<?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>IRCT20230701058629N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-03-26</date_registration>
      <primary_sponsor>Shahid Bahonar University of Kerman</primary_sponsor>
      <public_title>Investigating the Impact of Pickleball on Balance, Spatial-Temporal Gait Parameters, and Psychosocial Factors in Older Women</public_title>
      <acronym></acronym>
      <scientific_title>The effect of 8 Weeks of Pickleball on Balance, Spatio-Temporal Parameters of Gait, and Psychosocial Factors in Older Women</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-04-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/80493</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, the random allocation process for assigning participants to experimental and control groups was meticulously designed based on robust methodological principles. Initially, a balanced (1:1) random sequence was generated using **Randomiser.org** software, which employs cryptographic algorithms for random number generation. This sequence was structured in fixed blocks of 8 participants (block randomization), with each block containing 4 allocations to the experimental group and 4 to the control group in a completely random and variable arrangement (e.g., experimental-control-experimental-control-control-experimental-control-experimental). The block size remained concealed from researchers to prevent prediction of allocation sequences. Following eligibility confirmation and completion of initial registration, each participant was automatically assigned the next code in this block sequence without any human intervention. To maintain allocation concealment, the allocation system was designed so that neither research team members nor participants knew group assignments until final registration and allocation were complete. This was implemented through a secure, encrypted online platform that only revealed the random sequence after definitive participant registration. The generated random sequence was verified and certified by an independent statistician uninvolved in study execution. All steps of random sequence generation, allocation execution, and data recording were thoroughly documented for methodological auditability. This sophisticated approach offered several key advantages: (1) it precisely maintained group balance both during and at study completion; (2) the concealed, automated allocation mechanism prevented selection bias and researcher influence; and (3) it ensured equitable chances for all participants to be assigned to either group. Such rigorous randomization design effectively prevented selection bias and confounding factors, significantly enhancing the study's internal validity. Complete randomization documentation, including generated codes, allocation timestamps, and related information, has been archived for future reference and verification, Blinding description: For blinding the study, the evaluators also had no information about the factors considered by the researcher until the end of the study. For example, regarding the assessment of participants' walking using the motion analysis system, the evaluator was unaware of the analysis of factors such as speed, step length, and double support during testing and merely conducted the test.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Older adults.</hc_freetext>
      <i_freetext>Intervention 1: Intervention Group: Participants in this group took part in a structured pickleball training program for eight weeks. The program included three sessions per week, with each session lasting 60 minutes. The training was conducted in a controlled environment using standard pickleball equipment, including paddles, balls, and a designated court.  Each session consisted of three phases:  1. Warm-up (10 minutes): Stretching exercises and light activities to prepare the body.  2. Main Pickleball Training (40 minutes): Skill drills, court movement exercises, and guided gameplay to enhance balance and gait performance.  3. Cool-down (10 minutes): Stretching and relaxation exercises to reduce muscle fatigue.  This program was designed to increase physical activity levels, improve balance, and enhance mobility in older women. The training was supervised and conducted by certified pickleball instructors and sports physiologists. Intervention 2: Control group: Participants in this group did not receive any specific pickleball training intervention. They continued with their usual daily activities, and no structured exercise program was assigned to them. However, to monitor and control physical activity levels, participants were assessed weekly using a physical activity questionnaire.</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:
All data can be shared after individuals are de-identified.

When:
The data access period will begin immediately after the results are published.

To whom:
The data will be available to researchers, organizations, and departments related to the pickleball discipline for journals.

Conditions:
To assist in scientific research and advance executive goals with the approach of improving the health of the elderly

Where to obtain:
Shima Sheikh Bahaie sh18.shima@gmail.com

How to obtain:
Requests for data review will be responded to within one week.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Shima Sheikh Bahaie</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Bahonar University, Imam Khomeini Highway, Pajoohesh Square.</address>
        <city>Kerman</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7616913439</zip>
        <telephone>+98 34 3325 7141</telephone>
        <email>sh18.shima@gmail.com</email>
        <affiliation>Shahid Bahonar University of Kerman</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Shima Sheikh Bahaie</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Shahid Bahonar University, Imam Khomeini Highway, Pajoohesh Square.</address>
        <city>Kerman</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7616913439</zip>
        <telephone>+98 34 3325 7141</telephone>
        <email>sh18.shima@gmail.com</email>
        <affiliation>Shahid Bahonar University of Kerman</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age ≥60 years
Ability to perform moderate physical activity
No need for assistive devices for walking
Ability to participate in training sessions
Signed consent form</inclusion_criteria>
      <agemin>60 years</agemin>
      <agemax>75 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Severe sensory-motor/visual impairments
Pathological diseases
History of lower limb musculoskeletal problems
Incomplete screening questionnaires
Recent use of painkillers
Limb deformities,
Recent history of falls
Inability to perform the programs
Participation in parallel studies
Neurological/psychiatric disorders (epilepsy, Parkinson’s, MS)</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention Group: Participants in this group took part in a structured pickleball training program for eight weeks. The program included three sessions per week, with each session lasting 60 minutes. The training was conducted in a controlled environment using standard pickleball equipment, including paddles, balls, and a designated court.  Each session consisted of three phases:  1. Warm-up (10 minutes): Stretching exercises and light activities to prepare the body.  2. Main Pickleball Training (40 minutes): Skill drills, court movement exercises, and guided gameplay to enhance balance and gait performance.  3. Cool-down (10 minutes): Stretching and relaxation exercises to reduce muscle fatigue.  This program was designed to increase physical activity levels, improve balance, and enhance mobility in older women. The training was supervised and conducted by certified pickleball instructors and sports physiologists.</i_keyword>
      <i_keyword>Control group: Participants in this group did not receive any specific pickleball training intervention. They continued with their usual daily activities, and no structured exercise program was assigned to them. However, to monitor and control physical activity levels, participants were assessed weekly using a physical activity questionnaire.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Balance. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: Balance is assessed using the Mini-BESTest.</prim_outcome>
      <prim_outcome>Sُtride length. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: In the present study, stride length is assessed using a motion analysis system.</prim_outcome>
      <prim_outcome>Stride velocity. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: In the present study, stride velocity is assessed using a motion analysis system.</prim_outcome>
      <prim_outcome>Cadence. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: In the present study, cadence is assessed using a motion analysis system.</prim_outcome>
      <prim_outcome>Double support duration. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: In the present study, double support duration is assessed using a motion analysis system.</prim_outcome>
      <prim_outcome>Social capital. Timepoint: Before the start of the intervention and eight weeks after the start of the intervention. Method of measurement: Social capital is assessed using the Onyx and Bullen 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>Shahid Bahonar University of Kerman</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-08-22</approval_date>
        <contact_name>Ethics Committee of Sport Sciences Research Institute</contact_name>
        <contact_address>No. 3, 5th Alley, Miremad Street, Motahhari Street, Tehran, Iran. Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
