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Trial registered on ANZCTR
Registration number
ACTRN12609000148279
Ethics application status
Approved
Date submitted
4/02/2009
Date registered
13/03/2009
Date last updated
20/07/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Preventing Relapse: Alcohol Intervention Program for Recovering Drug Users
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Scientific title
Preventing Relapse: Alcohol Intervention Program for Recovering Drug Users
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Secondary ID [1]
295614
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Nil known
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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:
Alcohol and drug use
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Condition category
Condition code
Public Health
4289
4289
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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
The intervention to be evaluated in this study (i.e. the alcohol intervention program) is based on an adapted version of the Alcohol Skills Training Program (ASTP), an evidence-based intervention developed for college students in the USA by Professor Alan Marlatt and his colleagues. The Alcohol Intervention Program (AIP) consists of 5, 2-hour group sessions held once weekly for 5 weeks, with a focus on learning controlled drinking techniques in high-risk situations. Total duration of the intervention: 5 weeks. Other components of the program are: learning information regarding alcohol's effects, Blood Alcohol Level (BAL) discrimination training, limit setting, the role of myths about alcohol (outcome expectancies) and social and normative cues for drinking, including mindfulness strategies for counteracting these influences. The program requires facilitation by a qualified therapist and is a closed group program generally consisting of 10 participants. An additional two sessions of Therapeutic Telephone Counselling (TTC) are delivered fortnightly once a person leaves (exits) the Therapeutic Community (TC).
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Intervention code [1]
3803
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Prevention
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Comparator / control treatment
The control group consists of 2, 2-hour group sessions, conducted once weekly over 2 weeks. Total duration of the control treatment: 2 weeks. This group will contain similar alcohol education information included in sessions one and two of the intervention group. Information will be that which is commonly known and shared within current drug and alcohol treatment.
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Control group
Dose comparison
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Outcomes
Primary outcome [1]
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To reduce alcohol consumption: Addiction Severity Index (ASI; McLellan, Luborsky, Woody & O'Brien, 1980), Alcohol Use Disorders Identification Test (AUDIT; Saunders, Aasland, Babor, de la Fuente, & Grant, 1993), urine screen of 20% random sample.
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Assessment method [1]
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Timepoint [1]
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Baseline, 3-month follow-up, and 9-month follow-up
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Primary outcome [2]
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To reduce the risk of relapse to drug use: Timeline Follow-back Method (TLFB; Sobell & Sobell, 1992), urine screen of 20% random sample.
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Assessment method [2]
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Timepoint [2]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [1]
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To detect the development of alcohol dependence: Severity of Alcohol Dependence Questionnaire (SADQ-C; Stockwell, Sitharthan, McGrath & Lang, 1994)
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Assessment method [1]
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Timepoint [1]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [2]
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To reduce dependence on drugs: Severity of Dependence Scale (SDS; Gossop et al., 1995)
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Assessment method [2]
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Timepoint [2]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [3]
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To reduce alcohol-related problems: Short Index of Problems (SIP; Miller, Tonigan & Longabaugh, 1995)
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Assessment method [3]
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Timepoint [3]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [4]
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To improve social functioning: Opiate Treatment Index (OTI; Darke, Ward, Hall, Heather, & Wodak, 1991)
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Assessment method [4]
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Timepoint [4]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [5]
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To improve wellbeing: Personal Wellbeing Index (PWI; International Wellbeing Group, 2005)
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Assessment method [5]
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Timepoint [5]
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Baseline, 3-month follow-up, and 9-month follow-up
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Secondary outcome [6]
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Skill acquisition: Alcohol Expectancies (AE; Leigh & Stacy, 1993), Drinking Refusal Self-Efficacy Questionnaire - Revised (DRSEQ-R; Oei, Hasking, & Young, 2005), Alcohol Knowledge Test (AKT; Staiger & Manning, 2006), Kentucky Inventory of Mindfulness Skills (KIMS; Baer, Smith, & Allen, 2004)
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Assessment method [6]
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Timepoint [6]
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Baseline, post-intervention and 9-month follow-up
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Eligibility
Key inclusion criteria
(1) Met criteria for current substance dependence, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), (2) abstinent for at least 14 days
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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?
Yes
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Key exclusion criteria
(1) Met criteria for a psychotic disorder, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), (2) Met criteria for alcohol dependence, based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV)
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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)
Approximately 150 (75 in each group) recovering drug users who provided informed consent were recruited for participation in this study from Odyssey House Victoria drug rehabilitation services (inpatient) and Windana Society (drug rehabilitation service in Victoria). Allocation involved contacting the holder of the allocation schedule who was at a central adminstration site within each TC. Participation was voluntary, free of charge and all clients are able to withdraw at any stage. In order to ensure comparability between groups, randomisation occurred after recruitment, selection criteria, and baseline assessments had been conducted approximately 2 weeks into residential treatment. At baseline all eligible participants were assigned a numeric code. An independent researcher (not involved in the study) randomised the participants into the treatment or control groups using computer-based random number generation.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer-based random number generation
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Masking / blinding
Blinded (masking 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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
20/08/2006
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Actual
23/08/2006
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Date of last participant enrolment
Anticipated
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Actual
22/05/2008
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Date of last data collection
Anticipated
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Actual
20/11/2010
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Sample size
Target
150
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Accrual to date
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Final
153
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment postcode(s) [1]
1348
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3812
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Recruitment postcode(s) [2]
1443
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3093
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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Alcohol Education and Rehabilitation Fund
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Address [1]
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Alcohol Education & Rehabilitation Foundation Ltd
PO Box 19
DEAKIN WEST ACT 2600
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Deakin University
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Address
Deakin University
221 Burwood Highway
Burwood Victoria 3125
Australia
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Country
Australia
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Odyssey Institute of Studies
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Address [1]
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660 Bridge Road
Richmond
Victoria, 3121
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Country [1]
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Australia
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Other collaborator category [1]
513
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University
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Name [1]
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University of Washington
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Address [1]
513
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Professor Alan Marlatt
University of Washington
Department of Psychology
Box 351525
Seattle WA 98195-1525
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Country [1]
513
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United States of America
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Deakin University Human Research Ethics Committee
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Ethics committee address [1]
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Burwood Highway Burwood VIC 3125
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
6508
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Approval date [1]
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31/12/2004
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Ethics approval number [1]
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EC 7-2004
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Summary
Brief summary
The primary purpose of the study was to develop, pilot and evaluate a group-based program within a TC, aimed at reducing alcohol problems in drug rehabilitation clients. It was hypothesised that participants who recieved the 5-session intervention would demonstrate reduced alcohol consumption and relapse to drug use, post-residential care. A secondary hypothesis was that participants who received the 5-session intervention would demonstrate improved alcohol use skill acquisition, health status and psychosocial functioning.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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A/Prof Petra Staiger
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Address
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School of Psychology Deakin University 221 Burwood Highway Burwood Victoria 3125 Australia
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Country
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Australia
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Phone
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+61 3 924 46876
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Fax
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+61 3 9244 6858
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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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Assoc. Prof. Petra Staiger
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Address
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School of Psychology
Deakin University
221 Burwood Highway
Burwood Victoria 3125
Australia
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Country
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Australia
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Phone
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+61 3 924 46876
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Fax
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+61 3 9244 6858
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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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Assoc. Prof. Petra Staiger
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Address
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School of Psychology
Deakin University
221 Burwood Highway
Burwood Victoria 3125
Australia
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Country
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Australia
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Phone
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+61 3 924 46876
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Fax
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+61 3 9244 6858
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Email
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[email protected]
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No information has been provided regarding IPD availability
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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