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Trial registered on ANZCTR
Registration number
ACTRN12621000245897
Ethics application status
Approved
Date submitted
28/09/2020
Date registered
8/03/2021
Date last updated
22/12/2021
Date data sharing statement initially provided
8/03/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
The feasibility of an online lifestyle intervention for people with Multiple Sclerosis
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Scientific title
An online lifestyle intervention for people with Multiple Sclerosis: feasibility study
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Secondary ID [1]
302277
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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:
multiple sclerosis
319232
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Condition category
Condition code
Neurological
317198
317198
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0
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Multiple sclerosis
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This is an online lifestyle education intervention. The course takes place modularly (6 modules) with key themes in each module: diet, physical activity, vitamin D and sunlight, stress, family incidence, final motivation. Each module contains narrated videos and animations, images with text, polls and quizzes. Modules are self-paced by participants, and participants can start and stop the modules at any time. Each module takes approximately 30 to 60 minutes to complete and will have access to all the modules for the extent of the 6 week study.
The course is based upon the existing Overcoming Multiple Sclerosis 7-step program, which is currently only taught face-to-face. The online course content was designed by a Professor within epidemiology, with many years experience living with and researching on Multiple Sclerosis (MS), and a PhD candidate in epidemiology. The content was adapted from both the face-to-face course and the 7-step course book (3rd edition).
There is peer-to-peer (p2p) communication in the course through forums. This allows for experiential learning on top of the formal modular courses, which ideally replicates the experience that occurs within the face-to-face course.
Analytics of participant access to the course and engagement with the course will be measured using HotJar tool, which provides traffic data through the intervention.
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Intervention code [1]
318709
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Lifestyle
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Intervention code [2]
319636
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Treatment: Other
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Comparator / control treatment
The control group is an identically structured online course with different content. The content is generic lifestyle content sourced from MS societies around the world. The goal is to replicate the generic information that many people with MS (PwMS) are exposed to through their healthcare. By including this in a parallel course as opposed to a wait-list control, the effectiveness of the course content rather than taking a course itself can be assessed.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Feasibility, which is >40% of participants in the intervention arm, and >25% in the control arm complete 75% of the modules. These data will be measured by website analytics tool Hotjar, which provides data on traffic and engagement.
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Assessment method [1]
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Timepoint [1]
325273
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Feasibility end-point will be analysed at 8 weeks post-intervention commencement.
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Secondary outcome [1]
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Feasibility (qualitative): to explore the experiences of PwMS with the online course and understand what components of the online course worked well and what did not. This outcome will be assessed via semi-structured telephone interviews with participants.
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Assessment method [1]
387373
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Timepoint [1]
387373
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Secondary end-point will be analysed post-intervention. The timing of this secondary endpoint is dependent on availability of participants and the speed at which these semi-structured telephone interviews are able to be completed. It is anticipated these data will be collected 8-11 weeks post-intervention commencement.
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Secondary outcome [2]
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Quantitative evaluation: participants will be requested to complete a 7-point Likert scale survey (non-validated) relating to elements of the intervention such as: enjoyability e.g. did you enjoy the course; accessibility e.g. were specific elements of the course an impediment to your ability to access this course in relation to your MS; usability e.g. was it easy to navigate the course and use all the functions within the intervention. These outcomes are all part of a single, composite outcomes.
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Assessment method [2]
391341
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Timepoint [2]
391341
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This end-point will be analysed at 8 weeks post-intervention commencement.
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Eligibility
Key inclusion criteria
MS diagnosed by a physician.
Lives in Australia, New Zealand, Canada, USA or UK.
Internet connection.
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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
Previously undertaken an Overcoming Multiple Sclerosis in-person course or engaged with any related material.
Self-diagnosed MS (no physician diagnosis).
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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)
Group allocation will be undertaken using computer software, which will randomise participants at the time of registering their login details in the course (post eligibility assessment).
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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
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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
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
31/03/2021
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Actual
3/03/2021
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Date of last participant enrolment
Anticipated
12/04/2021
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Actual
25/04/2021
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Date of last data collection
Anticipated
31/05/2021
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Actual
24/07/2021
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Sample size
Target
200
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Accrual to date
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Final
35
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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Recruitment outside Australia
Country [1]
23023
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Canada
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State/province [1]
23023
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All
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Country [2]
23024
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New Zealand
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State/province [2]
23024
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All
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Country [3]
23025
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United Kingdom
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State/province [3]
23025
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All
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Country [4]
23026
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United States of America
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State/province [4]
23026
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All
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Funding & Sponsors
Funding source category [1]
306704
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Charities/Societies/Foundations
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Name [1]
306704
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Overcoming Multiple Sclerosis Foundation
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Address [1]
306704
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Level 1 / 23-27 Wellington Street
St Kilda VIC 3182
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Country [1]
306704
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Australia
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Primary sponsor type
Individual
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Name
William Bevens
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Address
Melbourne School of Population and Global Health, the University of Melbourne, 207 Bouverie St, Carlton VIC 3053.
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Country
Australia
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Secondary sponsor category [1]
307408
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Individual
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Name [1]
307408
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Professor George Jelinek
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Address [1]
307408
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Melbourne School of Population and Global Health, the University of Melbourne, 207 Bouverie St, Carlton VIC 3053.
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Country [1]
307408
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306875
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The University of Melbourne, Office for Research Ethics and Integrity
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Ethics committee address [1]
306875
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1/21 Bedford St, North Melbourne VIC 3051
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Ethics committee country [1]
306875
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Australia
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Date submitted for ethics approval [1]
306875
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01/05/2019
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Approval date [1]
306875
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11/06/2019
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Ethics approval number [1]
306875
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1851781.2
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Summary
Brief summary
The treatment of multiple sclerosis (MS) with immunomodulatory drugs play an important role for many people with MS (PwMS) in modifying disease progression. However, many come with significant side-effects. It has long been understood that lifestyle factors can impact the progression and outcome of MS, with programs targeting lifestyle components in PwMS describing improved quality-of-life (QoL) outcomes, disability, fatigue and mental health outcomes. The effectiveness of the Overcoming MS (OMS) lifestyle modification program is established from multiple studies describing better patient-reported outcomes compared to PwMS that do not attend the residential lifestyle intervention. With the success of the program in a modest, representative sample of the population of PwMS, transition of the program from a face-to-face, fee for service intervention into a freely available online course is the next step to maximise reach. Web-based interventions have shown great efficacy at promoting positive lifestyle changes in a range of populations for a variety of conditions, including MS. To date, no evidence-based lifestyle modification program for PwMS has been translated into a web-based intervention and tested in a randomised control trial (RCT). An online course would have a reach essentially unimpeded by geography; overcoming distance is crucial as approximately one-third of PwMS in Australia live in regional, rural or remote areas. Furthermore, mobility issues impact many PwMS and travelling to the sites where face-to-face interventions take place can pose a significant burden. Compared to other populations, PwMS are a highly-motivated population that show modest levels of engagement and retention in lifestyle management programs, and previous online self-assessments show good levels of engagement and retention in the short- and long-term. The purpose of this study is to establish the feasibility of the online Overcoming MS program.. In the context of this web-based study, feasibility be will considered to mean: 1) significant numbers of participants engaging and completing this study, in both arms; and data collection procedures are well-designed and appropriate length; 2) participants consider the project enjoyable and accessible. This will involve: 1) evaluation of participant responses to data collection procedures, including long-form baseline and follow-up surveys; 2) qualitative and quantitative evaluation of participant responses to intervention content and platform; 3) quantitative evaluation of participant’s para/metadata on participant, engagement and retention/attrition of the course. Assessing the accessibility, learnability and desirability of the intervention content and platform, delivery is a crucial component of this and will be explored via post-intervention surveys and qualitative, semi-structured telephone interview. A primary consideration for the development of this online program is accessibility for PwMS.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
105306
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Mr William Bevens
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Address
105306
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Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton VIC 3053
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Country
105306
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Australia
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Phone
105306
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+61 0498337231
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Fax
105306
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Email
105306
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[email protected]
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Contact person for public queries
Name
105307
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William Bevens
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Address
105307
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Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton VIC 3053
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Country
105307
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Australia
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Phone
105307
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+61 0498337231
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Fax
105307
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Email
105307
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[email protected]
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Contact person for scientific queries
Name
105308
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William Bevens
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Address
105308
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Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie St, Carlton VIC 3053
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Country
105308
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Australia
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Phone
105308
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+61 0498337231
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Fax
105308
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Email
105308
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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 IPD (after de-identification) collected during the study, not only what is published.
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When will data be available (start and end dates)?
Data will be made available as soon as publication of the primary findings is published. There is no proposed end date for when data will no longer be available.
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Available to whom?
Any person with a valid reason to access the data, which will be at the discretion of the PI. This can include researchers but also members of the public, particularly those with MS and their families, who have an interest in this sort of research.
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Available for what types of analyses?
Any purpose.
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How or where can data be obtained?
Data can be accessed by request of the PI, and for specific requests to particular aspects of the data set eg. quantitative vs qualitative.
PI can be reached via email at
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
9317
Study protocol
[email protected]
9318
Informed consent form
[email protected]
9319
Ethical approval
[email protected]
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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