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Trial registered on ANZCTR
Registration number
ACTRN12618000420246
Ethics application status
Approved
Date submitted
6/12/2017
Date registered
22/03/2018
Date last updated
3/03/2020
Date data sharing statement initially provided
3/03/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Eating for Strong Ageing (ESA-study)
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Scientific title
The effect of nutrition education and advice on protein intake, physical functioning and quality of life for older people in peer groups, randomized controlled trial
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Secondary ID [1]
293547
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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:
Frailty
305762
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Ageing
306508
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Condition category
Condition code
Diet and Nutrition
304984
304984
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0
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Other diet and nutrition disorders
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Public Health
305621
305621
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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
"Eating for strong ageing - ESA-study" concept includes four peer group meetings and home work instructioned by health professionals. Nutritionist educates health professionals before the trial. Each meeting lasts approx. two hours. Themes for the meetings are: 1. ageing and nutrition, 2. personal examining of food diaries and protein intake, 3. health impact of physical activity, 4. repetition of good nutrition from practical point of view and peer experiences. Meetings involve lectures, homework and discussion. Meetings last 2 hours within 2 months depending on the wishes from the group and practical arrangements. One group consists of 8-12 participants.Meetings will be administered by a nutritionist or a health professional who has received education and later counseling during the course if needed. Home work involves filling three days food diaries and assessing personal health related daily activities. Food diaries and other life style activities will be monitored in peer groups with the guidance of the professional group leader. The whole intervention is based on constructive learning theory.
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Intervention code [1]
299788
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Lifestyle
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Comparator / control treatment
Members in control group receive the same group education after the 3 month intervention period..
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Control group
Active
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Outcomes
Primary outcome [1]
304147
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Protein intake g/kg (body weight). Protein intake is assessed by three day food diaries. The nutritionist will count protein intake by using food record computer program.
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Assessment method [1]
304147
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Timepoint [1]
304147
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline (primary timepoint).
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Primary outcome [2]
304148
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Short Physical Performance Battery (SPPB)
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Assessment method [2]
304148
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Timepoint [2]
304148
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline (primary timepoint).
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Secondary outcome [1]
341095
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Index of Diet Quality, IDQ
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Assessment method [1]
341095
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Timepoint [1]
341095
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline.
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Secondary outcome [2]
341096
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Food diaries and nutrient intake
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Assessment method [2]
341096
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Timepoint [2]
341096
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline.
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Secondary outcome [3]
341097
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Weight and BMI. Participants weight is measured with the professional scale, hight is measured or asked from the participants. BMI is then counted based on the results.
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Assessment method [3]
341097
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Timepoint [3]
341097
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline.
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Secondary outcome [4]
341098
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Quality of life with 15D
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Assessment method [4]
341098
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Timepoint [4]
341098
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Baseline assessments, then intervention and advice in peer groups, and final assessments after three months (+- 1-2 weeks) from the baseline.
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Eligibility
Key inclusion criteria
- Age > 65 years
- Community-dwelling (with or without home care)
- SPPB score at baseline 4 - 9
- Able to eat independently
- Willing to eat protein-rich food products
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Minimum age
65
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
- Bedridden or wheelchair bound
- Individuals who do not go outside
- Diagnosed severe kidney disease
- Diagnosed with type I diabetes mellitus
- History of active malignancy (with the exception of basal cell carcinoma)
- Low cognitive status (MMSE score, less than 24)
- Malnourished, defined as having a BMI < 18.5 kg/m2
- Obese, defined as having a BMI > 35 kg/m2
- Vegans
- Alcohol abuse
- Eating disorder (such bulimia, anorexia )
- Planned to move out of the study area or unavailable (due to for instance holidays) in the next 3 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)
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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
Completed
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Date of first participant enrolment
Anticipated
2/04/2018
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Actual
2/04/2018
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Date of last participant enrolment
Anticipated
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Actual
30/08/2019
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Date of last data collection
Anticipated
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Actual
29/11/2019
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Sample size
Target
128
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Accrual to date
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Final
89
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Recruitment outside Australia
Country [1]
9414
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Finland
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State/province [1]
9414
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Hämeenlinna, Kokkola, Helsinki, Vantaa
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Funding & Sponsors
Funding source category [1]
298161
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Charities/Societies/Foundations
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Name [1]
298161
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Foundation for Nutrition Research
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Address [1]
298161
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c/o Valio Ltd, Renewal
PO Box 10, FIN00039 VALIO
Finland
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Country [1]
298161
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Finland
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Funding source category [2]
298162
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Government body
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Name [2]
298162
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Funding Centre for Social Welfare and Health Organisations (STEA)
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Address [2]
298162
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PO Box 33, FI-00023 Government
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Country [2]
298162
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Finland
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Primary sponsor type
Charities/Societies/Foundations
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Name
Society for Gerontological Nutrition in Finland
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Address
Malmin kauppatie 26
00700 Helsinki
Finland
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Country
Finland
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Secondary sponsor category [1]
297253
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None
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Name [1]
297253
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Address [1]
297253
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Country [1]
297253
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
299177
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Ethics Committee of Medicine
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Ethics committee address [1]
299177
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Biomedicum Helsinki 2 C, PO 705, 00029 HUS, Finland
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Ethics committee country [1]
299177
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Finland
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Date submitted for ethics approval [1]
299177
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20/11/2017
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Approval date [1]
299177
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31/01/2018
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Ethics approval number [1]
299177
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3536/2017
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Summary
Brief summary
The Finnish population is ageing rapidly: the estimated amount and portion of older people is greatly increasing in the coming years. Lower nutritional status and food intake related to ageing lead to weakening of physical functioning and quality of life and delayed recovery from illnesses. Often small changes or enhancements in diet may impact positively on health, physical functioning and quality of life. In turn, these will support living at home and recovering from illnesses. New, effective and cost-efficient ways for nutrition education are needed. In this study, the aim is to investigate the effect of nutrition education and advice, targeted to community dwelling older people and implemented in peer groups, on protein and food intake, physical functioning, quality of diet, weight and body mass index, and quality of life. The study participants are over 65 years old who live at home. Other inclusion criteria are SPPB-score 4-9 and MMSE-score over 24. Exclusion criteria are individuals who don’t go outside, severe kidney disease, type I diabetes, malignant tumors, BMI <18,5 or >35 and alcohol abuse. The participants are randomized into intervention and control groups. The length of intervention is three months. People in intervention group take part into the Eating for Strong Ageing -education group after the baseline measurements. People in control group can take part into the education after final measurements. At baseline, we gather background information from the participants. Also, protein and food intake (3-day food diaries), quality of diet (IDQ, Index of Diet Quality), nutritional status (MNA), physical functioning (SPPB, Short Physical Performance Battery), cognitive functioning (MMSE), weight, height, body mass index and quality of life (15D) are examined. Three months after baseline, we examine the protein and food intake, quality of diet, physical functioning, weight, body mass index and quality of life.
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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
79554
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A/Prof Merja Suominen
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Address
79554
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Society for Gerontological Nutrition in Finland
Malmin kauppatie 26
00700 Helsinki
Finland
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Country
79554
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Finland
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Phone
79554
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+358505841995
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Fax
79554
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Email
79554
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[email protected]
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Contact person for public queries
Name
79555
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Merja Suominen
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Address
79555
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Society for Gerontological Nutrition in Finland
Malmin kauppatie 26
00700 Helsinki
Finland
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Country
79555
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Finland
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Phone
79555
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+358505841995
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Fax
79555
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Email
79555
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[email protected]
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Contact person for scientific queries
Name
79556
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Merja Suominen
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Address
79556
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Society for Gerontological Nutrition in Finland
Malmin kauppatie 26
00700 Helsinki
Finland
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Country
79556
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Finland
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Phone
79556
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+358505841995
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Fax
79556
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Email
79556
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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
We didn't include this possibility in our research plan
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
7216
Study protocol
[email protected]
7217
Statistical analysis plan
[email protected]
7218
Informed consent form
[email protected]
7219
Ethical approval
[email protected]
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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