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Trial registered on ANZCTR
Registration number
ACTRN12615000111572
Ethics application status
Approved
Date submitted
14/11/2014
Date registered
6/02/2015
Date last updated
28/10/2019
Date data sharing statement initially provided
28/10/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
The Role Of Monitoring Meals On Wheels Recipients To Improve Physical And Mental Health
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Scientific title
The Role Of Monitoring Meals On Wheels Recipients and Providing Social Support To Improve Physical And Mental Health; a Mixed Methods Study
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Secondary ID [1]
285663
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Nil
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Universal Trial Number (UTN)
Nil
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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:
Malnutrition
293512
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Condition category
Condition code
Diet and Nutrition
293795
293795
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0
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Other diet and nutrition disorders
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Public Health
294061
294061
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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 project will aim to investigate the consumption patterns of clients in terms of Meals on Wheels meals and other meals, as well as physical activity levels to enable a better understanding of the current recipients of Meals on Wheels. It will also aim to investigate whether a short term intervention focused on assisting the clients with meal ordering and food provision improves the client’s physical and mental health. This intervention/support will be provided via a graduate of a health sciences course (non-expert in nutrition) through visiting the client's home for no longer than 30mins. There are 3 intervention groups, Group 1 will not receive any additional visits outside of usual care and Meal deliveries; Group 2 will receive a visit every 2 weeks for 12 weeks; Group 3 will a visit every month for 6 months. Participants will be randomly assigned to one of the three groups with 30 participants per group.
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Intervention code [1]
290606
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Lifestyle
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Intervention code [2]
290607
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Prevention
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Intervention code [3]
290608
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Treatment: Other
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Comparator / control treatment
Standard care where clients receive their meals on wheels via the councils with their normal support processes
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Control group
Active
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Outcomes
Primary outcome [1]
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Malnutrition risk assessed using the Mini Nutritional Assessment screening tool
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Assessment method [1]
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Timepoint [1]
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Baseline, 12 weeks, 6mths and 12mths
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Primary outcome [2]
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Total energy intake determined via 3 x 24hr food recalls at Baseline, 12 weeks, 6mths and 12mths.
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Assessment method [2]
293590
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Timepoint [2]
293590
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Baseline, 12 weeks, 6mths and 12 mths
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Secondary outcome [1]
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Health status will be assessed using the 12 Item
Short Form Health Survey ( SF12; Ware, 1998)
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Assessment method [1]
311416
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Timepoint [1]
311416
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Baseline, 12 weeks, 6mth and 12 mths
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Secondary outcome [2]
311417
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Kessler Psychological Distress scale (K6; Kessler et al., 2002)
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Assessment method [2]
311417
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Timepoint [2]
311417
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Baseline, 12 weeks, 6mth and 12 mths
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Secondary outcome [3]
311418
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Health literacy will be assessed using the 44item
Health Literacy Questionnaire (Osborne et al., 2013)
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Assessment method [3]
311418
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Timepoint [3]
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Baseline and 12 mths
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Secondary outcome [4]
311419
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CogState brief battery of tests
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Assessment method [4]
311419
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Timepoint [4]
311419
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Baseline, 12 weeks, 6mth and 12 mths
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Secondary outcome [5]
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Measurement of Activity via Accelerometers for a 7 day period with the accelerometer worn 24hrs a day except when showering, bathing, or swimming.
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Assessment method [5]
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Timepoint [5]
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Baseline, 12 weeks, 6mth and 12 mths
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Eligibility
Key inclusion criteria
Clients who are receiving Meals on Wheels in the Macedon Ranges and North Western Melbourne Medicare Local region
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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
Participants who are unable to speak English would be excluded as would clients with cognitive issues that would make it difficult to respond to the questions, as well as provide informed consent.
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Study design
Purpose of the study
Prevention
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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 using a randomisation table created by computer software
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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
30 participants per group are required based on a more modest change in Nutritional intake compared to that employed by Charlton et al (2013), as this study utilised additional provision of food above and beyond that of the existing Meals on Wheels Service. To achieve a power of 90% and observe a 0.75 fold change between treatments, sample size required: n = ((2 x 0.812)/ 0.752) x 10.51 = 24.5 people with a 20% drop-out = 30 people, where: 0.81 is the standard deviation expected, and a is 0.05.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/12/2014
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Actual
9/12/2014
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Date of last participant enrolment
Anticipated
20/02/2015
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Actual
3/03/2015
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Date of last data collection
Anticipated
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Actual
11/03/2016
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Sample size
Target
90
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Accrual to date
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Final
83
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
8904
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3011 - Footscray
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Recruitment postcode(s) [2]
8905
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3012 - Maidstone
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Recruitment postcode(s) [3]
8906
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3020 - Sunshine
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Recruitment postcode(s) [4]
8907
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3021 - St Albans
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Recruitment postcode(s) [5]
8908
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3023 - Deer Park
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Recruitment postcode(s) [6]
8909
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3031 - Flemington
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Recruitment postcode(s) [7]
8910
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3032 - Maribyrnong
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Recruitment postcode(s) [8]
8911
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3033 - Keilor East
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Recruitment postcode(s) [9]
8912
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3034 - Avondale Heights
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Recruitment postcode(s) [10]
8913
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3036 - Keilor
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Recruitment postcode(s) [11]
8914
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3037 - Calder Park
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Recruitment postcode(s) [12]
8915
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3038 - Taylors Lakes
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Recruitment postcode(s) [13]
8917
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3337 - Melton
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Recruitment postcode(s) [14]
8918
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3338 - Melton South
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Recruitment postcode(s) [15]
8919
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3429 - Sunbury
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Recruitment postcode(s) [16]
8920
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3437 - Gisborne
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Recruitment postcode(s) [17]
8921
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3434 - Romsey
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Recruitment postcode(s) [18]
8922
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3440 - Macedon
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Recruitment postcode(s) [19]
8923
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3444 - Kyneton
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Recruitment postcode(s) [20]
8924
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3340 - Bacchus Marsh
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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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Macedon Ranges and North Western Melbourne Medicare Local
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Address [1]
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Level 1, Government Pavilion, Showgrounds Village, 320-380 Epsom Road, Flemington, Victoria 3031 Australia
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Country [1]
290245
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Australia
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Primary sponsor type
University
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Name
Victoria University
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Address
Ballarat Rd, Footscray, Vic 3011
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
288951
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Address [1]
288951
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Country [1]
288951
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291947
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Victoria University Human Research Ethics Committee (VUHREC)
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Ethics committee address [1]
291947
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Ballarat Road, Footscray, Vic 3011
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Ethics committee country [1]
291947
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Australia
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Date submitted for ethics approval [1]
291947
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Approval date [1]
291947
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08/09/2014
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Ethics approval number [1]
291947
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HRE14-179
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Summary
Brief summary
Meals on Wheels services provide a key avenue to access some of the most vulnerable and in need members of our community, and is a key strategy to enhance the quality of life for the individual, through supporting and maintaining independent living at home. Ensuring adequate nutrition and preventing unintentional weight loss regardless of starting body weight, diets appropriate for individual medical conditions, and promoting physical activity within community dwelling older individuals, have the potential to be significant factors in maintaining independence, as well as reducing highcost health care services. However, despite all being strongly related to adequate nutritional intake, research regarding how Meals on Wheels services could be best utilised to decrease risk of a decline in physical and mental health, cognitive functioning, functional disability and health care utilisation is missing to date. This project will aim to investigate the consumption patterns of clients in terms of Meals on Wheels meals and other meals, as well as physical activity levels to enable a better understanding of the current recipients of Meals on Wheels. It will also aim to investigate whether a short term intervention focused on assisting the clients with meal ordering and food provision improves the client’s physical and mental health.
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Trial website
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Trial related presentations / publications
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Public notes
This project is recruiting from the majority of local government areas with the Macedon Ranges and North Western Melbourne Medicare Local region.
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Contacts
Principal investigator
Name
52786
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A/Prof Andrew McAinch
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Address
52786
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Victoria University
St Albans Campus,
P.O. Box 14428
Melbourne Vic 8001
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Country
52786
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Australia
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Phone
52786
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+61 3 99192019
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Fax
52786
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Email
52786
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[email protected]
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Contact person for public queries
Name
52787
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Andrew McAinch
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Address
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Victoria University
St Albans Campus,
P.O. Box 14428
Melbourne Vic 8001
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Country
52787
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Australia
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Phone
52787
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+61 3 99192019
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Fax
52787
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Email
52787
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[email protected]
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Contact person for scientific queries
Name
52788
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Andrew McAinch
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Address
52788
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Victoria University
St Albans Campus,
P.O. Box 14428
Melbourne Vic 8001
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Country
52788
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Australia
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Phone
52788
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+61 3 99192019
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Fax
52788
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Email
52788
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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 stipulated in the original ethics application, only stipulated that de-identified grouped data would be available
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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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