<?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>IRCT20220509054796N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-05-18</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>The Effect of Cognitive-Behavioral Stress Management Training Program on Emotional Exhaustion and Job Productivity of Nurses</public_title>
      <acronym></acronym>
      <scientific_title>The Effect of Cognitive-Behavioral Stress Management Training Program on Emotional Exhaustion and Job Productivity of Nurses in Roozbeh hospital in 1401</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-07-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/63414</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Nurses of Roozbeh Hospital will enter the study through available sampling. Then they would randomly be divided into intervention and control groups using the blocking method. This would be The block randomization method, for example, the researcher considers the intervention group as A and the control group as B. The extent of each block of 4 is stable so in each block, there are two A (intervention) and two B (control), in this case, 6 situations are created, including the first mode (AABB), the second mode (ABAB), the third mode (ABBA), the fourth state (BABA), the fifth state (BBAA) and the sixth state (BAAB). We will roll a dice and for example, number 4 shows up, we would roll the (BABA) state again, for example, number 5 shows up (BBAA), and ... We will repeat rolling the dice until the sample is complete. To hide random allocation, blurred sealed envelopes with the letters inside will be used, Blinding description: After obtaining informed consent and explaining to them that each of them will be randomly placed in one of the intervention and control groups, the studied nurses were randomly divided into two intervention and control groups by the researcher. The outcome assessor of the study was used to collect data without knowing the allocation of participants to different groups. Also, the statistical analyzer did not know how to group in the study and analyzed the data in general. After the intervention, the control group was trained and the intervention group was given to them.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Emotional Exhaustion. Condition 2: Job Productivity.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Anthony et al. (2007) performed Cognitive-Behavioral stress management intervention in ten sessions in groups, each session lasting 90 to 120 minutes (twice a week), each session consisting of two parts.  The first part includes training Cognitive-Behavioral techniques that are relevant to issues related to nurses' mental health, and the second part is related to training and practicing relaxation techniques. The sessions will be performed in the form of Questions and Answers and group discussions. The structure of each session generally includes reviewing homework (5 minutes), reviewing the content of the previous session (5 minutes), presenting the first topic and practicing it (30 minutes), resting (5 minutes), presenting the second topic and practicing it (30 minutes), summary, discussing and conclusion (5 minutes), assigning homework for the next session (5 minutes). Due to the employment of the trainees and for the convenience of participating in the sessions, these training sessions will be conducted twice a week for five weeks. Intervention 2: Control group: The control group will not receive any training, but at the end of the research, the training file will be given to them.</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>Shadan Naghizadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit.7, No.4, Narenj Alley, 6th Alley, Sazesh St, Valiasr Ave</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1593814979</zip>
        <telephone>+98 21 8894 0709</telephone>
        <email>shadaannn997@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shadan Naghizadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Unit.7, No.4, Narenj Alley, 6th Alley, Sazesh St, Valiasr Ave</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1593814979</zip>
        <telephone>+98 21 8894 0709</telephone>
        <email>shadaannn997@gmail.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Willingness to participate in research
Having a nursing degree
At least six months of experience in Roozbeh Hospital</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Taking drugs that affect the psyche (self-declaration)
Having more than two weeks off in the past month
Having chronic stressful illnesses such as cancer, asthma, diabetes</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>Z73.0</hc_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Burn-out</hc_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Anthony et al. (2007) performed Cognitive-Behavioral stress management intervention in ten sessions in groups, each session lasting 90 to 120 minutes (twice a week), each session consisting of two parts.  The first part includes training Cognitive-Behavioral techniques that are relevant to issues related to nurses' mental health, and the second part is related to training and practicing relaxation techniques. The sessions will be performed in the form of Questions and Answers and group discussions. The structure of each session generally includes reviewing homework (5 minutes), reviewing the content of the previous session (5 minutes), presenting the first topic and practicing it (30 minutes), resting (5 minutes), presenting the second topic and practicing it (30 minutes), summary, discussing and conclusion (5 minutes), assigning homework for the next session (5 minutes). Due to the employment of the trainees and for the convenience of participating in the sessions, these training sessions will be conducted twice a week for five weeks.</i_keyword>
      <i_keyword>Control group: The control group will not receive any training, but at the end of the research, the training file will be given to them.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Emotional Exhaustion. Timepoint: Before and After receiving Cognitive-Behavioral Stress Management Training. Method of measurement: Maslash and Jackson 1981 Emotional Exhaustion Questionnaire.</prim_outcome>
      <prim_outcome>Job Productivity. Timepoint: Before and After receiving Cognitive-Behavioral Stress Management Training. Method of measurement: Job Productivity Questionnaire by  Hershey and Blanchard 1984.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-04-30</approval_date>
        <contact_name>Research Ethics Committees of School of Nursing and Midwifery and Rehabilitation-Tehran University o</contact_name>
        <contact_address>Unit.7, No.4, Narenj Alley, 6th Alley, Sazesh St, Valiasr Ave Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
