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Trial registered on ANZCTR
Registration number
ACTRN12623001253695
Ethics application status
Approved
Date submitted
20/10/2023
Date registered
4/12/2023
Date last updated
23/02/2024
Date data sharing statement initially provided
4/12/2023
Type of registration
Prospectively registered
Titles & IDs
Public title
Paearahi (health navigator) supported health and wellbeing assessment for koeke (older Maori)
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Scientific title
Paearahi (health navigator) supported interRAI Check Up Self Report (CU-SR) Assessment Delivery Project for older Maori in the Lakes area: assessing the impact on wellbeing.
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Secondary ID [1]
310826
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Nil
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Universal Trial Number (UTN)
U1111-1299-2839
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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:
Older adult health
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Condition category
Condition code
Public Health
328566
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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
Completion of a Check-Up Self-Report (CU-SR) interRAI assessment: The interRAI Check-Up Self Report (CU-SR) is one of the tools in the suite of interRAI assessments and is used to gain a person’s perspective on their own health and wellbeing. The CU-SR differs from other interRAI tools as it does not require a health professional to complete the assessment. Participants are required to respond to 78 different multi-choice questions across 9 domains including demographic information; thinking and communication; Well-being; daily activities; health conditions; disease diagnoses; nutrition; procedures and treatments; finances and stressors.
interRAI CU-SR Assessment - a physical copy of the assessment will be available in the general practice waiting room for self-completion or be provided by the paearahi for participant to complete themselves {after having either received a referral from a staff member at Korowai Aroha or via if participants get in touch after advertisements in the waiting room/general practice social media page). There is no allocation but numbers of participants who entered via each recruitment pathway will be recorded. If participants are unable to complete it independently, paearahi will administer the assessment (i.e ask the questions) and record the responses. Responses will then be entered by the paearahi into the interRAI software (Momentum (TM)). Due to interRAI requirements, all questions need to be asked using the exact words on the assessment tool.
The assessment takes approximately 30minutes to complete.
The paearahi have received 4 hours of training from an interRAI educator regarding how to undertake an assessment and how to enter the information into the interRAI database. They will also receive 2 hours training from the Principal Investigator to familarise themselves with the study protocol. This training will all occur prior to first enrolment. Principal investigator and interRAI educator will be available throughout the study to support paearahi if needed.
The paearahi will record if they have had to support the participants to complete the assessment or if the participant was able to complete it themselves. Paearahi will record all questions that participants are reluctant to answer or which are perceived to cause discomfort or confusion. All questions need to be completed for the assessment to be able to entered into the Momentum software.
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Intervention code [1]
327238
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Prevention
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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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Wellbeing
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Assessment method [1]
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Modified Hua Oranga quality of life assessment
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Timepoint [1]
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Baseline and 12-weeks post-assessment
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Secondary outcome [1]
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Any change in holistic wellbeing
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Assessment method [1]
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Focus groups using semi-structured guides to direct questions. Focus groups will be facilitated by a member of the research team and will take place either in-person or via an online video-conferencing platform.
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Timepoint [1]
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12 weeks post-assessment
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Secondary outcome [2]
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Number of assessments completed
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Assessment method [2]
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CU-SR assessment data count
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Timepoint [2]
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At the conclusion of the study, after assessment has finished with all participants.
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Secondary outcome [3]
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Number of Needs Assessment Coordinator (NASC) assessments
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Assessment method [3]
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Needs Assessment Coordinator (NASC) assessments data count
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Timepoint [3]
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12 weeks post-assessment
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Secondary outcome [4]
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Number of referrals to health/social providers and activities. This is composite endpoint. Examples of activities could include group exercise programmes or social groups.
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Assessment method [4]
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Count and categorisation of referrals as recorded in an Excel sheet by paearahi.
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Timepoint [4]
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12 weeks post-assessment
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Secondary outcome [5]
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Primary care utilisation
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Assessment method [5]
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Data query of primary care records
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Timepoint [5]
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6 months pre-assessment and 6 months post assessment
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Secondary outcome [6]
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Ambulatory sensitive hospitalisations
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Assessment method [6]
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Hospital discharge reports
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Timepoint [6]
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6 months pre and post assessment
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Secondary outcome [7]
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Participant and family experiences of intervention
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Assessment method [7]
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Focus groups using semi-structured guides to direct questions. Focus groups will be facilitated by a member of the research team and will take place either in-person or via an online video-conferencing platform.
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Timepoint [7]
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12 weeks post-assessment
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Secondary outcome [8]
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Increase in capacity and capability to undertake assessments
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Assessment method [8]
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Focus groups using semi-structured guides to direct questions. Focus groups will be facilitated by a member of the research team and will take place either in-person or via an online video-conferencing platform.
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Timepoint [8]
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At the conclusion of the study, after assessment has finished with all participants
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Secondary outcome [9]
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Number of paearahi visits
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Assessment method [9]
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Paearahi records
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Timepoint [9]
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12 weeks post-assessment
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Secondary outcome [10]
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Record questions that cause confusion or discomfort
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Assessment method [10]
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Paearahi records
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Timepoint [10]
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During assessment delivery within 1 month after enrollment.
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Secondary outcome [11]
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Time to complete assessment
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Assessment method [11]
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Paearahi records
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Timepoint [11]
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Throughout assessment delivery within 1 month after enrollment
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Secondary outcome [12]
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Extra resources required to deliver intervention by health practice
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Assessment method [12]
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Health practice records
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Timepoint [12]
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During assessment delivery within 1 month after enrollment.
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Eligibility
Key inclusion criteria
Maori (or Maori whanau)
55-years plus
Enrolled in Korowai Aroha General Practice
Community-dwelling
Ability to understand written and/or spoken English
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Minimum age
55
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?
Yes
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Key exclusion criteria
Previous Needs Assessment Service Coordination (NASC) assessment
On waitlist for NASC assessment
Currently receiving publicly funded home supports
Resides in aged residential care
Unable to provide informed consent
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Study design
Purpose of the study
Diagnosis
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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
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
21/12/2023
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Actual
15/01/2024
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Date of last participant enrolment
Anticipated
29/02/2024
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Actual
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Date of last data collection
Anticipated
30/06/2024
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Actual
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Sample size
Target
50
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Accrual to date
15
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Final
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
25911
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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Te Whatu Ora - interRAI
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Address [1]
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69 Tory St Wellington 6011
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Country [1]
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New Zealand
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Funding source category [2]
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Hospital
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Name [2]
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Te Whatu ora - Lakes
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Address [2]
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Corner Arawa St, Rotorua 3010
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Country [2]
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New Zealand
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Primary sponsor type
Government body
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Name
Te Whatu Ora - interRAI
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Address
69 Tory St Wellington 6011
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Country
New Zealand
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Secondary sponsor category [1]
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Hospital
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Name [1]
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Te Whatu ora - Lakes
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Address [1]
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Corner Arawa St, Rotorua 3010
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Country [1]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Central Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health, 133 Molesworth St, Wellington, 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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16/10/2023
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Approval date [1]
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13/12/2023
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Ethics approval number [1]
314020
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Summary
Brief summary
In Aotearoa New Zealand (NZ), completion of an interRAI assessment is required to access publicly funded care services for older people. There are a suite of assessments and, broadly, they are used to assess physical and psychosocial health and wellbeing. The interRAI Check-Up Self Report (CU-SR) is one of the tools in the suite of interRAI assessments and is used to gain a person’s perspective on their own health and wellbeing. The CU-SR differs from other interRAI tools as it does not require a health professional to complete the assessment. The CU-SR has not been used in NZ previously. This project will trial the usefulness of the CU-SR to improve health outcomes for koeke (older Maori) in the Lakes area (previously known as the Lakes District Health Board). This is a prospective non-randomised, non-comparator intervention study with preintervention and postintervention measurements of predefined outcomes.
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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
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Dr Joanna Hikaka
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Address
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University of Auckland, 93 Grafton Rd, Auckland, 1010
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Country
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New Zealand
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Phone
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+64211304917
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Joanna Hikaka
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Address
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University of Auckland, 93 Grafton Rd, Auckland, 1010
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Country
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New Zealand
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Phone
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+64 21 130 4917
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Joanna Hikaka
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Address
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University of Auckland, 93 Grafton Rd, Auckland, 1010
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Country
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New Zealand
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Phone
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+64 211304917
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Fax
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Email
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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)?
No
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No/undecided IPD sharing reason/comment
We have not included this in our ethics application.
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
20697
Study protocol
[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