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Trial registered on ANZCTR
Registration number
ACTRN12617000565347
Ethics application status
Approved
Date submitted
18/04/2017
Date registered
24/04/2017
Date last updated
24/04/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Targeting support service information for rural men affected by cancer
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Scientific title
Targeting support service information for rural people affected by cancer: does making information rural- and gender-specific improve the perceived accessibility of psychosocial services?
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Secondary ID [1]
291520
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Nil known
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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:
Cancer
302713
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Psychosocial service use
302714
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Condition category
Condition code
Cancer
302234
302234
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0
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Any cancer
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Public Health
302408
302408
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Arm 1
Rural-targeted
The 12-page targeted brochure detailed 13 specific services (i.e., Cancer Council 13 11 20; supportive accommodation; transport; Country Cancer Support website; phone, letter, email, website and in-person information; counselling; online and in-person peer support; telephone or internet, and in-person, support groups; financial assistance; financial planning referral, and; legal referral) for rural people affected by cancer and included a telephone helpline fridge magnet. The appropriate contact details, availability, and a brief description were provided for each service. The targeting modifications were made using strategies for cultural appropriateness for population subgroups, with additional input provided by a panel of experienced social workers that worked with the target population. Following the panel’s recommendation, language used was informal, and referred to ‘country’ rather than “rural” needs. The brochure was delivered in a sealed, opaque envelope along with pre- and immediate-post questionnaires by supportive accommodation or research staff, or via post; participants were asked to read the brochure carefully after completing Time 1 measures (baseline, prior to intervention material exposure).
Arm 2
Rural- and male-targeted
As above, a 12-page targeted brochure detailed 13 specific services (i.e., Cancer Council 13 11 20; supportive accommodation; transport; Country Cancer Support website; phone, letter, email, website and in-person information; counselling; online and in-person peer support; telephone or internet, and in-person, support groups; financial assistance; financial planning referral, and; legal referral) for rural men affected by cancer and included a telephone helpline fridge magnet. The appropriate contact details, availability, and a brief description were provided for each service. The targeting modifications were made using strategies for cultural appropriateness for population subgroups, with additional input provided by a panel of experienced social workers that worked with the target population. Consistent with previous description in the literature, coping was further emphasised as an active, solution-focused process in the targeted rural male brochure. The brochure was delivered in a sealed, opaque envelope along with pre- and immediate-post questionnaires by supportive accommodation or research staff, or via post; participants were asked to read the brochure carefully after completing Time 1 measures (baseline, prior to intervention material exposure).
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Intervention code [1]
297670
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Behaviour
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Comparator / control treatment
Arm 3
The 12-page existing "Cancer? We can help" (CWCH) control brochure, developed by Cancer Council SA, detailed 13 specific services as in the intervention arms (i.e., Cancer Council 13 11 20; supportive accommodation; transport; Country Cancer Support website; phone, letter, email, website and in-person information; counselling; online and in-person peer support; telephone or internet, and in-person, support groups; financial assistance; financial planning referral, and; legal referral) for people affected by cancer generally (i.e., it was not further targeted) and included a telephone helpline fridge magnet. The appropriate contact details, availability, and a brief description were provided for each service. All brochures were comparable in length, format and readability. The brochure was delivered in a sealed, opaque envelope along with pre- and immediate-post questionnaires by supportive accommodation or research staff, or via post; participants were asked to read the brochure carefully after completing Time 1 measures (baseline, prior to control material exposure), even if they thought they had seen it before.
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Control group
Active
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Outcomes
Primary outcome [1]
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Change in attitudes to seeking help after cancer (as measured by the positive attitudes subscale of the Attitudes to Seeking Help After Cancer questionnaire; Steginga et al., 2008).
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Assessment method [1]
301712
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Timepoint [1]
301712
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Baseline: prior to exposure of materials.
Follow-up (second post-test): approximately 24 hours following exposure to materials.
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Secondary outcome [1]
333883
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Change in attitudes to seeking help after cancer (as measured by the behavioural intention and negative attitudes subscales of the Attitudes to Seeking Help After Cancer questionnaire; Steginga et al., 2008).
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Assessment method [1]
333883
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Timepoint [1]
333883
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Baseline: prior to exposure of materials.
Follow-up (second post-test): approximately 24 hours following exposure to materials.
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Secondary outcome [2]
333884
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Change in mean perceived isolation scores (original measure, designed specifically for this study).
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Assessment method [2]
333884
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Timepoint [2]
333884
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Baseline: prior to exposure of materials.
Follow-up (second post-test): approximately 24 hours following exposure to materials.
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Secondary outcome [3]
333955
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Mean perceived information relevance, as measured using the adapted questionnaire of Muylle, Moenaert and Despontin (2004).
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Assessment method [3]
333955
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Timepoint [3]
333955
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Immediate post-test: immediately after exposure of materials.
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Eligibility
Key inclusion criteria
Living outside of metropolitan Adelaide, South Australia, when not seeking medical treatment; a guest (or recent guest) at one of Cancer Council SA’s supportive accommodation lodges while receiving treatment for a diagnosis of cancer (i.e., a person with a diagnosis of cancer), or while supporting a person diagnosed with cancer (i.e., a support person; e.g., partner, family member, close friend); able to read and write in English; able to give informed consent to participate in the research.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Males
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Participant feels psychologically or physically incapable of participating in the research.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computerised sequence generation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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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
Between-group, complete case and intent-to-treat analyses were used at the bivariate and multivariate level to examine the effect of brochure condition.
Power analysis was conducted prior to the study in order to estimate the required sample size. The initial sample size calculation suggested at least 159 participants (n = 53 per group) would be required for the study, assuming statistical power of .8 and an alpha level of .05, to be able to detect effects of a medium size (Faul, Erdfelder, Lang, & Buchner, 2007).
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
15/06/2015
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Date of last participant enrolment
Anticipated
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Actual
29/09/2015
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Date of last data collection
Anticipated
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Actual
30/09/2015
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Sample size
Target
159
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Accrual to date
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Final
114
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
296010
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Other Collaborative groups
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Name [1]
296010
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Freemasons Foundation Centre for Men's Health
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Address [1]
296010
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254 North Terrace
The University of Adelaide SA 5005
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Country [1]
296010
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Australia
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Funding source category [2]
296159
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University
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Name [2]
296159
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University of Adelaide
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Address [2]
296159
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School of Psychology
Faculty of Health Sciences
University of Adelaide
North Terrace
Adelaide SA 5000
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Country [2]
296159
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Australia
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Primary sponsor type
University
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Name
University of Adelaide
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Address
School of Psychology
Faculty of Health Sciences
University of Adelaide
North Terrace
Adelaide SA 5000
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Country
Australia
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Secondary sponsor category [1]
295061
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None
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Name [1]
295061
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Address [1]
295061
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Country [1]
295061
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Other collaborator category [1]
279523
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Charities/Societies/Foundations
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Name [1]
279523
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Cancer C0uncil SA
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Address [1]
279523
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202 Greenhill Road
Eastwood SA 5063
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Country [1]
279523
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297271
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University of Adelaide School of Psychology Human Research Ethics Subcommittee
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Ethics committee address [1]
297271
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School of Psychology University of Adelaide North Terrace, Adelaide SA 5005
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Ethics committee country [1]
297271
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Australia
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Date submitted for ethics approval [1]
297271
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10/04/2015
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Approval date [1]
297271
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22/04/2015
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Ethics approval number [1]
297271
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15/56
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Summary
Brief summary
Low rates of psychosocial service use (e.g., helplines or support programs) are well documented, especially for rural men affected by cancer. Developing targeted information specifically for this group has previously been suggested as a way to provide information on psychosocial services, and address the barriers to using services. However, theory-based informational resources for rural men affected by cancer have not previously been objectively developed or tested. This trial aimed to develop targeted rural- and targeted rural male-psychosocial service information brochures. Specifically, the trial examined the effectiveness of such information in increasing how personally relevant the information is seen as, and attitudes to seeking help and intention to use services after reading one version of the brochure. Targeted versions of an existing Cancer Council SA brochure were developed based on psychological theory. Participants viewed one copy of the brochure in a randomised fashion (either the existing version, or the targeted rural- or rural male-version). Participants completed questionnaires before, immediately after, and approximately 24 hours after viewing a brochure. N = 114 rural men affected by cancer were recruited via supportive accommodation facilities, Ninety participants returned all questionnaires and were included in the final analyses. Results showed that attitudinal or behavioural measures between the three brochure groups were not significantly different. Participants reported that they primarily sourced service information from other people (friends, family, medical professionals, others). Notably, existing service use was high in the sample or participants, reflecting the recruitment methods, and therefore increasing awareness of services may have been particularly challenging. There was no evidence that targeting rurality or gender improved attitudes to service use in this trial. Further qualitative research to build understanding about the acceptability of various targeting techniques in this population would be useful, as would replicating this study in a sample not recruited via a Cancer Council SA service.
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Trial website
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Trial related presentations / publications
Harrison, N. J., Fennell, K., & Wilson, C. (2016). "Ways we can help men like you": Developing and testing targeted psychosocial service information for rural men affected by cancer in South Australia. Poster presentation at the 18th International Psycho Oncology Society Congress, Dublin, Ireland. Abstract: Psycho-Oncology (2016), 25 (Suppl. 3), 111. Harrison, N. J., Fennell, K., & Wilson, C. (2016, June). Targeting support service information for rural men affected by cancer: Does making information on psychosocial services rural- and gender-specific improve their perceived accessibility? ePoster presentation at the 25th meeting of the Multinational Association of Supportive Care in Cancer, Adelaide, Australia. Abstract: Supportive Care in Cancer (2016), 24 (Suppl. 1), S170-171.
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Public notes
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Contacts
Principal investigator
Name
73534
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Mr Nathan Harrison
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Address
73534
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Flinders Centre for Innovation in Cancer
GPO Box 2100
Adelaide SA 5001
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Country
73534
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Australia
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Phone
73534
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+61 4 1348 4751
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Fax
73534
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Email
73534
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[email protected]
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Contact person for public queries
Name
73535
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Nathan Harrison
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Address
73535
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Flinders Centre for Innovation in Cancer
GPO Box 2100
Adelaide SA 5001
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Country
73535
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Australia
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Phone
73535
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+61 4 1348 4751
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Fax
73535
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Email
73535
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[email protected]
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Contact person for scientific queries
Name
73536
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Nathan Harrison
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Address
73536
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Flinders Centre for Innovation in Cancer
GPO Box 2100
Adelaide SA 5001
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Country
73536
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Australia
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Phone
73536
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+61 4 1348 4751
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Fax
73536
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Email
73536
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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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