<?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>IRCT20210314050703N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-07-07</date_registration>
      <primary_sponsor>Sanandaj University of Medical Sciences</primary_sponsor>
      <public_title>The effect of binaural sound waves on the level of anxiety, pain and vital signs of patients undergoing elective surgery with regional anesthesia</public_title>
      <acronym></acronym>
      <scientific_title>The effect of binaural sound waves on the level of anxiety, pain and vital signs of patients undergoing elective surgery with regional anesthesia</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-07-11</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>150</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/70996</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, 150 patients undergoing elective surgery with regional anesthesia referred to Kawsar Sanandaj Medical Training Center were selected by controlled random sampling and divided into three control and intervention groups, binaural music and favorite music. By entering information on the site http://www.randomization.com, the main organizer of the project assigns a number to each sample, considering that headphones are placed for each of the 3 groups of patients, and the music corresponding to the number is given to the patient. Another researcher evaluates the anxiety and vital signs before and after the intervention without knowing about the intervention, and the analyst is not aware of the patient's information given that the numbers are given, Blinding description: This study is conducted in a double-blind way, so that 150 samples are divided into three equal groups of control and intervention of binaural music and favorite music. A number is assigned in each sample, considering that headphones are placed for each of the 3 groups of patients, the music corresponding to the number is given to the patient (the researcher does not know the results of the patient's assessment). and vital signs before and after (the researcher does not know which patient is the music group or the control) and the analyst does not know about the patient's information due to the fact that the numbers are given.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Anxiety.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: binaural music, binaural sound waves are special musical interventions that have recently received attention among neuro physiologists and doctors as a therapeutic tool when two tones with different frequencies are sent to the brain from each ear. An interference is created which is called binaural sound waves. The frequencies of tones should be less than 1000 to 1500 Hz. The difference in frequencies is the same as binaural sound waves, which should be less than 30 Hz. At first, the patient is placed in a quiet environment for 10 minutes in the preparation of the operating room. Then binaural sound wave music will be played with headphones from 15 minutes before the surgery until the end of the surgery. Vital signs and anxiety are measured for the patient before, during and after the intervention. Intervention 2: Intervention group: favorite music based on the patient's favorite music style after 10 minutes of entering the preparation department in the operating room, is played with headphones for the patient from 15 minutes before the operation until the end of the operation. Intervention 3: Control group: No intervention, After 10 minutes of entering the preparation department in the operating room, headphones are played without any music for the patient from 15 minutes before the operation until the end of the operation.</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:
Only publishable information that does not conflict with the principles of ethics in clinical trial research and informed consent and does not contain personal information of individuals will be published

When:
Starting the access period 6 months after printing the results"

To whom:
Only the people of the research team based on the principles specified in the research and the patients will be allowed to access their information at the specified level. Other researchers and people will have access without mentioning the details of the analyzed information

Conditions:
The ethics committee and legal authorities have the ability to access information according to the laws without mentioning the personal characteristics of individuals upon official request

Where to obtain:
To access publishable information, you can refer to the research system of Kurdistan University of Medical Sciences at http://rms.muk.ac.ir

How to obtain:
Access to the documents is after obtaining permission from the Research Vice-Chancellor of Kurdistan University of Medical Sciences with the coordination of the main researcher of the research

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Negin Ghadami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kurdistan University of Medical Sciences, Faculty of Medical, Pasdaran St.</address>
        <city>Sanandaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6618634683</zip>
        <telephone>+98 87 3322 9494</telephone>
        <email>ghadaminegin@gmail.com</email>
        <affiliation>Sanandaj University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Negin Ghadami</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kurdistan University of Medical Sciences, Faculty of Medical, Pasdaran St.</address>
        <city>Sanandaj</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6618634683</zip>
        <telephone>+98 87 3322 9494</telephone>
        <email>ghadaminegin@gmail.com</email>
        <affiliation>Sanandaj University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Elective surgeries
patient satisfaction
conscious patients
patients over 18 years old
non-pregnant female patients
healthy hearing</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria>history of epilepsy
uncontrollable anxiety in the patient
history of chronic pain
patient agitation
ear infection
use of anti-anxiety drugs
drug r opioid addiction
Alcohol consumption in the past 12 hours
neurological and psychiatric disorders
heart dysrhythmias</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F06.4</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Anxiety disorder due to known physiological condition</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: binaural music, binaural sound waves are special musical interventions that have recently received attention among neuro physiologists and doctors as a therapeutic tool when two tones with different frequencies are sent to the brain from each ear. An interference is created which is called binaural sound waves. The frequencies of tones should be less than 1000 to 1500 Hz. The difference in frequencies is the same as binaural sound waves, which should be less than 30 Hz. At first, the patient is placed in a quiet environment for 10 minutes in the preparation of the operating room. Then binaural sound wave music will be played with headphones from 15 minutes before the surgery until the end of the surgery. Vital signs and anxiety are measured for the patient before, during and after the intervention</i_keyword>
      <i_keyword>Intervention group: favorite music based on the patient's favorite music style after 10 minutes of entering the preparation department in the operating room, is played with headphones for the patient from 15 minutes before the operation until the end of the operation.</i_keyword>
      <i_keyword>Control group: No intervention, After 10 minutes of entering the preparation department in the operating room, headphones are played without any music for the patient from 15 minutes before the operation until the end of the operation.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anxiety level before and after the intervention. Timepoint: before intervention and 20 minutes after intervention and after surgery. Method of measurement: Spielberger anxiety questionnaire.</prim_outcome>
      <prim_outcome>Pain level before and after the intervention. Timepoint: before intervention and 20 minutes after intervention and after surgery. Method of measurement: Numerical pain Rating Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>The patient's vital signs levels. Timepoint: Every 5 minutes in the first half hour and then every 15 minutes until the end of the intervention and at the end of the measurement. Method of measurement: Cardiorespiratory monitoring of the company of Poindangan Rah Saadat, model b9.</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>Sanandaj University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-04-15</approval_date>
        <contact_name>Ethics Committee of Kurdistan University of Medical Sciences</contact_name>
        <contact_address>Kurdistan University of Medical Sciences, Faculty of Medical, Pasdaran St. Sanandaj Kurdistan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
