45 and Up Annual Progress and Final Report Please complete this Report to inform us of your research progress or project completion.

The information you provide in this report is important to help us understand and promote the outcomes and impact of your research project.

Sections of the Form

1. Project Information: this is a mandatory section about the project.2. Research Outputs: this section informs us of the outputs from your project. Please include evidence of outputs

along with this form.3. Research Impact: this section informs us of the Impact of your project. Please include evidence of Impact along

with this form.4. Research Developments: this section informs us of other developments (i.e. adverse events, funding and ethics

amendments) relating to your project.5. Data Archiving Plan: you can nominate your data archiving plan in this section. Complete this section if you have

completed your project.6. Declaration: this is a mandatory section and must be signed by the Chief Investigator.

Instructions

Complete all sections of the report with the information available about the project. Please provide copies of any outputs and impact from your project.

Post project interaction We understand that the output from, and impact of, a research project may take some time to materialise even after completion of a research project. To enable the 45 and Up Study to build a comprehensive understanding of Impact, we may continue to follow up with you periodically after the completion of your project to gather further information relating to the Impact of your research.

For more information Additional information can be found on our website or by contacting us directly: Website: https://www.saxinstitute.org.au/our-work/45-up-study/ 45 and Up Coordinating Centre: 45andUp.research@saxinstitute.org.au Phone: 02 9188 9500

How to submit To submit your report, please click on the Submit button below. 

1. Project InformationAll fields in this section are mandatory

Project Information 

Project ID:

SURENAME (if applicable):

Project Title (in full):

Lead organisation:

Chief Investigator:

Contact Person

If you wish to nominate a contact person for this report, please provide the following details.

Full Name:

Organisation:

Contact Number:

Email:

Report Type

⃣ Progress. Please provide the expected completion date: ⃣ Final If final, is the project: ⃣ Completed. Please specify completion date: ⃣ Discontinued. If discontinued, please provide reason:

Information about Researchers 

Please provide names of all researchers accessing data:

Please provide names and organization/s of all researchers not accessing data:

Please provide details of students and early career researchers on the project (Full name, Student type (if applicable), Supervisor’s name, University/organisation, Topic) Please specify all non-researchers on the project (e.g. community members, clinicians, policy makers etc.)

2. Research Outputs  

Have there been any outputs from this project?: Yes No. If No, please proceed to Section 3. If yes, please select the type of output: Publications Conferences Reports Media Other. Please specify: Describe the output produced: Please supply a copy of the Output produced with this submission (a link to, or an electronic copy, of the Output). Link:

3. Research Impact  

Has there been any Impact from this Study?: Yes No. If No, please proceed to Section 4. If yes, please complete the following: Type of Impact*: Describe the Impact: In the description, please summarise the process through which the research led to or contributed to the Impact, details of the beneficiaries, nature of the Impact and when it occurred. Please supply evidence of the Impact with this submission (a link to, or an electronic copy, of the Impact). Link:

*Types of Impact may be ‘influencing development of policy, service provision, regulations’, ‘contributing to understanding of policy issues’, ‘reframing debates’, ‘technical and personal skill development’.

4. Research Developments  Adverse Events  

Have there been any adverse events?: Yes No If yes, please provide information Adverse event refers to failure to comply with study protocol which affects participant rights, privacy, safety or wellbeing or research data integrity.

 Additional Funding  

Has there been any additional funding?: Yes No If yes, please provide information

 

Ethics Amendments 

Are there any amendments submitted to Ethics?: Yes No

If yes, please provide information

Please supply copies of ethical amendment approvals with this submission.

5. Data Archiving PlanComplete this section if this is a Final Report

Please specify the data archiving plan for this project. The data archiving plan should reflect the primary Ethics approval and any requirements specified by data custodians. Please include information on the duration of archiving, latest date of destruction, any destruction requirements and special requests for archiving.

6. DeclarationSignature of Chief Investigator

_________________________________________________ __________________________________ Signature Date

Help us improve

Please let us know below if you have any suggestions on how we can improve our process to better promote the value and impact of the 45 and Up Study.

Please sign by drawing or inserting an image of your signature