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IRCT20110629006917N4 IRCT 2019-12-27 Iran University of Medical Sciences The effect of expressive writing on sexual dysfunction, quality of life and body image of women with MS MS The effect of expressive writing on sexual dysfunction, quality of life and body image of women with multiple sclerosis 2019-11-22 anticipated 104 Complete https://irct.ir/trial/43488 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Factorial, Purpose: Supportive, Other design features: This study was designed as a four-group Solomon study to minimize the impact of pre-test questionnaires on attitude and subjectivity of research units. In this way we will have two intervention and two control groups and one intervention and one control group will complete pre-test and post-test questionnaires and the other two groups will answer only post-test questionnaires (Delavar, 2016). the explanation of the four groups is as follows.Control group A1: Includes those in the control group without pre-test, who will only complete the post-test questionnaires.Control group A2: Including control group who will complete the questionnaires in two stages before and after the intervention.Intervention group B1: Includes those in the intervention group without pre-test who will only complete the post-test questionnaires.Intervention group B2: Includes those in the intervention group who will complete the questionnaires in two stages before and after the intervention, Randomization description: the allocation of samples in 4 groups A1 and B1 groups without pre-test, and groups A2 and B2 groups with pre-test and post-test will determine by computer random number table. And sampling will continue until completion of sample size in each The subgroups. N/A Multiple Sclerosis (MS). Intervention 1: Intervention group: This group consists of 52 married women aged 18-45 years with multiple sclerosis who will be divided into two subgroups of 26 based on Solomon's design. The first group is the intervention group without pre-test and only completes the questionnaires after the intervention. The second group will complete the questionnaires in both stages before and after the intervention. The overall six-week intervention period is designed, with participants completing assignments each week. A commitment and service contract will be provided to the participants of the intervention groups and signed prior to starting writing at home to consider performing the work as part of their duties. Finally, the research units execute the program at home on a daily basis for 6 consecutive weeks. At the core of this method of writing are two central tools of writing: morning pages and an in-person artist appointment. Morning pages are such that they will write their morning pages every morning during these 6 weeks of intervention. Generally speaking, the morning pages consist of 3 regular handwritten pages, They write freely and without thinking and do not give up on paper. There is no wrong way to write the morning pages. Even if nothing comes to mind, the three pages say "nothing comes to mind." The definition of an in-house artist meeting is that they cultivate awareness every week for a full time (eg two hours). This appointment can be the best of the kind of tour, recreation and play they can plan in advance, and will not be canceled against any interference with or obstructions. At this meeting, no one is going to bring anyone, and we will tell them that this is a chance to listen to what you are saying. They will be told that there are probably many reasons to avoid doing this and the most common is to say that I am not in good financial shape, but the artist within you is a child who spends more time with her parents than It is money only and they can only go to shops and this principle is essential for self-care. For the sake of convenience, participants will be given five thousand dollars a week to donate to an artist within themselves. There are also a number of creative assignments each week that will be performed on different days until the end of each week. At the end of each week, an assessment will be made of how the assignments will be completed by completing the checklist. Intervention 2: Control group: This group consists of 52 married women aged 18-45 years with multiple sclerosis who will be divided into two subgroups of 26 based on Solomon's design. The first group is the intervention group without pre-test and only completes the questionnaires after the intervention. The second group will complete the questionnaires in both stages before and after the intervention. The control group is routinely monitored. After completion of the intervention group, a Justification meeting will be held for both control groups and a weekly service plan will be presented. No - There is not a plan to make this available Justification or reason for not sharing IPD is "No more information".
public Leila Amini
Tehran, Valiasr Ave., above Vanak Square, Rashid Yasimi Street
tehran Iran (Islamic Republic of) ۱۹۹۶۷۱۳۸۸۳ +98 21 4365 1000 amini.l@iums.ac.ir Iran University of Medical Sciences scientific Leila Amini
Tehran, Valiasr Ave., above Vanak Square, Rashid Yasimi Street
tehran Iran (Islamic Republic of) ۱۹۹۶۷۱۳۸۸۳ +98 21 4365 1000 amini.l@iums.ac.ir Iran University of Medical Sciences Iran (Islamic Republic of) Minimum literacy Obtain an EDSS disability score of less than 4.5 to the physician's diagnosis At least one year after diagnosis Having sex at least once a month during the past month Access to and ability to use virtual networks such as WhatsApp Women with Multiple Sclerosis 18 years 45 years Female Taking drugs that affect sexual function use of psychotropic drugs, alcohol, opiates, hallucinogens or drugs affecting sexual desire and sexual function in couples, as reported by the patient or registered in the case Chronic disease other than MS in research units pregnancy or lactation traumatic event occurring three months prior to intervention according to patient Relationship between participants with other clients in that center or non-membership of a virtual shared group G35 Multiple sclerosis Rehabilitation Rehabilitation Intervention group: This group consists of 52 married women aged 18-45 years with multiple sclerosis who will be divided into two subgroups of 26 based on Solomon's design. The first group is the intervention group without pre-test and only completes the questionnaires after the intervention. The second group will complete the questionnaires in both stages before and after the intervention. The overall six-week intervention period is designed, with participants completing assignments each week. A commitment and service contract will be provided to the participants of the intervention groups and signed prior to starting writing at home to consider performing the work as part of their duties. Finally, the research units execute the program at home on a daily basis for 6 consecutive weeks. At the core of this method of writing are two central tools of writing: morning pages and an in-person artist appointment. Morning pages are such that they will write their morning pages every morning during these 6 weeks of intervention. Generally speaking, the morning pages consist of 3 regular handwritten pages, They write freely and without thinking and do not give up on paper. There is no wrong way to write the morning pages. Even if nothing comes to mind, the three pages say "nothing comes to mind." The definition of an in-house artist meeting is that they cultivate awareness every week for a full time (eg two hours). This appointment can be the best of the kind of tour, recreation and play they can plan in advance, and will not be canceled against any interference with or obstructions. At this meeting, no one is going to bring anyone, and we will tell them that this is a chance to listen to what you are saying. They will be told that there are probably many reasons to avoid doing this and the most common is to say that I am not in good financial shape, but the artist within you is a child who spends more time with her parents than It is money only and they can only go to shops and this principle is essential for self-care. For the sake of convenience, participants will be given five thousand dollars a week to donate to an artist within themselves. There are also a number of creative assignments each week that will be performed on different days until the end of each week. At the end of each week, an assessment will be made of how the assignments will be completed by completing the checklist Control group: This group consists of 52 married women aged 18-45 years with multiple sclerosis who will be divided into two subgroups of 26 based on Solomon's design. The first group is the intervention group without pre-test and only completes the questionnaires after the intervention. The second group will complete the questionnaires in both stages before and after the intervention. The control group is routinely monitored. After completion of the intervention group, a Justification meeting will be held for both control groups and a weekly service plan will be presented. Sexual dysfunction. Timepoint: Before intervention and immediately after intervention, four weeks and eight weeks after intervention. Method of measurement: The Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19). Quality of Life. Timepoint: Before intervention and immediately after intervention, four weeks and eight weeks after intervention. Method of measurement: Multiple Sclerosis Quality of Life-54 (MSQOL-54). Body image. Timepoint: Before intervention and immediately after intervention, four weeks and eight weeks after intervention. Method of measurement: Fisher Body Image Test. Iran university of medical sciences Approved 2019-10-15 iran national committee for Ethics in Biomedical Research Floor 13, Block A, Ministry of Health & Medical Education Headquarters, Between Zarafashan & South Falamak, Qods Town, Tehran, Iran. tehran Tehran Iran (Islamic Republic of)