<?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>IRCT20151107024923N2</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-01-18</date_registration>
      <primary_sponsor>The University of Science and Culture</primary_sponsor>
      <public_title>Efficiency of Integrative Behavioral Couple Therapy (IBCT) on communication patterns and marital adjustment and analysis of effective factors on the outcomes of this intervention</public_title>
      <acronym></acronym>
      <scientific_title>Efficiency of Integrative Behavioral Couple Therapy (IBCT) on communication patterns and marital adjustment and analysis of effective factors on the outcomes of this intervention</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-09-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>76</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65771</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Simple randomization has been done using a table of random numbers.
First, a code was assigned to each of the participants, and to select the people of the test group, it was done randomly from the table of random numbers by closing the eyes and putting a finger on the table.</study_design>
      <phase>3</phase>
      <hc_freetext>Marital adjustment.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Participants in the intervention group: attended eleven 90-minute sessions of IBCT. An overview of the IBCT-based intervention: 1.Greeting (the therapist and couples identified themselves); the principles of the intervention sessions were explained; the eligibility of couples for entering the intervention was reassessed; the current problems and development history of couples were reviewed; the relationship strengths were explained through behavioral examples; the intervention goals were set; the perspectives of couples therapy were outlined. 2.Couples participated in individual sessions; couples were briefed on the principles of confidentiality; couples were asked to go beyond the current problems based on the initial assessment and interviews; violence-related issues were addressed; couples were asked to express their commitment to the intervention; extramarital affairs were discussed; the history of their relationship was reviewed; the family conflict pattern and its origin were explained; emotional sensitivities and external tension were discussed. 3.Previous sessions were reviewed; previous content was summarized; the therapist provided feedback to couples; couples were encouraged to engage in the formulation of their problems; problematic areas were identified; the strengths of the spousal relationships were identified; the therapist provided his/her formulation and compared it with that of couples. 4.Previous sessions were reviewed, communication patterns were discussed; couples were asked to create a safe environment for each other to express their discomforts and frustrations; couples were trained in interventions to stop; limit or redirect problematic patterns of communication; spouses were assigned tasks based on a mutual alliance. 5.Previous sessions were reviewed; couples were trained in talking about problems without blaming; couples were trained in emotion-based interventions (empathic connection and united neutrality); communication patterns leading to marriage failure were discussed; spouses were asked to engage in a situation of persistent conflict; problems of couples were reformulated case by case based on the main themes identified in the feedback session.  6.Previous sessions were reviewed; previous content was summarized; couples were encouraged to use acceptance-based techniques to somewhat distance themselves from their problems emotionally; couples were asked to reduce their sensitivity to negative behaviors because some negative behaviors might produce positive results. 7.Couples’ completed assignments were reviewed; couples were trained in interventions for increasing tolerance such as identifying negative behaviors and pretending to negative behaviors at home, and then the spouses’ feedback was analyzed; couples were asked to increase their tolerance through self-monitoring and listing self-care practices.  8.Previous sessions were reviewed; previous content was summarized; spousal needs were identified; couples were motivated to choose activities that would suit their needs; spouses were encouraged to respect each other’s independence and autonomy.   9.Previous sessions were reviewed, couples were trained in change-based interventions such as practicing communication patterns and skills in the intervention sessions, identifying the behaviors that spouses could show to each other to improve relationship satisfaction, behavioral exchange, and recognition of positive behaviors in a retrospective manner. 10.Couples were trained in holding conversations without destructive methods, speaking and listening skills, constructive conversation for solving problems, problem diagnosis skills, and problem-solving skills. 11.Previous content was summarized and concluded; couples were provided with necessary support and assistance to cope with stressors; the intervention achievements and couples' decisions about the future were discussed; the follow-up session was planned and scheduled. Intervention 2: Control group: whereas those in the control group received no interventions in this period.</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 For personal reasons</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohsen Kachooei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bahar st, Shahid Qamoshi st, Ashrafi Esfahani Bulvar</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1461968151</zip>
        <telephone>+98 21 4423 8175</telephone>
        <email>ChimanSalimi@stu.usc.ac</email>
        <affiliation>The University of science and Culture</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Chiman Salimi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bahar st, Shahid Qamoshi st, Ashrafi Esfahani Bulvar</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1461968151</zip>
        <telephone>009844238173</telephone>
        <email>chimansalimi@stu.usc.ac</email>
        <affiliation>The University of Science and Culture</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The presence of compatibility problems in couples based on interviews and scores less than 109 in the Spanier Marital Compatibility Questionnaire (extremely severe incompatibilities that the couple is in the process of legal divorce will not be included in).
Diploma and higher education level
Age range between 20 and 45
At least 1 and at most 7 years of living together
Having enough time to participate in meetings</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>45 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>suffering from severe psychiatric disorders (according to the initial interview)
currently receiving other psychological or psychiatric treatment (due to interference with treatment outcomes)
abusing drugs, alcohol and gambling (currently or in the last three months)
experiencing another relationship at the same time (current experience of betrayal)
severe domestic violence (currently)</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>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Participants in the intervention group: attended eleven 90-minute sessions of IBCT. An overview of the IBCT-based intervention: 1.Greeting (the therapist and couples identified themselves); the principles of the intervention sessions were explained; the eligibility of couples for entering the intervention was reassessed; the current problems and development history of couples were reviewed; the relationship strengths were explained through behavioral examples; the intervention goals were set; the perspectives of couples therapy were outlined. 2.Couples participated in individual sessions; couples were briefed on the principles of confidentiality; couples were asked to go beyond the current problems based on the initial assessment and interviews; violence-related issues were addressed; couples were asked to express their commitment to the intervention; extramarital affairs were discussed; the history of their relationship was reviewed; the family conflict pattern and its origin were explained; emotional sensitivities and external tension were discussed. 3.Previous sessions were reviewed; previous content was summarized; the therapist provided feedback to couples; couples were encouraged to engage in the formulation of their problems; problematic areas were identified; the strengths of the spousal relationships were identified; the therapist provided his/her formulation and compared it with that of couples. 4.Previous sessions were reviewed, communication patterns were discussed; couples were asked to create a safe environment for each other to express their discomforts and frustrations; couples were trained in interventions to stop; limit or redirect problematic patterns of communication; spouses were assigned tasks based on a mutual alliance. 5.Previous sessions were reviewed; couples were trained in talking about problems without blaming; couples were trained in emotion-based interventions (empathic connection and united neutrality); communication patterns leading to marriage failure were discussed; spouses were asked to engage in a situation of persistent conflict; problems of couples were reformulated case by case based on the main themes identified in the feedback session.  6.Previous sessions were reviewed; previous content was summarized; couples were encouraged to use acceptance-based techniques to somewhat distance themselves from their problems emotionally; couples were asked to reduce their sensitivity to negative behaviors because some negative behaviors might produce positive results. 7.Couples’ completed assignments were reviewed; couples were trained in interventions for increasing tolerance such as identifying negative behaviors and pretending to negative behaviors at home, and then the spouses’ feedback was analyzed; couples were asked to increase their tolerance through self-monitoring and listing self-care practices.  8.Previous sessions were reviewed; previous content was summarized; spousal needs were identified; couples were motivated to choose activities that would suit their needs; spouses were encouraged to respect each other’s independence and autonomy.   9.Previous sessions were reviewed, couples were trained in change-based interventions such as practicing communication patterns and skills in the intervention sessions, identifying the behaviors that spouses could show to each other to improve relationship satisfaction, behavioral exchange, and recognition of positive behaviors in a retrospective manner. 10.Couples were trained in holding conversations without destructive methods, speaking and listening skills, constructive conversation for solving problems, problem diagnosis skills, and problem-solving skills. 11.Previous content was summarized and concluded; couples were provided with necessary support and assistance to cope with stressors; the intervention achievements and couples' decisions about the future were discussed; the follow-up session was planned and scheduled.</i_keyword>
      <i_keyword>Control group: whereas those in the control group received no interventions in this period.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Marital adjustment. Timepoint: 11 weeks. Method of measurement: depth interview,  Spanier Dyadic Adjustment Scale.</prim_outcome>
      <prim_outcome>Communication patterns. Timepoint: One week before the start of treatment and one week after the end of treatment. Method of measurement: communication pattern 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>The University of Science and Culture</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-09-03</approval_date>
        <contact_name>Royan Institute, research ethics committee</contact_name>
        <contact_address>No. 12, Royan Alley., Hafez St., Banihashem St., Qasem Soleimani Expressway (Resalat Ave)., Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
