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Trial registered on ANZCTR
Registration number
ACTRN12611000475943
Ethics application status
Approved
Date submitted
25/01/2011
Date registered
9/05/2011
Date last updated
21/12/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Radiation therapy, prostate cancer and follow-up: a feasibility study with primary care
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Scientific title
A simple randomised clinical trial with an educational intervention to support general practitioners (GPs) to manage prostate cancer patients following radiation therapy.
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Secondary ID [1]
252699
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Nil
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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:
Prostate cancer (radiation therapy side effects)
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Condition category
Condition code
Cancer
258366
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0
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Prostate
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Public Health
265873
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This 12 month study involves an educational intervention whereby:
(a) GPs providing follow-up care to consenting patients may(group1) or may not ( group2) have access to an online education program. The education program being tested in this study is an online learning program. This educational program involves participants ( GPs) answering emailed case based questions which will be delivered to all practices via email. The Spaced Education program will focus on the management of patients following active treatment by a specialist, which may include surgery, radiotherapy and hormonal treatment. GPs will be sent 2 case studies with questions 2-3 times a week with 2-3 reminders. Questions will be repeated 14 days later if answered correctly and 21 days later if answered incorrectly. The program is completed when each question is answered correctly twice. The intervention developed for this feasibility study is expected to take only a few minutes every second day for approximately 6 weeks.
There will be no additional resources provided to the patients.
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Intervention code [1]
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Diagnosis / Prognosis
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Intervention code [2]
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Early detection / Screening
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Intervention code [3]
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Treatment: Other
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Comparator / control treatment
GPs allocated to group 2 do not have access to the educational program and patients are managed as per standard procedure. This means that the GPs are free to access existing prostate cancer guidelines if they deem this necessary to manage the patients.
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Control group
Active
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Outcomes
Primary outcome [1]
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Hospital Anxiety and Depression Scale (HADS).
Patients will be asked to complete the HADS. This scale contains 14 items; 7 items measure depression and 7 measure anxiety. It has established reliability and validity and is commonly used for cancer patients.
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Assessment method [1]
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Timepoint [1]
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After each follow-up appointment with their GP for up to one year after recruitment.
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Primary outcome [2]
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European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30):
This questionnaire contains 30 items including functional scales (physical, role, emotional, social and cognitive functioning); symptom scales (measuring pain, fatigue and nausea and vomiting); an overall health status and quality of life scale; and other items measuring dyspnoea, insomnia, appetite loss, constipation, diarrhoea and financial impact. The psychometric properties of the scale have been validated in a range of different cancer types.
In addition the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-PR25) will be used.
This prostate-specific questionnaire is used in conjunction with EORTC QLQ-C30. It contains 25 items, including five scales: urinary symptoms, bother due to the use of incontinence aid, bowel symptoms, hormone treatment-related symptoms and sexual functioning. Studies support the psychometric robustness of this questionnaire.
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Assessment method [2]
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Timepoint [2]
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After each follow-up appointment with their GP for up to one year after recruitment
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Secondary outcome [1]
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Nil
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Assessment method [1]
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Timepoint [1]
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Nil
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Eligibility
Key inclusion criteria
To be eligible for inclusion, a patient must satisfy ALL of the following:
(a) Diagnosed with prostate cancer
(b) Completed curative radiation therapy for prostate cancer (patients can be up to 6 months post treatment at time of recruitment)
(c) Undergoing follow-up care
(d) Available for up to 12 months after recruitment
(e) Over 18 years of age
(f) Able to give informed consent.
To be eligible for inclusion, a GP must satisfy ALL of the following:
(a) their patient is eligible, consents and nominates them for the study
(b) Available for up to 12 months after recruitment
(c) Able to give informed consent.
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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
Patients will be excluded from the study if they are unable to provide informed consent.
GPs not available for 12 months of the study will not be included.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation by using a randomisation table created by a computer software. i.e. computerised sequence generation (http://www.random.org/integers/).
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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
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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
10/05/2011
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Actual
18/05/2011
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Date of last participant enrolment
Anticipated
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Actual
13/08/2012
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Date of last data collection
Anticipated
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Actual
15/08/2013
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Sample size
Target
240
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Accrual to date
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Final
195
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Recruitment in Australia
Recruitment state(s)
WA
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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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Radiation Oncology Section of the Department of Health and Ageing: Cancer Australia
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Address [1]
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Cancer Australia
PO Box 1201
DICKSON ACT 2602
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Curtin University
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Address
Curtin University
GPO Box U1987
PERTH WA 6845
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Country
Australia
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Sir Charles Gairdner Hospital
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Address [1]
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Sir Charles Gairdner Hospital
Hospital Ave
NEDLANDS WA 6009
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Country [1]
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Australia
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Other collaborator category [1]
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Individual
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Name [1]
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Dr Georgia Halkett
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Address [1]
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Curtin University
Faculty of Health Sciences
School of Nursing, Midwifery & Paramedicine
GPO Box U1987
PERTH WA 6845
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Country [1]
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Australia
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Other collaborator category [2]
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Individual
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Name [2]
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Prof. Moyez Jiwa
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Address [2]
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University of Notre Dame Australia
Melbourne Clinical School
300 Princes Hwy
Werribee, Vic, 3030
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Country [2]
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Australia
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Other collaborator category [3]
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Individual
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Name [3]
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Prof. Nigel Spry
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Address [3]
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Radiation Oncology Department
Sir Charles Gairdner Hospital
Hospital Ave
NEDLANDS WA 6009
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Country [3]
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Australia
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Other collaborator category [4]
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Individual
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Name [4]
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Prof. Afaf Girgis
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Address [4]
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Centre for Health Research & Psycho-oncology (CHeRP)
University of Newcastle
Room 230A, Level 2, David Maddison Building
CALLAGHAN NSW 2308
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Country [4]
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Australia
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Other collaborator category [5]
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Individual
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Name [5]
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A/Prof. Geoffrey Mitchell
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Address [5]
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The University of Queensland
BRISBANE QLD 4072
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Country [5]
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Australia
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Other collaborator category [6]
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Individual
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Name [6]
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Dr Moira O'Connor
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Address [6]
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Curtin University
Faculty of Health Sciences
School of Psychology and Speech Pathology
GPO Box U1987
PERTH WA 6845
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Country [6]
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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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Curtin University Human Research Ethics Committee
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Ethics committee address [1]
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GPO Box U1987 Perth Western Australia 6845
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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14/12/2010
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Approval date [1]
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19/04/2011
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Ethics approval number [1]
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HR 08/2011
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Summary
Brief summary
The prevalence of cancer detected at an early stage of the disease is rising, which means that more people require adjuvant cancer treatment and are surviving for longer periods of time. As a result, cancer specialists are faced with large numbers of patients who not only require treatment but also long term follow-up care. In Australia, radiation oncology clinics are heavily subscribed and patients’ appointments are subject to waiting lists. This situation would be improved if patients who have completed their treatment could be discharged to the care of their GP. It is anticipated that routine follow-up with a specialist will not be possible in the future and alternative safe and effective strategies for follow-up need to be developed. Prostate cancer is the most common cancer in Australian men. Although prostate cancer is life threatening, the majority of patients who present with early disease live beyond five years. While treatment increases survival rates, a myriad of associated physical side effects may have an impact on the patient’s quality of life. Common side effects of radiation therapy include: loss of sexual potency, erectile dysfunction, loss of libido, urinary tract symptoms, incontinence and proctitis. If prostate cancer is not treated early patients are also at risk of disease spread. Following radiation therapy patients therefore need to be monitored for both side effects and disease spread. The provision of follow-up care for prostate cancer is under-researched. GPs are well placed to take on the role of providing follow-up care for patients who have previously been treated in specialist clinics. However, previous studies report that GPs have varying knowledge of the use of radiation therapy and consequently have limited expertise in managing side effects and providing appropriate referral. Innovative educational resources therefore need to be developed to assist GPs in advising patients who have received radiation therapy. Hypothesis: The evidence based resources (GP educational program) will assist GPs in providing follow-up care to patients and increase patient enablement. If GPs are able to take on this role in the multidisciplinary team, other patients will be able to access radiation oncology sooner and radiation oncology will be able to provide rapid access to patients who require urgent treatment or care.
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Trial website
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Trial related presentations / publications
Jiwa M. Re-inventing the doctor. Presentation at Primary Care and Prevention Collaborative Meeting, WA Cancer and Palliative Care Network and Curtin Health Innovation Research Institute. Videos now available at: http://www.youtube.com/watch?v=Mlq- H2sjrgg&feature=list_related&playnext=1&list=SP71487FD30B09285A and http://www.youtube.com/watch?v=W0Pkwu6NZ7o&feature=relmfu Jiwa, M., Halkett, G., Meng, X, Pillai, V., Berg, M.; and Shaw, T. Supporting Patients Treated for Prostate Cancer: A Video Vignette Study With an Email-Based Educational Program in General Practice. Journal of Medical Internet Research 2014; 16 (2): e63. Jiwa, M., Halkett, G., Meng, X, Pillai, V., Berg, M. Rating general practitioner consultation performance in cancer care: Does the specialty of assessors matter? A simulated patient study. BMC Family Practice 2014: 15(1):152 Jiwa, M. Supporting patients treated for prostate cancer- a video vignette study with an email based educational program in general practice. GP14 – The Royal Australian College of General Practitioners Conference for General Practice, 9 – 11 October 2014, Adelaide, Australia.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Georgia Halkett
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Address
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Curtin University
Faculty of Health Sciences
School of Nursing, Midwifery & Paramedicine
GPO Box U1987
PERTH WA 6845
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Country
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Australia
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Phone
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+61 8 9266 1762
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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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Georgia Halkett
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Address
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Curtin University
Faculty of Health Sciences
School of Nursing, Midwifery & Paramedicine
GPO Box U1987
PERTH WA 6845
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Country
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Australia
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Phone
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+61 8 9266 1762
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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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Georgia Halkett
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Address
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Curtin University
Faculty of Health Sciences
School of Nursing, Midwifery & Paramedicine
GPO Box U1987
PERTH WA 6845
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Country
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Australia
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Phone
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+61 8 9266 1762
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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
No additional documents have been identified.
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