Date submitted
10/11/2009
Date registered
11/11/2009
Date last updated
13/12/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Do additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes?
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Scientific title
Does providing additional allied health services for inpatients receiving rehabilitation result in a reduced lenth of stay without compromising patient outcomes compared with inpatients receiving standard rehabilitation services?
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Secondary ID [1]
262728
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ID2
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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:
Health conditions will include conditions of patients admitted for rehabilitation. From our pilot data we expect the most common health conditions to be stroke and hip fracture.
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Condition category
Condition code
Physical Medicine / Rehabilitation
252363
252363
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0
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Physiotherapy
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Physical Medicine / Rehabilitation
252364
252364
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0
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Occupational therapy
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Stroke
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0
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Ischaemic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The experimental group will receive standard rehabilitation from Monday to Friday, plus an additional one hour of physiotherapy and one hour of occupational therapy on Saturday, until discharge from hospital.
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Intervention code [1]
241530
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Rehabilitation
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Comparator / control treatment
The control group will receive usual care physiotherapy and occupational therapy from Monday to Friday, until discharge from hospital.
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Control group
Active
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Outcomes
Primary outcome [1]
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Patient length of stay defined as the number of overnight stays in the rehabilitation unit from the day of admission until the day of discharge from the unit.
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Assessment method [1]
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Timepoint [1]
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At discharge
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Primary outcome [2]
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Quality of life assessed with the EuroQol questionnaire
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Assessment method [2]
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Timepoint [2]
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Admission, Discharge, 6 months post discharge, 12 months post discharge
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Primary outcome [3]
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Functional status will be assessed with the Functional Independence Measure (FIM)
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Assessment method [3]
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Timepoint [3]
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Admission, Discharge, 6 months post discharge, 12 months post discharge
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Primary outcome [4]
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Health service utilisation and costs will be assessed with a health service utilisation questionnaire, and accessing cost data from the rehabilitation facility and Medicare Australia
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Assessment method [4]
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Timepoint [4]
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Admission, Discharge, 6 months post discharge, 12 months post discharge
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Primary outcome [5]
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Activity levels will be assessed with the ActivPAL (uniaxial accelerometer based activity monitor) for steps, energy expenditure and time upright on a subgroup of rehabilitation patients admitted with a lower limb orthopaedic diagnosis
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Assessment method [5]
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Timepoint [5]
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Prior to discharge from rehabilitation
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Secondary outcome [1]
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Walking speed will be assessed with the 10 metre walk test
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Assessment method [1]
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Timepoint [1]
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Admission, Discharge
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Secondary outcome [2]
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Mobility will be assessed with the timed up and go test
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Assessment method [2]
262195
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Timepoint [2]
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Admission, Discharge
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Secondary outcome [3]
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Personal Care Participation Assessment and Resource Tool (PC-PART)
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Assessment method [3]
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Timepoint [3]
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Admission, discharge
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Secondary outcome [4]
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Movement, arm function, hand function, walking, and sitting balance in patients with a neurological diagnosis will be assessed with The Modified Motor Assessment scale
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Assessment method [4]
262199
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Timepoint [4]
262199
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Admission, discharge
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Secondary outcome [5]
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Discharge destination, either home, low level residential care, high level residential care, acute hospital transfer
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Assessment method [5]
262200
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Timepoint [5]
262200
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Discharge
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Eligibility
Key inclusion criteria
1. Aged 18 years or older
2. Have been admitted for rehabilitation at The Angliss Hospital or Peter James Centre
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Minimum age
18
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
1. If admitted for geriatric evaluation and management
2. If they or their next of kin do not give informed consent to participate
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Study design
Purpose of the study
Treatment
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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)
Sequentially numbered opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation stratified for site and casemix (neurological and other) generated by computerised sequence generation.
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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
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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
1/05/2010
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Actual
1/07/2010
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Date of last participant enrolment
Anticipated
30/12/2011
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Actual
30/06/2011
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
712
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2209
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3128
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Recruitment postcode(s) [2]
2210
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3156
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Recruitment postcode(s) [3]
2211
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3131
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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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National Health and Medical Research Council
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Address [1]
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GPO Box 1421
Canberra
ACT
2601
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Country [1]
244000
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Australia
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Primary sponsor type
Individual
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Name
Nicholas Taylor
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Address
School of Physiotherapy
La Trobe University
Bundoora
Victoria
3086
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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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Natasha Brusco
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Address [1]
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Angliss Hospital
Albert Street
Upper Ferntree Gully
Victoria
3156
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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La Trobe University Human Ethics Committee
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Ethics committee address [1]
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Human Ethics Committee La Trobe University Bundoora Victoria 3086
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
244105
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01/12/2009
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Approval date [1]
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16/06/2010
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Ethics approval number [1]
244105
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FHEC 10/14
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Ethics committee name [2]
244106
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Eastern Health Research and Ethics
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Ethics committee address [2]
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Level 3/5 Arnold Street Box Hill Victoria 3128
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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23/11/2009
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Approval date [2]
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08/06/2010
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Ethics approval number [2]
244106
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E58/0910
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Summary
Brief summary
This trial will examine if providing additional therapy services on a Saturday reduces health care costs, and improves the health of hospital inpatients receiving rehabilitation compared to the usual Monday to Friday service.
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Trial website
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Trial related presentations / publications
Taylor NF, Brusco NK, Watts JW, Shields N, Peiris C, Sullivan N, Kennedy G, Teo CK, Farley A, Lockwood K, Radia-George C. 2010. A study protocol of a randomised controlled trial incorporating a health economic analysis to investigate if additional allied health services for rehabilitation reduce length of stay without compromising patient outcomes. BMC Health Services Research 10(1): 308. Peiris CL, Shields N, Brusco NK, Watts JJ, Taylor NF. 2013. Additional Saturday rehabilitation improves functional independence and quality of life and reduces length of stay: a randomized controlled trial. BMC Medicine 11:198. Peiris CL, Taylor NF, Shields N. 2013. Patients receiving inpatient rehabilitation for lower limb orthopaedic conditions do much less physical activity than recommended in guidelines for healthy older adults: an observational study. Journal of Physiotherapy 59:39-44. Peiris CL, Taylor NF, Shields N. 2012. Patients value patient-therapist interactions more than the amount or content of therapy during inpatient rehabilitation: a qualitative study. Journal of Physiotherapy 58:261-268. Peiris CL, Taylor NF, Shields N. 2012. Additional Saturday allied health services increase habitual physical activity among patients receiving inpatient rehabilitation for lower limb orthopedic conditions: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation 93: 1365-1370. Peiris CL, Taylor NF, Shields N. 2011. Extra physical therapy reduces patient length of stay and improves functional outcomes and quality of life in people with acute or sub-acute conditions: a systematic review. Archives of Physical Medicine and Rehabilitation 92(9): 1490-1500. (updated 11/12/2013)
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Public notes
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Contacts
Principal investigator
Name
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Prof Nicholas Taylor
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Address
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Department of Physiotherapy
La Trobe University
Bundoora
Victoria 3086
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Country
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Australia
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Phone
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61 3 9479 5860
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Nicholas Taylor
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Address
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School of Physiotherapy
La Trobe University
Bundoora
Victoria
3086
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Country
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Australia
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Phone
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61 3 94795860
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Nicholas Taylor
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Address
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School of Physiotherapy
La Trobe University
Bundoora
Victoria
3086
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Country
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Australia
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Phone
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61 3 94795860
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Fax
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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
Source
Title
Year of Publication
DOI
Embase
Evaluation of the internal construct validity of the Personal Care Participation Assessment and Resource Tool (PC-PART) using Rasch analysis.
2014
https://dx.doi.org/10.1186/s12913-014-0543-z
Embase
Is cost effectiveness sustained after weekend inpatient rehabilitation? 12 month follow up from a randomized controlled trial.
2015
https://dx.doi.org/10.1186/s12913-015-0822-3
Embase
Responsiveness, construct and criterion validity of the Personal Care-Participation Assessment and Resource Tool (PC-PART).
2015
https://dx.doi.org/10.1186/s12955-015-0322-5
Dimensions AI
Empirical evidence of recall bias for primary health care visits
2015
https://doi.org/10.1186/s12913-015-1039-1
N.B. These documents automatically identified may not have been verified by the study sponsor.
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