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Trial registered on ANZCTR
Registration number
ACTRN12625000664448
Ethics application status
Approved
Date submitted
8/05/2025
Date registered
23/06/2025
Date last updated
23/06/2025
Date data sharing statement initially provided
23/06/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Prescriptions for Connection-A Social Prescribing Approach to Healthy Ageing in Adelaide's North
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Scientific title
Prescriptions for Connection-Social Prescribing for older people in Australia: Protocol for a Pilot and Feasibility Study
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Secondary ID [1]
314409
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Nil known
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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:
Social wellbeing
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Quality of Life
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Loneliness
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Condition category
Condition code
Public Health
333798
333798
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0
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Health service research
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Mental Health
334121
334121
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0
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Studies of normal psychology, cognitive function and behaviour
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
This research project will implement a social prescribing program titled ‘Prescription for Connection,’ which will be co-designed with input from general practitioners (GPs), health professionals, and older adults.
In the co-design phase, two workshops will be held to inform the development of processes and resources needed for successful implementation.
· Workshop 1: approximately n = 15 primary care and social care professionals, including general practitioners, practice nurses, practice managers, general practice facilitators, and local council representatives involved in existing social programs.
· Workshop 2: approximately n = 15 older people, aged 60+ years and residing in the participating council areas of Port Adelaide Enfield, Town of Walkerville, and Prospect.
Workshops will be audio-recorded, transcribed, and thematically analysed to identify core components of the program. The outcome will be a co-designed model for Prescriptions for Connection, which will then be refined by the project team for feasibility prior to implementation and evaluation.
Community Connector Volunteers:
The program will pilot a volunteer-led model for social prescribing, coordinated by Port Adelaide Enfield council. Council staff will recruit Community Connector volunteers and train them on the social prescribing purpose, model, processes, goal setting, peer support, and mental first aid. This training will occur prior to recruitment of older adult participants, to ensure that volunteers are equipped to safely and confidently navigate challenging interactions.
A directory of local social activities and services will be developed to help Community Connectors guide older people to appropriate community supports. Community Connectors will also be provided with a workbook and resources developed by council staff to guide their social interactions with older people throughout the program.
Weekly learning circles, facilitated by council staff, will provide ongoing development opportunities and peer support for volunteers throughout the program.
General Practices
Up to six general practices will participate by identifying and referring older adults experiencing social isolation and loneliness. Researchers will provide education sessions to practice staff outlining the program’s objectives, how to identify eligible patients, and referral procedures and methods for receiving feedback on patient outcomes. Each practice will receive a booklet summarising this key information and the referral form will be embedded in practice software.
Program Delivery
Older adults referred to the program and consenting to partake in the research project will be connected with volunteer Community Connectors in their Local Councils. The Community Connectors will facilitate a personalised process involving up to six meetings scheduled according to the participant’s availability and preference, e.g., at council offices and/or public locations such as libraries and cafés. These meetings will aim to build rapport and assess each participant’s interests and needs, enabling individualised goalsetting and informed linkages with community groups and activities to support their social integration. Activities may include gentle group exercise sessions like Tai Chi and yoga, hobby-based classes (e.g., craft groups), or other locally available social opportunities. As the intervention is tailored, the frequency and type of social engagement will vary based on individual preferences and needs.
On completion of the social prescribing program, the Community Connectors will provide a brief summary about types of services provided to the older person to social prescribing council staff, which will then be sent to the referring general practice.
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Intervention code [1]
331016
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Treatment: Other
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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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Feasibility
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Assessment method [1]
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Fidelity Checklist which has been tailored for the program and will capture program referrals, participant engagement, dropouts, withdrawals, and social opportunities participants are connected with.
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Timepoint [1]
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Post intervention completion
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Primary outcome [2]
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Quality of Life
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Assessment method [2]
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Quality-of-Life-Aged Care Consumers (QOL-ACC)
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Timepoint [2]
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Commencement of the social prescribing program (baseline), 3 and 6 months post baseline assessment completion
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Primary outcome [3]
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Quality of Life
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Assessment method [3]
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EuroQol five-dimension health-related quality of life instrument (EQ-5D-5L).
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Timepoint [3]
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Commencement of the social prescribing program (baseline), 3 and 6 months post baseline assessment completion
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Secondary outcome [1]
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Loneliness
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Assessment method [1]
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UCLA Three-Item Loneliness Scale
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Timepoint [1]
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Commencement of the social prescribing program (baseline), 3 and 6 months from baseline assessment completion
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Secondary outcome [2]
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Barriers and facilitators to implementation. This will be assessed as a composite outcome.
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Assessment method [2]
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Focus groups (n=2) with a maximum of n= 10 people in each, with representation of general practice staff, council social prescribing staff and council volunteers will be completed by a member of the research team. The first 20 participants to consent to participate will be selected. They will share their experiences and feedback, including barriers and enablers in implementing the Prescription for Connection program. Interviews will be completed with older people participating in the program, n=20, to gain their experiences and provide feedback on the Prescription to Connection program, using a semi-structured interview guide. Interviews will be completed by a member of the research team and be approximately 45 minutes duration. Interviews and focus groups will be audio-recorded and transcribed for analysis.
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Timepoint [2]
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Post implementation
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Secondary outcome [3]
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Mental Wellbeing
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Assessment method [3]
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Warwick-Edinburgh Mental Well-Being Scale (WEMWBS)
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Timepoint [3]
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Commencement of the social prescribing program (baseline), 3 and 6 months post baseline assessment completion
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Eligibility
Key inclusion criteria
- Older people aged 60 years and above
- Living within Port Adelaide Enfield, Walkerville or Prospect council regions in Adelaide
- Experiencing a need for social activity
- Interested, willing and able to participate in a social prescribing program through volunteer community connection.
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Minimum age
60
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
- Older people who do not consent to participation.
- Older people with cognitive, behavioural or acute medical concerns that may impact on participating in the social prescribing program (as identified by referring health professional).
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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
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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
27/06/2025
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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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]
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Charities/Societies/Foundations
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Name [1]
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Northern Community Health and Research Foundation
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
318931
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Charities/Societies/Foundations
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Name [2]
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Hospital Research Foundation
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Address [2]
318931
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Country [2]
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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
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Country
Australia
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Secondary sponsor category [1]
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Other
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Name [1]
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Adelaide Primary Health Network
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Address [1]
321400
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Country [1]
321400
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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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Flinders University Human Research Ethics Committee
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Ethics committee address [1]
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https://staff-projects.flinders.edu.au/research-support/integrity/human-ethics
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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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01/02/2024
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Approval date [1]
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03/05/2024
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Ethics approval number [1]
317544
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Summary
Brief summary
This interventional pilot and feasibility study will use a multiphase mixed methods process and outcomes evaluation, reported in line with the CONSORT checklist. Prescriptions for Connection, a social prescribing program, will be co-designed and implemented in six Australian primary care practices and three council areas. Implementation outcomes will be evaluated using the Reach, Effectiveness, Adoption, Implementation and Maintenance Framework. Qualitative data collection, via focus groups for health and social care providers and interviews for older people, will be based on the Consolidated Framework for Implementation Research to explore barriers and facilitators, and explain outcomes.
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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 Stacey George
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Address
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Address: Sports Rd, Health and Medical Research Building Flinders University Bedford Park, SA 5041
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Country
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Australia
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Phone
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+61 0473 845 999
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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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Dr Heather Block
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Address
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Sports Rd, Health and Medical Research Building Flinders University Bedford Park, SA 5041
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Country
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Australia
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Phone
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+61 473 845 999
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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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Stacey George
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Address
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Sports Rd, Health and Medical Research Building Flinders University Bedford Park, SA 5041
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Country
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Australia
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Phone
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+61 8 72218287
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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
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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