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Trial registered on ANZCTR
Registration number
ACTRN12622001441707
Ethics application status
Approved
Date submitted
31/10/2022
Date registered
10/11/2022
Date last updated
23/06/2024
Date data sharing statement initially provided
10/11/2022
Type of registration
Prospectively registered
Titles & IDs
Public title
Lifestyle and Wellbeing in NZ adults
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Scientific title
An investigation into associations between diet and psychological distress in healthy NZ adults
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Secondary ID [1]
305377
0
Nil known
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Universal Trial Number (UTN)
U1111-1269-7112
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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:
Diet
323735
0
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Psychological distress
323751
0
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Stress resilience
323752
0
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Condition category
Condition code
Diet and Nutrition
321263
321263
0
0
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Other diet and nutrition disorders
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Mental Health
321264
321264
0
0
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Anxiety
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Mental Health
321274
321274
0
0
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Depression
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Self-reported data on dietary intake and habits, sleep, psychological distress, life stress, gender, age, physical activity, height, weight, social support, coping style and neighborhood socioeconomic status will be collected at one time point in an online survey.
Participants will access the survey through a link in email or via QR codes on posters. The approximate time needed to complete the survey is 30 minutes. No follow up with participants will occur. The study is in two parts, with sleep, exercise, stress and distress questions in part 1, and the food frequency questionnaire in the second part. Participants can opt to do both parts at the same time or to have the second part emailed to them to complete within a week. The participants will receive a $10 supermarket voucher for each part of the study which will be posted to them.
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Intervention code [1]
321814
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Not applicable
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Comparator / control treatment
Participants with low life stress and low distress scores
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Control group
Active
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Outcomes
Primary outcome [1]
329065
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Psychological distress score, measured using 12-item version of the General Health Questionnaire
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Assessment method [1]
329065
0
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Timepoint [1]
329065
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At time of survey based on previous 7 days
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Secondary outcome [1]
401335
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Participants will record their usual dietary intake using a 70-item validated food frequency questionnaire (Sam et al., 2020).
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Assessment method [1]
401335
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Timepoint [1]
401335
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Participants be asked to estimate frequency of food/s eaten over the 6 months prior to the survey.
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Secondary outcome [2]
401336
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Life stress as measured by score on Recent Life Changes Questionnaire (RLCQ), also known as the Holmes-Rahe stress inventory
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Assessment method [2]
401336
0
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Timepoint [2]
401336
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Participants be asked to identify specific stressors from a list which have occurred in their life in the 6 months prior to the survey,
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Secondary outcome [3]
415658
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Estimated socioeconomic status based on the neighbourhood the participant lives in, Measured using the 2018 New Zealand Index of Multiple Deprivation. This is a coded value based on the participants address (the address details are not stored).
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Assessment method [3]
415658
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Timepoint [3]
415658
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The participants address at time of survey.
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Secondary outcome [4]
415659
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Self reported sleep quality using the single-item sleep quality scale (SQS).
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Assessment method [4]
415659
0
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Timepoint [4]
415659
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Sleep quality over the previous 7 days
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Secondary outcome [5]
415660
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Physical activity, measured using the New Zealand Physical Activity Questionnaire - short form (NZPAQ-SF), and quantified by using metabolic equivalent minutes per week (METS/wk)
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Assessment method [5]
415660
0
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Timepoint [5]
415660
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Physical activity over the previous 7 days
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Secondary outcome [6]
415661
0
Social Support, measured using the Multidimensional Scale of Perceived Social Support
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Assessment method [6]
415661
0
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Timepoint [6]
415661
0
Measured at the time of the survey
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Secondary outcome [7]
415662
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Approach coping, measured using the Brief Resilient
Coping Scale (BRCS)
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Assessment method [7]
415662
0
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Timepoint [7]
415662
0
At time of survey.
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Secondary outcome [8]
415663
0
Body Mass Index calculated using participant reported height and weight
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Assessment method [8]
415663
0
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Timepoint [8]
415663
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At time of survey
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Secondary outcome [9]
415664
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Anti-inflammatory diet index score
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Assessment method [9]
415664
0
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Timepoint [9]
415664
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Based on food frequency over the previous 6 months
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Eligibility
Key inclusion criteria
New Zealand Adults
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Minimum age
18
Years
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Maximum age
45
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
None
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Study design
Purpose
Natural history
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Duration
Cross-sectional
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Selection
Random sample
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Timing
Prospective
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Statistical methods / analysis
Dietary patterns will be identified using principal component analysis combined with cluster analysis. To investigate associations between diet quality and psychological distress dietary patterns, diet quality, and individual dietary components will be (separately) assessed against psychological distress (GHQ-12 scores) along with the covariates BMI, sleep quality, physical activity, estimated socioeconomic status (Index of Multiple Deprivation (IMD)), social support and coping style using multiple linear regression. To assess if relationships between diet and psychological distress are stronger under higher environmental stressors, or differ by gender, moderator analysis using linear regression will be undertaken. To determine any unique contribution of diet to psychological distress, these analyses will be repeated with stepwise multiple regression, controlling for the covariates. To investigate whether stress resilience is associated with differences in diet type or quality, participants will be grouped according to stress-resilience (see Table 2 in the attached study protocol), and diet quality and individual dietary components will be compared between groups using analysis of variance and multivariate analysis of variance respectively.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
11/11/2022
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Actual
14/11/2023
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Date of last participant enrolment
Anticipated
31/05/2023
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Actual
28/02/2024
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Date of last data collection
Anticipated
30/06/2023
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Actual
28/02/2024
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Sample size
Target
180
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Accrual to date
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Final
199
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Recruitment outside Australia
Country [1]
24149
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New Zealand
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State/province [1]
24149
0
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Funding & Sponsors
Funding source category [1]
309746
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Other Collaborative groups
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Name [1]
309746
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The Riddet Institute
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Address [1]
309746
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Riddet Institute
Massey University
Private Bag 11 222
Palmerston North 4442
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Country [1]
309746
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New Zealand
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Primary sponsor type
Other Collaborative groups
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Name
Plant & Food Research
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Address
Plant & Food Research
Food Industry Science Centre
Fitzherbert Science Centre
Batchelar Road
Palmerston North 4410
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Country
New Zealand
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Secondary sponsor category [1]
313974
0
None
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Name [1]
313974
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Address [1]
313974
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Country [1]
313974
0
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Other collaborator category [1]
281995
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University
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Name [1]
281995
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Massey University
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Address [1]
281995
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Massey University Manawatu
Private Bag 11 222
Palmerston North 4442
New Zealand
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Country [1]
281995
0
New Zealand
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Other collaborator category [2]
282447
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University
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Name [2]
282447
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Otago University
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Address [2]
282447
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362 Leith Street
Dunedin North
Dunedin 9016
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Country [2]
282447
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
309502
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Human Disability Ethics Commitee Southern B
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Ethics committee address [1]
309502
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hdecs@health.govt.nz
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Ethics committee country [1]
309502
0
New Zealand
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Date submitted for ethics approval [1]
309502
0
31/10/2022
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Approval date [1]
309502
0
27/05/2023
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Ethics approval number [1]
309502
0
2023 EXP 13347
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Summary
Brief summary
There is emerging evidence that diet has an influence on depression, but our understanding of it is not yet well defined, and data in the New Zealand population is lacking. Stress is a variable which is rarely taken into account in research into diet and depression, and yet environmental stressors are a strong predictor of the development of episodes of major depressive disorder. Stress also affects food choices. The aim of this study is to assess whether different dietary factors in healthy adult New Zealanders aged between 18-45 years are associated with levels of psychological distress experienced with low or high levels of life stress. Co-variates sleep, exercise, a socioeconomic status proxy (neighborhood IMD deprivation index), social support and coping styles will also be measured. The study will provide baseline information from which more targeted research can be developed.
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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
114378
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Ms Tracey Bear
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Address
114378
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Plant & Food Research
Private Bag 11600,
Palmerston North 4442, New Zealand
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Country
114378
0
New Zealand
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Phone
114378
0
+64 211702101
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Fax
114378
0
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Email
114378
0
[email protected]
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Contact person for public queries
Name
114379
0
Tracey Bear
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Address
114379
0
Plant & Food Research
Private Bag 11600,
Palmerston North 4442, New Zealand
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Country
114379
0
New Zealand
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Phone
114379
0
+64 211702101
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Fax
114379
0
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Email
114379
0
[email protected]
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Contact person for scientific queries
Name
114380
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Tracey Bear
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Address
114380
0
Plant & Food Research
Private Bag 11600,
Palmerston North 4442, New Zealand
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Country
114380
0
New Zealand
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Phone
114380
0
+64 211702101
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Fax
114380
0
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Email
114380
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
13351
Study protocol
[email protected]
382830-(Uploaded-08-11-2022-14-04-34)-Study-related document.pdf
13352
Statistical analysis plan
[email protected]
382830-(Uploaded-31-10-2022-09-47-40)-Study-related document.pdf
13353
Informed consent form
[email protected]
382830-(Uploaded-31-10-2022-10-04-51)-Study-related document.pdf
13354
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.
Download to PDF