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DEFINITIONS
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Trial registered on ANZCTR
Registration number
ACTRN12617001508369
Ethics application status
Approved
Date submitted
12/09/2017
Date registered
26/10/2017
Date last updated
25/08/2022
Date data sharing statement initially provided
27/02/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Health eLiteracy for Prevention in General Practice
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Scientific title
Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary health care
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Secondary ID [1]
292692
0
NHMRC Project Grant APP 1125681
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Universal Trial Number (UTN)
U1111-1201-0676
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Trial acronym
HeLP-GP
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Linked study record
NA
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Health condition
Health condition(s) or problem(s) studied:
Obesity
304455
0
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Low health literacy
305002
0
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Chronic disease
305003
0
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Condition category
Condition code
Diet and Nutrition
303788
303788
0
0
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Obesity
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Public Health
304324
304324
0
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 consists of:
1. Three training modules of approximately 3 hours duration. These will be offered on an on-line platform (Smart Sparrow) which is an interactive eLearning courseware used at the University of NSW. Both GPs and practice nurses will access these modules in their own time. These will focus on the principles of health literacy and clinical weight management. The modules will also overview study protocols and processes including patient enrolment , the process for conducting health assessments, registering patients with the lifestyle app (My SNAPP), and procedures to ensure patients are followed up and referred to Get Healthy telephone counselling.
2. A medical record audit of practice data performed using Doctors Control Panel (DCP) software. We will use a de-identified audit to illustrate the completeness of practice recording of risk factors and the same variables will be collected on eligible, consenting patients at baseline, 12 months and 18 months. This will be managed by the Field Research Officer (FRO) .
3. Three practice facilitation visits will be provided by a trained facilitator from a local Primary Health Network (PHN). Each face to face visit will be of 1-1.5hrs duration and provided at intervals during the 6-month intervention period. The aim of the practice facilitation is to support general practices in the intervention arm of the HeLP trial to implement effective preventive care which is tailored to the needs of, and develops the knowledge and skills of overweight patients with low health literacy. Facilitators will receive training on the delivery of the sessions and will document these using a facilitator diary.
4. A health check visit for eligible and consenting patients will be undertaken within 4 weeks of recruitment performed by the Practice Nurse. This will utilise the 5As framework (assess, advise, agree, assist and arrange) and cover the following:
Assess - Review baseline BMI, waist circumference, diet and physical activity, cardiovascular and diabetes risk, language and health literacy.
Advise/ Agree - Provide brief advice using video vignettes; check patient understanding using teach-back method; download and log into My SNAPP (an app developed for the trial available on smart phone and tablet); work with each patient to register for the app, set up their profile and instruct them on the use of the app.
Assist - Introduce the Get Healthy telephone coaching program to the patient, (outline purpose of the program and details about participation). If the patient wants to participate, ‘assisted referral’ is made to the program in the presence of the patient. Get Healthy will provide tailored patient lifestyle coaching over 10 one-hour sessions. Coaches are trained by Get Healthy to deliver coaching sessions.
Arrange - Arrange follow up communication and a second visit with the practice nurse at 6 weeks and with the GP at 12 weeks. A 12 month review will be provided by the GP.
Fidelity of the intervention will be assessed by the following measures:
• % of intervention patients who receive health check at baseline, 6 week reviews by the practice nurse and 12 week review by the GP
• Usage of My SNAPP determined by Healthy.me captured analytics (% of patients with documented goals related to lifestyle change; usage data including number of times app accessed; number of pages accessed)
• % who received ‘assisted referral to the Get Healthy telephone counselling service (English speaking/Arabic speaking)
• % of patients who take up (one or more sessions) of the Get Healthy telephone coaching program (English speaking/Arabic speaking)
• % of patients who complete the Get Healthy program (English speaking/Arabic speaking). Completion is defined as completing six of the 10 allocated sessions)
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Intervention code [1]
298936
0
Prevention
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Intervention code [2]
298937
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Lifestyle
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Intervention code [3]
299311
0
Treatment: Other
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Comparator / control treatment
Practices allocated to the control group will provide Usual Care. For the purpose of this study usual care refers to the clinical practice routinely offered to patients by the general practitioner and the practice nurse.
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Control group
Active
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Outcomes
Primary outcome [1]
303149
0
Health literacy
Health literacy assessed using the Health Literacy Questionaire (HLQ) delivered by a researcher using a telephone interview. We will assess changes between baseline, 6 and 12 months compared by group on individual validated questions from this questionnaire
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Assessment method [1]
303149
0
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Timepoint [1]
303149
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Baseline,
6 months,
12 months
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Primary outcome [2]
303150
0
eHealth literacy
eHealth literacy assessed using the e Health Literacy Scale (eHeals) delivered by a researcher using a telephone interview. The eHEALS is an 8-item measure of eHealth literacy developed to measure consumers’ combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems.
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Assessment method [2]
303150
0
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Timepoint [2]
303150
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Baseline 6 months and 12 months
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Primary outcome [3]
303151
0
Biomedical risk factors (weight, waist circumference, BMI, blood pressure) assessed through audit of clinical records
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Assessment method [3]
303151
0
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Timepoint [3]
303151
0
Baseline 6 months and 12 months
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Secondary outcome [1]
338044
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Behavioural risk factors (Daily fruit and vegetable consumption) assessed from self-reported information via telephone survey
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Assessment method [1]
338044
0
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Timepoint [1]
338044
0
Baseline
6 months
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Secondary outcome [2]
338045
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Behavioural risk factors (physical activity level) assessed from self-reported information via telephone survey
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Assessment method [2]
338045
0
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Timepoint [2]
338045
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Baseline
6 months
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Secondary outcome [3]
338046
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Total cholesterol
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Assessment method [3]
338046
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Timepoint [3]
338046
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Baseline
12 months
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Secondary outcome [4]
338047
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Health related Quality of Life (QoL) measured by the EQ-5D-5L - data collected from a telephone survey administered by a researcher.
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Assessment method [4]
338047
0
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Timepoint [4]
338047
0
Baseline
12 months
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Secondary outcome [5]
339507
0
Cost of the intervention. We will use MBS and PBS data and public hospital data from the State Health Departments to assess the cost of the intervention. The MBS, PBS and State data will capture most primary care costs. Non-charged PN visits will be assigned an hourly rate based on PN salary levels plus on-costs. Questions on patient costs in accessing lifestyle services and programs, and non-Medicare funded allied health will be included in the patient questionnaire. Cost estimates will be generated for referrals to community based programs. In the base case analysis, undertaken from a health service perspective, referrals to allied health professionals will only be costed if supported by a Medicare claim. The incremental costs of the intervention, will be presented alongside the consequences with respect to changes in quality of life (in the form of QALY gains informed by the EQ5D-5L) and differences in health literacy, behavioural outcomes, and clinical measures (BMI, blood pressure and Lipids). Deterministic and bootstrapped sensitivity analyses will be undertaken to identify key uncertain parameters and represent uncertainty around the mean estimates, respectively.
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Assessment method [5]
339507
0
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Timepoint [5]
339507
0
12 months
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Secondary outcome [6]
339641
0
Receipt of advice on smoking. Self reported via a telephone survey
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Assessment method [6]
339641
0
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Timepoint [6]
339641
0
Baseline
6 months
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Secondary outcome [7]
339642
0
Receipt of advice on diet. Self reported via a telephone survey
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Assessment method [7]
339642
0
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Timepoint [7]
339642
0
Baseline
6 months
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Secondary outcome [8]
339643
0
Receipt of advice on physical activity Self reported via a telephone survey
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Assessment method [8]
339643
0
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Timepoint [8]
339643
0
Baseline
6 months
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Secondary outcome [9]
339644
0
Receipt of advice on weight management Self reported via a telephone survey
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Assessment method [9]
339644
0
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Timepoint [9]
339644
0
Baseline
6 months
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Eligibility
Key inclusion criteria
Situated in Local Government Areas (LGAs) with a SEIFA score equal to or below the 8th decile
• Using Medical Director PracSoft or Best Practice software and allocate patients to individual GPs within this software
• Agree to the use of Doctors Control Panel (DCP) linked with their software to identify eligible patients for the study
• Have access to an active internet connection
• Have at least one practice nurse who is prepared to conduct the HeLP intervention with eligible patients and complete data management relating to these patients
• Agree to provide GP follow up health checks to participating patients at 12 weeks and 12 month time points
• Can make their reception staff available to distribute study materials to potential study participants as they present to the practice
Patients:
• Aged 40-74 years and living in postcodes of interest
• Overweight or obese (BMI=/> 28 recorded in last 12 months)
• Speaking English/Arabic/Chinese/Vietnamese
• With BP recorded in the clinical software within the previous 12 months
• With access to a smart phone or tablet device
• No diagnosis of serious mental illness
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Minimum age
40
Years
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Maximum age
74
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
Practices:
Unwilling or unable to make the commitment to undertake the study tasks
Patients:
• Experiencing recent weight loss (>5% in past 3mths)
• Cognitive impairment (assessed by clinicians)
• Physical impairment prohibiting the patient from undertaking moderate level physical activity
A diagnosis of Diabetes requiring insulin
• A diagnosis of Cardiovascular disease
• Taking medication for weight loss
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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)
Eligible practices will centrally randomised using a external internet based randomisation service (randomize.net)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted block randomisation stratified according to State (NSW/SA) and size of practice (under 5 GPs and 5+GPs)
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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
We will examine change in outcomes between intervention and control practices, after adjusting for baseline differences. Analyses will be on an Intention-to-Treat (ITT) basis. We will analyse patient variables (health literacy, e-health literacy, risk behaviour, health service use, BP, total cholesterol,quality of life) for within and between practice differences using multilevel linear and logistic regression techniques that adjust for clustering by practice and multiple imputation for missing values.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
21/03/2018
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Actual
1/10/2018
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Date of last participant enrolment
Anticipated
1/10/2019
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Actual
20/01/2020
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Date of last data collection
Anticipated
30/04/2021
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Actual
7/01/2021
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Sample size
Target
1600
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Accrual to date
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Final
317
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Recruitment in Australia
Recruitment state(s)
NSW,SA
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Recruitment postcode(s) [1]
16984
0
2200 - Bankstown
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Recruitment postcode(s) [2]
16985
0
2165 - Fairfield
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Recruitment postcode(s) [3]
16986
0
2560 - Campbelltown
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Recruitment postcode(s) [4]
16987
0
2193 - Canterbury
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Recruitment postcode(s) [5]
16989
0
5108 - Salisbury
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Recruitment postcode(s) [6]
16994
0
5015 - Port Adelaide
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Recruitment postcode(s) [7]
16995
0
5085 - Enfield
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Recruitment postcode(s) [8]
16996
0
5112 - Elizabeth
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Recruitment postcode(s) [9]
16999
0
2133 - Croydon Park
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Recruitment postcode(s) [10]
17000
0
2193 - Ashbury
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Recruitment postcode(s) [11]
17001
0
2194 - Campsie
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Recruitment postcode(s) [12]
17002
0
2191 - Belfield
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Recruitment postcode(s) [13]
17003
0
2206 - Clemton Park
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Recruitment postcode(s) [14]
17004
0
2193 - Hurlstone Park
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Recruitment postcode(s) [15]
17005
0
2206 - Earlwood
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Recruitment postcode(s) [16]
17006
0
2176 - Abbotsbury
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Recruitment postcode(s) [17]
17007
0
2177 - Bonnyrigg
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Recruitment postcode(s) [18]
17008
0
2177 - Bonnyrigg Heights
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Recruitment postcode(s) [19]
17009
0
2176 - Bossley Park
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Recruitment postcode(s) [20]
17010
0
2166 - Cabramatta
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Recruitment postcode(s) [21]
17011
0
2166 - Cabramatta West
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Recruitment postcode(s) [22]
17012
0
2166 - Canley Heights
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Recruitment postcode(s) [23]
17013
0
2166 - Canley Vale
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Recruitment postcode(s) [24]
17014
0
2163 - Carramar
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Recruitment postcode(s) [25]
17015
0
2178 - Cecil Park
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Recruitment postcode(s) [26]
17016
0
2176 - Edensor Park
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Recruitment postcode(s) [27]
17017
0
2165 - Fairfield East
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Recruitment postcode(s) [28]
17018
0
2165 - Fairfield Heights
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Recruitment postcode(s) [29]
17019
0
2165 - Fairfield West
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Recruitment postcode(s) [30]
17020
0
2176 - Greenfield Park
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Recruitment postcode(s) [31]
17021
0
2161 - Guildford
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Recruitment postcode(s) [32]
17022
0
2175 - Horsley Park
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Recruitment postcode(s) [33]
17023
0
2166 - Lansvale
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Recruitment postcode(s) [34]
17024
0
2170 - Mount Pritchard
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Recruitment postcode(s) [35]
17025
0
2161 - Old Guildford
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Recruitment postcode(s) [36]
17026
0
2176 - Prairiewood
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Recruitment postcode(s) [37]
17027
0
2164 - Smithfield
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Recruitment postcode(s) [38]
17028
0
2176 - St Johns Park
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Recruitment postcode(s) [39]
17029
0
2163 - Villawood
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Recruitment postcode(s) [40]
17030
0
2176 - Wakeley
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Recruitment postcode(s) [41]
17031
0
2164 - Wetherill Park
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Recruitment postcode(s) [42]
17032
0
2161 - Yennora
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Recruitment postcode(s) [43]
17033
0
2200 - Bankstown Aerodrome
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Recruitment postcode(s) [44]
17034
0
2200 - Bankstown North
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Recruitment postcode(s) [45]
17035
0
2200 - Bankstown Square
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Recruitment postcode(s) [46]
17036
0
2197 - Bass Hill
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Recruitment postcode(s) [47]
17037
0
2143 - Birrong
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Recruitment postcode(s) [48]
17038
0
2162 - Chester Hill
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Recruitment postcode(s) [49]
17039
0
2190 - Chullora
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Recruitment postcode(s) [50]
17040
0
2200 - Condell Park
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Recruitment postcode(s) [51]
17041
0
2213 - East Hills
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Recruitment postcode(s) [52]
17042
0
2198 - Georges Hall
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Recruitment postcode(s) [53]
17043
0
2190 - Greenacre
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Recruitment postcode(s) [54]
17044
0
2163 - Lansdowne
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Recruitment postcode(s) [55]
17045
0
2200 - Manahan
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Recruitment postcode(s) [56]
17046
0
2214 - Milperra
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Recruitment postcode(s) [57]
17047
0
2190 - Mount Lewis
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Recruitment postcode(s) [58]
17048
0
2211 - Padstow
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Recruitment postcode(s) [59]
17049
0
2211 - Padstow Heights
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Recruitment postcode(s) [60]
17050
0
2213 - Panania
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Recruitment postcode(s) [61]
17051
0
2213 - Picnic Point
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Recruitment postcode(s) [62]
17052
0
2143 - Potts Hill
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Recruitment postcode(s) [63]
17053
0
2196 - Punchbowl
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Recruitment postcode(s) [64]
17054
0
2143 - Regents Park
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Recruitment postcode(s) [65]
17055
0
2212 - Revesby
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Recruitment postcode(s) [66]
17056
0
2212 - Revesby Heights
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Recruitment postcode(s) [67]
17057
0
2212 - Revesby North
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Recruitment postcode(s) [68]
17058
0
2162 - Sefton
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Recruitment postcode(s) [69]
17059
0
2135 - Strathfield
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Recruitment postcode(s) [70]
17060
0
2136 - Strathfield South
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Recruitment postcode(s) [71]
17061
0
2199 - Yagoona
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Recruitment postcode(s) [72]
17062
0
2199 - Yagoona West
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Recruitment postcode(s) [73]
17063
0
2560 - Airds
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Recruitment postcode(s) [74]
17064
0
2560 - Ambarvale
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Recruitment postcode(s) [75]
17065
0
2560 - Blair Athol
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Recruitment postcode(s) [76]
17066
0
2559 - Blairmount
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Recruitment postcode(s) [77]
17067
0
2566 - Bow Bowing
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Recruitment postcode(s) [78]
17068
0
2560 - Bradbury
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Recruitment postcode(s) [79]
17069
0
2560 - Campbelltown North
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Recruitment postcode(s) [80]
17070
0
2559 - Claymore
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Recruitment postcode(s) [81]
17071
0
2565 - Denham Court
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Recruitment postcode(s) [82]
17072
0
2558 - Eagle Vale
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Recruitment postcode(s) [83]
17073
0
2560 - Englorie Park
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Recruitment postcode(s) [84]
17074
0
2558 - Eschol Park
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Recruitment postcode(s) [85]
17075
0
2560 - Gilead
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Recruitment postcode(s) [86]
17156
0
2560 - Glen Alpine
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Recruitment postcode(s) [87]
17157
0
2167 - Glenfield
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Recruitment postcode(s) [88]
17158
0
2564 - Glenquarie
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Recruitment postcode(s) [89]
17159
0
2565 - Ingleburn
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Recruitment postcode(s) [90]
17160
0
2174 - Ingleburn Milpo
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Recruitment postcode(s) [91]
17161
0
2558 - Kearns
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Recruitment postcode(s) [92]
17162
0
2560 - Kentlyn
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Recruitment postcode(s) [93]
17163
0
2179 - Leppington
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Recruitment postcode(s) [94]
17164
0
2560 - Leumeah
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Recruitment postcode(s) [95]
17165
0
2564 - Long Point
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Recruitment postcode(s) [96]
17166
0
2565 - Macquarie Links
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Recruitment postcode(s) [97]
17167
0
2564 - Macquarie Fields
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Recruitment postcode(s) [98]
17168
0
2563 - Menangle Park
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Recruitment postcode(s) [99]
17169
0
2566 - Minto
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Recruitment postcode(s) [100]
17170
0
2566 - Minto Heights
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Recruitment postcode(s) [101]
17171
0
2566 - Raby
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Recruitment postcode(s) [102]
17172
0
2560 - Rosemeadow
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Recruitment postcode(s) [103]
17173
0
2560 - Ruse
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Recruitment postcode(s) [104]
17174
0
2560 - St Helens Park
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Recruitment postcode(s) [105]
17175
0
2566 - St Andrews
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Recruitment postcode(s) [106]
17176
0
2566 - Varroville
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Recruitment postcode(s) [107]
17177
0
2560 - Wedderburn
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Recruitment postcode(s) [108]
17178
0
2560 - Woodbine
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Recruitment postcode(s) [109]
17179
0
5110 - Waterloo Corner
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Recruitment postcode(s) [110]
17180
0
5112 - Elizabeth East
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Recruitment postcode(s) [111]
17181
0
5112 - Elizabeth Grove
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Recruitment postcode(s) [112]
17182
0
5112 - Elizabeth South
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Recruitment postcode(s) [113]
17183
0
5112 - Elizabeth Vale
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Recruitment postcode(s) [114]
17184
0
5112 - Hillbank
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Recruitment postcode(s) [115]
17185
0
5113 - Davoren Park
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Recruitment postcode(s) [116]
17186
0
5113 - Elizabeth Downs
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Recruitment postcode(s) [117]
17187
0
5113 - Elizabeth North
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Recruitment postcode(s) [118]
17188
0
5113 - Elizabeth Park
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Recruitment postcode(s) [119]
17189
0
5113 - Elizabeth West
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Recruitment postcode(s) [120]
17190
0
5114 - Andrews Farm
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Recruitment postcode(s) [121]
17191
0
5114 - Blakeview
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Recruitment postcode(s) [122]
17192
0
5114 - Craigmore
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Recruitment postcode(s) [123]
17193
0
5114 - Gould Creek
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Recruitment postcode(s) [124]
17194
0
5114 - Humbug Scrub
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Recruitment postcode(s) [125]
17195
0
5114 - One Tree Hill
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Recruitment postcode(s) [126]
17196
0
5114 - Smithfield
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Recruitment postcode(s) [127]
17197
0
5114 - Smithfield Plains
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Recruitment postcode(s) [128]
17198
0
5114 - Uleybury
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Recruitment postcode(s) [129]
17199
0
5114 - Yattalunga
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Recruitment postcode(s) [130]
17200
0
5115 - Munno Para
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Recruitment postcode(s) [131]
17201
0
5115 - Munno Para Downs
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Recruitment postcode(s) [132]
17202
0
5115 - Munno Para West
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Recruitment postcode(s) [133]
17203
0
5116 - Hillier
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Recruitment postcode(s) [134]
17204
0
5117 - Angle Vale
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Recruitment postcode(s) [135]
17205
0
5118 - Bibaringa
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Recruitment postcode(s) [136]
17206
0
5120 - Virginia
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Recruitment postcode(s) [137]
17207
0
5121 - Macdonald Park
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Recruitment postcode(s) [138]
17208
0
5121 - Penfield
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Recruitment postcode(s) [139]
17209
0
5121 - Penfield Gardens
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Recruitment postcode(s) [140]
17210
0
5008 - Croydon Park
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Recruitment postcode(s) [141]
17211
0
5008 - Devon Park
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Recruitment postcode(s) [142]
17212
0
5008 - Dudley Park
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Recruitment postcode(s) [143]
17213
0
5010 - Angle Park
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Recruitment postcode(s) [144]
17214
0
5010 - Ferryden Park
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Recruitment postcode(s) [145]
17215
0
5010 - Regency Park
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Recruitment postcode(s) [146]
17216
0
5012 - Mansfield Park
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Recruitment postcode(s) [147]
17217
0
5012 - Woodville Gardens
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Recruitment postcode(s) [148]
17218
0
5013 - Ottoway
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Recruitment postcode(s) [149]
17219
0
5013 - Rosewater
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Recruitment postcode(s) [150]
17220
0
5013 - Wingfield
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Recruitment postcode(s) [151]
17221
0
5014 - Alberton
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Recruitment postcode(s) [152]
17222
0
5014 - Queenstown
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Recruitment postcode(s) [153]
17223
0
5015 - Birkenhead
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Recruitment postcode(s) [154]
17224
0
5015 - Ethelton
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Recruitment postcode(s) [155]
17225
0
5015 - Glanville
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Recruitment postcode(s) [156]
17226
0
5015 - New Port
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Recruitment postcode(s) [157]
17227
0
5016 - Largs Bay
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Recruitment postcode(s) [158]
17228
0
5016 - Largs North
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Recruitment postcode(s) [159]
17229
0
5016 - Peterhead
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Recruitment postcode(s) [160]
17230
0
5017 - Osborne
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Recruitment postcode(s) [161]
17231
0
5017 - Taperoo
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Recruitment postcode(s) [162]
17232
0
5018 - North Haven
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Recruitment postcode(s) [163]
17233
0
5018 - Outer Harbor
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Recruitment postcode(s) [164]
17234
0
5019 - Exeter
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Recruitment postcode(s) [165]
17235
0
5019 - Semaphore
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Recruitment postcode(s) [166]
17236
0
5019 - Semaphore South
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Recruitment postcode(s) [167]
17237
0
5075 - Dernancourt
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Recruitment postcode(s) [168]
17240
0
5084 - Blair Athol
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Recruitment postcode(s) [169]
17241
0
5084 - Kilburn
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Recruitment postcode(s) [170]
17242
0
5085 - Clearview
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Recruitment postcode(s) [171]
17243
0
5085 - Northfield
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Recruitment postcode(s) [172]
17244
0
5085 - Northgate
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Recruitment postcode(s) [173]
17245
0
5086 - Gilles Plains
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Recruitment postcode(s) [174]
17246
0
5086 - Greenacres
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Recruitment postcode(s) [175]
17247
0
5086 - Hampstead Gardens
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Recruitment postcode(s) [176]
17248
0
5086 - Hillcrest
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Recruitment postcode(s) [177]
17249
0
5086 - Manningham
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Recruitment postcode(s) [178]
17250
0
5086 - Oakden
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Recruitment postcode(s) [179]
17251
0
5087 - Klemzig
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Recruitment postcode(s) [180]
17252
0
5087 - Windsor Gardens
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Recruitment postcode(s) [181]
17253
0
5088 - Holden Hill
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Recruitment postcode(s) [182]
17254
0
5093 - Valley View
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Recruitment postcode(s) [183]
17255
0
5094 - Dry Creek
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Recruitment postcode(s) [184]
17256
0
5094 - Gepps Cross
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Recruitment postcode(s) [185]
17257
0
5098 - Walkley Heights
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Recruitment postcode(s) [186]
17258
0
5093 - Para Vista
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Recruitment postcode(s) [187]
17259
0
5095 - Mawson Lakes
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Recruitment postcode(s) [188]
17260
0
5095 - Pooraka
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Recruitment postcode(s) [189]
17261
0
5096 - Gulfview Heights
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Recruitment postcode(s) [190]
17262
0
5096 - Para Hills
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Recruitment postcode(s) [191]
17263
0
5096 - Para Hills West
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Recruitment postcode(s) [192]
17264
0
5098 - Ingle Farm
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Recruitment postcode(s) [193]
17265
0
5106 - Parafield
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Recruitment postcode(s) [194]
17266
0
5106 - Salisbury South
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Recruitment postcode(s) [195]
17267
0
5107 - Green Fields
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Recruitment postcode(s) [196]
17268
0
5107 - Parafield Gardens
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Recruitment postcode(s) [197]
17269
0
5108 - Paralowie
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Recruitment postcode(s) [198]
17270
0
5108 - Salisbury Downs
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Recruitment postcode(s) [199]
17271
0
5108 - Salisbury North
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Recruitment postcode(s) [200]
17272
0
5109 - Brahma Lodge
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Recruitment postcode(s) [201]
17273
0
5109 - Salisbury East
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Recruitment postcode(s) [202]
17274
0
5109 - Salisbury Heights
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Recruitment postcode(s) [203]
17275
0
5109 - Salisbury Park
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Recruitment postcode(s) [204]
17276
0
5109 - Salisbury Plain
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Recruitment postcode(s) [205]
17277
0
5110 - Bolivar
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Recruitment postcode(s) [206]
17278
0
5110 - Burton
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Recruitment postcode(s) [207]
17279
0
5110 - Globe Derby Park
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Recruitment postcode(s) [208]
17280
0
5111 - Edinburgh
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Recruitment postcode(s) [209]
17288
0
2560 - Macarthur Square
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Recruitment postcode(s) [210]
17290
0
5120 - Buckland Park
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Recruitment postcode(s) [211]
17694
0
2168 - Ashcroft
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Recruitment postcode(s) [212]
17695
0
2179 - Austral
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Recruitment postcode(s) [213]
17696
0
2555 - Badgerys Creek
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Recruitment postcode(s) [214]
17697
0
2556 - Bringelly
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Recruitment postcode(s) [215]
17698
0
2168 - Busby
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Recruitment postcode(s) [216]
17699
0
2171 - Carnes Hill
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Recruitment postcode(s) [217]
17700
0
2168 - Cartwright
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Recruitment postcode(s) [218]
17701
0
2170 - Casula Mall
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Recruitment postcode(s) [219]
17702
0
2171 - Cecil Hills
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Recruitment postcode(s) [220]
17703
0
2170 - Chipping Norton
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Recruitment postcode(s) [221]
17704
0
2174 - Edmondson Park
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Recruitment postcode(s) [222]
17705
0
2168 - Green Valley
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Recruitment postcode(s) [223]
17706
0
2745 - Greendale
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Recruitment postcode(s) [224]
17707
0
2170 - Hammondville
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Recruitment postcode(s) [225]
17708
0
2168 - Heckenberg
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Recruitment postcode(s) [226]
17709
0
2168 - Hinchinbrook
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Recruitment postcode(s) [227]
17710
0
2173 - Holsworthy
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Recruitment postcode(s) [228]
17711
0
2171 - Horningsea Park
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Recruitment postcode(s) [229]
17712
0
2171 - Hoxton Park
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Recruitment postcode(s) [230]
17714
0
2178 - Kemps Creek
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Recruitment postcode(s) [231]
17715
0
2170 - Liverpool
Query!
Recruitment postcode(s) [232]
17716
0
2170 - Liverpool South
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Recruitment postcode(s) [233]
17717
0
2170 - Liverpool Westfield
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Recruitment postcode(s) [234]
17718
0
2745 - Luddenham
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Recruitment postcode(s) [235]
17719
0
2170 - Lurnea
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Recruitment postcode(s) [236]
17720
0
2168 - Miller
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Recruitment postcode(s) [237]
17721
0
2170 - Moorebank
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Recruitment postcode(s) [238]
17722
0
2172 - Pleasure Point
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Recruitment postcode(s) [239]
17723
0
2170 - Prestons
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Recruitment postcode(s) [240]
17724
0
2557 - Rossmore
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Recruitment postcode(s) [241]
17725
0
2168 - Sadleir
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Recruitment postcode(s) [242]
17726
0
2170 - Warwick Farm
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Recruitment postcode(s) [243]
17727
0
2172 - Voyager Point
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Recruitment postcode(s) [244]
17728
0
2745 - Wallacia
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Recruitment postcode(s) [245]
17729
0
2173 - Wattle Grove
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Recruitment postcode(s) [246]
17730
0
2171 - West Hoxton
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Recruitment postcode(s) [247]
17731
0
2170 - Casula
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Recruitment postcode(s) [248]
17732
0
2171 - Middleton Grange
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Recruitment postcode(s) [249]
17733
0
2850 - Cross Roads
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Recruitment postcode(s) [250]
17734
0
5047 - Darlington
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Recruitment postcode(s) [251]
17735
0
5051 - Coromandel Valley
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Recruitment postcode(s) [252]
17736
0
5153 - Ironbank
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Recruitment postcode(s) [253]
17737
0
5157 - Cherry Gardens
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Recruitment postcode(s) [254]
17738
0
5157 - Clarendon
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Recruitment postcode(s) [255]
17739
0
5157 - Coromandel East
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Recruitment postcode(s) [256]
17740
0
5157 - Kangarilla
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Recruitment postcode(s) [257]
17741
0
5158 - O'halloran Hill
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Recruitment postcode(s) [258]
17742
0
5159 - Aberfoyle Park
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Recruitment postcode(s) [259]
17743
0
5159 - Chandlers Hill
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Recruitment postcode(s) [260]
17744
0
5159 - Flagstaff Hill
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Recruitment postcode(s) [261]
17745
0
5159 - Happy Valley
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Recruitment postcode(s) [262]
17746
0
5160 - Lonsdale
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Recruitment postcode(s) [263]
17747
0
5161 - Old Reynella
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Recruitment postcode(s) [264]
17748
0
5161 - Reynella
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Recruitment postcode(s) [265]
17749
0
5161 - Reynella East
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Recruitment postcode(s) [266]
17750
0
5162 - Morphett Vale
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Recruitment postcode(s) [267]
17751
0
5162 - Woodcroft
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Recruitment postcode(s) [268]
17752
0
5163 - Hackham
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Recruitment postcode(s) [269]
17753
0
5163 - Hackham West
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Recruitment postcode(s) [270]
17754
0
5163 - Huntfield Heights
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Recruitment postcode(s) [271]
17755
0
5164 - Christie Downs
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Recruitment postcode(s) [272]
17756
0
5165 - Christies Beach
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Recruitment postcode(s) [273]
17757
0
5166 - O'sullivan Beach
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Recruitment postcode(s) [274]
17758
0
5167 - Port Noarlunga
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Recruitment postcode(s) [275]
17759
0
5167 - Port Noarlunga South
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Recruitment postcode(s) [276]
17760
0
5168 - Noarlunga Centre
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Recruitment postcode(s) [277]
17761
0
5168 - Noarlunga Downs
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Recruitment postcode(s) [278]
17762
0
5168 - Old Noarlunga
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Recruitment postcode(s) [279]
17763
0
5169 - Moana
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Recruitment postcode(s) [280]
17764
0
5169 - Seaford
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Recruitment postcode(s) [281]
17765
0
5169 - Seaford Meadows
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Recruitment postcode(s) [282]
17766
0
5169 - Seaford Rise
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Recruitment postcode(s) [283]
17767
0
5170 - Maslin Beach
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Recruitment postcode(s) [284]
17768
0
5171 - Blewitt Springs
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Recruitment postcode(s) [285]
17769
0
5171 - Mclaren Flat
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Recruitment postcode(s) [286]
17770
0
5171 - Mclaren Vale
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Recruitment postcode(s) [287]
17771
0
5171 - Tatachilla
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Recruitment postcode(s) [288]
17772
0
5172 - Whites Valley
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Recruitment postcode(s) [289]
17773
0
5172 - Willunga
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Recruitment postcode(s) [290]
17774
0
5172 - Willunga South
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Recruitment postcode(s) [291]
17775
0
5173 - Aldinga
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Recruitment postcode(s) [292]
17776
0
5173 - Aldinga Beach
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Recruitment postcode(s) [293]
17777
0
5173 - Port Willunga
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Recruitment postcode(s) [294]
17778
0
5174 - Sellicks Beach
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Recruitment postcode(s) [295]
17779
0
5174 - Sellicks Hill
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Recruitment postcode(s) [296]
17780
0
5007 - Bowden
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Recruitment postcode(s) [297]
17781
0
5007 - Brompton
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Recruitment postcode(s) [298]
17782
0
5007 - Hindmarsh
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Recruitment postcode(s) [299]
17783
0
5007 - Welland
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Recruitment postcode(s) [300]
17784
0
5007 - West Hindmarsh
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Recruitment postcode(s) [301]
17785
0
5008 - Renown Park
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Recruitment postcode(s) [302]
17786
0
5008 - Ridleyton
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Recruitment postcode(s) [303]
17787
0
5008 - West Croydon
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Recruitment postcode(s) [304]
17788
0
5009 - Allenby Gardens
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Recruitment postcode(s) [305]
17789
0
5009 - Beverley
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Recruitment postcode(s) [306]
17790
0
5009 - Kilkenny
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Recruitment postcode(s) [307]
17791
0
5011 - Woodville
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Recruitment postcode(s) [308]
17792
0
5011 - Woodville Park
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Recruitment postcode(s) [309]
17793
0
5011 - Woodville South
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Recruitment postcode(s) [310]
17794
0
5011 - Woodville West
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Recruitment postcode(s) [311]
17795
0
5012 - Athol Park
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Recruitment postcode(s) [312]
17805
0
5013 - Pennington
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Recruitment postcode(s) [313]
17812
0
5014 - Albert Park
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Funding & Sponsors
Funding source category [1]
297334
0
Government body
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Name [1]
297334
0
National Health and Medical Research Council (NHMRC)
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Address [1]
297334
0
GPO Box 1421
Canberra ACT 2601
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Country [1]
297334
0
Australia
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Primary sponsor type
University
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Name
The University of NSW
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Address
UNSW Sydney, NSW 2052
Australia
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Country
Australia
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Secondary sponsor category [1]
296307
0
None
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Name [1]
296307
0
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Address [1]
296307
0
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Country [1]
296307
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
298435
0
University of NSW HREC
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Ethics committee address [1]
298435
0
UNSW Sydney High St Kensington, NSW 2052 Australia
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Ethics committee country [1]
298435
0
Australia
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Date submitted for ethics approval [1]
298435
0
31/05/2017
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Approval date [1]
298435
0
27/07/2017
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Ethics approval number [1]
298435
0
HC17474
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Summary
Brief summary
Being overweight or obese increases the chance of a person developing chronic conditions such as diabetes and heart disease. This study aims to help these people find and use relevant health information to improve their diet, increase the amount of physical activity they do, and generally improve their health, thereby preventing the development of chronic disease. We are conducting this study in general practice because most Australians routinely visit their general practitioner (GP). We will be supporting GPs and practice nurses (PNs) to provide a smart phone/tablett app (SNAPP) that will allow each person to monitor aspects of their health like their weight, blood pressure and cholesterol and to track changes in these over time. Each person will receive individualised information, advice and support that will help them to set some achievable goals around lifestyle change. Each person will also be offered ten sessions of confidential telephone based counseling over a three month period. Nurses will guide this process and make assisted referrals for patients so they can access the help they want. Our research has shown a need for this type of program and previous results suggest that these programs can create lasting health benefits. This study aims to provide a non- judgemental approach and provide the assistance and advice needed to improve motivation, to stay on track and achieve individual goals. The aim of this study is to evaluate the implementation and effectiveness of a primary care based preventive care intervention. The intervention is tailored to the needs of, and develops the knowledge and skills of overweight or obese patients with low health literacy. The overarching research question is: Can an eHealth intervention tailored to low health literacy and targeted at overweight and obese individuals from general practice change: a) Patients general health literacy and eHealth literacy? b) Physiological risk factors? c) Lifestyle behaviours – smoking diet, alcohol and physical activity? d) The preventive care they receive in general practice from GPs and PNs and their adherence to planned care? PRIMARY HYPOTHESES: 1. Compared to those attending control general practices, overweight or obese patients who attend intervention practices will, at 6 and 12 months: a) Increase health literacy related to preventive care by 10% at 6 and 12 months b) Increased self-reported physical activity and daily fruit and vegetable intake by 10% at 6 and 12 months c) Decrease physiological risk factors by 7%: weight, blood pressure, at 12 months These changes will be greater for intervention group patients with lower than those with higher health literacy.
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Trial website
NA
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Trial related presentations / publications
NA
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Public notes
This is a cluster randomised controlled trial We aim to recruit 40 practices (20 in each arm) and 1600 patients belonging to those practices (800 each arm). The target numbers refer to patients and not practices. We are targeting 5 LGAs in NSW (Canterbury, Liverpool, Fairfield, Bankstown and Campbelltown) and 5 LGAs in Adelaide (Playford, Port Adelaide/Enfield, Onkaparinga, Charles Sturt and Salisbury).
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Contacts
Principal investigator
Name
77078
0
Prof Mark Harris
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Address
77078
0
Centre for Primary Health Care and Equity
Level 3 AGSM
University of NSW, Randwick 2052
Australia
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Country
77078
0
Australia
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Phone
77078
0
+ 61 2 9385 8384
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Fax
77078
0
+61 2 93851513
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Email
77078
0
[email protected]
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Contact person for public queries
Name
77079
0
Sharon Parker
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Address
77079
0
Centre for Primary Health Care and Equity
Level 3 AGSM
University of NSW, Randwick 2052
Australia
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Country
77079
0
Australia
Query!
Phone
77079
0
+ 61 2 9385 8384
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Fax
77079
0
+61 2 93851513
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Email
77079
0
[email protected]
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Contact person for scientific queries
Name
77080
0
Mark Harris
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Address
77080
0
Centre for Primary Health Care and Equity
Level 3 AGSM
University of NSW, Randwick 2052
Australia
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Country
77080
0
Australia
Query!
Phone
77080
0
+ 61 2 9385 8384
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Fax
77080
0
+61 2 93851513
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Email
77080
0
[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?
Study protocol
Analysis plan
Metadata for all publications
Query!
When will data be available (start and end dates)?
For verification of published results: immediately following publication
For new analysis: 12 months after the trial has concluded
Data will be available 5 years from the publication of the main trial outcomes
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Available to whom?
Determined at the time of request if approved within Ethics approval and within terms of funding
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Available for what types of analyses?
To be determined at the time of proposal (see above)
Query!
How or where can data be obtained?
By contacting the Chief Investigator by email
[email protected]
Query!
What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
17027
Study protocol
Parker SM, Stocks N, Nutbeam D, et al. Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: protocol for a cluster randomised controlled trial. BMJ Open 2018;8(e023239) doi: 10.1136/bmjopen-2018-023239
[email protected]
17028
Ethical approval
[email protected]
17029
Other
[email protected]
Study reports prepared for the participants in the...
[
More Details
]
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
Preventing chronic disease in patients with low health literacy using eHealth and teamwork in primary healthcare: Protocol for a cluster randomised controlled trial.
2018
https://dx.doi.org/10.1136/bmjopen-2018-023239
Embase
Preventing chronic disease in overweight and obese patients with low health literacy using eHealth and teamwork in primary healthcare (HeLP-GP): A cluster randomised controlled trial.
2022
https://dx.doi.org/10.1136/bmjopen-2021-060393
N.B. These documents automatically identified may not have been verified by the study sponsor.
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