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Trial registered on ANZCTR
Registration number
ACTRN12612000214831
Ethics application status
Approved
Date submitted
20/02/2012
Date registered
20/02/2012
Date last updated
2/12/2015
Type of registration
Prospectively registered
Titles & IDs
Public title
A randomised controlled trial (RCT) of brief internet-delivered education about managing symptoms of anxiety and depression in tertiary Chinese students
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Scientific title
A randomised controlled trial (RCT) of brief internet-delivered education comparing immediate education vs. delayed education on symptoms of anxiety and depression in Chinese-speaking tertiary students
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Secondary ID [1]
279972
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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:
Mental health
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Anxiety
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Depression
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Condition category
Condition code
Mental Health
286080
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0
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Depression
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Mental Health
286081
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
In this trial International Chinese-speaking Macquarie University students (participants) will receive access to a 6 week internet-delivered education course. Participants will be directed to read 3 online lessons about management of symptoms of stress, anxiety, low mood, and depression. One lesson will be completed every 7 to 14 days. Each lesson will take about 15 minutes to read. Participants will also have access to summaries and homework assignment for each lesson, and will read anonymous stories about students with similar symptoms, taking a further 20 minutes per week. All participants will also receive automatic emails and brief weekly (<10minutes week) supportive telephone calls from an intern Psychologist.
Study questionnaires will be administered at application, pre-education, post-education, and at 3-months post-treatment. These will take about 20-30 minutes to complete. The treatment materials include cognitive behavioural treatment (CBT) skills.
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Intervention code [1]
284309
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Treatment: Other
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Comparator / control treatment
The delayed waitlist control group (beginning the course 6 weeks after the immediate education group beings). This is a wait-list control group.
The waitlist control group will receive access to the same materials and content as the immediate education group, but without the weekly contact from the researchers.
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Control group
Active
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Outcomes
Primary outcome [1]
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Symptoms and severity of low mood/depression are measured by the Patient Health Questionnaire-9 (PHQ-9)
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Assessment method [1]
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Timepoint [1]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Primary outcome [2]
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Anxiety is measured by the Generalised Anxiety Disorder 7 Item Scale (GAD-7)
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Assessment method [2]
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Timepoint [2]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [1]
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Health status is measured by the European Quality of Life-5 Dimensions- 5 Level (EQ-5D-5L)
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Assessment method [1]
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Timepoint [1]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [2]
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Psychological distress is measured by the Kessler-10 Item (K-10)
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Assessment method [2]
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Timepoint [2]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [3]
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Disability is measured by the Sheehan Disability Scales (SDS)
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Assessment method [3]
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Timepoint [3]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [4]
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Positive adaptive behaviours are measured by the Things You Do Questionnaire (TYD)
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Assessment method [4]
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Timepoint [4]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [5]
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Working alliance is measured by the Working Alliance Inventory (WAI)
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Assessment method [5]
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Timepoint [5]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [6]
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Self-efficacy is measured by the New General Self Efficacy Scale (NGSE)
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Assessment method [6]
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Timepoint [6]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Secondary outcome [7]
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Wellbeing and scholastic engagement are measured by the Macquarie University Student Wellbeing Questionnaire
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Assessment method [7]
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Timepoint [7]
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Administered at pre-education, prior to each Lesson in the course, post-education, and at 3-months post-education
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Eligibility
Key inclusion criteria
1. International Chinese-speaking Macquarie University student
2. Aged 18+ years
3. Self-identified difficulties managing stress, anxiety, low mood, or depression
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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. Severe depression (total score > 22 on the PHQ-9)
2. Suicidal intent or plan
3. Presenting problem not stress, anxiety, low mood, or depression
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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)
Participants apply online, and those who meet inclusion criteria are administered a telephone interview to identify psychiatric diagnoses using the Mini Neuropsychiatric Interview Schedule (MINI 5.0.0). Participants are then randomly allocated to one of the two groups. Allocation concealment will occur by providing allocation details for each successive participant in a sealed envelope, which recruitment staff are required to open serially.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants will be randomized using a list generated prior to the study via a software program (www.random.org), at another site, in another country. The list will then be transcribed and details transferred to sealed envelopes.
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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
21/02/2012
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Actual
27/02/2012
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Date of last participant enrolment
Anticipated
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Actual
28/09/2012
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
110
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Macquarie University
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Address [1]
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Macquarie University
Balaclava Road
North Ryde
NSW 2109
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Centre for Emotional Health, Department of Psychology, Macquarie University
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Address
Department of Psychology
Building C3A
Balaclava Road, North Ryde
Macquarie University
NSW 2109
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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Student Counselling Service, Macquarie University
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Address [1]
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Macquarie University
Balaclava Road, North Ryde
NSW 2109
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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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Human Research Ethics Committee
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Ethics committee address [1]
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Macquarie University Balaclava Road, North Ryde NSW 2109
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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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Approval date [1]
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01/12/2011
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Ethics approval number [1]
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5201100803
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Summary
Brief summary
The purpose of this project is to explore the efficacy of a clinician-guided education course for symptoms of anxiety and depression in International Chinese-speaking tertiary students (aged 18+), administered over the internet in a randomised controlled trial. A secondary purpose is to determine the acceptability of the education protocol and materials to International Chinese-speaking tertiary students with symptoms of anxiety and depression. A tertiary purpose of this project is to explore the efficacy of a self-guided version of the course, with participants from the Waitlist Control Group.
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Trial website
www.ecentreclinic.org
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Trial related presentations / publications
Choi, I., Zou, J., Titov, N., Dear, B.F., Li, S., Johnston, L., Andrews, G., Hunt, C. (2011). Culturally attuned Internet treatment for depression amongst Chinese Australians: A randomized controlled trial. Journal of Affective Disorders, doi: 10.1016/j.jad.2011.11.003. Dear, B. F., Titov, N., Schwencke, G., Andrews, G., Johnston, L., Craske, M. G., & McEvoy, P. (2011). An open trial of a brief transdiagnostic treatment for anxiety and depression. Behaviour Research and Therapy, 49, 830-837. Titov N, Dear BF, Schwencke G, Andrews G, Johnston L, Craske M, McEvoy P. (2011). Transdiagnostic Internet treatment of anxiety and depression: A randomised controlled trial. Behaviour Research and Therapy, 49; 441-452.
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Nickolai Titov
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Address
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Centre for Emotional Health Department of Psychology, C3A 724 Balaclava Road, North Ryde Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 2 98509901
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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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Associate Professor Nickolai Titov
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Address
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Centre for Emotional Health
Department of Psychology, C3A 724
Balaclava Road, North Ryde
Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 (2) 9850 9901
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Fax
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+61 (2) 9850 8062
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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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Associate Professor Nickolai Titov
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Address
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Centre for Emotional Health
Department of Psychology, C3A 724
Balaclava Road, North Ryde
Macquarie University NSW 2109
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Country
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Australia
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Phone
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+61 (2) 9850 9901
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Fax
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+61 (2) 9850 8062
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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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