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Trial registered on ANZCTR
Registration number
ACTRN12620001245987
Ethics application status
Approved
Date submitted
9/09/2020
Date registered
20/11/2020
Date last updated
20/11/2020
Date data sharing statement initially provided
20/11/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
Participation in a collaborative LEGO® robotics therapy for adolescents on the autism spectrum
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Scientific title
What is the effect of LEGO® robotics therapy on the mental health and social skills of adolescents on the autism spectrum? A phase 1 trial
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Secondary ID [1]
301852
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CRF 20/13400858
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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:
Autism spectrum disorders
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Condition category
Condition code
Mental Health
316356
316356
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0
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Autistic spectrum disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
LEGO robotics therapy intervention will involve participants working in groups of three across eight one-hour sessions (once per week over eight weeks). The groups will work with a facilitator to build LEGO Robotics (Mindstorms EV3) set using LEGO therapy principles. Facilitators will be staff of Autism SA with extensive experience in working with young people with autism with professional training in special education or psychology. They will be formally trained in LEGO therapy principles. Using LEGO Mindstorms EV3 kits, participants will take turns to work in each of three distinct roles (one role per session). Using the LEGO instructions, the 'engineer' will describe the bricks needed to the 'supplier' who selects and supplies the pieces to the 'builder' who puts the pieces together. The group will work with a trained facilitator who will support communication, problem solving, negotiating, turn taking and cooperating. A session attendance checklist will be maintained.
Once participants have consented, allocation to intervention and wait-list group will be undertaken following discussion with school staff. This is to ensure that attending LEGO groups will not affect the participants' school lessons.
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Intervention code [1]
318379
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Behaviour
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Comparator / control treatment
A wait-list control group will be used as the comparator. This group will receive intervention after the 8-week intervention period
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Control group
Active
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Outcomes
Primary outcome [1]
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Parent rated assessment of participant anxiety assessed using the Anxiety Scale for Children - Autism Spectrum Disorder (ASC-ASD) - parent
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Assessment method [1]
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Timepoint [1]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Primary outcome [2]
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Parent, rated assessment of participant's social skills assessed using Social Skills Improvement System (SSIS) - SEL parent
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Assessment method [2]
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Timepoint [2]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Primary outcome [3]
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Participant 's motivation and school engagement assessed by rating of Motivation and Engagement Scale - High School (MES-HS) by participants
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Assessment method [3]
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Timepoint [3]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Secondary outcome [1]
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System Usability Scale Scale will assess utility and acceptance of LEGO Robotics by Parents, Teachers and Participants. This is a composite secondary outcome
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Assessment method [1]
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Timepoint [1]
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Pre intervention, Post 8-week intervention
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Secondary outcome [2]
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Online open-ended questions completed by participants to gather views and perceptions of LEGO Robotics therapy; it was designed specifically for this study.
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Assessment method [2]
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Timepoint [2]
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Post 8-week intervention
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Secondary outcome [3]
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semi-structured Interviews of parents; one-on-one, in-person or via telephone; Gathering views and perceptions on feasibility or usability of LEGO robotics therapy, etc.
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Assessment method [3]
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Timepoint [3]
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Post 8 week intervention
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Secondary outcome [4]
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Focus group with teachers; in-person; face-to-face, Gathering teachers' views on acceptability or efficacy of Lego robotics therapy, including running such program in schools,
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Assessment method [4]
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Timepoint [4]
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post 8 week intervention
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Secondary outcome [5]
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Focus group with intervention facilitators; in-person; Gathering views, perceptions and experiences of running of Lego robotics therapy including feasibility, efficacy,
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Assessment method [5]
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Timepoint [5]
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post 8 week intervention
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Secondary outcome [6]
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A Primary Outcome-Teacher rated assessment of participant anxiety assessed using the Anxiety Scale for Children - Autism Spectrum Disorder (ASC-ASD) - Teacher
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Assessment method [6]
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Timepoint [6]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Secondary outcome [7]
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A Primary Outcome- Teacher rated assessment of participant's social skills assessed using Social Skills Improvement System (SSIS) - SEL Teacher
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Assessment method [7]
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Timepoint [7]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Secondary outcome [8]
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A Primary Outcome- Student- Participant rated assessment of participant's social skills assessed using Social Skills Improvement System (SSIS) - SEL student
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Assessment method [8]
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Timepoint [8]
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Pre intervention, Post 8-week waitlist (for waitlist group), Post 8-week intervention
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Eligibility
Key inclusion criteria
Aged between 13- 16 years, eligible to recieved services from Autism SA, enrolled in a participating school
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Minimum age
13
Years
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Maximum age
16
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
Do not provide assent or do not received written informed consent from parent / guardian
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Study design
Purpose of the study
Treatment
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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
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Intervention group gets Lego Robotics therapy for 8 weeks; Waitlist group doesn't receive anything during this period. The wait-list group receives intervention after the Intervention group has received LEGO Therapy. Outcome measures completed twice by pre/post by Intervention group; Outcome measures completed thrice by waitlist group.
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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
27/11/2020
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Actual
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Date of last participant enrolment
Anticipated
27/08/2021
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Actual
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Date of last data collection
Anticipated
20/12/2021
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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)
SA
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Funding & Sponsors
Funding source category [1]
306276
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Charities/Societies/Foundations
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Name [1]
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Channel 7 Children’s Research Foundation of South Australia
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Address [1]
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PO Box 2438
Regency Park SA 5942
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Country [1]
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Australia
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Primary sponsor type
University
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Name
Flinders University
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Address
Sturt Rd, Bedford Park
South Australia 5042
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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]
306767
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Country [1]
306767
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306487
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Flinders University Social and Behavioural Research Ethics Committee
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Ethics committee address [1]
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Sturt Rd, Bedford Park South Australia 5042
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Ethics committee country [1]
306487
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Australia
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Date submitted for ethics approval [1]
306487
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Approval date [1]
306487
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23/12/2019
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Ethics approval number [1]
306487
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Summary
Brief summary
LEGO® therapy is a proven intervention that uses a child’s natural interest to motivate learning and to collaboratively build a LEGO® set with others through the social division of labour.. It has been found to be effective in increasing social skills and reducing maladaptive behaviours in younger children with autism spectrum disorder (ASD), however, there is limited information about the effectiveness of LEGO® therapy for children over the age of 13 years. LEGO® robotics therapy – which uses the principles of LEGO® therapy applied to LEGO® robotics – may be an age-appropriate intervention to reduce anxiety and increase social skills in adolescents with ASD. The primary aim of this Phase 1 clinical trial is to investigate whether LEGO® robotics therapy can reduce anxiety and increase social skills and school engagement in adolescents aged 13-16 years with ASD. The second aim is to measure the engagement, utility, and acceptance of LEGO® robotics with this cohort, while the third aim is to formally gather the views and perceptions of the intervention from all stakeholders (adolescents with ASD, parents, teachers, and LEGO® therapist/facilitators). The fourth and final aim is to develop a training manual for school staff and parents to support adolescents with ASD. The manual would support the reach, generalisation and longevity of the LEGO® robotics therapy program across educational, clinical, home and community settings. The findings of this study will inform the development of a larger randomised controlled trial.
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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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A/Prof Parimala Raghavendra
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Address
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Flinders University, Collège of Nursing & Health Sciences, Sturt Rd, Bedford Park
South Australia 5042
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Country
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Australia
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Phone
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+61 8 82013426
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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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Parimala Raghavendra
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Address
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Flinders University, Collège of Nursing & Health Sciences, Sturt Rd, Bedford Park
South Australia 5042
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Country
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Australia
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Phone
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+61 8 82013426
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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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Parimala Raghavendra
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Address
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Flinders University, Collège of Nursing & Health Sciences, Sturt Rd, Bedford Park
South Australia 5042
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Country
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Australia
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Phone
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+61 8 82013426
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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
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
9096
Informed consent form
380248-(Uploaded-09-09-2020-11-37-06)-Study-related document.docx
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.
Download to PDF