<?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>IRCT20220406054435N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-06-26</date_registration>
      <primary_sponsor>Shiraz University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Benson relaxation and back massage on anxiety in angiography patients</public_title>
      <acronym></acronym>
      <scientific_title>Investigation the comparative effect of Bensons Relaxation and Back Massage on Anxiety in patients undergoing Coronary Angiography</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-09-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>105</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/62913</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Single, Purpose: Prevention, Randomization description: Simple block randomization with block size 6 will be used to place patients in the three groups (massage by the a professional, Benson relaxation technique, and control group). For this purpose, in each block of 6, 2 items will be randomly assigned to the Benson intervention group, 2 items to the massage group and 2 items to the control group. Then, for the next 6 patients, it will be decided randomly in the next block that each patient should be assigned into which group. This process will be proceeded for the next 6 patients until the required number of participants are sampled for the study, Blinding description: Codes assigned to patients in three groups will be kept in sealed envelopes and provided to the ward secretary. Patients will not know about these codes. Moreover, the statistician won't be aware of the participants' group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Cardiac angiography.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Benson relaxation: In this group, before the intervention, vital signs including blood pressure, pulse rate and respiration are measured using the equipment in the ward, the correctness of which has already been checked. The patient is then placed in a quiet, supine position and closed his eyes when the patient's private environment is provided. The patient receives non-verbal music with headphones and tries to relax his muscles from the toes to the head and then relax, and the patient is instructed to try to do this piece by piece and While tightening and relaxing the muscles, visualize them in your mind and breathe through your nose, and while breathing, listen to the breathing sounds and repeat a word. This takes 15 to 20 minutes. Intervention 2: Intervention group: Back massage: Participants will be asked to lie on their backs and unveiled around the bed for patient privacy during the intervention. Also, for male patients, massage will be performed by a male massager and for female patients by a female massager. During the massage, sheets will be stretched on the patient and he will be stripped step by step. The massager, who has already received the necessary training, first warms his hands and soaks them in almond oil. Then massage the back for 20 minutes for the patient. Massage is done by static massage, superficial stretching technique, stretching massage, lymphatic surface emptying technique, transverse rubbing technique, and myofascial release technique, which is performed with efflux (gentle pressure and immersion of the body in oil). Study outcome variables are vital signs (respiration rate, pulse rate and blood pressure) and anxiety, which will be assessed using calibrated devices and the Spielberger Anxiety Inventory. Intervention 3: Control group: No intervention: They will not receive any intervention and will only be provided with routine nursing training.</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 More time to decide</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Seyed Saeid Najafi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shiraz University of Medical Sciences, Hazrat Fatemeh School of Nursing and Midwifery, Department of Internal Medicine, Surgery and Emergency Medicine</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1978-71345</zip>
        <telephone>+98 74 3254 3071</telephone>
        <email>najafisa@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Seyed Saeid Najafi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shiraz University of Medical Sciences, Hazrat Fatemeh School of Nursing and Midwifery, Department of Internal Medicine, Surgery and Emergency Medicine</address>
        <city>Shiraz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1978-71345</zip>
        <telephone>+98 74 3254 3071</telephone>
        <email>najafisa@yahoo.com</email>
        <affiliation>Shiraz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The patient's ability to communicate
Be at least 18 years old or older
Absence in acute conditions of the disease
Do not prohibit touching with a doctor's opinion
Only undergo an angiographic plan
Do not take drugs, sedatives and alcohol before angiography without a doctor's prescription</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Hearing problems and muscle paralysis
Cognitive and mental disorders</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>Behavior</i_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Benson relaxation: In this group, before the intervention, vital signs including blood pressure, pulse rate and respiration are measured using the equipment in the ward, the correctness of which has already been checked. The patient is then placed in a quiet, supine position and closed his eyes when the patient's private environment is provided. The patient receives non-verbal music with headphones and tries to relax his muscles from the toes to the head and then relax, and the patient is instructed to try to do this piece by piece and While tightening and relaxing the muscles, visualize them in your mind and breathe through your nose, and while breathing, listen to the breathing sounds and repeat a word. This takes 15 to 20 minutes.</i_keyword>
      <i_keyword>Intervention group: Back massage: Participants will be asked to lie on their backs and unveiled around the bed for patient privacy during the intervention. Also, for male patients, massage will be performed by a male massager and for female patients by a female massager. During the massage, sheets will be stretched on the patient and he will be stripped step by step. The massager, who has already received the necessary training, first warms his hands and soaks them in almond oil. Then massage the back for 20 minutes for the patient. Massage is done by static massage, superficial stretching technique, stretching massage, lymphatic surface emptying technique, transverse rubbing technique, and myofascial release technique, which is performed with efflux (gentle pressure and immersion of the body in oil). Study outcome variables are vital signs (respiration rate, pulse rate and blood pressure) and anxiety, which will be assessed using calibrated devices and the Spielberger Anxiety Inventory.</i_keyword>
      <i_keyword>Control group: No intervention: They will not receive any intervention and will only be provided with routine nursing training.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anxiety score in Spielberger questionnaire. Timepoint: Measurement of anxiety before the intervention and half an hour after the intervention. Method of measurement: Spielberger Anxiety Questionnaire.</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>Shiraz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-12-20</approval_date>
        <contact_name>Ethics committee of Shiraz University of Medical Sciences</contact_name>
        <contact_address>Shiraz, Zand St., in front of Palestine St., the central building of Shiraz University of Medical Sciences Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
