<?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>IRCT20220606055085N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-09-09</date_registration>
      <primary_sponsor>Babol University of Medical Sciences</primary_sponsor>
      <public_title>The impact of dietary recommendations from Persian medicine on alleviating headaches caused by dyspepsia.</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of Persian medicine's dietary recommendations on improving headaches in patients with both headaches and functional dyspepsia.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>160</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72426</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Individuals are randomly block-assigned to two groups, intervention and control. After assessing the severity of headaches and functional dyspepsia in the pre-intervention phase and placing them in quartiles based on headache severity, they are then assigned to two groups (A and B) within each quartile using a random sequence of 40 quartet blocks, Blinding description: Both groups receive separate instructions, and individuals are unaware of the educational content delivered to the other group, creating a form of single-blind study design.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Headache caused by indigestion. Condition 2: Headache caused by indigestion.</hc_freetext>
      <i_freetext>Intervention 1: Intervention Group: This group comprises 80 patients with headache caused by dyspepsia. These individuals undergo a 30-minute in-person training session conducted by a researcher. The educational content in Persian medicine includes dietary and beverage practices drawn from rich Persian medical sources. This material is presented in text and video formats for the participants' convenience. Additionally, individuals in this group continue their standard treatments and also receive conventional medical instructions for reducing dyspepsia. Follow-up assessments involve monitoring the severity of both headaches and dyspepsia. Intervention 2: Control Group: This group consists of 80 patients with headache caused by dyspepsia. These individuals receive a 30-minute, in-person training session with a researcher. The educational content for this group includes conventional medical instructions for reducing dyspepsia. The instructional materials are provided to patients in text and video formats. Participants in this group also continue to receive their standard treatments. Follow-up assessments involve monitoring the severity of both dyspepsia and headaches.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is There is no further information available.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Morteza Mojahedi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sargord Ghasemi Avenue</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717647745</zip>
        <telephone>+98 11 3219 4730</telephone>
        <email>mortazamojahedy@gmail.com</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Morteza Mojahedi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sargord Ghasemi Avenue</address>
        <city>Babol</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4717647745</zip>
        <telephone>+98 11 3219 4730</telephone>
        <email>mortazamojahedy@gmail.com</email>
        <affiliation>Babol University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>The presence of functional dyspepsia, determined by the use of diagnostic tools and the assessment of a gastroenterologist, including endoscopy.
At least 3 months of gastrointestinal symptoms have elapsed.
Age should be between 18 and 60 years old.
The presence of primary headaches, including tension-type headaches and migraines, based on the ICHD3 criteria, confirmed by a physician.
The presence of a minimum of 3 headache attacks per month.
The patient should have had headaches for at least 3 months.</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>The patient should have been using medications regularly or daily, either currently or during the past 3 months, that can lead to gastrointestinal damage, such as aspirin and non-steroidal anti-inflammatory drugs (NSAIDs).
The regular and daily use of medications that can potentially trigger headaches, such as nitroglycerin, type 5 phosphodiesterase inhibitors (such as sildenafil), and others.
The presence of other gastrointestinal conditions such as gastric ulcers, inflammatory gastrointestinal diseases, or malignant gastrointestinal diseases confirmed through endoscopy.
The presence of secondary headaches confirmed by a specialist. (Secondary headaches are one of the symptoms of another underlying primary condition that the patient has, such as malignancies, cerebral aneurysms, hypertension, meningitis, etc.).
The presence of progressive or malignant diseases related to the central nervous system.
The presence of other chronic conditions such as diabetes, uncontrolled and advanced hypertension, chronic obstructive pulmonary disease (COPD), etc.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G44.2</hc_code>
      <hc_code>G43</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Tension-type headache</hc_keyword>
      <hc_keyword>Migraine</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention Group: This group comprises 80 patients with headache caused by dyspepsia. These individuals undergo a 30-minute in-person training session conducted by a researcher. The educational content in Persian medicine includes dietary and beverage practices drawn from rich Persian medical sources. This material is presented in text and video formats for the participants' convenience. Additionally, individuals in this group continue their standard treatments and also receive conventional medical instructions for reducing dyspepsia. Follow-up assessments involve monitoring the severity of both headaches and dyspepsia.</i_keyword>
      <i_keyword>Control Group: This group consists of 80 patients with headache caused by dyspepsia. These individuals receive a 30-minute, in-person training session with a researcher. The educational content for this group includes conventional medical instructions for reducing dyspepsia. The instructional materials are provided to patients in text and video formats. Participants in this group also continue to receive their standard treatments. Follow-up assessments involve monitoring the severity of both dyspepsia and headaches.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Headache Improvement Due to Dyspepsia. Timepoint: At the study's outset and then every two weeks until the eighth week. Method of measurement: 1. Headache Severity Assessment Checklist 2. Visual Analog Scale (VAS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Improve functional dyspepsia. Timepoint: At the study's initiation, and subsequently every 2 weeks up to the 8th week. Method of measurement: Dyspepsia Severity and Frequency 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>Babol University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-08-06</approval_date>
        <contact_name>Ethics committee of Babol University of Medical Science</contact_name>
        <contact_address>Sargord Ghasemi Avenue Babol Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
