Research

Title

Annual and Progress Reports Notification

Research Progress Reporting

There seven sections in this report (Section 1.1 - 1.7)

DECLARATION
*Please tick this box to confirm your declaration	-1 As the Coordinating Principal Investigator or Austin Principal Investigator, I confirm that all the information that I have provided within this report is true and correct. -2 This project has been conducted in accordance with the approved project description/protocol including data collection and storage, any approval conditions, and the NHMRC National Statement on Ethical Conduct in Human Research (2007, or as amended) This is a mandatory field.
Report Details
*Chief Principal Investigator	This is a mandatory field.
*Project HREC Number	This is a mandatory field.
SSA Reference Number
Protocol Number/Short Title	(if applicable)
*Project Title	This is a mandatory field.
Date of Report
*Reporting Period date begins	This is a mandatory field.
*Reporting Period date ends	This is a mandatory field.
*Email address for study correspondence	This is a mandatory field.
*Principal Investigator email address	This is a mandatory field.
1.1 Project Status
*Project Status	Not yet commenced In progress Closed Suspended Abandoned This is a mandatory field.
*In 250 words or less, please explain the work that was completed on this project during the reporting period including if there were any publications or presentations that have arisen form this work.	This is a mandatory field.
1.2 Events Please list below any complaints, authorship disputes, safety incidents, breaches, deviations or audit findings that occurred on this project during the reporting period
*Complaints	This is a mandatory field.
*Safety Issues	This is a mandatory field.
*Audit Findings	This is a mandatory field.
*Authorship Disputes	This is a mandatory field.
1.3 Future Activities
*Please clarify what activities are planned for the next 12 Months	This is a mandatory field.
1.4 Consumer Engagement
*Please clarify how consumers have been involved in this project including whether feedback has been received and used to undertake process improvement activities	This is a mandatory field.
1.5 Results to participants
*Please describe the timeframe used to provide results to participants	This is a mandatory field.
1.6 Compliance with Code for the Responsible Conduct of Research
*Estimate of Total Proposed Budget	This is a mandatory field.
*Budget on target	Yes No This is a mandatory field.
*Estimate of FTE	This is a mandatory field.
*FTE on target	Yes No This is a mandatory field.
*Project Specific Authorship Policy in Place	Yes No This is a mandatory field.
1.7 Participant Numbers for All Sites There is space for three (3) site reports. Contact research@austin.org.au if you have more than three sites.
Site Name (Study site one)
Target Recruitment (Study site one) number
Ongoing participants (Study site one)
Withdrawn participants (Study site one)
Is the rate of study withdrawal expected?	Yes No
Is the rate of loss to follow up expected?	Yes No
Site that has completed research project
If the study is closed, have participants been informed of the results within 12 months?	Yes No Not applicable
Site Name (Study site two)
Target Recruitment (Study site two)
Ongoing participants (Study site two)
Withdrawn participants (Study site two)
Is the rate of study withdrawal expected?	Yes No
Is the rate of loss to follow up expected?	Yes No
Site that has completed research project
If the study is closed, have participants been informed of the results within 12 months?	Yes No Not applicable
Site Name (Study site three)
Target Recruitment (Study site three)
Ongoing participants (Study site three)
Withdrawn participants (Study site three)
Is the rate of study withdrawal expected?	Yes No
Is the rate of loss to follow up expected?	Yes No
Site that has completed research project
If the study is closed, have participants been informed of the results within 12 months?	Yes No Not applicable
Other information eg updated insurance certificate	One pdf file can be uploaded
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Please report any difficulties to research@austin.org.au

Research

Austin Health

Research

Annual and Progress Reports Notification

Research Progress Reporting

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