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Trial registered on ANZCTR
Registration number
ACTRN12612000292875
Ethics application status
Not yet submitted
Date submitted
7/03/2012
Date registered
13/03/2012
Date last updated
13/03/2012
Type of registration
Prospectively registered
Titles & IDs
Public title
Bindjareb Yorgas Health Program: Improving the Health of Women and Families
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Scientific title
A partnership with Bindjareb Nyungar women in Pinjarra aimed at developing the Bindjareb Yorgas Health Program; a sustainable suite of health promotion activities aimed at establishing health literacy, self-determination and individual, social and community capacity.
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Secondary ID [1]
280088
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NIL
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Universal Trial Number (UTN)
U1111-1128-9486
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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:
Obesity
285999
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Poor nutrition
286000
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Sedentry lifestyle behaviours
286001
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Mental well-being
286002
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Condition category
Condition code
Diet and Nutrition
286185
286185
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0
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Obesity
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Mental Health
286186
286186
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0
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Studies of normal psychology, cognitive function and behaviour
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Public Health
286187
286187
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants will receive one intervention. The intervention is a suite of health promotion activities. All participants will be involved in all of the activities over the single I year trial duration. The intervention will take place during the school terms in the Mother of All Sheds (MOASH) building, a community centre provided by the CDF and, situated on the grounds of the Pinjarra Primary School.
The intervention activities in which all participants will be involved in are:
Group Fitness: Conducted for 1 hour 3 times per week for the single 1 year trial duration (not including school holidays). All participants will engage in activities designed to improve cardiovascular fitness, aerobic fitness, core strength and flexibility and to promote wellbeing. These sessions will be conducted by a qualified group fitness instructor.
Nutrition classes: Conducted once a fortnight for three hours for the single 1 year trial duration (not including school holidays). All participants will engage in activities designed to improve skills in safe food handling and storage, safe food preparation, healthy food purchasing and meal planning on a budget and to develop knowledge in nutritional value of foods to maintain wellbeing and good health. These sessions will be conducted by a qualified cooking class instructor.
Yarning groups: Conducted once a fortnight for the single 1 year trial duration (not including school holidays). All participants will engage in knowledge sharing (Nyungar lore) facilitated by Nyungar Elders. Nyungar lore is the body of knowledge or kaartdijin in oral tradition and observed in the customs, rituals and behaviours of Nyungar people. During these sessions Nyungar Elders will share a set of lore and customs relating to marriage, food, all aspects of womanhood, land ownership and access. Guest speakers and professional will also contribute to information sharing. These sessions will be supervised by an Aboriginal Health Worker.
Community vegetable garden: Established by the participants to aid in the provision of fresh produce for the nutrition classes and to aid in food security for the participants and their families. The garden will be tended by the participants for at least 2 - 2.5 hours per week over the total duration of 1 year. This will be supervised by the research assistant who is a Bindjareb community Leader.
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Intervention code [1]
284413
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Prevention
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Intervention code [2]
284414
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Lifestyle
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Intervention code [3]
284415
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Behaviour
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Comparator / control treatment
No comparison group. Measuring outcomes of the intervention group only.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Demonstrate increased nutritional knowledge, safe food handling, preparation and storage and healthy meal planning and delivery.
Outcomes will be assessed by yarning groups, individual interviews, participant observation and direct observation.
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Assessment method [1]
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Timepoint [1]
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at one year after intervention commencement
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Primary outcome [2]
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Demonstrate an increased up take in regular exercise. Outcomes will be assessed by yarning groups, individual interviews, participant observation and direct observation.
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Assessment method [2]
286658
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Timepoint [2]
286658
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at one year after intervention commencement
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Primary outcome [3]
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Demonstrate knowledge gained in a wide range of health topics, through modelling improved health behaviours.
Outcomes will be assessed by yarning groups, individual interviews, participant observation and direct observation.
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Assessment method [3]
286659
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Timepoint [3]
286659
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at one year after intervention commencement
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Secondary outcome [1]
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Health parameters such as blood pressure, weight, waist measurements and body fat will be either within normal range or showing a reduction from pre-intervention measurement.
Outcomes will be measured by collecting objective data using the following medical equipment:
- Scales for weight
- Sphygmomanometer and stethoscope for blood pressure
- Tape measure for waist measurements
- Calipers for body fat composition
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Assessment method [1]
296401
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Timepoint [1]
296401
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at 6 months after intervention commencement
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Secondary outcome [2]
296402
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Developed self-determination to community capacity by a willingness to contribute to the maintenance and sustainability of the program verbalised through yarning sessions using semistructured interviews, group sessions and observed through participant observation
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Assessment method [2]
296402
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Timepoint [2]
296402
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at 3 month intervals over the 1 year intervention period
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Secondary outcome [3]
296403
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Developed awareness of and connection with the importance of a balance of new and cultural knowledge verbalised through yarning sessions using semistructured interviews, group sessions and observed through participant observation
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Assessment method [3]
296403
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Timepoint [3]
296403
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at 3 month intervals over the 1 year intervention period
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Secondary outcome [4]
296404
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Knowledge regarding vegetable growing evidenced by continued participation in the community garden project verbalised through yarning sessions using semistructured interviews, group sessions and observed through participant observation
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Assessment method [4]
296404
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Timepoint [4]
296404
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at 3 month intervals over the 1 year intervention period
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Eligibility
Key inclusion criteria
Bindjareb Nyungar women from the two kinship groups in Pinjarra, Western Australia.
Participants who have undergone a pre-screening test prior to their involvement in the fitness sessions of the program.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Nil
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Study design
Purpose of the study
Prevention
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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
Single group
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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
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/11/2012
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Actual
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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
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Actual
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Sample size
Target
30
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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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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
284844
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Primary sponsor type
Individual
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Name
Professor Paul Morrison
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Address
Murdoch University Peel Campus
Education Drive
Mandurah
Western Australia 6210
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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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Associate Professor Catherine Fetherston
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Address [1]
283722
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Murdoch University Peel Campus
Education Drive
Mandurah
Western Australia 6210
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Country [1]
283722
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Australia
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Other collaborator category [1]
260605
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Individual
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Name [1]
260605
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Mrs Caroline Nilson
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Address [1]
260605
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Murdoch University Peel Campus
Education Drive
Mandurah
Western Australia 6210
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Country [1]
260605
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Australia
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
286835
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Ethics committee address [1]
286835
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Ethics committee country [1]
286835
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Date submitted for ethics approval [1]
286835
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16/03/2012
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Approval date [1]
286835
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Ethics approval number [1]
286835
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Summary
Brief summary
Context: The Bindjareb Yorgas Health Program (BYHP) project addresses the high prevalence of health issues experienced by Aboriginal women and their families (Thomson et al., 2010) through the establishment of a holistic community owned and developed health and wellness program. The BYHP is being developed at the request of the Bindjareb women from the Murray District Aboriginal Association in Pinjarra, following the success of a 2011 seed project, “The Deadly Koolinga Chefs” (DKC). The DKC program was conducted by the study’s PhD student and funded by the Community Development Foundation (CDF). The project engaged a group of 12 year old Bindjareb children in a 12 week nutrition and cooking adventure, where they learned how to plan, shop for and prepare a healthy meal for four. Each week the children took home their prepared meals, together with their new skills and knowledge, to share with their family. This resulted in a request by the Bindjareb women for a broader health promotion program to address the health and wellbeing of the community’s women and by association, their families. In collaboration with the Bindjareb women, using an aboriginal approach based on “unity’ and “wholeness” (Wingard & Lester, 2001) a suite of programs is being developed (see Appendix A). The BYHP, for which Healthway funding is being sought, is the first of these to be undertaken and comprises four components: group fitness and exercise sessions; nutrition education and cooking classes; vegetable growing and Nyungar lore, communicated through Kaartdijin yarning sessions. This combination was agreed upon as it specifically addressed the Bindjareb women’s concerns regarding the need for a more culturally appropriate approach to health promotion to address health issues being experienced in their community.
Objectives: This intervention aims to extend knowledge surrounding existing health promotion initiatives previously designed in Aboriginal communities by implementing a program that ensures community ownership and development of the program. It will focus specifically on three action areas for undertaking health promotion: creating supportive environments to encourage equitable access; strengthening community actions to enable empowerment; and the development of personal skills in achieving and maintaining wellness.
Methods: The intervention has been developed using a multi-faceted approach to promoting healthy eating and improved fitness within the context of Nyungar lore. To ensure a culturally appropriate means, of assessing the outcomes, a holistic descriptive case study method (Yin, 2009) will be used, where the researchers will seek to narratively explore the impact on participant’s health behaviours in relation to the development of, and participation in, the BYHP. The data will be collected with the assistance of the Aboriginal Health Worker (AHW) and the Aboriginal Research Associate (RA). Data sources will therefore include yarning groups, interviews, direct observations and participant-observations and will be collected over the course of the intervention and the year to follow. The program will take place during the school terms in the Mother of All Sheds (MOASH) building, a community centre provided by the CDF and, situated on the grounds of the Pinjarra Primary School.
Expected benefits: This intervention project, whilst facilitating community ownership and leadership of an Aboriginal health promotion program aims to provide both short and long term improvements in the physical activity and healthy eating habits that will translate into improved fitness and weight loss, and empowerment through increased health knowledge. These have important implications for the health and well-being and the social and community capacity of the Bindjareb community in Pinjarra and may also serve as a template for similar health promotion programs in other communities. In addition, identifying environments that encourage Aboriginal participation and are nurturing to both attitudes and aptitudes of good health behaviours may have positive implications on future policy development and infrastructure planning related to Aboriginal health.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
33878
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Country
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Phone
33878
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Fax
33878
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Email
33878
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Contact person for public queries
Name
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Mrs Caroline Nilson
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Address
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Murdoch University Peel Campus
Education Drive
Mandurah
Western Australia 6210
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Country
17125
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Australia
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Phone
17125
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+61 8 95825509
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Fax
17125
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+61 8 95825515
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Email
17125
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[email protected]
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Contact person for scientific queries
Name
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Professor Paul Morrison
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Address
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Murdoch University Peel Campus
Education Drive
Mandurah
Western Australia 6210
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Country
8053
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Australia
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Phone
8053
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+61 8 95825502
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Fax
8053
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+61 8 95825515
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Email
8053
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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
Current Study Results
No documents have been uploaded by study researchers.
Update to Study Results
Doc. No.
Type
Is Peer Reviewed?
DOI
Citations or Other Details
Attachment
4343
Other files
No
Nilson, C., Morrison, P., Fetherston, C., & Kearin...
[
More Details
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4344
Study results article
Yes
Nilson, C., Morrison, P., Fetherston, C., & Kearin...
[
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4345
Study results article
Yes
Nilson, C. (2016). A journey toward cultural compe...
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4346
Study results article
Yes
Nilson, C., Morrison, P., and Fetherston, C. (2016...
[
More Details
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4347
Study results article
Yes
Nilson, C., Kearing Salmon, K., Morrison, P., and ...
[
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]
4348
Study results article
Yes
Nilson, C., Kearing, G., Fetherston, C., & Morriso...
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Documents added automatically
Source
Title
Year of Publication
DOI
Embase
An ethnographic action research study to investigate the experiences of Bindjareb women participating in the cooking and nutrition component of an Aboriginal health promotion programme in regional Western Australia.
2015
https://dx.doi.org/10.1017/S1368980015000816
N.B. These documents automatically identified may not have been verified by the study sponsor.
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