<?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>IRCT20230222057494N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-04-05</date_registration>
      <primary_sponsor>Shahroud University of Medical Sciences</primary_sponsor>
      <public_title>Acupressure combination of Sanyinjiao (SP6) and Shenmen (HT7) points and sleep quality of the elderly</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effectiveness of the acupressure combination of Sanyinjiao (SP6) and Shenmen (HT7) points on the sleep quality of the elderly: A family-oriented three parallel group clinical trial</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-04-13</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>126</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/68849</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be divided into three groups through randomization and based on the production of random numbers strings through software. (www.randomizer.org) In order for the number of assignments to each group to be equal, the block method of volume 6 is used to create a random allocation sequence because participants are gradually entered into the study. The allocation concealment will be done centrally. In this way, the assignment sequence will be done by someone outside the research team. Upon each person entering the study, the researcher will contact the person and assign the person to the group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Sleep quality.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group 1: In this group (group A), first in a face-to-face session, pressing the Shenmen point (HT7) (on the ulnar side, the distal volar bands of the wrist and the radial border of the flexor carpi ulnaris tendon in the anterior region of the wrist) with A pressure of 3 to 4 kg using a circular motion with a speed of two revolutions per second in a firm and uniform way for one minute pressure 30 seconds rest up to 3 times with the thumb by the researcher is taught to the person with the intervention group and they must do it once every day at night at 10-11 for a week. Perform this procedure on the elderly themselves and repeat it. Intervention 2: Intervention group 2: In this group (group B), first, in a face-to-face session, pressing the Sanyinjiao point (SP6) (directly to the tip of the medial malleolus, the posterior margin of the medial leg of the leg) with a pressure of 3 to 4 kg using A circular movement with a speed of two revolutions per second in a firm and uniform way for one minute, pressure for 30 seconds, rest up to 3 times with the thumb is taught by the researcher to the person accompanying the people of the intervention group, and they should do this procedure on the elderly themselves for a week, once every day at night time at 10-11 and repeat. Intervention 3: Intervention group 3: In this group (group C), first in a face-to-face meeting, pressing the Shenmen point (HT7) (on the ulnar side, the distal volar bands of the wrist and the radial border of the flexor carpi ulnaris tendon in the anterior region of the wrist) and the Sanyinjiao point (SP6) (straight up to the tip of the medial malleolus, the posterior border of the inner leg of the leg) with a pressure of 3 to 4 kg using a circular motion at a speed of two rotations per second in a firm and uniform manner for one minute of pressure and 30 seconds of rest. Up to 3 times, the person accompanying the intervention group will be trained by the researcher with the thumb up to 3 times, and they They should perform and repeat this procedure on the elderly once every day at night at 10-11 for a week and repeat.</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>Reza Mirafzali</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Gorganjadid street</address>
        <city>Gorgan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4913796855</zip>
        <telephone>+98 17 3268 0347</telephone>
        <email>rezamirafzali@shmu.ac.ir</email>
        <affiliation>Shahroud University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr.Hossein bagheri</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Hafte-Tir Square, Shahroud University of Medical Sciences</address>
        <city>Shahroud</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3617753917</zip>
        <telephone>+98 23 3239 5054</telephone>
        <email>bagheri@shmu.ac.ir</email>
        <affiliation>Shahroud University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>age over 60 years old
Having full awareness and listening and speaking ability suitable for learning research intervention
MMSE score more than 22 in literate people and AMTS score more than 7 in illiterate people
Unfavorable sleep quality based on answers to the Pittsburgh sleep quality questionnaire (a score of 5-21 is considered as unfavorable sleep quality)
Entry criteria for the person accompanying the elderly: 1- To have the most contact with the elderly.
To have the ability to correctly implement the intervention on the elderly
The health literacy score is more than 66.1 from the HELIA questionnaire</inclusion_criteria>
      <agemin>60 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Secondary insomnia caused by physical illness or mental disorder
Those who received other sleep-related treatments within 2 weeks before the study.
History of mental illness (based on the elderly's self-report)
Dependence or addiction to any drug, pain reliever, anti-depressant, sleeping pill and alcohol
Having sleep-related diseases such as obstructive sleep apnea or restless legs syndrome
Regarding the person accompanying the elderly: Having any physical disease related to the fingers</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G47.9</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Sleep disorder, unspecified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group 1: In this group (group A), first in a face-to-face session, pressing the Shenmen point (HT7) (on the ulnar side, the distal volar bands of the wrist and the radial border of the flexor carpi ulnaris tendon in the anterior region of the wrist) with A pressure of 3 to 4 kg using a circular motion with a speed of two revolutions per second in a firm and uniform way for one minute pressure 30 seconds rest up to 3 times with the thumb by the researcher is taught to the person with the intervention group and they must do it once every day at night at 10-11 for a week. Perform this procedure on the elderly themselves and repeat it.</i_keyword>
      <i_keyword>Intervention group 2: In this group (group B), first, in a face-to-face session, pressing the Sanyinjiao point (SP6) (directly to the tip of the medial malleolus, the posterior margin of the medial leg of the leg) with a pressure of 3 to 4 kg using A circular movement with a speed of two revolutions per second in a firm and uniform way for one minute, pressure for 30 seconds, rest up to 3 times with the thumb is taught by the researcher to the person accompanying the people of the intervention group, and they should do this procedure on the elderly themselves for a week, once every day at night time at 10-11 and repeat.</i_keyword>
      <i_keyword>Intervention group 3: In this group (group C), first in a face-to-face meeting, pressing the Shenmen point (HT7) (on the ulnar side, the distal volar bands of the wrist and the radial border of the flexor carpi ulnaris tendon in the anterior region of the wrist) and the Sanyinjiao point (SP6) (straight up to the tip of the medial malleolus, the posterior border of the inner leg of the leg) with a pressure of 3 to 4 kg using a circular motion at a speed of two rotations per second in a firm and uniform manner for one minute of pressure and 30 seconds of rest. Up to 3 times, the person accompanying the intervention group will be trained by the researcher with the thumb up to 3 times, and they They should perform and repeat this procedure on the elderly once every day at night at 10-11 for a week and repeat.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Sleep Quality Based on Pittsburgh Sleep Quality Test Score. Timepoint: Before and one week after the intervention. Method of measurement: Pittsburgh Sleep Quality 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>Shahroud University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-02-05</approval_date>
        <contact_name>Ethics committee of Shahroud University of Medical Sciences</contact_name>
        <contact_address>Shahroud University of Medical Sciences, Hafte-Tir Sq.,Tehran Street Shahroud Semnan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
