In order to maintain the balance and equality of the number of people in the study groups, and to prevent the imbalance of the groups, the balanced block randomization method will be used. For this purpose, 10 blocks of four will be considered (n-40) so that in each block, two people will belong to the intervention group and two people will belong to the control group.
In each block, the order in which people are assigned to each group will be random, and this process will be repeated for all blocks. So we have 6 possible combinations including AABB, BABA, BAAB, ABAB, ABBA, BBAA (Group A represents the intervention group and group B represents the control group). Finally, based on the available combinations, the letters A and B, which indicate intervention or control, will be written inside the closed envelopes and the number of each patient will be written on the envelopes (The first patient, the second patient, the third patient, and up to the fortieth patient, respectively). An envelope is then opened for each patient who is recruited to determine which group the patient should be assigned to.
The randomization process will be performed using STATA16 statistical software.