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Trial registered on ANZCTR
Registration number
ACTRN12616001623482
Ethics application status
Approved
Date submitted
22/11/2016
Date registered
24/11/2016
Date last updated
14/08/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Does song writing enhance wellbeing of people with acquired brain injury or spinal cord injury?: A pilot and feasibility study
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Scientific title
The effect of a songwriting protocol on self-concept and wellbeing of people with acquired brain injury or spinal cord injury: A pilot and feasibility study
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Secondary ID [1]
290533
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ARC-DP150100201
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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:
Acquired Brain Injury
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Spinal Cord Injury
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Condition category
Condition code
Neurological
300758
300758
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
12 sessions of therapeutic songwriting provided to an adult with either spinal cord injury or acquired brain injury by a registered music therapist. The protocol is designed to target the self-concept whereby the therapist engages the participant in the creation of three songs guided by covering the six domains of the self-concept - the social self, the personal self, the family self, the physical self, the moral self, the academic self. The participant writes the first song about the past self (4 x 1 hour sessions twice per week), the second song about the present self (4 x 1 hour sessions twice per week), and a song about the imagined future self (4 x 1 hour sessions twice per week). sessions will be individual, provided in a face to face context, bedside or in a private room within the hospital or participants' homes. A log of session attendance will be used to monitor adherence. The music therapist with at least 5 years experience will utilise an iPad with garageband software to facilitate the creation and recording of lyrics and music.
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Intervention code [1]
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Rehabilitation
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Intervention code [2]
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Lifestyle
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Intervention code [3]
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Treatment: Other
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Comparator / control treatment
Standard Care: Participants in this group will receive their usual therapy
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Control group
Active
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Outcomes
Primary outcome [1]
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Self-concept: Head Injury Semantic Differential Scale
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Assessment method [1]
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Timepoint [1]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [1]
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Emotion regulation: Emotion Regulation Questionnaire
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Assessment method [1]
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Timepoint [1]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [2]
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Anxiety: GAD-7
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Assessment method [2]
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Timepoint [2]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [3]
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Satisfaction with life: Satisfaction with Life Scale
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Assessment method [3]
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Timepoint [3]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [4]
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Positive and negative affect: Positive and Negative Affect Scale-2
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Assessment method [4]
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Timepoint [4]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [5]
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Flourishing: Flourishing Scale
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Assessment method [5]
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Timepoint [5]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [6]
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Self-esteem: Rosenberg Self-Esteem Scale
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Assessment method [6]
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Timepoint [6]
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Baseline, mid-intervention (immediately following the 6th session), post-intervention, 6-month follow-up
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Secondary outcome [7]
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Flow: Short Flow Scale
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Assessment method [7]
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Timepoint [7]
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immediately post song 1, song 2, and song 3
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Secondary outcome [8]
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Meaningfulness of songwriting sessions: Songwriting Process and Product Questionnaire
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Assessment method [8]
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Timepoint [8]
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immediately post song 1, song 2, and song 3
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Secondary outcome [9]
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Depression - Patient Health Questionnaire - 9
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Assessment method [9]
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Timepoint [9]
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Baseline, mid-intervention (immediately following 6th session), post intervention, 6-month follow up
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Eligibility
Key inclusion criteria
1. Current inpatients at the Royal Talbot Rehabilitation Centre from ABI, Spinal or Neurology units, Kingston Monash Health, Epworth Richmond, or Caulfield Hospital
2. Former patients at the Royal Talbot Rehabilitation Centre from ABI, Spinal or Neurology units, Kingston Monash Health, Epworth, or Caulfield Hospital
3. A diagnosis of spinal cord injury or acquired brain injury. In this study, acquired brain injury refers to brain injury caused by events after birth and encompasses traumatic brain injury, stroke, brain tumors, substance abuse etc.
4. 0-24 months post discharge from inpatient rehabilitation units.
5. Living within a 25 kilometre radius of one of the 4 sites.
6. Able to communicate (in English)
7. Willing and able to participate in songwriting sessions (2 times weekly for 6-8 weeks) or to be a control participant
8. Confirmation from rehabilitation consultant or other team member of cognitive ability to complete assessment measures and emotional stability to examine self-concept
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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. Severe cognitive impairment or memory problems
2. Severe language problems or hearing impairment
3. Patients currently in Post Traumatic Amnesia
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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)
seal opaque envelopes
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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
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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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
SAMPLE SIZE ESTIMATION & JUSTIFICATION
32 ABI and 32 SCI participants would be a feasible number to recruit over the study period and sufficient to determine the effect size of the intervention and the factors of efficacy.
STATISTICAL METHODS TO BE UNDERTAKEN
The data will be summarized as mean (standard deviation) and analyzed using paired sample t-tests using a significance level of 0.05. Effect size calculations will also be conducted, in addition to the probability analyses, to determine the size of any clinically significant changes in wellbeing. We will also search for correlations between the wellbeing measures (including experience sampling) and flow and meaningfulness of the songwriting process and song product.
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data collected is being analysed
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Reason for early stopping/withdrawal
Participant recruitment difficulties
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Date of first participant enrolment
Anticipated
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Actual
1/04/2015
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Date of last participant enrolment
Anticipated
31/05/2017
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Actual
30/06/2017
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Date of last data collection
Anticipated
1/03/2018
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Actual
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Sample size
Target
64
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Accrual to date
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Final
30
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Recruitment in Australia
Recruitment state(s)
VIC
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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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Australia Research Council
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Address [1]
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GPO Box 2702
CANBERRA
ACT 2601
AUSTRALIA
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Country [1]
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Australia
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Primary sponsor type
University
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Name
The University of Melbourne
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Address
Melbourne Conservatorium of Music
The University of Melbourne
Royal Parade, Parkville
VIC 3010
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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]
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Address [1]
293781
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Country [1]
293781
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296387
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Austin Health HREC
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Ethics committee address [1]
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Research Ethics Office for research Austin Hospital Level 8, Harold Stokes building 145 Studley road Heidelberg VIC 3084
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
296387
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24/08/2014
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Approval date [1]
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24/10/2014
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Ethics approval number [1]
296387
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HREC14Austin422
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Ethics committee name [2]
296390
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Alfred Health HREC
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Ethics committee address [2]
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Office of ethics and research governance Ground floor, Linay Pavillion, The Alfred Hospital 55 Commercial Road, Melbourne, VIC 3004
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
296390
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12/11/2015
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Approval date [2]
296390
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14/12/2015
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Ethics approval number [2]
296390
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544-15
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Summary
Brief summary
The aim of this pilot study is to determine the effects of a therapeutic songwriting protocol on a range of wellbeing measures for people who are undergoing inpatient rehabilitation and those who are 0-24 months post discharge from acquired brain injury (ABI) or spinal cord injury (SCI) rehabilitation. A pre-post design will determine whether therapeutic songwriting can assist people who have sustained longterm injuries resulting from traumatic injury (such as workplace or road accidents) to work through issues of identity. This guided therapeutic process may include exploring a new identity that integrates the old preinjured self with a new identity that integrates the residual physical/cognitive/and psychosocial effects of the injury. The main purpose of this pilot project is to test the feasibility of the study protocol, establish the appropriateness of the measures for answering the research questions, and collect data that will capture the factors of efficacy.
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Trial website
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Trial related presentations / publications
Baker, F. A., Rickard, N., Tamplin, J., Roddy, C. (2015). Flow and meaningfulness as mechanisms of change in self-concept and well-being following a songwriting intervention for people in the early phase of neurorehabilitation. Frontiers of Human Neuroscience. Tamplin, J., Baker, F. A., McDonald, R.A.R., Roddy, C., Rickard, N. S. (2015). A theoretical framework and therapeutic songwriting protocol to promote integration of self-concept in people with acquired neurological injuries. Nordic Journal of Music Therapy. Baker, F. A., Tamplin, J., McDonald, R. A. R., Ponsford, J., Roddy, C., Lee, C., Rickard, N. (2017). Exploring the self through songwriting: An analysis of songs composed by people with acquired neurodisability in the inpatient rehabilitation program. Journal of Music Therapy, 54, 35 - 54.
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Public notes
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Contacts
Principal investigator
Name
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Prof Felicity A Baker
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Address
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Department of Music Therapy
Melbourne Conservatorium of Music
The University of Melbourne
Building 862, Level 2
234 St Kilda Road VIC 3006
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Country
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Australia
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Phone
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+61 402172795
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Young-Eun Claire Lee
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Address
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Department of Music Therapy
Melbourne Conservatorium of Music
The University of Melbourne
Building 862, Level 2
234 St Kilda Road VIC 3006
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Country
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Australia
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Phone
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+61 3 8344 3003
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Young-Eun Claire Lee
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Address
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Department of Music Therapy
Melbourne Conservatorium of Music
The University of Melbourne
Building 862, Level 2
234 St Kilda Road VIC 3006
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Country
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Australia
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Phone
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+61 413596587
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Fax
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Email
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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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