<?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>IRCT20220917055973N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-10-02</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Developing an 8-week, tele-education weight control and exercise program, and evaluating its effects on weight and pain reduction in patients with obesity and knee osteoarthritis</public_title>
      <acronym></acronym>
      <scientific_title>Developing an 8-week, tele-education weight control and exercise program, and evaluating its effects on weight and pain reduction in patients with obesity and knee osteoarthritis referred to Imam Khomeini Hospital: A ِdouble-blinded randomized clinical trial.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/65943</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, block randomization is used. Thirty participants in this research will be placed in 3 blocks of ten that will be randomly selected by someone other than the researcher. Assigning each of the letters A and B to each of the intervention and control groups is done by a person other than the researcher (a third person), Blinding description: This study is double-blinded. Each candidate is blinded to their group (Intervention or control). The assessor of outcomes, including height, weight, waist circumference, hip circumference, and functional tests is blinded.</study_design>
      <phase>N/A</phase>
      <hc_freetext>knee osteoarthritis.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: participating in online training classes includes nutrition, physical activity, and cognitive behavioural therapy (CBT). Also, the knee exercise program including stretch and strength exercises is sent to them based on a weekly schedule for eight weeks. Intervention 2: Control group: one session of educational recommendations on weight loss and aerobic exercise, in addition to the knee exercises for eight weeks.</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>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Initial results and other items at the request of
researchers.

When:
The period of access starts 6 months after the
publication of results.

To whom:
Please contact this email: z_alizadeh@tums.ac.ir

Conditions:
Please contact this email: z_alizadeh@tums.ac.ir

Where to obtain:
Please contact this email: z_alizadeh@tums.ac.ir

How to obtain:
Please contact this email: z_alizadeh@tums.ac.ir

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Reyhaneh Khazaei</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Sports Medicine, Imam Khomeini Hospital Complex, Gharib Street, Keshavarz Boulevard</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733141</zip>
        <telephone>+98 21 6119 2282</telephone>
        <email>reyhanehkh@yahoo.com</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Zahra Alizadeh</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Department of Sports Medicine, Imam Khomeini Hospital Complex, Gharib Street, Keshavarz Boulevard</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1419733141</zip>
        <telephone>+98 21 6658 1637</telephone>
        <email>z_alizadeh@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 45 and 75 years
Female or male
Radiographic diagnosis of knee osteoarthritis
Ability to use the online application
No history of bariatric surgery, uncontrolled diabetes, uncontrolled blood pressure, uncontrolled cardiovascular diseases, severe musculoskeletal and neurological disease and any other disease that can limit daily routine activities.</inclusion_criteria>
      <agemin>45 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Getting pregnant
Presence of a metal device or heart pacemaker in the body
Recent diet therapy with weight loss (5% over 3 months or 10% over 6 months)
End-stage osteoarthritis based on the Kellgren and Lawrence classification
Use of weight loss medications such as appetite suppressants or any medication that has a significant effect on weight such as steroids.
Recent intra-articular injections within the last 6 months
Use of physiotherapy devices</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M17</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Osteoarthritis of knee</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Lifestyle</i_code>
      <i_code>Lifestyle</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: participating in online training classes includes nutrition, physical activity, and cognitive behavioural therapy (CBT). Also, the knee exercise program including stretch and strength exercises is sent to them based on a weekly schedule for eight weeks.</i_keyword>
      <i_keyword>Control group: one session of educational recommendations on weight loss and aerobic exercise, in addition to the knee exercises for eight weeks.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Visual Analogue Scale score. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Using a pain ruler with a scale of 0 to 100.</prim_outcome>
      <prim_outcome>Knee Injury and Osteoarthritis Outcome Score. Timepoint: Before the intervention, after eighth weeks. Method of measurement: KOOS questionnaire.</prim_outcome>
      <prim_outcome>EuroQol five-dimension scale questionnaire. Timepoint: Before the intervention, after eighth weeks. Method of measurement: EQ5D questionnaire.</prim_outcome>
      <prim_outcome>Timed up and go. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Second.</prim_outcome>
      <prim_outcome>30-second Chair Stand. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Counting.</prim_outcome>
      <prim_outcome>Body composition analysis. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Body composition analysis.</prim_outcome>
      <prim_outcome>Waist circumference. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Meter.</prim_outcome>
      <prim_outcome>Hip circumference. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Meter.</prim_outcome>
      <prim_outcome>Weight. Timepoint: Before intervention, week 1, week 2, week 3, week 4, week 5, week 6, week 7, end of week 8. Method of measurement: Weighting scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Global physical activity questionnaire. Timepoint: Before the intervention, after eighth weeks. Method of measurement: G-PAQ questionnaire.</sec_outcome>
      <sec_outcome>Use of painkillers. Timepoint: Before the intervention, after eighth weeks. Method of measurement: Questionnaire.</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>2022-05-21</approval_date>
        <contact_name>Imam Khomeini Hospital Complex - Tehran University of Medical Sciences (Research Ethics Committee)</contact_name>
        <contact_address>Deputy of Research and Technology, Imam Khomeini Hospital Complex, Gharib Street, Keshavarz Boulevard Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
