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Trial registered on ANZCTR
Registration number
ACTRN12616001337460
Ethics application status
Approved
Date submitted
16/09/2016
Date registered
26/09/2016
Date last updated
22/01/2019
Date data sharing statement initially provided
18/01/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Can relaxation reduce unhealthy eating in response to stress?
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Scientific title
The effect of guided relaxation on appetite and energy intake: implications for stress-induced eating, weight management and cardiovascular disease
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Secondary ID [1]
290144
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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:
stress
300263
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weight gain
300278
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Condition category
Condition code
Diet and Nutrition
300130
300130
0
0
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Obesity
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Mental Health
300182
300182
0
0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention group will complete an 8 week program of guided relaxation. This will be comprised of progressive muscular relaxation and a mindfulness-based meditation practice. This will consist of one face-to-face group session per week (no more than 30 min in duration) and unsupervised regular daily practice (20 min per day). The intervention will be administered by an Accredited Practicing Dietitian and Yoga and Meditation Teacher (RYT-500hr+). Adherence to required frequency of relaxation practice will be monitored through recording attendance to group sessions, and the maintenance of a home-practice diary.
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Intervention code [1]
295898
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Lifestyle
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Intervention code [2]
295934
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Behaviour
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Comparator / control treatment
The control participants will continue their normal routine throughout the 8 week intervention period (i.e. no treatment will be given). All participants will complete pre- and post-intervention assessments eight weeks apart.
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Control group
Active
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Outcomes
Primary outcome [1]
299618
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Ad libitum energy intake of a laboratory test meal.
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Assessment method [1]
299618
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Timepoint [1]
299618
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At baseline (week 0) and post-intervention (week 8).
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Secondary outcome [1]
327780
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Sleep quality, measured by the Pittsburgh Sleep Quality Index (PSQI)
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Assessment method [1]
327780
0
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Timepoint [1]
327780
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At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [2]
327830
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trait anxiety - State-Trait Anxiety Inventory (STAI-trait)
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Assessment method [2]
327830
0
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Timepoint [2]
327830
0
At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [3]
327831
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life stress - Perceived Stress Scale (PSS)
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Assessment method [3]
327831
0
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Timepoint [3]
327831
0
At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [4]
327832
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mindfulness - Mindfulness Attention Awareness Scale (MAAS)
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Assessment method [4]
327832
0
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Timepoint [4]
327832
0
At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [5]
327833
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rumination - Rumination Resposne Scale (RRS)
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Assessment method [5]
327833
0
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Timepoint [5]
327833
0
At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [6]
327834
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eating behaviour - Dutch Eating Behaviour Questionnaire (DEBQ) and Three Factor eating Questionnaire (TFEQ)
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Assessment method [6]
327834
0
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Timepoint [6]
327834
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At baseline (week 0) and post-intervention (week 8)
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Secondary outcome [7]
327835
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self-reported measures of appetite - Visual Analogue Scale
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Assessment method [7]
327835
0
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Timepoint [7]
327835
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, 90 min, and 120min
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Secondary outcome [8]
327836
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self reported measures of mood - Profile of Mood States (POMS)
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Assessment method [8]
327836
0
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Timepoint [8]
327836
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, 90 min, and 120min
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Secondary outcome [9]
327837
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heart rate - measured by a digital heart rate monitor
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Assessment method [9]
327837
0
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Timepoint [9]
327837
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, 90 min, and 120min
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Secondary outcome [10]
327839
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blood pressure
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Assessment method [10]
327839
0
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Timepoint [10]
327839
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, 90 min, and 120min
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Secondary outcome [11]
327840
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salivary cortisol
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Assessment method [11]
327840
0
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Timepoint [11]
327840
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, and 90 min
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Secondary outcome [12]
327841
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appetite-related peptides: plasma insulin, plasma acylated ghrelin, and plasma leptin
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Assessment method [12]
327841
0
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Timepoint [12]
327841
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During the pre-intervention laboratory session and the post-intervention laboratory session, at baseline (time 0), 30 min, 60 min, and 90 min.
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Secondary outcome [13]
327937
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BMI
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Assessment method [13]
327937
0
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Timepoint [13]
327937
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Pre-intervention (week 0) and post intervention (week 8)
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Secondary outcome [14]
327938
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Waist-hip circumference
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Assessment method [14]
327938
0
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Timepoint [14]
327938
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Pre-intervention (week 0) and post intervention (week 8)
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Eligibility
Key inclusion criteria
Participants will be males and females aged 18 – 60 years with a BMI = 20-29kg/m2 and weight stable.
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Minimum age
18
Years
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Maximum age
60
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
Participants will not have any diagnosed medical conditions, a history of substance abuse, use prescription medications, or engage in smoking or heavy drinking. They should not be dieting, have a previous regular practice of relaxation techniques, engage in excessive exercise (greater than two hours/day), or have an irregular work/sleep schedule.
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Study design
Purpose of the study
Treatment
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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)
Yes, this will be achieved through central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using computerised 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
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
A sample size of at least 17 participants in each group is required to detect a difference of 500 kJ in ad libitum energy intake with a power of 0.8 based on work by Gregerson et al 2008. Repeated measures ANOVA with between group comparisons will be used to determine the effect of the relaxation intervention on the outcome variables of interest pre- and post-intervention.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/10/2016
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Actual
14/10/2016
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Date of last participant enrolment
Anticipated
1/03/2017
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Actual
3/07/2017
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Date of last data collection
Anticipated
1/05/2017
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Actual
13/09/2017
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Sample size
Target
50
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Accrual to date
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Final
34
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
294515
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University
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Name [1]
294515
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The University of Western Australia
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Address [1]
294515
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35 Stirling Highway Crawley, Western Australia, 6009
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Country [1]
294515
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Australia
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Primary sponsor type
University
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Name
The University of Western Australia
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Address
35 Stirling Highway Crawley, Western Australia 6009
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Country
Australia
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Secondary sponsor category [1]
293388
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None
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Name [1]
293388
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Address [1]
293388
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Country [1]
293388
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
295954
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Research Ethics and Biosafety Office, The University of Western Australia
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Ethics committee address [1]
295954
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The University of Western Australia 35 Stirling Highway Crawley WA 6009
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Ethics committee country [1]
295954
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Australia
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Date submitted for ethics approval [1]
295954
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10/09/2013
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Approval date [1]
295954
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30/10/2013
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Ethics approval number [1]
295954
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RA/4/1/6429
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Summary
Brief summary
Obesity and stress are two of the most pressing health concerns facing the modern world today and it is increasingly evident they are related. Stress-induced eating is characterised by the preferential consumption of energy dense snack foods. The physiological mechanisms underlying this behaviour are mediated by both stress and appetite hormones, largely dictated by the body’s desire for pleasure. Given that relaxation is the physiological and psychological opposite of stress, this raises the question of whether relaxation strategies can reduce stress-induced eating. We aim to determine the effect of an 8-week guided relaxation intervention (supplemented by a daily home practice) on stress-induced eating, feelings of appetite (hunger and fullness), the circulating levels of appetite-related hormones, perceived stress and psychological well-being. Identification of a therapeutic effect of relaxation will provide a novel, yet simple and cost effective, patient-centred tool that can be easily implemented to add to the existing strategies aimed at the prevention and management of obesity.
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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
69022
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Ms Tasmiah Masih
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Address
69022
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School of Human Sciences (Exercise and Sport Science)
University of Western Australia
35 Stirling Highway Crawley WA 6009
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Country
69022
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Australia
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Phone
69022
0
+61 421 130 222
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Fax
69022
0
+61 8 6488 1039
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Email
69022
0
[email protected]
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Contact person for public queries
Name
69023
0
Tasmiah Masih
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Address
69023
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School of Human Sciences (Exercise and Sport Science)
University of Western Australia
35 Stirling Highway Crawley WA 6009
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Country
69023
0
Australia
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Phone
69023
0
+61 421 130 222
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Fax
69023
0
+61 8 6488 1039
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Email
69023
0
[email protected]
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Contact person for scientific queries
Name
69024
0
Tasmiah Masih
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Address
69024
0
School of Human Sciences (Exercise and Sport Science)
University of Western Australia
35 Stirling Highway Crawley WA 6009
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Country
69024
0
Australia
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Phone
69024
0
+61 421 130 222
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Fax
69024
0
+61 8 6488 1039
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Email
69024
0
[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
At this stage, data will be available if this is a requirement of the journals publishing the research papers, which are still to be published.
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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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