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Trial registered on ANZCTR
Registration number
ACTRN12616000087459
Ethics application status
Approved
Date submitted
22/01/2016
Date registered
27/01/2016
Date last updated
27/01/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
Paediatric-to-adult transition and medication adherence in patients with inflammatory bowel disease
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Scientific title
Paediatric-to-adult transition and medication adherence in patients with inflammatory bowel disease (IBD): effect of a drug counselling session with an experienced IBD pharmacist
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Secondary ID [1]
288392
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None
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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:
Inflammatory bowel disease
297398
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Condition category
Condition code
Oral and Gastrointestinal
297587
297587
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0
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Inflammatory bowel disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients are given two screening questionnaires to determine if they are adherers or non-adherers
The Medication Adherence Rating Scale (MARS) is a validated questionnaire that represents medication adherence comprising of 4 simple questions. A score below 17 represents medication non-adherence.
The Beliefs about Medication Questionnaire (BMQ) is a validated questionnaire assessing a subjects perception of necessity of medications and concerns about medications. This questionnaire helps guide the direction of the counselling / educational intervention.
Patients identified as non-adherers are assigned to the intervention group and will receive a ONCE off personal (one on one) drug counselling session with an experienced IBD pharmacist lasting approximately 20 minutes.
A further questionnaire will be given out 6 months after the baseline questionnaire to determine the effectiveness of the intervention.
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Intervention code [1]
293699
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Behaviour
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Intervention code [2]
293700
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Early detection / Screening
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Comparator / control treatment
Patients who were screened with the two questionnaires and not assigned to the non-adherers group were assigned to the adherers group as a control.
Controls, as they have good adherence at baseline, do not require intervention. However, they will be followed up to ensure their adherence remains optimal.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in adherence assessed by the Medication Adherence Rate Scale(MARS) score
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Assessment method [1]
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Timepoint [1]
297131
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0, 6 months
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Secondary outcome [1]
320115
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Change in medication necessity as determined by Beliefs about medications questionnaire (BMQ)
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Assessment method [1]
320115
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Timepoint [1]
320115
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0, 6 months
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Secondary outcome [2]
320116
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Change in medication concerns as determined by Beliefs about medications questionnaire (BMQ)
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Assessment method [2]
320116
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Timepoint [2]
320116
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0, 6 months
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Eligibility
Key inclusion criteria
Confirmed diagnosis of IBD
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Minimum age
12
Years
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Maximum age
25
Years
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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 without a definite diagnosis of IBD and those not prescribed IBD medications (for example, following resectional surgery) were excluded.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
N/A
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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
Non-adherers will receive the educational counselling.
Adherers do not require educational counselling as they already take their medication, but will be followed up to determine whether adherence is dynamic and changes over time.
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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
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Actual
12/04/2014
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Date of last participant enrolment
Anticipated
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Actual
17/12/2014
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
130
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Accrual to date
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Final
126
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
5111
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Westmead Hospital - Westmead
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Recruitment hospital [2]
5112
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Concord Repatriation Hospital - Concord
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Recruitment hospital [3]
5113
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The Children's Hospital at Westmead - Westmead
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Recruitment hospital [4]
5114
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Norwest Private Hospital - Bella Vista
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Recruitment postcode(s) [1]
12575
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2139 - Concord Repatriation Hospital
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Recruitment postcode(s) [2]
12576
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2145 - Westmead
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Recruitment postcode(s) [3]
12577
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2153 - Bella Vista
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Funding & Sponsors
Funding source category [1]
292747
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Hospital
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Name [1]
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Dept of Gastroenterology and Liver Services, Concord Repatriation General Hospital
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Address [1]
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Dept of Gastroenterology and Liver Services
Concord Repatriation General Hospital
Hospital Rd, Concord NSW 2139
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Country [1]
292747
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Australia
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Primary sponsor type
Individual
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Name
Professor Rupert Leong
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Address
Dept of Gastroenterology and Liver Services
Concord Repatriation General Hospital
Hospital Rd, Concord NSW 2139
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Country
Australia
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Secondary sponsor category [1]
291476
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None
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Name [1]
291476
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Address [1]
291476
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Country [1]
291476
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
294230
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Sydney Children's Hospitals Network
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Ethics committee address [1]
294230
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Research and Development The Children's Hospital at Westmead Corner Hawkesbury Road and Hainsworth Street Westmead NSW 2145
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Ethics committee country [1]
294230
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Australia
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Date submitted for ethics approval [1]
294230
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01/11/2013
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Approval date [1]
294230
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20/12/2013
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Ethics approval number [1]
294230
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LNR/13/SCHN/318
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Ethics committee name [2]
294231
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Sydney Local Health Destrict Human Research Ethics Committee - CRGH
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Ethics committee address [2]
294231
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Concord Repatriation General Hospital Building 75, Hospital Road Concord NSW 2139
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Ethics committee country [2]
294231
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Australia
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Date submitted for ethics approval [2]
294231
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Approval date [2]
294231
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23/09/2011
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Ethics approval number [2]
294231
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LNR/11/CRGH/217
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Ethics committee name [3]
294232
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Western Sydney Local Health Destrict Human Research Ethics Committee
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Ethics committee address [3]
294232
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Room 1072, Level 1, Education Block, Westmead Hospital Hawkesbury Road, Westmead NSW 2145
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Ethics committee country [3]
294232
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Australia
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Date submitted for ethics approval [3]
294232
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Approval date [3]
294232
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12/09/2013
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Ethics approval number [3]
294232
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LNRSSA/13/WMEAD/319
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Summary
Brief summary
Psychological factors are important in medication adherence. Interventions geared towards education may help facilitate adherence. Two questionnaires were administered to screen IBD patients. The Medication Adherence Rating Scale (MARS) questionnaire screened for non-adherence and consisted of four questions on a Likert-type scale he Beliefs about Medications Questionnaire (BMQ) addressed necessity and concerns. The BMQ consisted of ten questions on a 5-point Likert scale The first five questions addressed patient necessity towards medications and the last five questions addressed patient concerns regarding medications totalling a maximum of 25 points per domain. High necessity and concerns was determined with a score of >15/25 in each corresponding domain. Patients with MARS scores below 17 were classified as non-adherers and were offered a structured personalised counselling session with an IBD pharmacist addressing misperceptions, concerns, risk and other queries. Adherers were recruited as controls. All patients were followed up with the MARS and BMQ questionnaire at 6 months after baseline questionnaires. The primary outcome was adherence measured by the MARS score. Secondary outcomes were medication necessity and concerns
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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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Prof Rupert Leong
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Address
62982
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Department of Gastroenterology and Liver Services
Concord Repatriation General Hospital
Hospital,Hospital Rd, Concord NSW 2139
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Country
62982
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Australia
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Phone
62982
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+61297676111
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Fax
62982
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+61297676767
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Email
62982
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[email protected]
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Contact person for public queries
Name
62983
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Rupert Leong
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Address
62983
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Department of Gastroenterology and Liver Services
Concord Repatriation General Hospital
Hospital,Hospital Rd, Concord NSW 2139
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Country
62983
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Australia
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Phone
62983
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+61297676111
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Fax
62983
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+61297676767
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Email
62983
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[email protected]
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Contact person for scientific queries
Name
62984
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Rupert Leong
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Address
62984
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Department of Gastroenterology and Liver Services
Concord Repatriation General Hospital
Hospital,Hospital Rd, Concord NSW 2139
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Country
62984
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Australia
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Phone
62984
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+61297676111
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Fax
62984
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+61297676767
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Email
62984
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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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