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Trial registered on ANZCTR
Registration number
ACTRN12625000476437p
Ethics application status
Submitted, not yet approved
Date submitted
16/04/2025
Date registered
19/05/2025
Date last updated
19/05/2025
Date data sharing statement initially provided
19/05/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Can social support change the impact of stress on gastric functioning?
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Scientific title
The Effects of Social Support on Stress and Gastric Motility during the Maastricht Acute Stress Test in Healthy Adults
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Secondary ID [1]
314214
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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:
Disorders of Gut-Brain Interaction
337111
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Condition category
Condition code
Oral and Gastrointestinal
333533
333533
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This study is a two-arm randomised controlled trial with a single intervention group. Participants will attend a single 120-minute laboratory session during which they will undergo a stressful task, as explained below. Participants will not be told that there are two different groups. They will be told that we are looking at their general levels of social support at baseline and how that correlates with outcomes.
All participants in both groups will arrive at the laboratory and physiological measures of stress and gastric activity will be set-up. These include a non-invasive Body Surface Gastric Mapping device designed by Alimetry Ltd, and non-invasive sensors that detect changes in heart rate, heart rate variability, blood pressure, electrodermal activity, and hand temperature. The Gastric Alimetry device will be used to measure gastric activity continuously throughout the study, for a period of approximately 110 minutes. The device will be applied to participants using a standardised procedure in which the skin is prepped with NuPrep gel before the adhesive electrode array is placed. Participants will fill in questionnaires about their experiences of social support in adulthood and childhood and then consume a standardised meal. The standardised meal includes a nutritional shake and protein bar, collectively consisting of approximately 482 kCal. Participants will then complete the 10-minute Maastricht Acute Stress Test to induce a stress response, and then remaining seated in a recliner during a post-stressor observation period.
Participants who were randomly assigned to the intervention group will receive a supportive behaviour intervention administered by the experimenter. Throughout the procedure, the experimenter will engage in evidence-based supportive behaviours. These behaviours will be standardised across participants in accordance with a script. The intervention consists of verbal behavioural manipulations of experimenter warmth, competence, and provision of information to the participant. These manipulations are designed to produce high levels of emotional and informational support. The extent of participant engagement with the intervention will be directly observed. The experimenter is a postgraduate student in health psychology who has received training in the provision of supportive behaviours. Study-specific training will be administered by the project supervisor and an additional advisor 3-weeks prior to the first participant enrolment, and will occur face-to-face over 3 hours.
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Intervention code [1]
330822
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Behaviour
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Comparator / control treatment
Participants who are allocated to the control group will receive standard administration of the stressor without supportive behaviours from the experimenter. The experimenter will enact scripted behaviours that convey standard levels of warmth and competence towards participants, and provide standard required information about the procedures. The control group will be exposed to identical stress induction procedures to that of the intervention group, without the supportive behaviour intervention.
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Control group
Active
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Outcomes
Primary outcome [1]
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Gastric myoelectrical activity
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Assessment method [1]
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Body Surface Gastric Mapping, using the Gastric Alimetry device (Alimetry Ltd). Participants will consume a standardised meal and have their gastric activity measured non-invasively using a flexible electrode array placed on the abdomen.
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Timepoint [1]
341114
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This will be continually measured throughout a single experiment session. Data will be analysed for timepoints at baseline, postprandial, during the stressor, and post-stressor.
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Secondary outcome [1]
446332
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Heart rate
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Assessment method [1]
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A fingertip photoplethysmogram sensor.
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Timepoint [1]
446332
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This will be continually measured throughout a single experiment session. Data will be analysed for timepoints at baseline, postprandial, during the stressor, and post-stressor.
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Secondary outcome [2]
446333
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Participant perceptions of experimenter behaviour
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Assessment method [2]
446333
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A 4-item questionnaire created for this study. The items measure the extent to which participants felt supported by the experimenter and perceived the experimenter as being warm and competent.
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Timepoint [2]
446333
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Measurements will be taken at the end of the experiment after completion of all procedures.
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Secondary outcome [3]
446368
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Self-reported stress
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Assessment method [3]
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Subjective measurements of stress will be taken using an 11-point numeric rating scale.
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Timepoint [3]
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Measured at baseline, postprandial, immediately post-stressor, and 10-minutes post-pressor.
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Secondary outcome [4]
446370
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Subjective levels of pain
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Assessment method [4]
446370
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Measured using a 11-point numeric rating scale.
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Timepoint [4]
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Measured immediately post-stressor
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Secondary outcome [5]
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Blood Pressure
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Assessment method [5]
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Electronic blood pressure monitor
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Timepoint [5]
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Measurements will be taken at baseline, postprandial, immediately post-stressor, and 10 minutes post-stressor
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Secondary outcome [6]
446942
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Heart rate variability
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Assessment method [6]
446942
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Two electrocardiogram electrodes. One will be placed on the left wrist, and the other will be placed on the right upper chest beneath the clavicle.
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Timepoint [6]
446942
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This will be continually measured throughout a single experiment session. Data will be analysed for timepoints at baseline, postprandial, during the stressor, and post-stressor.
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Secondary outcome [7]
446943
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Electrodermal activity
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Assessment method [7]
446943
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Skin conductance finger probes
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Timepoint [7]
446943
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This will be continually measured throughout a single experiment session. Data will be analysed for timepoints at baseline, postprandial, during the stressor, and post-stressor.
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Secondary outcome [8]
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Hand temperature
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Assessment method [8]
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Finger temperature probe
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Timepoint [8]
446944
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This will be continually measured throughout a single experiment session. Data will be analysed for timepoints at baseline, postprandial, during the stressor, and post-stressor.
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Eligibility
Key inclusion criteria
The study sample will include healthy adults aged 18-65 who are fluent in English and are capable of providing informed consent.
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Minimum age
18
Years
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Maximum age
65
Years
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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
(1) history of gastrointestinal conditions or surgeries
(2) pregnant or lactating
(3) unable to sit comfortably in a reclined, supine position
(4) known allergies or sensitivities to adhesives and cosmetic lotions
(5) current abdominal skin damage
(6) regular cannabis use
(7) history of any cardiovascular condition
(8) history of Raynaud’s syndrome
(9) current injury on the limb to be immersed in water
(10) presence of any metabolic, endocrine, neurogenic, or serious illness.
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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)
Sealed opaque envelopes
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
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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
2/06/2025
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Actual
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Date of last participant enrolment
Anticipated
30/09/2025
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Actual
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Date of last data collection
Anticipated
17/10/2025
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Actual
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Sample size
Target
48
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
26979
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New Zealand
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State/province [1]
26979
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Funding & Sponsors
Funding source category [1]
318730
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University
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Name [1]
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University of Auckland
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Address [1]
318730
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Country [1]
318730
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New Zealand
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Funding source category [2]
318731
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Commercial sector/Industry
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Name [2]
318731
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Alimetry Ltd
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Address [2]
318731
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Country [2]
318731
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New Zealand
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Primary sponsor type
University
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Name
University of Auckland
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Address
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Country
New Zealand
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Secondary sponsor category [1]
321166
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Commercial sector/Industry
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Name [1]
321166
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Alimetry Ltd
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Address [1]
321166
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Country [1]
321166
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New Zealand
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
317344
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Northern A Health and Disability Ethics Committee
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Ethics committee address [1]
317344
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https://ethics.health.govt.nz/about/northern-a-health-and-disability-ethics-committee/
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Ethics committee country [1]
317344
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New Zealand
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Date submitted for ethics approval [1]
317344
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01/05/2025
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Approval date [1]
317344
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Ethics approval number [1]
317344
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Summary
Brief summary
Social support is known to enhance general wellbeing, but its potential benefits for patients with gastrointestinal conditions remain unknown. This study aims to determine if social support can reduce the effects of stress on gastric functioning. Participants will attend a 2-hour laboratory experiment during which they will complete a stressful task while their gastric activity and stress responses are measured using non-invasive sensors. Half of the participants will receive a supportive behaviour intervention, which is hypothesised to reduce the effects of the stressor on gastric activity, while the remaining half will not. The findings of this study may provide a foundation for future clinical research on social support interventions for patients with gastrointestinal problems.
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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 Elizabeth Broadbent
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Address
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The University of Auckland, 22-30 Park Avenue, Grafton, Auckland 1023
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Country
140746
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New Zealand
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Phone
140746
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+64 93737599
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Fax
140746
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Email
140746
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[email protected]
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Contact person for public queries
Name
140747
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Elizabeth Broadbent
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Address
140747
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The University of Auckland, 22-30 Park Avenue, Grafton, Auckland 1023
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Country
140747
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New Zealand
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Phone
140747
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+64 93737599
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Fax
140747
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Email
140747
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[email protected]
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Contact person for scientific queries
Name
140748
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Elizabeth Broadbent
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Address
140748
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The University of Auckland, 22-30 Park Avenue, Grafton, Auckland 1023
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Country
140748
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New Zealand
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Phone
140748
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+64 93737599
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Fax
140748
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Email
140748
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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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