<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20201009048974N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-01-25</date_registration>
      <primary_sponsor>Shahid Beheshti University of Medical Sciences</primary_sponsor>
      <public_title>The Comparison of the Effectiveness of Mindfulness-Based Childbirth and Parenting Program and Cognitive-Behavioral Therapy on Pregnancy Anxiety, Birth Satisfaction, Fear of normal delivery, and Labor Pain in Primiparous Women</public_title>
      <acronym></acronym>
      <scientific_title>The Comparison of the Effectiveness of Mindfulness-Based Childbirth and Parenting Program and Cognitive-Behavioral Therapy on Pregnancy Anxiety, Birth Satisfaction, Fear of normal delivery, and Labor Pain in Primiparous Women</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-10-26</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/51625</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: After entering the questionnaire, the participants completed the demographic information questionnaire and after obtaining written consent from both the pregnant woman and her husband and in the absence of her father, randomly divided into two experimental groups (cognitive behavioral therapy and delivery and parenting program based on Mindfulness) and control are assigned.
 The allocation randomization is simple and uses a random number table. Random allocation concealment will also be done using the central randomization method. After assigning individuals to the groups, a pretest is performed for the variables of labor pain, pregnancy anxiety and fear of normal delivery for individuals in both groups. Then, mindfulness and cognitive-behavioral delivery and parenting programs are implemented for the experimental group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Pregnancy Anxiety, Birth Satisfaction, Fear of normal delivery, and Labor Pain.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Cognitive-behavioral therapy group. Cognitive-behavioral educational intervention in this study was based on appropriate cognitive-behavioral methods to reduce anxiety in pregnant women and programs set by the Ministry of Health during 12 sessions of 90 minutes and twice a week. It should be noted that each intervention session is organized by providing assignments and giving feedback to sample members and performing appropriate exercises, as well as a review of previous sessions. Intervention 2: Intervention group: Mindfulness-based childbirth and parenting program. Participants begin MBCP in the late second or early third trimester and are asked to listen to meditation guide CDs at home 30 minutes a day, 6 days a week. Formal mindfulness meditation instructions include sitting meditation, body monitoring, mindfulness pug, and couple meditation in sessions. These techniques are adapted to cover the mental and physical aspects of pregnancy. Intervention 3: Control group: General education of pregnancy and childbirth.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Maryam Bakhtiari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Velenjak St. , Shahid Chamran Highway</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1111111111</zip>
        <telephone>+98 21 2243 9982</telephone>
        <email>maryam_bakhtiyari@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Maryam Bakhtiari</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Velenjak St. , Shahid Chamran Highway</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1111111111</zip>
        <telephone>+98 21 2243 9982</telephone>
        <email>maryam_bakhtiyari@sbmu.ac.ir</email>
        <affiliation>Shahid Beheshti University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>pregnant Women
Primiparous Women</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>49 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>psychosis
Hi risk pregnancy
Taking psychiatric medication</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Cognitive-behavioral therapy group. Cognitive-behavioral educational intervention in this study was based on appropriate cognitive-behavioral methods to reduce anxiety in pregnant women and programs set by the Ministry of Health during 12 sessions of 90 minutes and twice a week. It should be noted that each intervention session is organized by providing assignments and giving feedback to sample members and performing appropriate exercises, as well as a review of previous sessions.</i_keyword>
      <i_keyword>Intervention group: Mindfulness-based childbirth and parenting program. Participants begin MBCP in the late second or early third trimester and are asked to listen to meditation guide CDs at home 30 minutes a day, 6 days a week. Formal mindfulness meditation instructions include sitting meditation, body monitoring, mindfulness pug, and couple meditation in sessions. These techniques are adapted to cover the mental and physical aspects of pregnancy.</i_keyword>
      <i_keyword>Control group: General education of pregnancy and childbirth</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pregnancy Anxiety Score in PRAQ Questionnaire. Timepoint: Before intervention and after intervention. Method of measurement: PRAQ Questionnaire.</prim_outcome>
      <prim_outcome>Fear score of natural childbirth in Vijma childbirth expectation questionnaire. Timepoint: Before intervention and after intervention. Method of measurement: Vijma childbirth expectation questionnaire.</prim_outcome>
      <prim_outcome>Mindfulness score in the Five Facet Mindfulness Questionnaire and Multidimensional Assessment of Interoceptive Awareness questionnaire. Timepoint: Before intervention and after intervention. Method of measurement: Five Facet Mindfulness Questionnaire and Multidimensional Assessment of Interoceptive Awareness questionnaire.</prim_outcome>
      <prim_outcome>Visual analog scale of labor pain. Timepoint: during  labor. Method of measurement: Score zero to 10 on the visual analog scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shahid Beheshti University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-09-24</approval_date>
        <contact_name>Research Ethics Committee of School of Medicine - Shahid Beheshti University of Medical Sciences</contact_name>
        <contact_address>Floor 13, Block A, Ministry of Health &amp; Medical Education Headquarters, Between Zarafashan &amp; South Falamak, Qods Town, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
