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Trial registered on ANZCTR
Registration number
ACTRN12613000069752
Ethics application status
Approved
Date submitted
17/01/2013
Date registered
18/01/2013
Date last updated
18/01/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
Effectiveness of a Facebook-delivered Physical Activity Intervention for Post-partum Women
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Scientific title
Effect of a Facebook-delivered Physical Activity Intervention for Post-partum Women on Objective Physical Activity (accelerometer step counts) and Secondary Outcomes Including Sleep Quality and
Quantity, Mood, Weight and Wellbeing
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Secondary ID [1]
281790
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None
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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:
Prevention of physical inactivity
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Condition category
Condition code
Public Health
288489
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0
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Health promotion/education
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Recruitment will occur on a rolling basis over a 6-12 month period. The team forming process occurs in two stages. Stage one involves recruitment of team captains, via advertising flyers in community-based health and family services around greater metropolitan Adelaide. Potential participants who respond to the flyer will be directed to the Mums Step it Up Facebook app, where they will view an online information video and complete a brief online form to confirm their eligibility, at which point they will become a “team captain”. They will then use the Facebook app to invite eligible friends from their existing Facebook network to join their team (Stage two of team formation). The Facebook app will send invitations to the nominated potential team members inviting them to join their friend’s (the team captain’s) team. These women will view an informative video, register their details and provide preliminary consent to participate in the study.
Team captains receive daily emails informing them of their friends’ responses to the invitations. Once at least 3 friends have joined the team, the team captain uses the app to finalize their team. At this point, all participants in the team will be contacted to arrange a face to face appointment with the Principal Investigator where full informed consent will be gained and baseline assessments completed. Once this assessment has been completed for all members of a team, the team will be randomly allocated (using block randomization) to one of three conditions
Arm 1: Mums Step it Up Program. This is a 50 day team-based physical activity intervention delivered via a Facebook app. Participants randomised to this intervention group will be given a pedometer and encouraged to take 10,000 steps per day with the cumulative goal of 500,000 steps. Participants will use the Facebook app to record their daily step counts, monitor their own progress as well as their teams and to interact with their team mates and other women in the Mums Step it Up Program.
Arm 2: Pedometer only. Participants randomised to this group will be given written advice on the health benefits of achieving 10,000 steps per day and tips on how to achieve this and will recieve a pedometer and log book to record their daily step counts. They will be asked to wear the pedometer and record their steps on a daily basis for a total of 50 days.
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Intervention code [1]
286332
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Prevention
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Intervention code [2]
286333
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Lifestyle
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Intervention code [3]
286334
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Behaviour
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Comparator / control treatment
Arm 3: Waitlist Control group. Participants randomised to this group will be given written advice on the health benefits of achieving 10,000 steps per day and tips on how to achieve this. They will be placed on a waiting list and given access to the Mums Step it Up Facebook app once data collection has been completed.
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Control group
Active
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Outcomes
Primary outcome [1]
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Accelerometer step counts (objective physical activity). Measured using Actigraph GTX3+ accelerometers.
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Assessment method [1]
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Timepoint [1]
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Baseline, six weeks and six months after intervention commencement
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Secondary outcome [1]
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Secondary outcome 1: Sleep quality and quantity measured using the General Sleep Disturbance Scale
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Assessment method [1]
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Timepoint [1]
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Secondary outcome 1: baseline, 6 weeks and 6 months after intervention commencement
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Secondary outcome [2]
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Secondary Outcome 2: Mood, measured using the Edinburgh Post-natal Depression Scale
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Assessment method [2]
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Timepoint [2]
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Secondary Outcome 2: baseline, 6 weeks and 6 months after intervention commencement
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Secondary outcome [3]
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Secondary Outcome 3: Quality of Life, measured using the AQoL 8D
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Assessment method [3]
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Timepoint [3]
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Secondary Outcome 3: baseline, 6 weeks and 6 months after intervention commencement
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Secondary outcome [4]
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Secondary Outcome 4: Weight, determined through height (Victa Stadiometer) and weight (Tanita HD332 electronic scales) measurements taken according to International Society for the Advancement of Kinanthropometry protocols
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Assessment method [4]
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Timepoint [4]
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Secondary Outcome 4: baseline, 6 weeks and 6 months after intervention commencement
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Secondary outcome [5]
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Feasibility of the Mums Step it Up Program. This will be assessed on the basis of participants’ recall, use and satisfaction with the program, using self-report items developed and used previously by the investigators
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Assessment method [5]
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Timepoint [5]
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6 weeks after intervention commencement
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Secondary outcome [6]
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Engagement with the Mums Step it Up Program. This will be assessed on the basis of login statistics. Specifically, the number and duration of logins, frequency of logging daily steps and number of interactions with team members will be recorded.
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Assessment method [6]
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Timepoint [6]
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At the completion of the intervention
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Eligibility
Key inclusion criteria
To be eligible women must be: 1) up to 12 months post-partum, whether it is their first or subsequent child, 2) current Facebook users, 3) able to read and understand English, 4) and live in greater metropolitan Adelaide.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Women should not have a medical condition that would prevent them from participating in a walking program or be pregnant, or planning to fall pregnant in the next three months.
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Study design
Purpose of the study
Educational / counselling / training
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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)
Allocation is not concealed.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Block randomisation
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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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
The intention to treat principle will be used for data analysis whereby all participants randomized at the commencement of the trial will remain in the sample for analysis. Random effect mixed modeling will be used to determine the effectiveness of the intervention program. The relationship between primary and secondary outcomes and demographic variables will be assessed and where relationships exist the demographic variables will be used as covariates.
Feasibility and engagement data for the Mums Step it Up Program will be descriptively analyzed. In addition, sub group analysis will be undertaken to determine whether the intervention effectiveness is related to dosage and/or compliance.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/03/2013
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Actual
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Date of last participant enrolment
Anticipated
1/09/2014
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
126
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
SA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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School of Health Sciences
University of South Australia
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Address [1]
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City East Campus
GPO Box 2471,
Adelaide 5001
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Country [1]
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Australia
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Primary sponsor type
University
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Name
School of Health Sciences, University of South Australia
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Address
City East Campus
GPO Box 2471,
Adelaide 5001
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
285358
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of South Australia Human Research Ethics Committee
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Ethics committee address [1]
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Research and Innovation Services Mawson Lakes Campus University of South Australia GPO Box 2471, Adelaide, SA, 5001
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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16/08/2012
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Ethics approval number [1]
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0000030420
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Summary
Brief summary
Background: Physical activity is reduced during the post-partum period. Facebook is frequently used by Australian mothers, and offers flexibility, high levels of engagement and the ability to disseminate information and advice via social contacts. The Mums Step it Up Program is a newly developed 50 day team-based physical activity intervention delivered via a Facebook app. The program involves post-partum women working in teams of 4-8 friends aiming to achieve 10,000 steps per day measured by a pedometer. Women are encouraged to use the app to log their daily steps and undertake social and supportive interactions with their friends and other participants. This study aims to determine the effectiveness of the Mums Step it Up Program. Method/Design: A sample of 126 women up to 12 months post-partum will be recruited through community-based health and family services. Participants will be randomly allocated into one of three groups: control, pedometer only and the Mums Step it Up Program. Assessments will be completed at baseline, 6 weeks and 6 months. The primary outcome (objective physical activity) and the secondary outcomes (sleep quality and quantity, depressive symptoms, weight and quality of life) will be used to determine the effectiveness of the Mums Step it Up Program compared with the control and pedometer only groups. Analyses will be undertaken on an intention to treat basis using random effects mixed modeling. The effect of theorized mediators (physical activity attitudes, subjective norms and perceived behavioral control) will also be examined. Discussion: This study will provide information about the potential of a Facebook app for the delivery of health behavior interventions. If this intervention proves to be effective it will be released on a mass scale and promoted to the general public.
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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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Mrs Jocelyn Kernot
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Address
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School of Health Sciences
University of South Australia
GPO Box 2471,
Adelaide SA 5001
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Country
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Australia
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Phone
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0061 08 8302 1289
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Fax
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0061 08 8302 2645
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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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Jocelyn Kernot
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Address
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School of Health Sciences
University of South Australia
GPO Box 2471,
Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 8302 1289
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Fax
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+61 08 8302 2645
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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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Carol Maher
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Address
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School of Health Sciences
University of South Australia
GPO Box 2471,
Adelaide SA 5001
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Country
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Australia
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Phone
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+61 8 8302 2315
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Fax
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+61 8 8302 2315
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Email
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[email protected]
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No information has been provided regarding IPD availability
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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