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Trial registered on ANZCTR
Registration number
ACTRN12625001074482p
Ethics application status
Submitted, not yet approved
Date submitted
3/09/2025
Date registered
2/10/2025
Date last updated
2/10/2025
Date data sharing statement initially provided
2/10/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Clinical Pilot Study of the Diabetes Body Project for Australian Adolescents with Type 1 Diabetes: Addressing Disordered Eating in a Paediatric Diabetes Setting
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Scientific title
Clinical Pilot Study of the Diabetes Body Project for Australian Adolescents with Type 1 Diabetes: Evaluating the efficacy, acceptability and feasibility of an early intervention program for disordered eating.
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Secondary ID [1]
315177
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Nil Known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
type 1 diabetes
338619
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Disordered Eating
338620
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Condition category
Condition code
Metabolic and Endocrine
334915
334915
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0
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Diabetes
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Mental Health
334916
334916
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0
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Eating disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The proposed study is a single-site pilot study to be conducted at John Hunter Children’s Hospital (JHCH) Diabetes service.
Five health care professionals (diabetes dietitians, mental health dietitian and diabetes nurse educators) from JHCH will participate in 6 hours of Diabetes Body Project (BDP) facilitator training provided by the DBP team at Oslo University Hospital to enable delivery. Facilitator training will be conducted 6 weeks prior to anticipated commencement of the intervention. The DBP consists of 6, 1-hour virtual sessions, each group consists of 8 participants, led by 2 trained facilitators. The sessions will be delivered via Zoom and will occur once a week for 6 consecutive weeks. In these sessions, participants explore the negative effects of pursuing the thin ideal, benefits of insulin use and diabetes self-care. Caregivers will also attend a 1-hour virtual group session via Zoom, facilitated by the diabetes social worker and dietitian, focused on providing an overview of the DPB content and supporting a healthy relationship with food, body image and diabetes management during week 1 of the program. Facilitators will record attendance and adherence to tasks during each session.
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Intervention code [1]
331798
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Treatment: Other
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Intervention code [2]
331799
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Behaviour
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Change in Disordered Eating symptoms
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Assessment method [1]
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The Diabetes Eating Problem Survey – Revised (DEPS-R)
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Timepoint [1]
342546
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Baseline, 1 week, 3 months and 6 months post program completion
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Primary outcome [2]
342547
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Change in glucose Time in Range (%TIR)
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Assessment method [2]
342547
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14-day average glucose %TIR, downloaded from online clinic platform,
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Timepoint [2]
342547
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Baseline, 3 months, 6 months post program completion
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Primary outcome [3]
342548
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Change in Body image
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Assessment method [3]
342548
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Body Appreciation Scale-2 (BAS-2)
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Timepoint [3]
342548
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Baseline, 1 week, 3 months and 6 months post program completion
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Secondary outcome [1]
451257
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Change in diabetes distress
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Assessment method [1]
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Problem Areas in Diabetes Survey – Teen version (PAID-T)
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Timepoint [1]
451257
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Baseline, 1 week, 3 months and 6 months post program completion
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Secondary outcome [2]
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Change in body mass (BMI Z score)
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Assessment method [2]
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Height and weight measurements taken during routine clinic appointments used to calculate BMI Z score
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Timepoint [2]
451258
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Baseline, 3 months, 6 months post program completion
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Secondary outcome [3]
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Participant uptake
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Assessment method [3]
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Percentage of participants that express interest in the DBP, who enroll in the study
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Timepoint [3]
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Initial contact from eligible participants and at the end of the enrolment period.
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Secondary outcome [4]
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Participant retention
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Assessment method [4]
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Percentage of participants who complete the program. Attendance will be completed during each participant session
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Timepoint [4]
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Attendance marked at the end of each session (1-6)
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Secondary outcome [5]
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Participant satisfaction
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Assessment method [5]
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Survey developed specifically for the study
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Timepoint [5]
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1-2 weeks post program completion
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Secondary outcome [6]
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Change in HbA1c
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Assessment method [6]
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HbA1c obtained from medical records
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Timepoint [6]
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Baseline, 3 months, 6 months post program completion
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Secondary outcome [7]
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Parent / caregiver satisfaction
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Assessment method [7]
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survey developed for the purpose of this study
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Timepoint [7]
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1-2 weeks post parent / caregiver session
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Secondary outcome [8]
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Facilitator satisfaction
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Assessment method [8]
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survey developed for the purpose of this study
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Timepoint [8]
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1-2 weeks post completion of the program
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Eligibility
Key inclusion criteria
Female, aged 13-17, diagnosed with T1D more than 6 month, Internet access
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Minimum age
13
Years
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Maximum age
17
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Clinically diagnosed ED, uncontrolled coeliac disease (determined by elevated TTGs)
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Study design
Purpose of the study
Educational / counselling / training
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
27/10/2025
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Actual
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Date of last participant enrolment
Anticipated
30/06/2026
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Actual
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Date of last data collection
Anticipated
30/11/2026
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Actual
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Sample size
Target
24
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
319749
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Government body
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Name [1]
319749
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Hunter New England Local Health District
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Address [1]
319749
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Country [1]
319749
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Australia
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Primary sponsor type
Hospital
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Name
John Hunter Children's Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
322258
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None
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Name [1]
322258
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Address [1]
322258
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Country [1]
322258
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
318301
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Hunter New England Human Research Ethics Committee
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Ethics committee address [1]
318301
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https://www.hnehealth.nsw.gov.au/research-office/research_ethics
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Ethics committee country [1]
318301
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Australia
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Date submitted for ethics approval [1]
318301
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27/08/2025
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Approval date [1]
318301
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Ethics approval number [1]
318301
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Summary
Brief summary
Adolescents living with type 1 diabetes (T1D) are 2-3 times more likely to develop disordered eating behaviours (DEB) than their peers without T1D. T1D guidelines recommend routine screening for DEB from 10-12 years, yet an early intervention model for treating DEB in adolescents is lacking. The Diabetes Body Project (DBP) is a virtual care early intervention model for treating DEB. The DBP has been developed and piloted internationally in a cohort of adolescent and young adult females with T1D, showing promising patient experience and clinical outcomes such as reduced DEBs. This project seeks to be the first to adapt the DBP for implementation in an Australian paediatric clinic and evaluate its’ acceptability, feasibility, and preliminary efficacy in an exclusively adolescent population. Additionally in line with model of care we seek to evaluate a parent/carer group to support the adolescent intervention.
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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
143754
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Dr Carmel Smart
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Address
143754
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John Hunter Children's Hospital, Lookout Road, New Lambton Heights, New South Wales, 2305
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Country
143754
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Australia
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Phone
143754
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+61 2 49855429
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Fax
143754
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Email
143754
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[email protected]
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Contact person for public queries
Name
143755
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Carmel Smart
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Address
143755
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John Hunter Children's Hospital, Lookout Road, New Lambton Heights, New South Wales, 2305
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Country
143755
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Australia
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Phone
143755
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+61 2 49855429
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Fax
143755
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Email
143755
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[email protected]
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Contact person for scientific queries
Name
143756
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Prof Bruce King
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Address
143756
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John Hunter Children's Hospital, Lookout Road, New Lambton Heights, New South Wales, 2305
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Country
143756
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Australia
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Phone
143756
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+61 2 49855429
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Fax
143756
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Email
143756
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
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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