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Trial registered on ANZCTR
Registration number
ACTRN12618001564246
Ethics application status
Approved
Date submitted
13/09/2018
Date registered
19/09/2018
Date last updated
19/09/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
Does integrating a parenting support program into management of phenylketonuria (PKU) improve treatment outcomes? A multiple baseline study.
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Scientific title
Does integrating a parenting support program into management of phenylketonuria (PKU) improve treatment outcomes? A multiple baseline study.
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Secondary ID [1]
295969
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None
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Universal Trial Number (UTN)
U1111-1220-0175
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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:
Phenylketonuria (PKU) in children
309495
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Parenting children with phenylketonuria (PKU)
309496
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Condition category
Condition code
Metabolic and Endocrine
308332
308332
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0
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Metabolic disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
"Positive Parenting for Healthy Living Triple P" is a brief parent education and skills-training program that combines parenting information about child behaviour and illness management with the provision of illness relevant information. The intervention consists of two, 2-hour parent discussion group sessions designed to target the direct and indirect pathways in which parenting can impact on child outcomes - i.e. parenting practices, and parenting confidence and stress. Sessions are held one week apart and will be delivered either face-to-face or via telehealth. Program content draws on the theoretical principles that form the basis of the well-established Triple P program, which is a preventively orientated parenting and family support strategy derived from social-learning, functional analysis, and cognitive-behavioural principles. The intervention will be delivered by clinical psychologists and nurses who are accredited Triple P providers.
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Intervention code [1]
312310
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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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Progress towards child behaviour goals, as assessed using the Goal Attainment Scale
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Assessment method [1]
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Timepoint [1]
307314
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Baseline, 4 weeks post-intervention (primary timepoint), and 4 month follow-up
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Primary outcome [2]
307315
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Child quality of life, as assessed using the PKU-specific Quality-of-Life questionnaire
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Assessment method [2]
307315
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Timepoint [2]
307315
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Baseline, 4 weeks post-intervention (primary timepoint), and 4 month follow-up
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Secondary outcome [1]
351432
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Parenting behaviour, as assessed using the Parenting Scale
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Assessment method [1]
351432
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Timepoint [1]
351432
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Baseline, 4 weeks post-intervention, and 4 month follow-up
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Secondary outcome [2]
351433
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Parent self-efficacy in managing child behaviour, as assessed using the Child Adjustment and Parent Efficacy Scale
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Assessment method [2]
351433
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Timepoint [2]
351433
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Baseline, 4 weeks post-intervention, and 4 month follow-up
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Secondary outcome [3]
351434
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Child behaviour, as assessed using the Child Adjustment and Parent Efficacy Scale
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Assessment method [3]
351434
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Timepoint [3]
351434
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Baseline, 4 weeks post-intervention, and 4 month follow-up
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Secondary outcome [4]
351435
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Parenting stress, as assessed using the Parenting Stress Index - Short Form
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Assessment method [4]
351435
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Timepoint [4]
351435
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Baseline, 4 weeks post-intervention, and 4 month follow-up
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Secondary outcome [5]
351440
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Disease control: Blood phenylalanine levels will be assessed using Dried Blood Spot samples
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Assessment method [5]
351440
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Timepoint [5]
351440
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Maximum four months prior to enrolment (requiring sufficient data to achieve stable baseline) to 4 month follow-up
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Eligibility
Key inclusion criteria
Parents of 2- to 12-year-old children with PKU who require a protein restricted diet and supplementation of a phenylalanine-free amino acid formula and attending outpatient clinics at the Lady Cilento Children's Hospital (Brisbane).
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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
The child has a disability.
The child is under the care of Department of Communities (the State).
The parents have difficulties in reading an English newspaper.
The parents have a disability affecting cognition.
The parents are currently seeing a professional for the child’s behaviour difficulties.
The parents are currently receiving psychological help or counselling.
The parents have previously completed Triple P.
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Due to small sample of families eligible to participate, data analyses will likely be underpowered and findings will be considered exploratory.
Correlations will examine relationships between key variables.
Repeated measures ANOVA or mixed-method repeated-measures (MMRM) linear regression models (depending on sample size), will assess change from baseline to 4 month follow up across the range of outcome measures used.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
19/09/2018
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Actual
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Date of last participant enrolment
Anticipated
16/11/2018
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Actual
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Date of last data collection
Anticipated
28/06/2019
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
QLD
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Recruitment hospital [1]
11779
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Lady Cilento Children's Hospital - South Brisbane
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Recruitment postcode(s) [1]
23874
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4101 - South Brisbane
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Funding & Sponsors
Funding source category [1]
300566
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Government body
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Name [1]
300566
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Children’s Health Queensland - Centre for Clinical Trials in Rare Neurodevelopmental Disorders
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Address [1]
300566
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62 Graham Street
South Brisbane QLD 4101
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Country [1]
300566
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Australia
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Primary sponsor type
Individual
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Name
Ms Anita Inwood
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Address
Queensland Lifespan Metabolic Medicine Service
Lady Cilento Children's Hospital
501 Stanley Street
South Brisbane QLD 4101
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Country
Australia
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Secondary sponsor category [1]
300058
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Individual
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Name [1]
300058
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Dr Amy Mitchell
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Address [1]
300058
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Parenting and Family Support Centre
School of Psychology
The University of Queensland
13 Upland Road
St Lucia QLD 4072
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Country [1]
300058
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Australia
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Secondary sponsor category [2]
300075
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Individual
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Name [2]
300075
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A/Prof Alina Morawska
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Address [2]
300075
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Parenting and Family Support Centre
School of Psychology
The University of Queensland
13 Upland Road
St Lucia QLD 4072
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Country [2]
300075
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Australia
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Secondary sponsor category [3]
300076
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Individual
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Name [3]
300076
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Prof David Coman
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Address [3]
300076
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Queensland Lifespan Metabolic Medicine Service
Lady Cilento Children's Hospital
501 Stanley Street
South Brisbane QLD 4101
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Country [3]
300076
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301357
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Children's Health Queensland Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
301357
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Level 7, Centre for Children’s Health Research Lady Cilento Children’s Hospital Precinct 62 Graham Street South Brisbane QLD 4101
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Ethics committee country [1]
301357
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Australia
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Date submitted for ethics approval [1]
301357
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14/06/2018
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Approval date [1]
301357
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26/07/2018
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Ethics approval number [1]
301357
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HREC/18/QRCH/162
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Ethics committee name [2]
301370
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The University of Queensland Human Research Ethics Committee
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Ethics committee address [2]
301370
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Cumbrae-Stewart Building The University of Queensland St Lucia QLD 4072
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Ethics committee country [2]
301370
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Australia
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Date submitted for ethics approval [2]
301370
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03/08/2018
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Approval date [2]
301370
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08/08/2018
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Ethics approval number [2]
301370
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2018001620
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Summary
Brief summary
Phenylketonuria (PKU) is a rare Inborn Error of Metabolism (IEM) with an incidence of approximately 1 in 10 - 15,000. Prior to the advent of newborn screening and effective dietary treatments, PKU caused a severe neurodevelopmental phenotype marked by global developmental delay, severe intellectual impairment, and seizures. Early diagnosis from newborn screening and introductions of dietary interventions prevent these severe neurological manifestations. Despite this, neuropsychological complications of PKU are observed when control is suboptimal, which include reduced executive function, attention deficit, decreased processing speed, cognitive impairment and disturbances in emotion and behaviour. Neuro-disabilities are thus a key phenotype amongst the PKU cohort when their metabolic control is suboptimal. This project is aimed at exploring practical tools to improve our management outcomes for children and families living with this rare chronic disease. We hypothesise that participating in a brief evidence-based parenting intervention (Triple P), when compared to baseline, will improve progress towards child behaviour/parenting goals, improve children’s quality of life, decrease parent-reported use of ineffective parenting practices, increase parent self-efficacy, reduce parent-reported child behavioural problems, reduce parenting stress, and improve children’s blood Phe levels.
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Trial website
https://exp.psy.uq.edu.au/pku/
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
86730
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Ms Anita Inwood
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Address
86730
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Queensland Lifespan Metabolic Medicine Service
Lady Cilento Children’s Hospital
South Brisbane, QLD, 4101
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Country
86730
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Australia
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Phone
86730
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+61 7 3068 4426
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Fax
86730
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Email
86730
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[email protected]
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Contact person for public queries
Name
86731
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Anita Inwood
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Address
86731
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Queensland Lifespan Metabolic Medicine Service
Lady Cilento Children’s Hospital
South Brisbane, QLD, 4101
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Country
86731
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Australia
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Phone
86731
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+61 7 3068 4426
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Fax
86731
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Email
86731
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[email protected]
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Contact person for scientific queries
Name
86732
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Anita Inwood
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Address
86732
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Queensland Lifespan Metabolic Medicine Service
Lady Cilento Children’s Hospital
South Brisbane, QLD, 4101
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Country
86732
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Australia
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Phone
86732
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+61 7 3068 4426
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Fax
86732
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Email
86732
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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
Source
Title
Year of Publication
DOI
Embase
Triple P for Parents of Children with Phenylketonuria: A Nonrandomized Trial.
2021
https://dx.doi.org/10.1093/jpepsy/jsaa100
N.B. These documents automatically identified may not have been verified by the study sponsor.
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