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Trial registered on ANZCTR
Registration number
ACTRN12625000803493p
Ethics application status
Not yet submitted
Date submitted
27/06/2025
Date registered
28/07/2025
Date last updated
28/07/2025
Date data sharing statement initially provided
28/07/2025
Type of registration
Prospectively registered
Titles & IDs
Public title
Workforce Related Challenges for Emergency Department Staff: A Prospective, Observational, Multicenter Point Prevalence Study
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Scientific title
Workforce Related Challenges for Emergency Department Staff: A Prospective, Observational, Multicenter Point Prevalence Study
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Secondary ID [1]
314762
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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:
Anxiety
337984
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Stress
338073
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Burnout
338074
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Depression
338351
0
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Other mental health concerns
338352
0
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Condition category
Condition code
Public Health
334298
334298
0
0
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Health service research
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Emergency medicine
334299
334299
0
0
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Other emergency care
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Mental Health
334380
334380
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0
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Other mental health disorders
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Staff who are on duty in the participating EDs at any time during a predetermined data collection period (who have provided informed consent to participate) will complete an online survey, Quantitative and qualitative data shall be collected in this survey which will have been piloted in advance.
The overall time interval for participation is a predetermined 24-hour period.
It is anticipated that it will take 15minutes for participants to complete the survey. Once participants start the survey they will have 48 hours to complete it.
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Intervention code [1]
331363
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Not applicable
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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]
341960
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The prevalence of workforce related challenges relating to ED staff shortages
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Assessment method [1]
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By participants completing an online survey -designed for this study- and without consultation with other participants. The survey will capture independently assessed quantitative data for this outcome
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Timepoint [1]
341960
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Primary outcome [2]
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The prevalence workforce related challenges relating to ED staff demand supply mismatch
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Assessment method [2]
342060
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture independently assessed quantitative data for this outcome
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Timepoint [2]
342060
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Primary outcome [3]
342062
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The prevalence workforce related challenges relating to ED staff burnout
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Assessment method [3]
342062
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture qualitative data for this outcome
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Timepoint [3]
342062
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [1]
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The prevalence workforce related challenges relating to ED staff mental health concerns
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Assessment method [1]
449160
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By participants completing an online survey -designed for this study- and without consultation with other participants. The survey will capture qualitative data for this outcome
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Timepoint [1]
449160
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [2]
449161
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The perceptions of ED staff have specifically regarding ED staff shortages
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Assessment method [2]
449161
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By participants completing an online survey -designed for this study- and without consultation with other participants. The survey will capture qualitative data for this outcome
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Timepoint [2]
449161
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [3]
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The perceptions of ED staff have specifically regarding ED staff demand supply mismatch
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Assessment method [3]
449449
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By participants completing an online survey -designed for this study- and without consultation with other participants. The survey will capture qualitative data for this outcome
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Timepoint [3]
449449
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [4]
450063
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The perceptions of ED staff have specifically regarding ED staff turnover
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Assessment method [4]
450063
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture qualitative data for this outcome
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Timepoint [4]
450063
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [5]
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The perceptions of ED staff have specifically regarding ED staff retention challenges
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Assessment method [5]
450064
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture qualitative data for this outcome
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Timepoint [5]
450064
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [6]
450065
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The perceptions of ED staff have specifically regarding ED staff burnout
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Assessment method [6]
450065
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture qualitative data for this outcome
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Timepoint [6]
450065
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Secondary outcome [7]
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The perceptions of ED staff have specifically regarding ED staff mental health concerns
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Assessment method [7]
450066
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By participants completing an online survey -designed for this study- and without consultation with other participants The survey will capture qualitative data for this outcome
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Timepoint [7]
450066
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Staff will be enrolled and participate if they are on duty in the ED at any time during a predetermined 24-hour recruitment period. Participants can complete the survey within 48 hours of starting it
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Eligibility
Key inclusion criteria
ED staff scheduled to be working in the ED during the 24-hour study period (including clinical and nonclinical staff)
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Minimum age
18
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
ED staff who decline participation or are unable to participate.
ED staff who are supporting the conduct of the study as named collaborators or investigators
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Study design
Purpose
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Duration
Cross-sectional
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Selection
Convenience sample
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Timing
Prospective
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Statistical methods / analysis
Statistical methods and analysis will be over seen by the study statistician
The overarching study methodology is mixed methods- where two data types will be collected. These data will be collected concurrently for both data types to facilitate convergence. All data will be captured using REDCap.
A nonprobability sampling methods will be used to recruit diverse participants with an aiming for diversity in context, experience levels, and roles.
Quantitative data collection: complete analyses to identify patterns, prevalence of workforce challenges, and correlations.
The statistical methods used will include descriptive statistics to summarise the prevalence estimates along with their confidence intervals, providing an indication of the precision of the estimates. The exploration of any associations between variables and the prevalence of the workforce challenges inferential analyses such as chi-square tests or Fisher’s exact tests may be used this will depend on the distribution of the data seen and sample size. Logistic regression analysis may be conducted to identify significant predictors or risk factors for workforce challenges, adjusting for potential confounders. All analyses will be performed using appropriate statistical software, with a significance threshold set at p<0.05 to determine statistically significant findings.
Qualitative data collection: A thematic analysis or content analysis will be used identify recurring themes, factors, and contextual nuances.
Joint displays, side-by-side comparison, or narrative weaving may be used combine insights. We will look for convergence, divergence, and complementarity between quantitative and qualitative results.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
2/11/2026
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Actual
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Date of last participant enrolment
Anticipated
3/11/2026
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Actual
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Date of last data collection
Anticipated
5/11/2026
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Actual
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Sample size
Target
500
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
ACT,QLD
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Recruitment outside Australia
Country [1]
27146
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Ghana
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State/province [1]
27146
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Country [2]
27147
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New Zealand
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State/province [2]
27147
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Country [3]
27148
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Tanzania, United Republic Of
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State/province [3]
27148
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Country [4]
27149
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United States of America
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State/province [4]
27149
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Country [5]
27150
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United Kingdom
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State/province [5]
27150
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Country [6]
27151
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Austria
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State/province [6]
27151
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Funding & Sponsors
Funding source category [1]
319312
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University
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Name [1]
319312
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The University of Auckland | Waipapa Taumata Rau
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Address [1]
319312
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Country [1]
319312
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New Zealand
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Primary sponsor type
University
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Name
The University of Auckland | Waipapa Taumata Rau
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Address
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Country
New Zealand
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Secondary sponsor category [1]
321789
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None
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Name [1]
321789
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Address [1]
321789
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Country [1]
321789
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Ethics approval
Ethics application status
Not yet submitted
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Ethics committee name [1]
317894
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Auckland Health Research Ethics Committee
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Ethics committee address [1]
317894
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https://www.auckland.ac.nz/en/research/about-our-research/human-ethics.html
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Ethics committee country [1]
317894
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New Zealand
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Date submitted for ethics approval [1]
317894
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31/07/2025
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Approval date [1]
317894
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Ethics approval number [1]
317894
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Summary
Brief summary
Globally, the stability of the emergency department (ED) workforce is compromised (Sharplin et al., 2025). Workforce issues within EDs are unique and complex and can significantly impact patient care, staff well-being, overall department competency, and cost. Addressing these issues requires comprehensive evidence-based strategies, including workforce planning, improved staffing models, staff support programs, ongoing training, and organisational culture change to foster a safe, supportive, and sustainable work environment.
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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 Jane O'Donnell
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Address
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University of Auckland, M & HS Building 507, Level 1, DO67, 28 Park Ave, Grafton, Auckland
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Country
142486
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New Zealand
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Phone
142486
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+6421563836
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Fax
142486
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Email
142486
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[email protected]
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Contact person for public queries
Name
142487
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Jane O'Donnell
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Address
142487
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University of Auckland, M & HS Building 507, Level 1, DO67, 28 Park Ave, Grafton, Auckland
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Country
142487
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New Zealand
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Phone
142487
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+6421563836
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Fax
142487
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Email
142487
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[email protected]
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Contact person for scientific queries
Name
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Jane O'Donnell
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Address
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University of Auckland, M & HS Building 507, Level 1, DO67, 28 Park Ave, Grafton, Auckland
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Country
142488
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New Zealand
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Phone
142488
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+6421563836
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Fax
142488
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Email
142488
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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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