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Trial registered on ANZCTR
Registration number
ACTRN12624000298516
Ethics application status
Approved
Date submitted
7/02/2024
Date registered
21/03/2024
Date last updated
21/03/2024
Date data sharing statement initially provided
21/03/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
Nutritional and botanical support for fatigue in burnout: A randomised controlled pilot and feasibility study
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Scientific title
Nutritional and botanical support for fatigue in adults with burnout: A randomised controlled pilot and feasibility study
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Secondary ID [1]
311366
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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:
Burnout
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Condition category
Condition code
Alternative and Complementary Medicine
329340
329340
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0
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Other alternative and complementary medicine
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Mental Health
329341
329341
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0
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Other mental health disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention consists of one botanical and nutritional preparation (2 capsules AM) and one nutritional supplement (1 scoop powder PM) or their active controls.
Duration 8 weeks.
Give Back Health RejuveGen AUST L 396075. Oral hard capsule (size OOel vegecap) with grey-green powder. Dose is two capsules every morning. Each capsule contains Astragalus membranaceus root 200 mg (Equivalent Astragalus membranaceus (Dry) 2 g); Bacopa monnieri whole plant 200 mg (Equivalent: Bacopa monnieri (Dry) 4 g); nicotinamide riboside chloride 50 mg
(Equivalent: ribose 25.82 mg); Panax ginseng root 100 mg (Equivalent: Panax ginseng (Dry) 400 mg); quercetin dihydrate 125 mg; Scutellaria baicalensis root 100 mg (Equivalent: Scutellaria baicalensis (Dry) 2 g).
Give Back Health MagRelax AUST L 375975. Oral powder (white) where dose is one scoop of a powder (5.3 g) per day which contains 350 mg of magnesium as magnesium citrate plus 3.0 grams L-glycine. Mix one included scoop (5.3 gram) with water and consume immediately. Take 30 mins before bed.
Adherence to the intervention will be monitored by return of all supplement bottles/containers at each clinic visit.
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Intervention code [1]
327869
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Treatment: Drugs
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Comparator / control treatment
The comparator consists of one nutritional supplement (2 capsules AM) and one nutritional supplement (1 scoop powder PM).
Duration 8 weeks.
Give Back Health Immunity Plus AUST L 370572. Oral hard capsule (size O vegecap) with white powder. Dose is two capsules every morning. Each capsule contains ascorbic acid 250 mg; colecalciferol .0125 mg; zinc citrate dihydrate 15.58 mg (Equivalent: zinc 5 mg).
Adherence to comparator will be monitored by return of all supplement bottles/containers at each clinic visit.
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Control group
Active
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Outcomes
Primary outcome [1]
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Feasibility as a composite of three measures
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Assessment method [1]
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Feasibily will be assessed as a composite of: i) the ability to recruit sufficient numbers of eligible participants; ii) the timely completion of the supplements; iii) the acceptability of the interventions to the participants and the success of blinding of group allocation
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Timepoint [1]
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i) Data will be collected and reported on the numbers of applicants through the whole screening, enrolling and consenting processes
ii) Compliance with the protocol will be checked through collecting and counting discarded products after the bottle exchanges at Study Clinic 2 (Week 4) and Study Clinic 3 (Week 8). iii) At the end of the supplementation phase clinic interview in Week 8.
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Primary outcome [2]
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Safety of the interventions as a composite of two measures.
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Assessment method [2]
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Safety of the interventions will be measured as a composite of: i) blood tests (full blood count (FBC), urea, electrolytes creatinine (UEC), and liver function test (LFT); and ii) adverse events monitoring.
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Timepoint [2]
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i) Blood tests will be taken within 72 hours after Baseline and within 72 hours after completion of supplements in Week 8
ii) Participants will also be encouraged to report any untoward event directly to the Clinical Trial Co-ordinator or the Chief Investigator. All adverse events associated with this study will be recorded and reported in the Client Report Form. During the trial, any adverse event that may have occured will also be recorded at Study Clinic 2 (Week 4), Study Clinic 3 (Week 8) and follow up (Week 10).
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Secondary outcome [1]
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Burnout (composite)
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Assessment method [1]
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The total score of the Sydney Burnout Measure (SBM) will be used.
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Timepoint [1]
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Baseline, week 4, week 8 after commencement of the interventions, and follow-up at week 10.
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Secondary outcome [2]
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Mental wellbeing
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Assessment method [2]
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Warwick-Edinburgh Mental Well-being Scale (WEMWBS).
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Timepoint [2]
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Baseline, week 4, week 8 after commencement of the interventions, and follow-up at week 10.
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Secondary outcome [3]
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Stress
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Assessment method [3]
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Perceived Stress Scale (PSS-10)
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Timepoint [3]
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Baseline, week 4, week 8 after commencement of the interventions, and follow-up at week 10.
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Secondary outcome [4]
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Fatigue
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Assessment method [4]
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Fatigue Severity Scale (FSS)
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Timepoint [4]
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Baseline, week 4, week 8 after commencement of the interventions, and follow-up at week 10.
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Secondary outcome [5]
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Patient reported outcomes
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Assessment method [5]
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Patient Specific Scale (PSS)
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Timepoint [5]
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Baseline, week 4, week 8 after commencement of the interventions, and follow-up at week 10.
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Eligibility
Key inclusion criteria
• Currently experiencing burnout, as indicated by a score of 50 or higher on the Sydney Burnout Measure (SBM)
• Read, speak, and understand the English language
• Have access to the internet on a computer or smartphone
• Otherwise healthy
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
• People with diagnosed depression, anxiety, schizophrenia, chronic fatigue syndrome, diabetes, heart disease or who have suffered a stroke, or metabolic disorders such as type II diabetes, polycystic ovary syndrome (PCOS), gastrointestinal disease requiring regular use of medications, gallbladder disease, bacterial or viral infections, epilepsy, neurological conditions such as Parkinson’s disease, and progressive diseases such as cancer will not be eligible for the study.
• People taking regular medication including but not limited to anticholinergics, levadopa/carbidopa, anticoagulant medications such as warfarin, antihypertensive medications including calcium channel blockers such as clozapine, other heart medications such as digoxin, antidiabetic medication, anti-inflammatory medications, such as aspirin or non-steroidal anti-inflammatories, or antibiotics or antiviral medications, or being treated for cancer.
• Current or 12-month history of illicit drug abuse, or alcohol problem
• Planned major life changes in the next 3 months (e.g., moving house)
• Participants (male/female) planning to conceiving within the next 3 months or currently pregnant or lactating
• People who have had a change in medication in the last 3 months or expectation to change during the study duration
• People unwilling to cease other nutritional and herbal supplements in the two weeks prior to the study
• People who have had a history of allergy or adverse or undesirable reactions to the intervention ingredients (magnesium, l-glycine, Panax ginseng, Bacopa monnieri, Astragalus membranaceus, Scutellaria baicalensis, Quercetin, Nicotinamide riboside, Zinc, Vitamin C or Vitamin D)
• People who have participated in other clinical trials within 12 weeks before enrolment
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Study design
Purpose of the study
Treatment
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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)
Yes, allocation concealment will involve contacting the holder of the allocation schedule at the central administration site. This individual is not otherwise involved in the study.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generation random allocation
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 0
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Type of endpoint/s
Safety
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Statistical methods / analysis
As a pilot trial, sample size and statistical power calculations are not required. The study will aim to recruit 30 participants, to randomise to two groups of n = 15. This is consistent with the minimum 12 subjects per group recommended by Julious (2005). https://onlinelibrary.wiley.com/doi/abs/10.1002/pst.185
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
21/04/2024
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Actual
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Date of last participant enrolment
Anticipated
1/07/2024
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Actual
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Date of last data collection
Anticipated
30/09/2024
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,NSW
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Funding & Sponsors
Funding source category [1]
315626
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Charities/Societies/Foundations
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Name [1]
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Australian Traditional Medicine Society
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Address [1]
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Southern Cross Univerisity
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Address
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
317722
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Address [1]
317722
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Country [1]
317722
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314509
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Southern Cross University Human Research Ethics Committee
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Ethics committee address [1]
314509
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https://www.scu.edu.au/research/research-excellence/research-ethics/
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Ethics committee country [1]
314509
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Australia
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Date submitted for ethics approval [1]
314509
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20/11/2023
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Approval date [1]
314509
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08/03/2024
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Ethics approval number [1]
314509
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Summary
Brief summary
The global healthcare workforce has been described as being in a state of burnout since the global pandemic. Burnout is a three-dimensional condition often resulting from chronic work-related stress, encompassing exhaustion or energy depletion, depersonalisation and a sense of ineffectual accomplishment. The aim of this study is to assess whether a combination of nutritional and herbal intervention is effective in individuals experiencing fatigue associated with burnout but who are otherwise healthy. This 10-week randomised, controlled pilot trial comprises four assessment points: baseline, (Study Clinic 1 ) 1 month later (Study Clinic 2), with the final clinic one month later (Study Clinic 3 ) and a follow up (2 weeks post study clinic 3). The primary outcomes are feasibility and safety measures. Secondary outcomes are burnout severity, measured by the Sydney Burnout Measure (three factors: physical fatigue, behaviours dysfunction, emotional) measured monthly, the Warwick-Edinburgh Mental Well-being Scale (measured monthly), the Fatigue Severity Scale (measured monthly), and a Patient-reported Outcome Measure, such as the Patient Specific Scale (measured monthly).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Sandra Grace
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Address
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Faculty of Health Southern Cross Univerisity Military Rd Lismore NSW 2480
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Country
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Australia
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Phone
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+61 2 6620 3646
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Sandra Grace
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Address
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Faculty of Health Southern Cross Univerisity Military Rd Lismore NSW 2480
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Country
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Australia
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Phone
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+61 2 6620 3646
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Joanne Bradbury
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Address
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Faculty of Health Southern Cross Univerisy Souther Cross Drive Bilinga QLD 4225
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Country
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Australia
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Phone
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+61 7 5589 3244
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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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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