<?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>IRCT20180427039436N13</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-03-01</date_registration>
      <primary_sponsor>Iran University of Medical Sciences</primary_sponsor>
      <public_title>The effect of educational film on pre-cesarean anxiety and childbirth experience</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the Effect of Multimedia training on the Anxiety and Childbirth Experience of women with Planned Cesarean Section</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-04-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>140</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/68823</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The allocation of people in the test and control group will be done using the quadruple block method (probabilistic type) using the site http://randomization.com/. Blocking is such that in this study, with 140 sample people, 70 people will be allocated to each group (the test group is considered to be A and the control group is considered to be B). Two defaults are considered, the size of each block is at least twice the number of groups (4 groups in each block) and the number of repetitions of groups is equal. According to the sample size of 140 people and the size of each block is 4, finally 35 blocks will be obtained.
Then, using the site http://randomization.com/, the order of placement of the blocks and as a result the people of the test and control group is determined using the software. In order to hide the random allocation process, the names of the groups will be placed in opaque envelopes, and these envelopes will be numbered from 1 to 140 and arranged in a box. The researcher who conducts the sampling is unaware of the contents of the envelopes. The content of the envelopes will indicate the study groups, and after entering the study and completing the informed consent form, the participants will pick the first envelope in order of number and according to the content of the envelope, they will be placed in one of the two test and control groups.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Anxiety. Condition 2: Childbirth Experience.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In this research, the content of the intervention will be prepared in the form of a 4-6 minute educational film based on the principles of Mayer's multimedia education in the form of video, animation, images in MPEG-4 (MP4) format, and after entering the study of the educational film individually It will be displayed for the mother on the researcher's laptop in the consultation room of the Perinatal Clinic of Akbarabadi Hospital. This video includes trainings for familiarizing women undergoing planned cesarean section with all aspects of cesarean section as well as preparation for the operation: definition of cesarean section and its common indications, real images with explanations of the mother's admission and hospitalization process in the hospital and staff. The Medical staff that the mother will probably face, pre-operative medical care, operating room, mother's position for spinal anesthesia, animation to explain the anatomy of spinal anesthesia, animation of surgical incision and delivery of the baby, skin-to-skin contact images of mother and baby , the recovery room after surgery and the recovery process in the hospital. This video does not contain blood images and the dangers of spinal anesthesia. The educational content of this video is based on the latest health guide and service standard "Routine midwifery care, including before delivery, cesarean delivery and post-cesarean care" (Secretariat of the Strategic Council for Compilation of Health Guides, 1400) and also based on the latest trainings of  American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynecologists and National Health Service of England. Intervention 2: Control group: There is no intervention for the control group.</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 Due to the fact that the desired study and investigations have not been done, no decision has been made in this regard.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Leila Amiri Farahani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>In front of Khatamol anbiaa Hospital, Valiasr Ave., Rashid Yasemi Ave., Tehran town</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1996713883</zip>
        <telephone>+98 21 4365 1000</telephone>
        <email>l.amirifarahani@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Leila Amiri Farahani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>In front of Khatamol anbiaa Hospital, Rashid yasemi Ave., Valiasr Ave., Tehran Town</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1996713883</zip>
        <telephone>+98 21 4365 1000</telephone>
        <email>l.amirifarahani@gmail.com</email>
        <affiliation>Iran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Being Iranian
Women aged 18 to 45
Ability to read and write</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Suspicion of Congenital Anomaly of the Fetus
Known Mental Disorder or History of Taking Anti-anxiety Medications and Sedatives
History of Infertility</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F41.1</hc_code>
      <hc_code>O00-O99</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Generalized anxiety disorder</hc_keyword>
      <hc_keyword>Pregnancy, childbirth and the puerperium</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>N/A</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In this research, the content of the intervention will be prepared in the form of a 4-6 minute educational film based on the principles of Mayer's multimedia education in the form of video, animation, images in MPEG-4 (MP4) format, and after entering the study of the educational film individually It will be displayed for the mother on the researcher's laptop in the consultation room of the Perinatal Clinic of Akbarabadi Hospital. This video includes trainings for familiarizing women undergoing planned cesarean section with all aspects of cesarean section as well as preparation for the operation: definition of cesarean section and its common indications, real images with explanations of the mother's admission and hospitalization process in the hospital and staff. The Medical staff that the mother will probably face, pre-operative medical care, operating room, mother's position for spinal anesthesia, animation to explain the anatomy of spinal anesthesia, animation of surgical incision and delivery of the baby, skin-to-skin contact images of mother and baby , the recovery room after surgery and the recovery process in the hospital. This video does not contain blood images and the dangers of spinal anesthesia. The educational content of this video is based on the latest health guide and service standard "Routine midwifery care, including before delivery, cesarean delivery and post-cesarean care" (Secretariat of the Strategic Council for Compilation of Health Guides, 1400) and also based on the latest trainings of  American College of Obstetricians and Gynecologists, Royal College of Obstetricians and Gynecologists and National Health Service of England.</i_keyword>
      <i_keyword>Control group: There is no intervention for the control group.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anxiety score in the state section of the Spielberger Anxiety Questionnaire. Timepoint: When entering the study, 30 minutes after the intervention in the perinatal clinic of the hospital, 30 minutes after being admitted to labor on the day of the operation and the evening of the day after the cesarean section. Method of measurement: State section of the Spielberger Anxiety Questionnaire.</prim_outcome>
      <prim_outcome>Childbirth Experience Score in the Questionnaire for Assessing the Childbirth Experience. Timepoint: The evening of the day after cesarean section. Method of measurement: ُShort version of Questionnaire for Assessing the Childbirth Experience.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Overall satisfaction score for cesarean delivery. Timepoint: The evening of the day after cesarean section. Method of measurement: A general question about overall satisfaction with cesarean delivery in a demographic-midwifery researcher-made questionnaire in which the mother rates her satisfaction with anesthesia and cesarean delivery from 1 to 10.</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>Iran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-02-22</approval_date>
        <contact_name>Ethics committee of Iran University of Medical Science</contact_name>
        <contact_address>Next to Milad Tower, Hemet Highway, Tehran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
