<?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>IRCT201301139764N3</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2014-06-22</date_registration>
      <primary_sponsor>Vice chancellor for research, Baqhiyatallah University of Medical Sciences</primary_sponsor>
      <public_title>Basic and advanced CPR</public_title>
      <acronym></acronym>
      <scientific_title>Design and   evaluation of multimedia software basic and advanced Cardio Pulmonary Resuscitation education programs with two ways of multimedia and workshop on awareness and performance of selected hospitals nurses in Tehran</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2013-06-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>243</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/10300</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research.</study_design>
      <phase>2-3</phase>
      <hc_freetext>CPR training.</hc_freetext>
      <i_freetext>Intervention 1: Step 1: Software design phase:&#13;
For the first phase, coordination with Nursing Department and authorities conducted research environment. Then in order to have multimedia program designed and programmed, with two experts in the field of computer information technology was coordinated.&#13;
Content of training for design multimedia and workshop based on objective using existing resources and scientific expertise were provided by field and library studies. In order to determine the scientific validity of objectives a group of 20 specialized cardiac anesthesia and nursing experts in CPR and faculty members of university were provided.&#13;
The software design was based on the contents set in the original plan for 6 months made application to the SCORM standard procedure was performed.&#13;
At the same time the nurses' awareness of basic and advanced CPR by a confirmed validity and reliability questionnaire was measured.&#13;
Then randomly assigned 38 nurses from each hospital with awareness score less than 60% (n=116) and random allocation assigned to both groups of intervention (training workshop and usage of multimedia software) and control groups. Intervention 2: Step 2: Interventional phase:&#13;
At first nurses’ performance will be measured by OSCE in  6-station in every hospital. For this evaluation OSCE will be provid for all 6 stations under observation of expert evaluator, in every identified station.&#13;
Also for workshop group the 6 hour CPR basic and advanced training will be given as 4 hours of theory and 2 hours of practical and It should be noted that the actual holding of the workshop participants will be divided into 3 groups of 13 In practice and each group will be designed to implement the necessary training in 6 stations. Intervention 3: Second group was taught using multimedia software. For this purpose during a briefing, participants will be divided into 7 groups of 5 person and usage of DVD Multimedia will be fully explained.&#13;
And the nurses have to examine their instructional contents in DVD within 2 weeks if they need further details, in this period they can refer to special location in the hospital. Intervention 4: The control group will not receive any training during the study and only the first and third tests to assess the awareness and performance of nurses in the group will be determined, but for ethics after completing all steps of study the multimedia DVD will make available to them.</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></results_IPD_plan>
      <results_IPD_description></results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr Morteza Eizadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Baqiyatalah University Medical Science,Sheykh Bahaee St, Mollasadra St, Vanak Sq, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>Iran</zip>
        <telephone>+98 21 8804 0060</telephone>
        <email>nresearch92@yahoo.com</email>
        <affiliation>Baqiyatalah University Medical Science</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Zahra Hajiamini</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Nursing Department, Baqiyatallah Medical Sciences University, Aghdasiye, Araj, Tehran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>Iran</zip>
        <telephone>+98 21 2244 9062</telephone>
        <email>z_hajiamini@hotmail.com; z_hajiamini@bmsu.ac.ir</email>
        <affiliation>Baqiyatallah Medical Sciences University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Inclusion criteria:Having at least bachelor’s degree in nursing; having at least one year of clinical experience; familiarity with computer and using multimedia software programs; getting less than 60% in the pretest in the first stage of the study.&#13;
Exclusion criteria:  Not attending the final exams; being absent from the workshop more than 2 hours; lack of willingness to continue cooperation; not being able to use the software for any reason.</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria></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>Behavior</i_code>
      <i_code>Behavior</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Step 1: Software design phase:&#13;
For the first phase, coordination with Nursing Department and authorities conducted research environment. Then in order to have multimedia program designed and programmed, with two experts in the field of computer information technology was coordinated.&#13;
Content of training for design multimedia and workshop based on objective using existing resources and scientific expertise were provided by field and library studies. In order to determine the scientific validity of objectives a group of 20 specialized cardiac anesthesia and nursing experts in CPR and faculty members of university were provided.&#13;
The software design was based on the contents set in the original plan for 6 months made application to the SCORM standard procedure was performed.&#13;
At the same time the nurses' awareness of basic and advanced CPR by a confirmed validity and reliability questionnaire was measured.&#13;
Then randomly assigned 38 nurses from each hospital with awareness score less than 60% (n=116) and random allocation assigned to both groups of intervention (training workshop and usage of multimedia software) and control groups.</i_keyword>
      <i_keyword>Step 2: Interventional phase:&#13;
At first nurses’ performance will be measured by OSCE in  6-station in every hospital. For this evaluation OSCE will be provid for all 6 stations under observation of expert evaluator, in every identified station.&#13;
Also for workshop group the 6 hour CPR basic and advanced training will be given as 4 hours of theory and 2 hours of practical and It should be noted that the actual holding of the workshop participants will be divided into 3 groups of 13 In practice and each group will be designed to implement the necessary training in 6 stations.</i_keyword>
      <i_keyword>Second group was taught using multimedia software. For this purpose during a briefing, participants will be divided into 7 groups of 5 person and usage of DVD Multimedia will be fully explained.&#13;
And the nurses have to examine their instructional contents in DVD within 2 weeks if they need further details, in this period they can refer to special location in the hospital.</i_keyword>
      <i_keyword>The control group will not receive any training during the study and only the first and third tests to assess the awareness and performance of nurses in the group will be determined, but for ethics after completing all steps of study the multimedia DVD will make available to them.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Knowledge. Timepoint: Before and 4 weeks after intervention. Method of measurement: Questionnaire.</prim_outcome>
      <prim_outcome>Performance. Timepoint: Before and 4 weeks after intervention. Method of measurement: Check list(OSCE).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Increase of acknowledgment. Timepoint: 4 week post intervention. Method of measurement: Questionnaire.</sec_outcome>
      <sec_outcome>Increase of performance. Timepoint: 4 week post intervention. Method of measurement: OSCE.</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>Vice chancellor for research, Baqhiyatallah University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2013-07-16</approval_date>
        <contact_name>Ethics committee of Baqhiyatallah Medical Sciences University</contact_name>
        <contact_address>Baqiyatalah University Medical Science,Sheykh Bahaee St, Mollasadra St, Vanak Sq, Tehran Tehran  Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
