- ICH GCP
- 미국 임상 시험 레지스트리
- 임상시험 NCT07603973
Effect of an Information- and Self-management App for People With Knee Osteoarthritis (OA-AID)
The primary aim of the trial is to assess if an information- and self-management app provided in the period between referral and consultation in specialist healthcare can improve knowledge about osteoarthritis and decision quality during consultation in patients with knee osteoarthritis.
204 patients will be randomized to either being on the waiting list for consultation, accessing publically available information about osteoarthritis (control group) or getting access to an 8-week information- and self-management intervention delivered through the Genus app prior to consultation.
Pasients with answer questionnaires at baseline, 4 weeks (intervention group only), 8 weeks, post consultation and 1 and 2 years after consultation.
The Genus app contains information videos, exercise videos, quizzes, feedback and questionnaires provided in a progressive order over an 8 week period.
연구 개요
연구 유형
등록 (추정된)
단계
- 해당 없음
연락처 및 위치
연구 연락처
- 이름: Anne Therese Tveter, PhD
- 전화번호: +4791115550
- 이메일: a.t.tveter@medisin.uio.no
연구 장소
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Oslo
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Oslo, Oslo, 노르웨이, 0317
- 모병
- Diakonhjemmet Hospital
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연락하다:
- Anne Therese Tveter, PhD
- 전화번호: +4791115550
- 이메일: a.t.tveter@medisin.uio.no
-
연락하다:
- Tuva Moseng, PhD
- 전화번호: +4747306697
- 이메일: tuva.moseng@diakonsyk.no
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-
참여기준
자격 기준
공부할 수 있는 나이
- 성인
- 고령자
건강한 자원 봉사자를 받아들입니다
설명
Inclusion Criteria:
- Men and women > 50 years referred to specialist healthcare for knee OA management
Exclusion Criteria:
- Received joint replacement or are under consideration for revision in the referred joint
- Have undergone joint replacement surgery in opposite knee
- Have uncontrolled serious comorbidities
- Have cognitive deficits
- Are seeking care for recent knee trauma conditions (less than 6 months after trauma) or mainly psoriatic/rheumatoid arthritis
- Unable to understand Norwegian
- Do not possess a smartphone
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 치료
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
|
실험적: Intervention group
Getting access to an information- and self-management app in the waiting period from referral to consultation in specialist healthcare
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An information- and self-management intervention delivered through the Genus app, including information videos, exercise videos, questionnaires, quizzes and feedback provided over an 8 week period prior to consultation in specialist healthcare
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활성 비교기: Control group
Getting access to publicly available information in the waiting period from referral to consultation in specialist healthcare
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Information on where to access publically available information about knee osteoarthritis
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
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Knee Osteoathritis Knowlegde Scale (KOAKS)
기간: Baseline, 8 weeks, approx. 2-4 months after baseline (1 day after consultation (post consultation))
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11 statements about osteoarthritis and treatment options, answered on a 5-point scale from 1 (=true) to 5 (=not true), summed up to a scale from 11 to 55
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Baseline, 8 weeks, approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Decision Conflict Scale (DCS)
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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16 statements with 5 response categories about the patients uncertainty with treatment options.
The total score range from 0 (no decisional conflict) to 100 (extreme decisional conflict).
The DCS also has five subscales (all 0-100): 1) uncertainty, 2) informed, 3) values clarity, 4) support, and 5) effective decision.
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
|
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Concordance between preferences and treatment decision
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured with one qustion form the Decision Conflict Scale (DSC), 5 response options.
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Decisional quality
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured with section 3 (decision process scale) in the Decision Quality Index for Knee Osteoarthritis (K-DQI) which consists of 5 questions.
Four of these questions are summed to a 0-4 score with higher score indicating more shared decision-making.
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Level of shared decision-making
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Mesured with the CollaboRATE questionnaire, comprising 3 questions measured on a 0-9 scale, with a higher score indicating better experience.
Scores are calculated using the top score method indicating the percentage of patients scoring top score for all three questions, or
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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|
Satisfaction with treatment choice
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured on a numeric rating scale (0-10, with higher score indicating more satisfaction)
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Motivation for exercise
기간: Baseline, 4 weeks (only intervention group), 8 weeks
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Measured on a numeric rating scale from 0 to 10 with higher score indicating higher motivation
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Baseline, 4 weeks (only intervention group), 8 weeks
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Motivation for surgery
기간: Baseline, 4 weeks (only intervention group), 8 weeks
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Measured on a numeric rating scale from 0 to 10 with higher score indicating higher motivation
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Baseline, 4 weeks (only intervention group), 8 weeks
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Assessment of knee-related pain
기간: Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Measured with the Knee Injury and Osteoarthritis Outcome Score (pain section), comprising 9 questions scored on a 5-point scale and calculated to a 0-100 score with higher score indicating less pain
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Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
|
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Assessment of knee-related function
기간: Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Measured with the Knee Injury and Osteoarthritis Outcome Score (function section), comprising 17 questions scored on a 5-point scale and calculated to a 0-100 score with higher score indicating less pain
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Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Assessment of knee-related quality of life
기간: Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Measured with the Knee Injury and Osteoarthritis Outcome Score (quality of life section), comprising 4 questions scored on a 5-point scale and calculated to a 0-100 score with higher score indicating less pain
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Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Health-related quality of life
기간: Baseline, 1 and 2 years
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Mesured with EQ-5D-5L, comprising 5 questions with 5 response options.
Summed to an utility index from 1 to 0, with 1 being best health-related quality of life.
Additionally a visual analog scale from 0 to 100 with 100 indicating best health.
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Baseline, 1 and 2 years
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Level of shared decision-making therapist
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured with 7 statements from the MAPPIN'SDM Therapist, measured on a 5-point scale
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Preferred decision-making role
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured with the Control Preference Scale, comprising a question with 5 statements about roles, corresponding to active role, collaborative role and passive role
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
|
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Illness perception
기간: Baseline, 8 weeks
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Measured with the Brief Illness Perception Questionnaire (B-IPQ) comprising 8 questions scored on a 0-10 scale, summed to a 0 to 80 score with higher score indicating poorer illness perception
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Baseline, 8 weeks
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Pain self-efficacy
기간: Baseline, 8 weeks
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Measured with the Pain Self-Efficacy Questionnaire (PSEQ-2) comprising 2 questions about pain self-efficacy, answered on a 0 (not at all confident) to 6 (completely confident) scale.
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Baseline, 8 weeks
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Pain catastrophizing
기간: Baseline, 8 weeks
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Measured with one question about consern about pain, measured on a 0 (not at all) to 4 (all the time) scale.
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Baseline, 8 weeks
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Pain intensity
기간: Baseline, 8 weeks
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Measured with four questions from the Brief Pain Inventory, assessed on numeric rating scales from 0 (no pain) to 10 (worst possible pain).
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Baseline, 8 weeks
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Pain intensity now
기간: Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Measured with one question about pain intensity now on a numeric rating scale from 0 (no pain) to 10 (worst possible pain).
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Baseline, 4 weeks (only intervention group), 8 weeks, 1 and 2 years
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Disease activity
기간: Baseline, 8 weeks, 1 and 2 years
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Measured with a numeric rating scale from 0 (no disease activity) to 10 (worst disease activity)
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Baseline, 8 weeks, 1 and 2 years
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Fatigue
기간: Baseline, 8 weeks, 1 and 2 years
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Measured on a numeric rating scale from 0 (no fatigue) to 10 (worst possible fatigue)
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Baseline, 8 weeks, 1 and 2 years
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Importance of treatment options
기간: Baseline, 8 weeks
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Measured with five questions from Dicision Quality Index for Knee Osteoarthritis (section 1).
Assessed on numeric rating scales from 0 (not at all important) to 10 (extremely important)
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Baseline, 8 weeks
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Preferred treatment
기간: Baseline, 8 weeks
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Measured with a question about if they prefer surgery or non-surgical treatment
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Baseline, 8 weeks
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Health literacy
기간: Baseline
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Measured with the HLS19-Q12 comprising 12 questions about health literacy answered on a 4-point likert scale from 1 (very difficult) to 4 (very easy).
Calculated as percentage (0-100) of items with valid responses that were answered with very easy or easy
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Baseline
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Self-efficacy of digital solutions
기간: Baseline
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Measured with six questions about the self-efficacy of using different digital solutions (mobile phone, tablet, computer, apps, identification portal, helsenorge.no),
assessed on a 6-point scale from never tried to manage very well
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Baseline
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Previous treatment
기간: Baseline
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Assessment of previous treatment, answered with yes/no on questions related to previous physiotherapy treatment, previous osteoarthritis school,
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Baseline
|
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Health problems impact on daily living
기간: Baseline, 8 weeks, 1 and 2 years
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Measured with one question from the Work Productivity and Activity Impairment questionnaire (WPAI) (question 6), anwered on a numeric rating scale from 0 (no effect on daily activities) to 10 (completely prevent from doing daily activities)
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Baseline, 8 weeks, 1 and 2 years
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Decision regret
기간: approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Measured with item 2 from the Decision regret scale, answered on a 5-point scale from totally agree to totally disagree
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approx. 2-4 months after baseline (1 day after consultation (post consultation))
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Use of pain medication
기간: Baseline, 8 weeks, 1 and 2 years
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Assessed with an open-ended question about the use of pain medication last three months (type and dosage)
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Baseline, 8 weeks, 1 and 2 years
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Demographics
기간: Baseline
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Measured with questions about gender, age, education level, working status, smoking, living arrangements, sosioeconomic status, and support
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Baseline
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Antropometrics
기간: Baseline
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Measured as self-reported hight and weight
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Baseline
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Joint-spesific information
기간: Baseline
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Measured with questions about most trouble some knee, duration of complaints, other joints with complaints
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Baseline
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Exercise level
기간: Baseline, 8 weeks, 1 and 2 years
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Measured with one question about exercise level answered on a 5-point scale from do not exercise to exercise 3 or more times per week
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Baseline, 8 weeks, 1 and 2 years
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Comorbidities
기간: Baseline
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Assessed with 15 questions about the presens of different diseases (yes/no)
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Baseline
|
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Usability of the app
기간: 8 weeks (only intervention group)
|
Measured with System Usability Scale (SUS) comprising 10 statements answered on a 5-point scale from strongly disagree to strongly agree, converted to a 0 to 100 score with higher score indicating better usability
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8 weeks (only intervention group)
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Satisfaction with the app
기간: 8 weeks (only the intervention group)
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Measured with two questions about the satisfaction with the information videos and exercise videos in the app, answered on numeric rating scales from 0 (not statisfied) to 10 (very satisfied)
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8 weeks (only the intervention group)
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Suitability of the app
기간: 8 weeks (only the intervention group)
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Measured with two questions about the suitability of providing information and exercises through an app, answered on numeric rating scales from 0 (not suitable) to 10 (very suitable)
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8 weeks (only the intervention group)
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Surgical treatment
기간: 1 and 2 years
|
Measured with a question about whether the patient has undergone surgical treatment (yes/no) and for those answering yes; five questions about the improvement/satisfaction with the surgical treatment, measured on a 5-point scale from very satisfied to very dissatisfied
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1 and 2 years
|
공동 작업자 및 조사자
연구 기록 날짜
연구 주요 날짜
연구 시작 (실제)
기본 완료 (추정된)
연구 완료 (추정된)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (실제)
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 연구와 관련된 용어
추가 관련 MeSH 약관
기타 연구 ID 번호
- DS-00926
- 938916 (기타 식별자: Regional committees for medical and health research ethics (REK))
- CIV-25-08-053975 (기타 식별자: Eudamed CIV ID)
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
IPD 계획 설명
약물 및 장치 정보, 연구 문서
미국 FDA 규제 의약품 연구
미국 FDA 규제 기기 제품 연구
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