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Trial registered on ANZCTR
Registration number
ACTRN12624001244594p
Ethics application status
Submitted, not yet approved
Date submitted
4/09/2024
Date registered
10/10/2024
Date last updated
10/10/2024
Date data sharing statement initially provided
10/10/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Impact of CP-KASP (Cerebral Palsy Knowledge, Advocacy Skills, and Support Program) on parenting stress, empowerment and efficacy, and quality of life in caregivers of children with cerebral palsy.
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Scientific title
Impact of CP-KASP (Cerebral Palsy Knowledge, Advocacy Skills, and Support Program) on parenting stress, empowerment and efficacy, and quality of life in caregivers of children with cerebral palsy.
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Secondary ID [1]
312367
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Nil known
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Universal Trial Number (UTN)
U1111-1309-4769
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Trial acronym
CP-KASP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cerebral palsy
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Children with disabilities
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Condition category
Condition code
Neurological
330827
330827
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0
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Other neurological disorders
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Musculoskeletal
330828
330828
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0
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Other muscular and skeletal disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
CP-KASP is a co-designed peer-to-peer delivered knowledge and support platform to equip families of young children with cerebral palsy (CP) to optimise and improve their engagement and experience with the National Disability Insurance Scheme (NDIS) in Australia. The content of CP-KASP will be determined by the co-designers, but it is envisaged that it will cover: (1) advocacy skills; (2) systems navigation of the NDIS; (3) evidence-based early intervention in CP; (4) setting therapy goals; (5) considerations for transition to primary school. CP-KASP will be delivered online (zoom) to groups of up to 10 caregivers. Content will include webinars and interactive sessions. Sessions will be for 2 hours/week over a 6 week period.
The co-design process commences with separate focus groups with consumer co-designers (n=10) and allied health co-designers (n=10) . The aim of the focus groups is to explore knowledge, skills, and support needs of caregivers of children with CP navigating the NDIS, understand CP specific knowledge and support needs to shape NDIS care packages for evidence-based early intervention, understand preferred methods of accessing information/supports. Results from this phase will inform the next co-design phase. A series of 8 workshops will be conducted, with co-designers working in small groups to develop the content for modules of CP-KASP. This could include content to build advocacy skills and CP specific evidence-based modules. These workshops will define the overarching program framework (e.g. length of time, mode (i.e webinars), content and format for interactive peer-led sessions.
Fidelity: Fidelity checklists will be developed, related to content delivery of CP-KASP. The following outcomes will be captured: (a) number of sessions attended; (b) percentage of content per session delivered as intended. An a priori cut-off score for high fidelity of delivery was established as greater than 80%, moderate as between 50% and 80% and low less than 50% of content delivered.
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Intervention code [1]
328867
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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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Parental Empowerment and Efficacy Measure
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Assessment method [1]
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The Parental Empowerment and Efficacy Measure is a 20-item questionnaire.
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Timepoint [1]
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Parent outcomes will be administered at baseline prior to receiving CP-KASP, post receipt and then 6 months later.
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Primary outcome [2]
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Parenting stress
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Assessment method [2]
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Parenting stress will be measured using the Paediatric Inventory for Parents (PIP), a 42-item questionnaire measuring stress in the context of parenting a child with a chronic condition.
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Timepoint [2]
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Parent outcomes will be administered at baseline prior to receiving CP-KASP, post receipt and then 6 months later.
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Primary outcome [3]
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Family Qality of Life Measure
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Assessment method [3]
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Family quality of life will be measured using The Family Quality of Life Scale, comprising 25 items across 5 domains (family interaction, parenting, emotional well-being, physical/material well-being, disability-related support).
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Timepoint [3]
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Parent outcomes will be administered at baseline prior to receiving CP-KASP, post receipt and then 6 months later.
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Secondary outcome [1]
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Child's Goal attainment
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Assessment method [1]
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Goal attainment will be measured on the Canadian Occupational Performance Measure (COPM). Parents will identify up to five therapy goals for their child during the CP-KASP module on goal setting and rate their child’s performance on a 10-point scale, with higher scores indicating better performance. The COPM has high test-retest reliability (ICC 0.76-0.89), is responsive to change. A change of 2 points or greater is considered clinically meaningful
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Timepoint [1]
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Child-related outcomes will be measured following the receipt of CP-KASP and then 6 months later.
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Secondary outcome [2]
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The child’s quality of life
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Assessment method [2]
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The child’s quality of life will be measured on the parent-proxy completed KIDSCREEN-27. It is a generic measure of health-related quality of life. Items are rated on a 5-point Likert scale.
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Timepoint [2]
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Child-related outcomes will be measured following the receipt of CP-KASP and then 6 months later.
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Secondary outcome [3]
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Acceptability of CP-KASP
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Assessment method [3]
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Individual semi-structured interviews to determine satisfaction with components of CP-KASP .
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Timepoint [3]
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Immediately post receipt of CP-KASP
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Secondary outcome [4]
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CP-KASP Questionnaire
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Assessment method [4]
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CP-KASPQ will measure parental knowlege, perceived skills, confidence , intentions, goals and beliefs related to the content of CP-KASP. The questionnaire will be developed from the validated Theoretical Domains Framework questionnaire .
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Timepoint [4]
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Baseline, immediately post receipt and then 6 months later
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Secondary outcome [5]
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Feasibility
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Assessment method [5]
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To determine the extent to which CP-KASP is suitable for everyday use using recruitment, retention and participation rates determined from study records.
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Timepoint [5]
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Collected throughout duration of study
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Secondary outcome [6]
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Appropriateness which is understanding the perceived fit including CP-KASPS relevance and suitability
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Assessment method [6]
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Semi-structured individual interviews
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Timepoint [6]
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Immediately post receipt of CP-KASP
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Secondary outcome [7]
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Fidelity: number of sessions attended; % content per session delivered as intended.
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Assessment method [7]
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Bespoke Fidelity Checklist
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Timepoint [7]
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Throughout each session of CP-KASP
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Secondary outcome [8]
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Acceptability including aspects of delivery, content and complexity
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Assessment method [8]
440299
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Semi-structured individual interviews
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Timepoint [8]
440299
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Immediately post receipt of CP-KASP
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Eligibility
Key inclusion criteria
Caregivers of children with CP aged < 6 years entering or using the NDIS system in Queensland or New South Wales. Participants will be recruited using maximum variation sampling for the severity of CP as per Gross Motor Function Classification System levels (I-V), geographic location (metropolitan, regional, remote across Queensland and New South Wales) through our community partners, early diagnostic clinics run by Children’s Health Queensland, Queensland Children’s Hospital, Queensland Early Detection and Intervention Network and Cerebral Palsy Alliance.
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Minimum age
18
Years
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Maximum age
50
Years
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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
All caregivers will have a child with CP. Caregivers themselves may be healthy.
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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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
Depending data distribution, paired sample t-tests or Wilcoxon signed rank tests will be used for pre-post data. Qualitative data will be analysed inductively and deductively using interpretive description. Qualitative and quantitative data will be triangulated to report on the implementation outcomes. Trustworthiness will be maintained using member checking of interview transcripts and analysis summaries, oversight by experienced researchers in qualitative and mixed methods, and reflection by the research team with consideration given to power relations.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2026
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Actual
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Date of last participant enrolment
Anticipated
1/09/2026
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Actual
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Date of last data collection
Anticipated
1/03/2027
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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)
NSW,QLD
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Recruitment hospital [1]
26711
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Queensland Children's Hospital - South Brisbane
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Recruitment hospital [2]
27070
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Cerebral Palsy Alliance - Allambie Heights
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Recruitment postcode(s) [1]
42750
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4101 - South Brisbane
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Recruitment postcode(s) [2]
43137
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2100 - Allambie Heights
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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 Health and Aged Care: Medical Future Research Fund Consumer-Led Grant APP2028202
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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
University of Queensland
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
318993
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Country [1]
318993
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
315543
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Children’s Health Queensland Hospital and Health Service Human Research Ethics Committee
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Ethics committee address [1]
315543
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http://www.childrens.health.qld.gov.au/research/human-research-ethics-committee
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Ethics committee country [1]
315543
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Australia
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Date submitted for ethics approval [1]
315543
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21/06/2024
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Approval date [1]
315543
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Ethics approval number [1]
315543
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Summary
Brief summary
For parents of children with disabilities, including cerebral palsy (CP), navigating the complex National Disability Insurance Scheme (NDIS) system to develop an evidence-based package of therapies for their child is challenging. Parents tell us that they need to develop advocacy skills and have a greater understanding of what constitutes evidence-based therapies in order to successfully navigate the NDIS system and choose from 182 available therapies and over 1000 service providers. Currently, there are no capacity building programs for parents of children with disabilities that are peer-driven and peer-led. We will iteratively co-develop and test a novel web-based multi-component knowledge platform on EDX called CP-KASP (Cerebral Palsy Knowledge, Advocacy Skills and Support Program) comprising (a) webinars and interactive consumer-led virtual groups for families of newly diagnosed children with CP entering the NDIS systemCP-KASP (Cerebral Palsy Knowledge, Advocacy Skills, and Support Program) will reduce parental stress, increase parental empowerment, self efficacy and family quality of life for parents of young children with cerebral palsy. CP-KASP will be acceptable, feasible and adoptable with high levels of fidelity.
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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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A/Prof Leanne Sakzewski
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Address
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Centre for Children's Health Research, 62 Graham Street, South Brisbane, QLD 4030
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Country
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Australia
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Phone
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+61 07 30697396
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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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Leanne Sakzewski
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Address
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Centre for Children's Health Research, 62 Graham Street, South Brisbane, QLD 4030
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Country
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Australia
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Phone
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+61 07 30697396
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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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Leanne Sakzewski
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Address
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Centre for Children's Health Research, 62 Graham Street, South Brisbane, QLD 4030
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Country
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Australia
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Phone
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+61 07 30697396
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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
This is a children with disabilities study with the participants being the parents of the child, so the information/data will not be shared about the children.
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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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