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Trial registered on ANZCTR
Registration number
ACTRN12617000019303
Ethics application status
Approved
Date submitted
20/12/2016
Date registered
5/01/2017
Date last updated
5/01/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Basic life support training for patients and their family members at cardiac rehabilitation: a feasibility study.
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Scientific title
Basic life support training for patients and their family members at cardiac rehabilitation: a feasibility study.
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Secondary ID [1]
290604
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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:
acute myocardial infarction
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post cardiac surgery
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Condition category
Condition code
Cardiovascular
300859
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0
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Coronary heart disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants will complete a one off, face-to-face group training session in cardiopulmonary resuscitation (CPR) using a self-instructional video (SIV) training kit which includes: a reusable, inflatable manikin and an instructional DVD. This will be run as part of the education sessions offered in the cardiac rehabilitation program.
- the training component, using the SIV kit runs for around 30 minutes
- post training research assessments (paper based survey, skill assessment) will then be conducted
- all participants will be given a SIV kit to use, which they can then take home to share with others
- the training session will be facilitated by one of the study investigators (SC) who is also a cardiac nurse and trained CPR instructor
Participants will be contacted one month post training via telephone to assess if they have used the kit once at home to a) review the training themselves or b) share the kit and train others
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Intervention code [1]
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Rehabilitation
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Intervention code [2]
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Behaviour
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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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The primary outcome is to assess willingness of cardiac patients and their family members to participate in CPR training at cardiac rehabilitation sessions. This will be measured by attendance of patients and family members at the scheduled CPR training sessions.
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Assessment method [1]
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Timepoint [1]
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Training- attendance will be collected.
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Secondary outcome [1]
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Willingness to use CPR skills (measured at all time points on 5 point Likert scales)
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Assessment method [1]
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Timepoint [1]
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- pre-training
-post-training
-one-month post-training
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Secondary outcome [2]
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psychological distress measured by the Kessler 10L3D
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Assessment method [2]
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Timepoint [2]
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- post training
- one month post training
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Secondary outcome [3]
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Skills assessment- measured on skill reporting manikin
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Assessment method [3]
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Timepoint [3]
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- one month post training
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Secondary outcome [4]
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Number of times SIV CPR kit shared by participants
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Assessment method [4]
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Timepoint [4]
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- one month post training, via telephone follow up and completing paper based survey
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Secondary outcome [5]
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Staff feedback on training
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Assessment method [5]
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Timepoint [5]
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At the completion of participant enrollment via paper based survey
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Secondary outcome [6]
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Confidence to use CPR skills (measured at all time points on 5 point Likert scales)
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Assessment method [6]
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Timepoint [6]
330465
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- pre-training
-post-training
-one-month post-training
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Eligibility
Key inclusion criteria
Patients: Enrolled in the cardiac rehabilitation program; aged >18 years; fluent in English; competent to provide consent; medically stable.
Family: relative enrolled in cardiac rehabilitation program; lives at home permanently with relative; aged >18 years; fluent in English; competent to provide consent.
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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?
Yes
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Key exclusion criteria
Unable to physically participate (ie. knee or back injuries)
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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)
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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
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Categorical variables will be described using proportions and compared using the chi-squared statistic. Continuous variables will be presented as mean with standard deviation or median with interquartile range as appropriate. When comparing a continuous outcome over three study time points the Friedman test will be used. Post-hoc testing will then conducted using the Wilcoxon Signed Rank Test to assess at which time points the significant differences occurred. Effect size was calculated using z scores and dividing z by the square root of the number of cases. Statistical analyses will be performed with SPSS v24 (Armonk, NY: IBM corp) and p values <0.05 will be considered statistically significant.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
2/05/2016
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Date of last participant enrolment
Anticipated
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Actual
14/07/2016
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Date of last data collection
Anticipated
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Actual
24/08/2016
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Sample size
Target
50
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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 hospital [1]
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Cabrini Hospital - Malvern - Malvern
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Recruitment postcode(s) [1]
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3144 - Malvern
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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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National Health and Medical Research Council
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Address [1]
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GPO Box 1421 Canberra ACT 2601
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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Laerdal Australia
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Address [2]
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Laerdal Pty Ltd
PO Box 52
OAKLEIGH VIC 3166
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Country [2]
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Australia
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Primary sponsor type
University
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Name
Aus-ROC, Monash Universtiy
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Address
School of Public Health and Preventive Medicine
Level 6, 99 Commercial Road
Melbourne, 3004
Victoria
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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]
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Country [1]
294036
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Cabrini Human Research Ethics Committee
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Ethics committee address [1]
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Cabrini Institute 183 Wattletree Road Malvern, 3144 Victoria
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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16/03/2016
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Approval date [1]
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20/04/2016
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Ethics approval number [1]
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02-02-05-16
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Summary
Brief summary
A cardiac arrest is a life threatening condition that occurs when a victims’ heart stops suddenly and breathing becomes abnormal. To prevent death, someone nearby must start basic life support (BLS) measures. This includes; 1) recognising the person is in cardiac arrest, 2) calling for help and 3) commencing cardiopulmonary resuscitation (CPR). CPR involves compressing the chest, and if able and willing, providing mouth to mouth breaths. Up to 75% of cardiac arrests will happen in the home environment and nearly half of these will be witnessed by someone at home. This person is usually the spouse or a family member of the victim. Therefore it is important that family members of people who are more at risk of having a cardiac arrest are trained in BLS skills. People who have had a prior heart attack, or other heart conditions are at higher risk of repeat events, including the risk of having a cardiac arrest. Therefore the relatives of these people should be targeted for BLS training. Approximately four to six weeks after hospitalisation for a heart attack or cardiac event, most patients attend cardiac rehabilitation. Cardiac rehabilitation is a six to eight week outpatient program, usually run at a hospital by trained cardiac rehabilitation nurses and other health staff. These programs include both exercise and education sessions. Family members are encouraged to attend the education sessions along with the patients. Cardiac rehabilitation programs may provide the ideal catchment and environment to provide BLS training to both cardiac patients and their family members. In recent years, the way we teach and perform BLS has changed significantly. BLS training can now be undertaken in 30 minutes and without a formal instructor. This training can be done via a self-training kit that includes a training video and a reusable, inflatable manikin to practice CPR skills. The most important part of CPR is the chest compressions, with the mouth to mouth being optional. Therefore learning and performing BLS is much easier than it used to be. In this study we will train patients and family members attending the Cabrini cardiac rehabilitation program using self-instructional BLS video training kits. The primary aim of this research is to assess whether it is feasible to conduct BLS training to patients and their family members at a cardiac rehabilitation program. Our secondary objectives are: 1) to assess whether this group can perform BLS adequately; 2) to assess willingness to utilise and maintain BLS skills; 3) to determine the level of secondary training (sharing of training kit) that is undertaken by participants; 4) to assess levels of anxiety and confidence pre and post training. In order to assess the feasibility of running the program at cardic rehabilitation, cardiac rehabilitation staff will complete a brief survey at the completion of the study.
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Trial website
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Trial related presentations / publications
Presentations: - European Resuscitation Council, Young Investigators Presentation, Iceland, Sept 2016 - Victorian Cardiac Rehabilitation Association, Professional Development Day, Melbourne, Oct 2016
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Public notes
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Contacts
Principal investigator
Name
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Dr Dion Stub
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Address
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Cabrini Hospital Malvern
198 Wattletree Road
Malvern, 3144
Victoria
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Country
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Australia
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Phone
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+61 3 9508 1222
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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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Susie Cartledge
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Address
70691
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Monash University
Alfred Centre
Level 6, 99 Commercial Road
Melbourne, 3004
Victoria
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Country
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Australia
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Phone
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+61 3 99030244
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Fax
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Email
70691
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[email protected]
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Contact person for scientific queries
Name
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Susie Cartledge
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Address
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Monash University
Alfred Centre
Level 6, 99 Commercial Road
Melbourne, 3004
Victoria
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Country
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Australia
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Phone
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+61399030244
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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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