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Trial registered on ANZCTR
Registration number
ACTRN12625000096459
Ethics application status
Approved
Date submitted
20/12/2024
Date registered
29/01/2025
Date last updated
29/01/2025
Date data sharing statement initially provided
29/01/2025
Type of registration
Retrospectively registered
Titles & IDs
Public title
GRIP (Group Run Virtual Physiotherapy): A pilot study examining the feasibility of providing a physiotherapy-led falls prevention group exercise class via telehealth
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Scientific title
GRIP (Group Run Virtual Physiotherapy): A pilot study examining the feasibility of providing a physiotherapy-led falls prevention group exercise class via telehealth for individuals aged 65 years or older self-reporting a decline in balance
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Secondary ID [1]
313604
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
GRIP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Fall Prevention
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Exercise in older adults
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Condition category
Condition code
Physical Medicine / Rehabilitation
332698
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0
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Physiotherapy
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Public Health
332697
332697
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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
Participants included in the study will be recruited from RPA Virtual Hospital who meet a specific eligibility criteria. They will partake in a 12-week virtual falls prevention service that includes assessment and delivery of exercise.
Initial assessment will be conducted via videoconference using Teams in the participants home. It will be a one hour one-on-one assessment conducted by a physiotherapist
There will be 4 x 1 hour exercise sessions in Weeks 1, 3, 6 and 9 of the 12 week exercise program. This will be conducted via Teams and include 4 participants supervised by the physiotherapist. Participants will join from their home. Exercises will include lower limb balance and strength based exercises, at a low to moderate intensity (as assessed by patient reported perceived exertion).
- Participants will be asked to perform an independent home exercise program 3-4x per week for 30 minutes (aiming for 2 hours per week) for the 12 week program.
- A session attendance checklist will be taken to record adherence to the group classes, and patients will be asked at the end of the intervention whether they completed the individual exercise program
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Intervention code [1]
330201
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Rehabilitation
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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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Acceptability and Suitability of a virtual falls prevention program. This will be assessed as a composite primary outcome
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Assessment method [1]
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Likert Scale has been designed specifically to assess the acceptability and suitability of the virtual falls prevention program. This will be asked at the beginning of the twelve week program and at the end of the twelve week program Semi-structured interviews will also be conducted at week 7 by an independent assessor to elaborate on the survey questions about acceptability and suitability
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Timepoint [1]
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Baseline = ask the Likert scale 7 week post commencement of program = qualitative semi-structured interview 12 weeks post commencement of program = Likert scale
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Secondary outcome [1]
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Quality of Life score
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Assessment method [1]
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EQ-5D-5L Survey
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Timepoint [1]
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Measured at baseline and 12 weeks post commencement of program
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Secondary outcome [2]
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Physical outcomes
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Assessment method [2]
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Short Physical Performance Battery Tests: Timed 5 sit-to-stands
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Timepoint [2]
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Baseline and 12 weeks post commencement of program
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Secondary outcome [3]
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Physical activity records
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Assessment method [3]
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Physical Activity Diary- Measuring type of physical activity, frequency of activity levels during the week and duration of each session. This will be measured as a composite secondary outcome
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Timepoint [3]
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Measure at baseline AND at the 12 weeks post commencement of program
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Secondary outcome [4]
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Physical Outcome
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Assessment method [4]
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Short Physical Performance Battery Test; Balance test (semi-tandem, side-by-side standing and tandem stance)
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Timepoint [4]
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Baseline and 12 weeks post commencement of program
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Secondary outcome [5]
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Physical Outcome
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Assessment method [5]
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Short Physical Performance Battery Test - Timed 2.4m walk test
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Timepoint [5]
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Baseline and 12 weeks post commencement of program
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Secondary outcome [6]
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Number of falls
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Assessment method [6]
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Self-reported number of falls during intervention period
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Timepoint [6]
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12 weeks post commencement of program
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Eligibility
Key inclusion criteria
• Participants with stable health who are at lower risk of an adverse event during exercise
• Individuals who have experienced a self-reported decline in balance, a recent near fall or fall in the last two years
• Age: 65 years or older
• Sufficient sensory, neurological, cognitive, and English language skills for exercise and video-based interventions
• Discharged from one of RPA Virtual Hospital’s services including Virtual Fracture Clinic, Virtual Rehabilitation or Virtual Trauma in the past 12 months OR a current patient being treated within the Sydney District Nursing (not including palliative care patients)
• Able to transfer independently without physical assistance and walk 10 or more metre +/- walking aid
• Living in the community in private home (not in a residential aged care facility)
• Have internet connectivity and access to a mobile or tablet device
• Willingness to provide informed consent and willingness to participate and comply with the study requirements.
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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?
No
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Key exclusion criteria
• Age: less than 65 years old
• Are expected to live for less than 6 months as determined by their primary care physician
• Have participated in a similar physiotherapy program in the last 12 months
• Have physical, sensory, mental health or behavioural issues that would prevent participation in the intervention as identified by medical practitioner
• Have acute or unstable cardiac or respiratory conditions
• Have poorly controlled blood pressure or diabetes
• Have acute or unstable musculoskeletal conditions such as recent fractures (< 6 weeks), neurological compromise or disc prolapse
• Cannot transfer independently (without physical assistance) or walk 10 or more metres +/- a walking aid
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Study design
Purpose of the study
Prevention
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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
Active, not recruiting
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Date of first participant enrolment
Anticipated
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Actual
6/01/2025
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Date of last participant enrolment
Anticipated
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Actual
21/01/2025
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Date of last data collection
Anticipated
26/04/2025
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Actual
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Sample size
Target
12
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Accrual to date
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Final
8
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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RPA Virtual Hospital
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Address [1]
318074
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
RPA Virtual Hospital
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Address
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Country
Australia
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Secondary sponsor category [1]
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University
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Name [1]
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University of Sydney
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Address [1]
320429
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Sydney Local Health District Ethics Review Committee (RPAH Zone)
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Ethics committee address [1]
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https://www.slhd.nsw.gov.au/rpa/research/
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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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07/10/2024
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Approval date [1]
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18/12/2024
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Ethics approval number [1]
316722
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Summary
Brief summary
The study will look at the acceptability and suitability of older adults participating in an online group exercise class aimed at reducing the risk of falls. It will explore barriers and faciliators to a virtual falls prevention program. Participants included in the study will be recruited from RPA Virtual Hospital who meet a specific eligibility criteria. They will partake in a 12-week virtual falls prevention service that includes assessment and delivery of exercise. We are hoping that older adults will find the 12 week virtual falls prevention service acceptable and suitable for their needs.
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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 Cathie Sherrington
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Address
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Institute for Musculoskeletal Health Level 10N, King George V Building Missenden Road Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 439402651
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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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Isabella Khoudair
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Address
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RPA Virtual Hospital Level 9, King George V Building Missenden Road Camperdown NSW 2050
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Country
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Australia
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Phone
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+61 401837737
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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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Isabella Khoudair
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Address
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RPA Virtual Hospital Level 9, King George V Building Missenden Road Camperdown NSW 2050
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Country
138792
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Australia
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Phone
138792
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+61 401837737
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Fax
138792
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Email
138792
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
Yes
Will there be any conditions when requesting access to individual participant data?
Persons/groups eligible to request access:
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To any researcher working in the same or similar field
Conditions for requesting access:
•
-
What individual participant data might be shared?
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All de-identified individual participant data collected during the trial
What types of analyses could be done with individual participant data?
•
Any purpose
When can requests for individual participant data be made (start and end dates)?
From:
From the time of publication until the 15 years after
To:
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Where can requests to access individual participant data be made, or data be obtained directly?
•
Ethics approval will be required prior to accessing any of these data. Interested parties will need to request the data from RPA Virtual Hospital's General Manager and the Sydney Local Health District Human Research Ethics Committee (HREC) - RPAH. The RPA Virtual Hospital's General Manager can be contacted via the research office on
[email protected]
Are there extra considerations when requesting access to individual participant data?
No
What supporting documents are/will be available?
No Supporting Document Provided
Type
Citation
Link
Email
Other Details
Attachment
Study protocol
Khoudair, I. (2025, January 14). Group Run Virtual Physiotherapy (GRIP) Protocol. https://doi.org/10.17605/OSF.IO/2WZJT
https://doi.org/10.17605/OSF.IO/UT76R
[email protected]
Study Protocol will be made available upon reasona...
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Results publications and other study-related documents
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No additional documents have been identified.
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