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Trial registered on ANZCTR
Registration number
ACTRN12614000596606
Ethics application status
Approved
Date submitted
2/06/2014
Date registered
4/06/2014
Date last updated
4/02/2021
Date data sharing statement initially provided
4/02/2021
Date results provided
4/02/2021
Type of registration
Prospectively registered
Titles & IDs
Public title
Behavioural and Cognitive Change During a Self-Guided Online Cognitive Behavioural Therapy Course for Anxiety and Depression: An Open Trial
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Scientific title
Behavioural and Cognitive Change During a Self-Guided Online Cognitive Behavioural Therapy Course for Anxiety and Depression: An Open Trial
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Secondary ID [1]
284710
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Nil
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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:
Depression
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Anxiety
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Condition category
Condition code
Mental Health
292406
292406
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0
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Depression
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Mental Health
292407
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0
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Anxiety
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
All participants will complete 5 lessons of an internet-delivered cognitive behaviour therapy (iCBT) treatment, the Wellbeing Course, focusing on the management of anxiety and depression. All 5 Lessons will be administered online (via the internet); each lesson will be completed every 7 to 10 days. Each lesson will take about 15 minutes to complete. Participants will also have access to summaries of each lesson, and will read anonymous stories about other people with depression and anxiety, taking a further 20 minutes per summary. All participants will also receive weekly reminder emails informing them when lessons become available. The duration of the reminder emails will take an additional 2 minutes to access and read. The duration of the program is 8 weeks. Study questionnaires will be administered at application, pre-treatment, during the treatment, post-treatment, and 3 months post-treatment. These questionnaires at application, pre-treatment, post-treatment and 3-months follow up will take about 10-15 minutes to complete. The questionnaires administered during the treatment will take approximately 3 minutes to complete. The software presenting the iCBT treatment course will also record information to inform adherence to the intervention (e.g. lessons completed, download history of other treatment materials in the course, number of logins, and duration of logins)
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Intervention code [1]
289501
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Treatment: Other
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Intervention code [2]
289502
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Behaviour
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Comparator / control treatment
N/A - This is a single group study.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Patient Health Questionnaire 9-Item (PHQ9), which is a measure of depression.
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Assessment method [1]
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Timepoint [1]
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Application; pre-treatment; once per week throughout treatment; post-treatment, and; 3 month follow-up
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Primary outcome [2]
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Generalized Anxiety Disorder 7-Item (GAD7), which is a measure of anxiety.
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Assessment method [2]
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Timepoint [2]
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Application; Pre-treatment; once per week throughout treatment; post-treatment, and; 3 month follow-up
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Primary outcome [3]
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Thoughts and Actions Frequency Scale (TAFS); This is a 24-item scale developed by the research team that measures the frequency of cognitions and behaviours related to mental health outcomes. The name of the measure is tentative and may change in future.
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Assessment method [3]
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Timepoint [3]
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Application; Pre-treatment; once per week throughout treatment; post-treatment, and; 3 month follow-up
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Secondary outcome [1]
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Satisfaction With Life Scale 5-item (SWLS), a measure of life satisfaction
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Assessment method [1]
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Timepoint [1]
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Pre-treatment; post-treatment, and; 3 month follow-up
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Secondary outcome [2]
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Sheehan Disability Scale 5-item (SDS), which is a measure of general disability and impairment.
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Assessment method [2]
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Timepoint [2]
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Pre-treatment; post-treatment, and; 3 month follow-up
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Secondary outcome [3]
308603
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Locus of Control of Behaviour Scale 17 items (LCBS), a measure of patients' behaviour self-efficacy
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Assessment method [3]
308603
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Timepoint [3]
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Pre-treatment; week 4 of treatment; post-treatment
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Secondary outcome [4]
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Therapy Evaluation Form 6-item (TEF), a measure of treatment expectations
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Assessment method [4]
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Timepoint [4]
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Pre-treatment; week 4 of treatment; post-treatment
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Secondary outcome [5]
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Behavioral Activation for Depression Scale 25-items (BADS), a measure of behavioural activation.
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Assessment method [5]
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Timepoint [5]
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Pre-treatment; post-treatment; 3-month follow-up
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Secondary outcome [6]
308606
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Emotion Regulation Questionnaire 10 items (ERQ), a measure of emotion regulation strategies
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Assessment method [6]
308606
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Timepoint [6]
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Pre-treatment
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Secondary outcome [7]
308607
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Cognitive Behavior Therapy Skills Questionnaire 16-items (CBTSQ), a measure of cognitive restructuring and behavioural activation skills usage.
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Assessment method [7]
308607
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Timepoint [7]
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Post-treatment
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Eligibility
Key inclusion criteria
- Self-reported difficulties with anxiety or depression.
- Internet access + Printer access
- Australian resident
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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
- Receiving concurrent CBT
- Severe symptoms of depression
- Severe depression, suicidal intent or plan (PHQ-9 total score > 23; or >2 to PHQ-9 question assessing frequency of self-harm or suicide ideation)
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Study design
Purpose of the study
Treatment
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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)
Participants apply online, followed by a telephone interview to confirm inclusion criteria.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
No randomisation will occur as this is a single-group trial
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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
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
5/06/2014
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Actual
5/06/2014
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Date of last participant enrolment
Anticipated
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Actual
4/07/2014
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Date of last data collection
Anticipated
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Actual
4/01/2015
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Sample size
Target
150
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Accrual to date
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Final
125
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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eCentreClinic, the Centre for Emotional Health (CEH), Macquarie University
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Address [1]
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eCentreClinic, The Centre For Emotional Health (CEH), Department of Psychology, Macquarie University, NSW, 2109, Australia.
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Country [1]
289333
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Australia
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Primary sponsor type
University
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Name
eCentreClinic, the Centre for Emotional Health (CEH), Macquarie University
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Address
eCentreClinic, The Centre For Emotional Health (CEH), Department of Psychology, Macquarie University, NSW, 2109, Australia.
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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]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
291106
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Macquarie University Human Research Ethics Committee
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Ethics committee address [1]
291106
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Macquarie University, NSW, 2109, Australia.
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Ethics committee country [1]
291106
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Australia
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Date submitted for ethics approval [1]
291106
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19/11/2013
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Approval date [1]
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28/11/2013
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Ethics approval number [1]
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5201300812
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Summary
Brief summary
This project is part of a research program examining the role that certain cognitions and behaviours play in mediating symptom reduction of internet-delivered cognitive behavioural therapy for depression and anxiety.
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Trial website
www.ecentreclinic.org
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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 Blake Dear
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Address
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eCentreClinic, The Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, 2109.
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Country
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Australia
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Phone
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+61 2 9850 9979
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Fax
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+61 2 9850 8062
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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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Matthew Terides
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Address
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eCentreClinic, The Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, 2109.
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Country
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Australia
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Phone
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+61 2 9850 8724
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Fax
48883
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+61 2 9850 8062
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Email
48883
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[email protected]
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Contact person for scientific queries
Name
48884
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Blake Dear
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Address
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eCentreClinic, The Centre for Emotional Health, Department of Psychology, Macquarie University, NSW, 2109.
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Country
48884
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Australia
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Phone
48884
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+61 2 9850 9979
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Fax
48884
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+61 2 9850 8062
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Email
48884
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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)?
Yes
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What data in particular will be shared?
Any non-identifiable data necessary to verify the outcomes reported in any published reports by the research team.
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When will data be available (start and end dates)?
Data will be made after any original reports have been published. There will be no end date to the availability.
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Available to whom?
Researchers working with the approval and under the governance of a Human Research Ethics Committee.
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Available for what types of analyses?
Any analyses required to verify the outcomes reported in published reports
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How or where can data be obtained?
Data will be made available following formal request to the chief investigator using a mechanism that is satisfactory for the Macquarie University Human Research Ethics Committee (providing governance for the current research) and any other Human Research Ethics Committee's involved. Data can be obtained by e-mailing the chief investigator (
[email protected]
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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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