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Trial registered on ANZCTR
Registration number
ACTRN12613000742774
Ethics application status
Approved
Date submitted
3/07/2013
Date registered
3/07/2013
Date last updated
7/12/2020
Date data sharing statement initially provided
7/12/2020
Date results provided
7/12/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
A pilot study to test recruitment methods, feasibility and study
procedures for a planned randomised controlled trial of the
MindBabyBody program: an antenatal mindfulness intervention to reduce depression, stress and anxiety
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Scientific title
A pilot study to test recruitment methods, feasibility and study
procedures for a planned randomised controlled trial of the
MindBabyBody program: an antenatal mindfulness intervention to reduce depression, stress and anxiety
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Secondary ID [1]
282782
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Nil
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Universal Trial Number (UTN)
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Trial acronym
MBB
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Perinatal depression, anxiety, and stress
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Condition category
Condition code
Mental Health
289869
289869
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0
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Depression
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Mental Health
289870
289870
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0
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Anxiety
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Reproductive Health and Childbirth
289872
289872
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0
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Antenatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The MindBabyBody program comprises a 6-session mindfulness-based group therapy program based on Mindfulness-Based Cognitive Therapy (MBCT) and developed by Dr Krisinte Mercuri specifically for use in pregnancy. Participants are introduced to the mindfulness approach, and mindfulness strategies including formal and informal meditation practices and mindful movement.
This program is currently being offered at The Royal Women's Hospital as part of their clinical services, specifically targeting women with current or previous mental health concerns. The intervention in the pilot
study will be promoted to all women attending the antenatal clinic as a program which is aimed at managing stress and mood during pregnancy and the postnatal period.
Each session runs for approximately 2 hours, and occurs weekly for six weeks. Each session involves a period of formal meditation, a discussion of the participant experiences of mindfulness practice, a weekly topic for discussion (focused on features of mindfulness relevant to pregnancy and motherhood) and some simple mindful yoga stretches. Each week suggestions are given for home practice with repetition emphasised as a significant reinforcer of new skills.
In the post-program questionnaire, participants who have completed the MindBabyBody program will be asked questions about the level of formal and informal practice they have completed throughout the program. Attendance records will also be kept.
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Intervention code [1]
287457
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Prevention
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Intervention code [2]
287458
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Treatment: Other
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Comparator / control treatment
Participants allocated to the control group will receive care as usual through the Royal Women's Hospital. The main aim of the pilot study is to test different recruitment strategies, including the universal recruitment of women into a randomised controlled trial. The use of a non-treatment control group is important in determining the acceptability of recruitment to a randomised controlled trial for potential participants.
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Control group
Active
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Outcomes
Primary outcome [1]
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Recruitment method.
As a pilot study, we are focused on assessing feasibility issues. Each participant enrolled in the study will be asked the two following questions:
1) How did you first hear about the study, and
2) When did you decide to enrol in the MindBabyBody pilot study.
Response options for these questions are:
- I read the information sheet provided in my booking-in pack
- I received information about the study at the Childbirth Education classes
- I received information about the study at a physiotherapy class ?
- I was given information about the study by a researcher in the Royal Women’s Hospital antenatal booking clinic
- My midwife recommended the program to me
We are using two questions because of the possibility that women maybe exposed to more than one recruitment method.
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Assessment method [1]
289930
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Timepoint [1]
289930
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Baseline
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Primary outcome [2]
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Participant characteristics (such as age, current gestation, parity, marital status, education level, employment status).
As a pilot study, we are focused on feasibility issues, and we are interested in participant characteristics according to the method of recruitment. These will be assessed using a questionnaire specifically designed for this pilot study.
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Assessment method [2]
289931
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Timepoint [2]
289931
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Baseline
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Primary outcome [3]
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Participant retention.
As a pilot study, we are focused on feasibility issues, such as length of study measures, and the ability to retain participants in a non-treatment control group.
Participant retention will be assessed by the number of questionnaires returned for control and intervention groups.
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Assessment method [3]
289932
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Timepoint [3]
289932
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Baseline, 8-weeks post baseline, and 3 months postpartum.
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Secondary outcome [1]
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Maternal depression assessed via the Center for Epidemiologic Studies Depression Scale
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Assessment method [1]
303591
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Timepoint [1]
303591
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Baseline, 8-weeks post baseline, and 3 months postpartum.
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Secondary outcome [2]
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Maternal anxiety measured via the State-Trait Anxiety Scale.
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Assessment method [2]
303592
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Timepoint [2]
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Baseline, 8-weeks post baseline and at 3 months postpartum.
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Secondary outcome [3]
303593
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Maternal stress measured via the Perceived Stress Scale.
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Assessment method [3]
303593
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Timepoint [3]
303593
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Baseline, 8-weeks post baseline, and at 3 months postpartum
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Secondary outcome [4]
303604
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Maternal Psychological Distress, measured by the Depression, Anxiety and Stress Scale (DASS).
We will also compare how the DASS subscales perform compared to the three separate measures assessing depression, anxiety and stress in regards to treatment outcome.
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Assessment method [4]
303604
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Timepoint [4]
303604
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Baseline, 8-weeks post baseline, and at 3 months postpartum.
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Eligibility
Key inclusion criteria
Greater than 10 weeks gestation
Booked in to give birth at the Royal Women’s Hospital
Aged 18– 50 years
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Minimum age
18
Years
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Maximum age
50
Years
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Greater than 34 weeks gestation
Current substance abuse
Insufficient fluency in English to participate in mindfulness sessions and/or complete written questionnaires in English
Serious current mental morbidity such as severe suicidal ideation.
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Study design
Purpose of the study
Prevention
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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)
Participants in the RCT were allocated to the intervention (i.e. MindBabyBody program) or care as usual groups through the use of sealed sequential envelopes
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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
Completed
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Date of first participant enrolment
Anticipated
31/10/2012
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Actual
31/10/2012
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Date of last participant enrolment
Anticipated
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Actual
19/06/2013
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Date of last data collection
Anticipated
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Actual
14/08/2013
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Sample size
Target
45
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Accrual to date
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Final
52
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
1201
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The Royal Women's Hospital - Parkville
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Funding & Sponsors
Funding source category [1]
287553
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Other
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Name [1]
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Murdoch Childrens Research Institute
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Address [1]
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Royal Childrens Hospital
Flemington Road
Parkville, VIC, 3052
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Country [1]
287553
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Australia
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Primary sponsor type
Other
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Name
Murdoch Childrens Research Institute
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Address
Royal Children's Hospital
Flemington Road
Parkville, VIC, 3052
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Country
Australia
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Secondary sponsor category [1]
286303
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Hospital
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Name [1]
286303
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Royal Women's Hospital
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Address [1]
286303
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Flemington Road
Parkville, VIC, 3052
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Country [1]
286303
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
307467
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Royal Children's Hospital
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Ethics committee address [1]
307467
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50 Flemington Road, Parkville VIC 3052
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Ethics committee country [1]
307467
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Australia
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Date submitted for ethics approval [1]
307467
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Approval date [1]
307467
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24/09/2012
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Ethics approval number [1]
307467
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32200
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Ethics committee name [2]
307468
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Royal Women's Hospital
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Ethics committee address [2]
307468
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20 Flemington Rd, Parkville VIC 3052
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Ethics committee country [2]
307468
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Australia
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Date submitted for ethics approval [2]
307468
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Approval date [2]
307468
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27/08/2012
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Ethics approval number [2]
307468
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12/23
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Summary
Brief summary
Mindfulness interventions are emerging as a potentially promising intervention to reduce mental health problems in the perinatal period, however there is a need for more robust evidence supporting their efficacy. The current proposal outlines a pilot study with the primary aim of exploring feasibility issues to inform the development of a randomised-controlled trial of a mindfulness-based intervention in pregnancy. We propose to test and evaluate a range of recruitment strategies designed to maximise uptake of a program offered to women booked in to give birth at the Royal Women's Hospital. We aim to recruit around 45 women to this pilot study. Participants in the project will complete study questionnaires at three time-points: pre-intervention, post-intervention, and at a three months postpartum follow-up. Questionnaires will include standardised measures of depression, anxiety, stress, and mindfulness. The postnatal follow-up questionnaire will include items on maternal postnatal quality of life and child outcomes (cry-fuss-sleep behaviour). Analysis will focus on uptake via different recruitment methods and assess rates of ongoing participation, engagement, and acceptability of study instruments. The data collected in this study will be used to inform the development of a large scale randomised controlled trial evaluating a mindfulness-based group intervention in pregnancy for reducing perinatal anxiety and depression. In addition, the pilot study will support and develop collaborative links between staff at The Royal Women's Hospital and researchers in the Healthy Mothers, Healthy Families group at the Murdoch Childrens Research Institute.
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Trial website
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Trial related presentations / publications
Woolhouse H, Mercuri K, Judd F, Brown SJ. Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomisided trial of the MindBabyBody program in an Australian tertiary maternity hospital. BMC Pregnancy and Childbirth 2014 Oct 25;14(1):369.
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Public notes
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Contacts
Principal investigator
Name
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Dr Hannah Woolhouse
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Address
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Healthy Mothers Healthy Families
Murdoch Childrens Research Institute
WL5 Royal Children's Hospital
Flemington Road
Parkville, VIC, 3052
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Country
41218
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Australia
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Phone
41218
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+613 9936 6619
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Fax
41218
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Email
41218
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[email protected]
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Contact person for public queries
Name
41219
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Hannah Woolhouse
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Address
41219
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Healthy Mothers Healthy Families
Murdoch Childrens Research Institute
WL5 Royal Children's Hospital
Flemington Road
Parkville, VIC, 3052
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Country
41219
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Australia
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Phone
41219
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+613 9936 6619
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Fax
41219
0
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Email
41219
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[email protected]
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Contact person for scientific queries
Name
41220
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Hannah Woolhouse
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Address
41220
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Healthy Mothers Healthy Families
Murdoch Childrens Research Institute
WL5 Royal Children's Hospital
Flemington Road
Parkville, VIC, 3052
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Country
41220
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Australia
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Phone
41220
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+613 9936 6619
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Fax
41220
0
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Email
41220
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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
Source
Title
Year of Publication
DOI
Embase
Antenatal mindfulness intervention to reduce depression, anxiety and stress: a pilot randomised controlled trial of the MindBabyBody program in an Australian tertiary maternity hospital.
2014
https://dx.doi.org/10.1186/s12884-014-0369-z
N.B. These documents automatically identified may not have been verified by the study sponsor.
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