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Trial registered on ANZCTR
Registration number
ACTRN12625000603415
Ethics application status
Approved
Date submitted
8/05/2025
Date registered
12/06/2025
Date last updated
12/06/2025
Date data sharing statement initially provided
12/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Testing a Self-Management App for People with Chronic Obstructive Pulmonary Disease (COPD): A Pilot Study
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Scientific title
Feasibility of a Self-Management App for People with Chronic Obstructive Pulmonary Disease (COPD): A Pilot Study
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Secondary ID [1]
314307
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N/A
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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:
chronic obstructive pulmonary disease
337256
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Condition category
Condition code
Respiratory
333660
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0
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Chronic obstructive pulmonary disease
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Public Health
333886
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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
This is a one-arm pilot study where all participants will get access to one module of a self-management app for people with COPD. This module is an education and management of breathlessness module. All participants will get access to this module for two weeks where they will be able to use it as they wish to. This is a pre/post design, where participants will be completing questionnaires both before and after the use of the app.
The education module is designed to provide users with an understanding of COPD and breathlessness, as well as providing them with practical tools to help manage their symptoms. The education module explains what COPD is, the causes of breathlessness, and the science behind why it occurs and also introduces different therapeutic approaches for participants to try. It is split into three sections of what is COPD, common symptoms and other common concerns. Therapeutic approaches used within the module are evidence based in the COPD context include Cognitive Behavioural Therapy (CBT) (Heslop-Marshall et al., 2018; Heslop-Marshall & Burns, 2019), relaxation techniques (diaphragmatic breathing, pursed lop breathing, progressive muscle relaxation, visualisation) (Volpato et al., 2015) body positioning (Chan & Lehto, 2016) and some mindfulness. Throughout the module, relatable stories and visuals are used to help the user to connect to the content and relate it to their own life or situation.
Some parts of the module will be faster to complete than others. Within the one module that participants will have access to (the education module) there are three sections. What is COPD, Common symptoms and Other common concerns. Depending on the interests of the participant they may spend more time in one section than others due to it being more applicable to them. However, participants do not have to complete sections in one go. They can start a section and return to this if they get interrupted. Adherence to the app will not be enforced during the study however we will be observing how participants engage with the app and will be using this to determine feasibility. For example, completion rates, app usage, and participant retention. Completion rates will be measured by the proportion of participants who complete the sections within the app content provided. App usage will be assessed by tracking the frequency and duration of interactions participants have on the app, such as the number of logins, time spent using the app, and engagement with specific modules.
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Intervention code [1]
330921
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Treatment: Other
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Comparator / control treatment
No control group - since it is a pilot study we are wanting to test the feasibility of the app for this population. Therefore all participants will be getting access to the same intervention (self-management app)
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Feasibility: Retention of participants
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Assessment method [1]
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Retention of participants will be assessed through an audit of study enrolment and participation records. The number of participants who provide informed consent and are enrolled in the study will be compared to the proportion of participants who complete the study, as recorded in enrolment and follow ups to determine overall retention.
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Timepoint [1]
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Retention will be measured after all participants have completed the study. The total number of participants who consented to participate will be compared to the number retained through to the study’s conclusion.
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Primary outcome [2]
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Usability
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Assessment method [2]
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Usability will be assessed with the system usability scale (SUS).
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Timepoint [2]
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Usability will only be assessed after they have used the app for two weeks
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Primary outcome [3]
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Acceptability
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Assessment method [3]
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Acceptability will be assessed through qualitative interviews conducted with 5–10 participants, either via Zoom or face-to-face. Participants will be invited to share their experiences with the app, including aspects they liked, disliked, and suggestions for improvement. Additionally, participants will be asked whether they would recommend the app to others with COPD (yes or no). Follow-up open-ended questions will explore their reasons for recommending or not recommending the app, providing deeper insights into its perceived value
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Timepoint [3]
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Acceptability data will be collected after participants have had the app for two weeks
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Secondary outcome [1]
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Stress
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Assessment method [1]
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Stress will be assessed using the Perceived Stress Scale (PSS)
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Timepoint [1]
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Timepoint one: before participant uses the app Timepoint two: after participant has used the app for 2 weeks
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Secondary outcome [2]
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Quality of life
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Assessment method [2]
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Quality of life will be assessed using the COPD Assessment Test (CAT)
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Timepoint [2]
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Timepoint one: before participant has access to the app Timepoint two: after participant has used the app for two weeks
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Secondary outcome [3]
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Dyspnea - mMRC
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Assessment method [3]
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Dyspnea levels will be assessed using the Modified Medical Research Council (mMRC)
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Timepoint [3]
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Timepoint one: mMRC will be given before the participant has access to the app Timepoint two: mMRC will be tested again after the participant has had access to the app for two weeks
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Secondary outcome [4]
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Feasibility - completion rates (primary outcome)
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Assessment method [4]
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Completion of intervention modules will be tracked using in-app analytics. The app will record which modules each participant has accessed and completed. This data will be used to calculate both individual completion rates and an overall average completion rate across all participants.
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Timepoint [4]
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completion rates will be measured upon conclusion of everyone in the study using the app for two weeks.
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Secondary outcome [5]
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Feasibility - App usage (primary outcome)
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Assessment method [5]
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Engagement data, including the frequency and duration of interactions with the app and its modules, will be collected via embedded analytics. Time spent on each module and overall usage patterns will be analysed to assess participant engagement with the intervention.
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Timepoint [5]
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App usage data will be collected upon conclusion of the study once everyone has finished using the app for two weeks.
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Secondary outcome [6]
447858
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Activity - LCADL
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Assessment method [6]
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LCADL scale
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Timepoint [6]
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Time point one: Before the individual starts the app Time point two: After the individual has finished their 2 week time period with the app
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Secondary outcome [7]
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Activity - Step count
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Assessment method [7]
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measured through the step count feature on their phone via the app
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Timepoint [7]
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assessed after participant has completed their 2 week trial with the app to see how their activity was throughout the time they used the app.
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Secondary outcome [8]
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Dyspnea - Borg CR10
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Assessment method [8]
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BORG CRQ10 will be used to help measure subjective changes in the feeling of control or mastery of participants breathlessness
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Timepoint [8]
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Timepoint one: before they use the app Timepoint two: after participants have completed their two week trial of the app
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Eligibility
Key inclusion criteria
The inclusion criteria for this study require participants to
1. Be diagnosed with COPD
2. Be well enough to take part
3. Be a minimum of 40 years of age
4. Reside in Auckland New Zealand
5. Be able to give informed consent
6. Own a smartphone and be capable of basic use and,
7. Be able to understand, read and write English
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Minimum age
40
Years
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Maximum age
80
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
This study will exclude participants that are currently
1. Hospitalised
2. Practicing CBT, relaxation techniques, mindfulness or meditation regularly
3. Over 80 years old, and
8. Having severe COPD symptoms that would make it difficult to take part
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Study design
Purpose of the study
Educational / counselling / training
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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
Single group
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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
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
23/06/2025
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Actual
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Date of last participant enrolment
Anticipated
31/10/2025
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Actual
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Date of last data collection
Anticipated
14/11/2025
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Actual
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Sample size
Target
30
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
27020
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New Zealand
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State/province [1]
27020
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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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University of Auckland
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Address [1]
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Country [1]
318829
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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]
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None
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Name [1]
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Address [1]
321277
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Country [1]
321277
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Other collaborator category [1]
283506
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Commercial sector/Industry
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Name [1]
283506
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Fisher and Paykel Healthcare
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Address [1]
283506
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Country [1]
283506
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
317445
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Northern B Health and Disability Ethics Committee
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Ethics committee address [1]
317445
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https://ethics.health.govt.nz/about/northern-b-health-and-disability-ethics-committee/
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Ethics committee country [1]
317445
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New Zealand
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Date submitted for ethics approval [1]
317445
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20/03/2025
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Approval date [1]
317445
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03/04/2025
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Ethics approval number [1]
317445
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22358
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Summary
Brief summary
This study is testing whether a self-management app for people with Chronic Obstructive Pulmonary Disease (COPD) is feasible, usable, and acceptable. Participants who volunteer for the study will use the app for two weeks. They will complete questionnaires before starting the app and again after two weeks of use. The main goal is to see if the app is practical and easy to use for people with COPD. We expect that it will be. The study will also explore whether using the app can help improve stress, quality of life, activity levels, and breathlessness (dyspnea), with the hypothesis that these areas will show improvement.
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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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Dr Anna Serlachius
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Address
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University of Auckland, Building 507, Level 1 22-30 Park Road, Grafton , 1023
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Country
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New Zealand
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Phone
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+64 9 923 3073
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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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Anna Serlachius
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Address
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University of Auckland, Building 507, Level 1 22-30 Park Road, Grafton, 1023
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Country
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New Zealand
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Phone
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+64 9 923 3073
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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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Anna Serlachius
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Address
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University of Auckland, Building 507, Level 1 22-30 Park Road, Grafton, 1023
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Country
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New Zealand
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Phone
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+64 9 923 3073
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Fax
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Email
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[email protected]
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Data sharing statement
Will the study consider sharing individual participant data?
No
No IPD sharing reason/comment:
The data will only be used for a students masters thesis and publication and will not be made available to other researchers, uploaded to a database, or shared publicly. Only the research team will have access to the data. Participants will not be consenting to sharing data publicly.
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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