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Trial registered on ANZCTR
Registration number
ACTRN12617000471381
Ethics application status
Approved
Date submitted
28/03/2017
Date registered
31/03/2017
Date last updated
10/11/2021
Date data sharing statement initially provided
4/02/2020
Date results provided
10/11/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Is a schools-based 8-week mindfulness programme more effective for younger versus older adolescents?
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Scientific title
Is a schools-based 8-week mindfulness programme more effective for transdiagnostic prevention in younger versus older adolescents?
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Secondary ID [1]
291501
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None
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Universal Trial Number (UTN)
U1111-1194-5055
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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:
Depression
302574
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Anxiety
302575
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Eating disorders
302576
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Condition category
Condition code
Mental Health
302099
302099
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0
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Depression
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Mental Health
302100
302100
0
0
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Anxiety
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Mental Health
302101
302101
0
0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Adolescent mindfulness intervention: Mindful Teens (advance English translation from developer http://daviddewulf.be/en/mindfulness-for-life; also see Raes, F., Griffith, J., Van der Gucht, K., & Williams, J. (2014). School-based prevention and Reduction of Depression in Adolescents: A Cluster-Randomized Trial of a Mindfulness Group Program. Mindfulness, 5(5), 477-486. ).
Lesson duration 75- 100 minutes delivered face to face to school classes (Year 8, 10, 12) once weekly over a period of 8 weeks. Lesson length varies per school depending on the length of a standard double lesson. Attendance at lessons is recorded by classroom teacher. Lesson format is a mix of mindfulness meditation, real-life applications, interactive activities and discussion. Students will receive a weekly handout with key messages and home activities. Home activities consist of (1) daily tips to apply short mindfulness strategies (a few minutes) (2) Formal guided meditations with an audioCD (building from 10 to 20 minutes with an invitation to listen daily) (3) exploration exercises eg noting thoughts and feelings associated with pleasant and unpleasant events (5-15 minutes over a week). Students self-report their home practice compliance in deidentified survey post course. Delivered by an external facilitator (15 years personal mindfulness experience, adult and youth mindfulness facilitator) with classroom teacher present. Classes will be audiorecorded and rated for competence and fidelity by programme developer.
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Intervention code [1]
297630
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Prevention
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Intervention code [2]
297654
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Behaviour
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Comparator / control treatment
Lessons as usual. Lessons have been scheduled in pastoral care time, science, health and physical education as chosen by each school.
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Control group
Active
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Outcomes
Primary outcome [1]
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Depression (DASS-21 subscale and CES-DC)
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Assessment method [1]
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Timepoint [1]
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Three weeks prior to intervention, one week post intervention, 6 month and 12 month follow up
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Primary outcome [2]
301600
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Anxiety (DASS-21 subscale and GAD-7
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Assessment method [2]
301600
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Timepoint [2]
301600
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Three weeks prior to intervention, one week post intervention, 6 month and 12 month follow up
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Primary outcome [3]
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weight and shape concerns (subscales of EDE-Q)
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Assessment method [3]
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Timepoint [3]
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Three weeks prior to intervention, one week post intervention, 6 month and 12 month follow up
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Secondary outcome [1]
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mindfulness (eight subscales of CHIME-A)
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Assessment method [1]
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Timepoint [1]
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Three weeks prior to intervention, one week post intervention, 3-6 month follow-up.
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Eligibility
Key inclusion criteria
Enrolled a selected school in Year 8, 10 or senior group 11/12, with passive consent from parent and active assent from student
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Minimum age
12
Years
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Maximum age
18
Years
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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
Nil
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Study design
Purpose of the study
Prevention
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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. Schools nominated pairs of classes to take part which were then randomly allocated to intervention/control offsite by the main researcher..
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
excel randomisation, with a priori rules regarding allocation
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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
Power analysis: Three year levels (Year 8, 10, 11/12) by two groups (control, mindfulness) = 6 groups @ 90 subjects per group (Total N = 540).
Pilot study in 2017 underpowered (Total N = 90); collecting more data in 2018 for Year 8, 10 and Year 11/12 students to meet power requirements. Data for the initial pilot study underwent preliminary analysis, but will be included in the final dataset.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
4/04/2017
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Actual
4/04/2017
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Date of last participant enrolment
Anticipated
30/06/2017
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Actual
4/02/2019
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Date of last data collection
Anticipated
30/06/2018
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Actual
1/07/2019
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Sample size
Target
540
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Accrual to date
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Final
434
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment postcode(s) [1]
15667
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5063 - Highgate
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Recruitment postcode(s) [2]
15668
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5162 - Morphett Vale
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Recruitment postcode(s) [3]
15669
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5171 - Mclaren Vale
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Recruitment postcode(s) [4]
29208
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5064 - Glenunga
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Funding & Sponsors
Funding source category [1]
295988
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University
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Name [1]
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Flinders University
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Address [1]
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GPO Box 2100
Adelaide SA 5001
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Country [1]
295988
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Australia
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Funding source category [2]
296056
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Other Collaborative groups
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Name [2]
296056
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Fraser Mustard Centre
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Address [2]
296056
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Level 8, 31 Flinders Street
Adelaide, SA, 5000
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Country [2]
296056
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Australia
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Funding source category [3]
304863
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Charities/Societies/Foundations
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Name [3]
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Channel Seven Childrens' Research Foundation
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Address [3]
304863
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171 Days Rd, Regency Park SA 5010
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Country [3]
304863
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Channel Seven Childrens' Research Foundation
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Address
171 Days Rd, Regency Park SA 5010
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Country
Australia
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Secondary sponsor category [1]
294875
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Other Collaborative groups
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Name [1]
294875
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Fraser Mustard Centre
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Address [1]
294875
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Level 8, 31 Flinders Street
Adelaide, SA, 5000
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Country [1]
294875
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Australia
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Secondary sponsor category [2]
305202
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University
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Name [2]
305202
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Flinders University
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Address [2]
305202
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GPO Box 2100
Adelaide SA 5001
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Country [2]
305202
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297250
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Social and Behavioural Sciences Research Ethics Committee, Flinders University
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Ethics committee address [1]
297250
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GPO Box 2100 Adelaide SA 5001
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Ethics committee country [1]
297250
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Australia
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Date submitted for ethics approval [1]
297250
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30/01/2017
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Approval date [1]
297250
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31/01/2017
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Ethics approval number [1]
297250
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6534
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Ethics committee name [2]
297313
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SA Department of Education and Child Development
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Ethics committee address [2]
297313
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Level 8, 31 Flinders Street Adelaide, SA 5000
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Ethics committee country [2]
297313
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Australia
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Date submitted for ethics approval [2]
297313
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03/02/2017
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Approval date [2]
297313
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28/03/2017
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Ethics approval number [2]
297313
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CS/17/000747 1.1
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Summary
Brief summary
An initial RCT undertaken by us in 2014 (N = 308) and a follow-up RCT undertaken in 2015-2016 (N = 557) investigated mindfulness with Year 8 students in Adelaide schools. We used a UK based 9-week mindfulness curriculum with lessons once per week (40-60 minutes). Surprisingly, we were unable to replicate promising findings from a controlled (but not randomised) trial using this programme (Kuyken et al., 2013) which found improvements in wellbeing, stress and depression that lasted for 3 months following the intervention. Our pilot trial has been published (Johnson, Burke, Brinkman and Wade, 2016) and the larger follow-up trial is currently under review. We hypothesised that the programme might have been too brief for the ideas to sink in, and that there might not have been enough practice in class of the meditations, relying too much on home practice (which was invitational). We also wondered if Year 8s might be too young to appreciate the relevance of these emotional tools given that they hadn't yet hit some of the increased stresses and strains of mid-late adolescence. Therefore, we are testing these ideas in the current RCT We will substitute an alternative, Belgian programme, which recently found both treatment and prevention effects for depression which lasted for 6 months in adolescents aged 13-20 in a school setting (Raes et al., 2014). This programme, which has just been translated into English, runs for a similar number of weeks (8) but has longer lessons (75-100 minutes weekly) allowing more time for guided practice in class (rather than relying on home practice), plus expanded opportunities for discussion and application to real-life scenarios. We will test this across three age groups (Year 8, mean age 13.5;Year 10, mean age 15.5; Year 12, mean age 17.5) to expand our investigation into whether the mindfulness approach operates differently within adolescent age bands. This will have direct relevance for where to insert these curricula in the school journey for maximum effect. Research Objectives 1. To examine the efficacy of an alternative curriculum (Mindfulness for Teens) on anxiety, depression, eating disorder risk factors, wellbeing and different facets of mindfulness 2. To investigate whether age affects these outcomes (i.e., are mindfulness programmes more effective at certain ages during adolescence?) 3. To investigate whether mindfulness programmes operate via different mechanisms according to stage of neurocognitive development (i.e., do we need to emphasise different components at different ages?)
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Trial website
N/A
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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 Catherine Johnson
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Address
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School of Psychology
Flinders University
GPO Box 2100
Adelaide SA 5001
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Country
73462
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Australia
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Phone
73462
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+618 8201 5122
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Fax
73462
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Email
73462
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[email protected]
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Contact person for public queries
Name
73463
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Catherine Johnson
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Address
73463
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School of Psychology
Flinders University
GPO Box 2100
Adelaide SA 5001
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Country
73463
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Australia
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Phone
73463
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+618 8201 5122
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Fax
73463
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Email
73463
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[email protected]
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Contact person for scientific queries
Name
73464
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Catherine Johnson
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Address
73464
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School of Psychology
Flinders University
GPO Box 2100
Adelaide SA 5001
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Country
73464
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Australia
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Phone
73464
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+618 8201 5122
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Fax
73464
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Email
73464
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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 deidentified group data will be available
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When will data be available (start and end dates)?
Immediately on publication and then for 5 years
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Available to whom?
Researchers with a methodologically sound proposal
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Available for what types of analyses?
Any methodologically sound analyses
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How or where can data be obtained?
Via email to research team:
[email protected]
(or
[email protected]
)
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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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