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Trial registered on ANZCTR
Registration number
ACTRN12616000051448
Ethics application status
Approved
Date submitted
14/01/2016
Date registered
20/01/2016
Date last updated
30/01/2020
Date data sharing statement initially provided
30/01/2020
Date results provided
30/01/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Can an activity monitor and smart device application improve the intensity of therapy after stroke?
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Scientific title
Can an activity monitor and smart device application improve the intensity of therapy after stroke? - a feasibility study
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Secondary ID [1]
288254
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
INTERAct
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Stroke
297190
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Condition category
Condition code
Stroke
297407
297407
0
0
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Ischaemic
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Stroke
297408
297408
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0
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Haemorrhagic
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Sit to stand is a common functional exercise prescribed by physiotherapists. The intervention in this study involves completing a set number of a sit to stand exercise per day which will be monitored with a device connected to an app. The app will providing feedback to the patient and enable the therapist to see the number of sit to stands performed by the patients remotely. The therapist will also be able to change the number of sit to stand goal remotely via a function on the application.
Participants will be instructed in their home on how to use the sit to stand activity monitor (AM) and smart device application (on participants own iPhone, iPad or project provided tablet). The AM consists of a small pressure sensor which is placed under a nominated chair in the participant’s home. Participants will use the AM for the 5-week study period and track their number of daily sit to stand repetitions. At the start of weeks 2-5 the research therapist will review the participant’s results remotely via the internet and set a target for the participant for the following week based on the number of sit to stands performed each day in the preceding week. The weeks goal will be programmed remotely into the smart device application (and phone call if necessary). Participants will connect to the smart device application to get feedback on how close they are to their goal or whether they have achieved the day’s target. Results will be available to the research therapist remotely.
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Intervention code [1]
293544
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Rehabilitation
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Comparator / control treatment
No Control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Adherence to set program (number of sit to stands in weeks 2-5 measured by the activity monitor / set target on the smart device application).
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Assessment method [1]
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Timepoint [1]
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Weeks 2 - 5
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Primary outcome [2]
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Usability and acceptability of activity monitor & smart device app: System usability scale
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Assessment method [2]
296964
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Timepoint [2]
296964
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End of week 5
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Secondary outcome [1]
319778
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Helpfulness and enjoyment of activity monitor and app: Physical activity enjoyment scale
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Assessment method [1]
319778
0
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Timepoint [1]
319778
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End week 5
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Secondary outcome [2]
319779
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Ease of delivering the exercise upgrades remote via internet connected smart device: System usability scale (therapist)
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Assessment method [2]
319779
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Timepoint [2]
319779
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End of week 5
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Secondary outcome [3]
319855
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Number of sit to stands in 2 minutes; Short Physical Performance Battery (sit to stand, balance, gait)
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Assessment method [3]
319855
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Timepoint [3]
319855
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Baseline and end of week 5
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Eligibility
Key inclusion criteria
1) 12 months or less post diagnosis of stroke 2) Living in the community 3) Age >=18 years 4) Able to perform sit to stand independently
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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) Living in a nursing home 2) Unable to follow instructions sufficiently to participate in the intervention 3) Medically unstable
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Study design
Purpose of the study
Treatment
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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
feasibility study
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Adherence will be described as percentage equal to the number performed/target. Participant perceptions (primary outcomes 2 and 3) of the technology will be described using frequency counts and percentages for each likert scale from the questionnaires. Changes in secondary outcome measures will be performed using t-tests or non-parametric tests to compare normally and non-normally distributed data respectively.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2016
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Actual
1/02/2016
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Date of last participant enrolment
Anticipated
31/07/2017
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Actual
4/09/2017
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Date of last data collection
Anticipated
4/09/2017
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Actual
9/10/2017
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Sample size
Target
10
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Accrual to date
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Final
10
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Recruitment in Australia
Recruitment state(s)
TAS
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Recruitment postcode(s) [1]
12511
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7000 - Hobart
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Funding & Sponsors
Funding source category [1]
292640
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Charities/Societies/Foundations
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Name [1]
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Royal Hobart Hospital Research Foundation
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Address [1]
292640
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BUPA Building
Ground Floor
25 Argyle Street
Hobart Tasmania
7001
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Country [1]
292640
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Australia
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Primary sponsor type
Individual
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Name
Dr Michele Callisaya
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Address
Menzies Institute of Medical Research
17 Liverpool Street,
Hobart Tasmania
7000
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Country
Australia
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Secondary sponsor category [1]
291385
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None
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Name [1]
291385
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None
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Address [1]
291385
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None
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Country [1]
291385
0
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Other collaborator category [1]
278763
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Individual
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Name [1]
278763
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Prof Stuart Smith
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Address [1]
278763
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University of the Sunshine Coast &
Sunshine Coast Inc,
PO Box 596, Maroochydore QLD 4558
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Country [1]
278763
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Australia
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Other collaborator category [2]
278764
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Individual
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Name [2]
278764
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Dr Matthew Schmidt
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Address [2]
278764
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University of Tasmania
17 Liverpool Street
Hobart Tasmania
7000
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Country [2]
278764
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Australia
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Other collaborator category [3]
278765
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Individual
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Name [3]
278765
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Miss Dawn Simpson
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Address [3]
278765
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Menzies Institute of Medical Research
17 Liverpool Street
Hobart Tasmania
7000
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Country [3]
278765
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Australia
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Other collaborator category [4]
278766
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Individual
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Name [4]
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Dr Marie-Louise Bird
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Address [4]
278766
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University of Tasmania
Newnham Campus
University of Tasmania
Locked Bag 1362
Launceston Tasmania 7250
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Country [4]
278766
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294116
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Human Research Ethics Committee (Tasmania)
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Ethics committee address [1]
294116
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Office of Research Services University of Tasmania Private bag 1 Hobart Tasmania 7001
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Ethics committee country [1]
294116
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Australia
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Date submitted for ethics approval [1]
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11/05/2015
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Approval date [1]
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25/06/2015
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Ethics approval number [1]
294116
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H0014859
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Summary
Brief summary
Current stroke guidelines recommend as much physical practice as possible in the first 6 months after stroke. A number of recent reviews concluded that therapy should include intensive repetitive task training to improve functional outcomes (such as the ability to transfer and walk). However, a number of factors can lead to patients remaining inactive, particularly once home. 1) Limitations of outpatient therapy: Frequency of appointments is low and programs are time limited in duration. 2) Motivation and confidence: Low motivation and lack of a therapist monitoring practice can contribute to poor adherence to exercise. Providing accurate feedback, goal setting and rewards can enhance compliance and self efficacy. 3) Geographical location: Patients may live in remote or rural areas resulting in less access to specialist rehabilitation services or have limited access to transport to attend therapy. Novel, cost-effective and enjoyable ways are needed to increase the intensity of practice outside of centre-based therapy. Therefore, the purpose of this study is to investigate whether for people who have had a stroke: 1. a smart device application and activity monitor (AM) can be used to increase repetitions of a functional exercise outside of centre-based therapy 2. the activity monitor and smart device application package is enjoyable, acceptable and easy to use. 3. progression of intensity of practice can be delivered remotely by a therapist via the internet.
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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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Dr Michele Callisaya
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Address
62534
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Menzies Institute of Medical Research
Private Bag 23
Hobart
Tasmania
7001
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Country
62534
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Australia
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Phone
62534
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+61 418295933
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Fax
62534
0
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Email
62534
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[email protected]
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Contact person for public queries
Name
62535
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Michele Callisaya
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Address
62535
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Menzies Institute of Medical Research
Private Bag 23
Hobart
Tasmania
7001
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Country
62535
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Australia
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Phone
62535
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+61 418295933
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Fax
62535
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Email
62535
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[email protected]
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Contact person for scientific queries
Name
62536
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Michele Callisaya
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Address
62536
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Menzies Institute of Medical Research
Private Bag 23
Hobart
Tasmania
7001
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Country
62536
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Australia
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Phone
62536
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+61 418295933
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Fax
62536
0
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Email
62536
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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)?
Yes
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What data in particular will be shared?
all de-identified individual participant data
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When will data be available (start and end dates)?
from now for 5 years
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Available to whom?
Researchers who provide a methodologically sound proposal, case-by-case basis at the discretion of Primary Sponsor
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Available for what types of analyses?
Those that meet the aims of the approved proposal
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How or where can data be obtained?
Request to CI and via signing a data sharing agreement
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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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