<?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>IRCT20170411033378N13</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-01-29</date_registration>
      <primary_sponsor>Hamedan University of Medical Sciences</primary_sponsor>
      <public_title>The Effect of  Education on the Self Stigma and Attitudes Toward Seeking Psychological Help</public_title>
      <acronym></acronym>
      <scientific_title>The Effect of Virtual Mental Health Education on the Self Stigma and Attitudes Toward Seeking Psychological Help Among Nursing Students</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2025-12-13</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>130</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/87408</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Initially, 130 eligible students will be selected with informed consent through simple random sampling using the random number generation function in R software version 3.4.1 with the specialized randomize package. In case of unwillingness or lack of entry criteria for each individual, the next individual will be selected in the same way until the sample size is complete. After selecting 130 eligible students, the allocation of individuals to two experimental groups (Group A) and control (Group B) will be done using the block random allocation method with fixed blocks of four. In such a way that in each block of four, two allocations to Group A and two allocations to Group B are considered, and the order of these four allocations is determined randomly. Therefore, the six possible states for each block will include AABB, ABAB, ABBA, BAAB, BABA, and BBAA. The random sequence of blocks will be generated using the R statistical software before the sample recruitment process begins, so that each of the six possible states is created with equal probability. After generating the random sequence, individuals will be assigned to one of two groups, A or B, in the order they entered the study and based on this sequence. To implement the random assignment and maintain allocation concealment, each assignment will be written on a separate piece of paper, and each piece of paper will be placed inside an opaque, sealed, and sequentially numbered envelope. The numbering order of the envelopes will exactly match the generated random sequence. When each eligible individual enters the study, the research associate responsible for enrollment will open the next envelope in numerical order and, based on the assignment written inside, the individual will be assigned to group A or B. The research associate will not be aware of the contents of the envelope or the individual's group assignment until the envelope is opened. This process will continue for all individuals until the sample size is complete.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Self stigma, attitudes toward seeking psychological help.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The intervention group will participate in 6 virtual, individual mental health training sessions via an application. The training sessions will be held for 3 weeks, with 2 training sessions per week. Each session will last 20 minutes. The researcher will send the session content, including a written post and audio of that post, to the intervention group members via their personal mobile phone for each session. The content of the training sessions is prepared from articles and recommendations of the American Psychiatric Association, which are as follows: Session 1: American Psychiatric Association Mental Health Education Package. Session 2: Overcoming Social Stigma and the American Psychiatric Association's Problem Solving and Resolving Stigma Package. Session 3: Demystifying and Dispelling Myths About Mental Illness Stigma, Problem Solving. Session 4: Training in normalizing therapy and talking about mental disorders, troubleshooting. Session 5: Training in identifying warning signs and explaining the beta plan, troubleshooting. Session 6: Introduction to the Iran Hal app and ways to reach psychologists at universities and health centers in the area of residence, and introduction to online counseling lines, troubleshooting. Intervention 2: Control group: There will be 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 There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Efat Sadeghian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>opposite Mardom Park., Shahid Fahmideh Blvd.</address>
        <city>Hamadan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6517838698</zip>
        <telephone>+98 81 3838 0150</telephone>
        <email>sadeghianefat@gmail.com</email>
        <affiliation>Hamedan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Efat Sadeghian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>opposite Mardom Park., Shahid Fahmideh Blvd.</address>
        <city>Hamadan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6517838698</zip>
        <telephone>+98 81 3838 0150</telephone>
        <email>sadeghianefat@gmail.com</email>
        <affiliation>Hamedan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Bachelor of nursing students from the third semester onwards at Hamadan University of Medical Sciences
Willingness to participate in the research and complete the questionnaires
Age from 18 to 35 years
Internet access and a smart device with the capability to access email and applications</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Professional activity in the fields of psychology or counseling
Receiving psychological help in the past 6 months
A guest student
History of diagnosis of severe psychiatric disorders and history of hospitalization in psychiatric wards</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>Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The intervention group will participate in 6 virtual, individual mental health training sessions via an application. The training sessions will be held for 3 weeks, with 2 training sessions per week. Each session will last 20 minutes. The researcher will send the session content, including a written post and audio of that post, to the intervention group members via their personal mobile phone for each session. The content of the training sessions is prepared from articles and recommendations of the American Psychiatric Association, which are as follows: Session 1: American Psychiatric Association Mental Health Education Package. Session 2: Overcoming Social Stigma and the American Psychiatric Association's Problem Solving and Resolving Stigma Package. Session 3: Demystifying and Dispelling Myths About Mental Illness Stigma, Problem Solving. Session 4: Training in normalizing therapy and talking about mental disorders, troubleshooting. Session 5: Training in identifying warning signs and explaining the beta plan, troubleshooting. Session 6: Introduction to the Iran Hal app and ways to reach psychologists at universities and health centers in the area of residence, and introduction to online counseling lines, troubleshooting.</i_keyword>
      <i_keyword>Control group: There will be no intervention for the control group.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Internal stigma regarding seeking psychological help. Timepoint: Before and after the intervention. Method of measurement: Internal Stigma Questionnaire for Seeking Psychological Help.</prim_outcome>
      <prim_outcome>Attitude towards seeking help. Timepoint: Before and after the intervention. Method of measurement: Attitude towards Seeking Professional Psychological Help Questionnaire Short Form.</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>Hamedan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-11-08</approval_date>
        <contact_name>Ethics Committee of Hamadan University of Medical Sciences.</contact_name>
        <contact_address>Hamadan University of Medical Sciences, Shahid Fahmideh St. Hamadan Hamadan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
