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Trial registered on ANZCTR
Registration number
ACTRN12624000662561
Ethics application status
Approved
Date submitted
7/05/2024
Date registered
24/05/2024
Date last updated
24/05/2024
Date data sharing statement initially provided
24/05/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
ENabling VISions And Growing Expectations (ENVISAGE-Families): An intervention study of a caregiver empowerment program
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Scientific title
ENabling VISions And Growing Expectations (ENVISAGE-Families): An intervention study investigating the effects of a caregiver program on family empowerment
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Secondary ID [1]
311919
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Protocol number: 92551
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Universal Trial Number (UTN)
U1111-1307-7257
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Trial acronym
ENVISAGE-Families
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Linked study record
ACTRN12619001389190 was the ENVISAGE Families pilot study
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Health condition
Health condition(s) or problem(s) studied:
Child-onset disability
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Condition category
Condition code
Physical Medicine / Rehabilitation
330183
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0
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Other physical medicine / rehabilitation
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Public Health
330184
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0
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Health promotion/education
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Neurological
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0
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Other neurological disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
ENVISAGE-Families comprises five weekly online workshops for caregivers of children with a disability. ENVISAGE (representing ENabling VISions And Growing Expectations) workshops provide caregivers with early exposure to current thinking and best practices around childhood disability and encourage information-sharing and connections among families and service providers.
ENVISAGE-Families comprises 5 weekly online workshops (90 minutes per week of facilitated group-based discussions) with self-directed preparatory activities (1-hour per week) on each workshop topic (12.5 hours total). The workshops topics include 1) Health and wellbeing in early child development, 2) Child and family development, 3) Parenting is a dance led by the children, 4) Looking after myself, and 5) Communicating, collaborating and connecting. Pre-reading includes reading materials, videos and activities related to the topics. Workshops are facilitated by two facilitators including a service provider and parent-peer who have been trained to deliver the program. The maximum group size for the workshops is 10 caregivers. Adherence is monitored by workshop attendance and access to the pre-reading materials.
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Intervention code [1]
328387
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Treatment: Other
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Comparator / control treatment
The waitlist control group will continue to receive their usual care. This may include services for their children (eg clinical services, therapies) as well as services for themselves (eg counselling, coaching)
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Control group
Active
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Outcomes
Primary outcome [1]
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Family empowerment
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Assessment method [1]
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The Family Empowerment Scale (FES; Koren, DeChillo & Friesen, 1992) will be used to measure parents’ sense of empowerment. This is a 34 item self-report scale that includes 3 subscales (family, service use, community).
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Timepoint [1]
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6 week post randomisation (primary timepoint)
18 weeks post randomisation
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Secondary outcome [1]
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Parenting confidence
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Assessment method [1]
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Parenting confidence will be measured by the Parenting Confidence Scale (Trivette and Dunst, 1992). The scale consists of 7 self-report items which are a subset of items from the Family Empowerment Scale.
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Timepoint [1]
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6 weeks post randomisation
18 weeks post randomisation
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Secondary outcome [2]
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Family functioning
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Assessment method [2]
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Family functioning will be measured by the Family Hardiness Index-Short Form (McCubbin, McCubbin & Thompson, 1986), which is a 10-item self-reported measure.
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Timepoint [2]
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6 weeks post randomisation
18 weeks post randomisation
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Secondary outcome [3]
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Caregiver health
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Assessment method [3]
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Caregiver health is measured PROMIS (Patient Reported Outcome Measurement Information System) Global Health Scale (3 items on overall health)
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Timepoint [3]
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6 weeks post randomisation
18 weeks post randomisation
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Secondary outcome [4]
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Child quality of life
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Assessment method [4]
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Child quality of life is measured by the KINDL parent-proxy report of child health related quality of life (Ravens-Sieberer et al., 2013). It consists of 23 items.
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Timepoint [4]
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6 week post randomisation
18 week post randomisation
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Secondary outcome [5]
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Caregiver perspectives about their child and family situation
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Assessment method [5]
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Caregivers’ narratives of their child and family will be assessed qualitatively using audio-file data. Caregivers will be asked to record a 10-minute audio recording about their experience of parenting a child with a disability.
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Timepoint [5]
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18 weeks post randomisation
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Secondary outcome [6]
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Caregiver wellbeing
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Assessment method [6]
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Caregiver wellbeing is measured by the Warwick Edinburgh Mental Wellbeing Scale-Short form (7 items; Stewart-Brown et al., 2009)
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Timepoint [6]
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6 weeks post randomisation
18 weeks post randomisation
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Eligibility
Key inclusion criteria
To be eligible for inclusion in the RCT, participants must:
• be caregivers (mothers, fathers, or others with significant caregiving and parenting responsibilities) raising children aged 0 to 8 years of age with an identified neurodevelopmental disability;
• live in Australia;
• be intending to participate in ENVISAGE-Families online
• either have access to the internet or be willing to use study-provided internet access for the duration of the trial;
• have sufficient English language proficiency to engage with materials (reading, writing, speaking), as determined in discussion about this criterion with potential participants; and
• be available to take part in the 5-week ENVISAGE-Families program within the next 6 months after enrolment (to accommodate allocation to either immediate intervention or waitlist control group)
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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
Caregivers will not be eligible to participate in the RCT if:
• they were involved in ENVISAGE-Families workshop development or participated in the pilot study (ACTRN12619001389190);
• their child has not been formally identified with an neurodevelopmental disability;
• their child is aged 9 years or older, as the content of ENVISAGE-Families currently addresses the needs of families of children with neurodevelopmental disability 0-8 years; or
• They are unable or unwilling to take part in the online-delivery version of ENVISAGE-Families.
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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)
Allocation is concealed and will be done by central randomisation by computer (REDCap)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-generated sequence using REDCap randomisation module
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Masking / blinding
Open (masking not used)
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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
Efficacy
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Statistical methods / analysis
Demographic data and baseline characteristics will be described in the two groups using means and standard deviations for continuous variables and number and percentage for categorical variables. For continuous outcomes (family empowerment, parenting confidence, family functioning, caregiver health, caregiver wellbeing and child’s quality of life), mean (with 95% CI) scores in each group and mean difference between groups at T1 and T2 will be reported. Treatment and control groups will be compared at T1 using linear regression, adjusted for baseline measurements. Groups will be compared at T2 using repeated measures mixed models, adjusted for baseline measurements, and also including the T1 value, with participant as a random effect. No interim or subgroup analyses are planned.
Participants’ narratives of their child and family will be assessed qualitatively using audio-file data collected at baseline and 18 weeks post randomisation. Qualitative analysis will be guided by interpretative description methods, in which knowledge is constructed from human social interaction, experience and context and a longitudinal framework analysis will be conducted to understand change over time. This will involve initial thematic analysis within groups, and then a longitudinal comparison between groups.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
31/05/2024
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Actual
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Date of last participant enrolment
Anticipated
17/02/2025
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Actual
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Date of last data collection
Anticipated
30/06/2025
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Actual
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Sample size
Target
130
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,NT,QLD,SA,TAS,WA,VIC
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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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Department of Social Services
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Australian Catholic University
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Address
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Melbourne
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Address [1]
318454
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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The Royal Children’s Hospital Human Research Ethics Committee
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Ethics committee address [1]
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http://www.rch.org.au/ethics
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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19/01/2023
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Approval date [1]
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17/07/2023
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Ethics approval number [1]
315086
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92551
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Ethics committee name [2]
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ACU Human Research Ethics Committee
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Ethics committee address [2]
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https://staff.acu.edu.au/our_university/research/research-services/research-ethics
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
315089
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Approval date [2]
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22/08/2023
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Ethics approval number [2]
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2023-3284RC
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Summary
Brief summary
ENVISAGE-Families ( ENabling VISions And Growing Expectations) comprises five weekly online workshops for caregivers of children with a neurodevelopmental disability. Workshops provide caregivers with early exposure to current thinking and best practices around childhood disability and encourage information-sharing and connections among families and service providers. Our aim is to compare the effects of ENVISAGE-Families on family empowerment compared to ‘service as usual’ experienced by a waitlist control group at 6 weeks and 18 weeks post randomisation. Our secondary objectives are to: (i) examine the effects of ENVISAGE-Families on caregivers’ self-reported measures of parenting confidence, family functioning, caregiver health, caregiver wellbeing, psychological functioning, and child’s quality of life at 6 weeks and 18 weeks post randomisation; and (ii) determine if primary and secondary effects of ENVISAGE-Families are maintained at 17-18 weeks post-randomisation. Qualitatively, we seek to understand the impact of ENVISAGE-Families on: (i) how participants describe their child and family; and (ii) how this program might be relevant to them and impact their experiences of parenting a child with a disability.
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Trial website
https://envisage.community/about-us/
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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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Prof Laura Miller
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Address
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Occupational Therapy, School of Allied Health, Australian Catholic University, 1100 Nudgee Rd, Banyo, Queensland 4014
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Country
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Australia
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Phone
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+61 7 3623 7843
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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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Elise Davis
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Address
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Department of Paediatrics, University of Melbourne, 50 Flemington Road, Parkville, Victoria 3052
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Country
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Australia
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Phone
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+61 0401621094
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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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Laura Miller
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Address
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Occupational Therapy, School of Allied Health, Australian Catholic University, 1100 Nudgee Rd, Banyo, Queensland 4014
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Country
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Australia
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Phone
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+61 7 3623 7843
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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
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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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