<?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>IRCT2017060734378N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2017-07-15</date_registration>
      <primary_sponsor>Vice Chancellor for Research and Technology, Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Comparing the effect of training, based on continuous care model and a telehealth  on sleeping quality</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the effect of training, based on continuous care model and a telehealth  on pregnant women sleeping quality</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2017-07-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>90</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/26278</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: The name of the center has been used to randomize the lottery method.
Lottery in the name of health centers has been done to locate each group in each health facility.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Sleep.</hc_freetext>
      <i_freetext>Intervention 1: Control group: usual care health center receives over 8 weeks. Intervention 2: Intervention 2: In the Telehealth group, first they become familiar with the stages of the research between the 16th to 20th weeks of pregnancy (30-45 minutes), then 4 coded CDs (60-65 minutes) with the contents of the health and healthy behaviors during sleep is given to moms and they will be advised to watch a CD every week, during these 4 weeks and 4 weeks after that (8 weeks), telephone counseling is provided for 10-15 minutes based on the need of the patient (once a week ), Each telephone consultation includes 2 sections, the first part of the consultation is based on the content of the weekly CD, and the second part will be dedicated to the specific needs of each client and the presentation of proposed solutions. Then, the quality of sleep will be evaluated immediately and 4 weeks after the intervention (totally 12 weeks). Intervention 3: Intervention 1: In the group which its education is based on continuous care model, in first meeting (45-30 minutes) pregnant women in 16 to 20 weeks of pregnancy with a family member, after completing the survey device, become familiar with the research steps (orientation) then four 90-60 minutes sessions with consultation, discussion and Q &amp; A ,with the contents of the health and healthy behaviors during sleep are held in 4 weeks and communication with his family is established by phone and booklet(sensitization ).If, it is needed, to study new problems, maintaining connection with mother, answer to her questions and review the lists some meetings with phone calls (10 minutes)will be held (control) and in the evaluation phase, sleep quality will be discussed immediately and 4 weeks later (totally 12 weeks).</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 Because the study is not finished yet.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fatemeh Jalalmarvi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ibn Sina street; Doctora Crossroads</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3859 1511</telephone>
        <email>Jalalmarvif941@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Masumeh Kordi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ibn Sina street; Doctora Crossroads</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3859 1511</telephone>
        <email>Kordim@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</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>have Spontaneous written consent
Being Iranian and resident of Mashhad
The gestational age is between 16 and 20 weeks
Pregnancies with one fetus
Mother`s age between 18 to 35
The least literacy of mother and her husband be about fifth grade elementary school
In response to the Pittsburgh Sleep Quality Questionnaire, she earns 5 scores and more
In response to the restless leg assessment Questionnaire, she earns 3-0 scores
In response to STOP Questionnaire , she earns 2-0 scores
In response to question 1, the intensity of ISI Questionnaire , she earns 0-5 scores
In response to stress , anxiety and depression Questionnaire less than 10, 14, and 17 scores were obtained from depression, anxiety and stress levels;
Having fixed or mobile phone numbers</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>35 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>linguistic, audio or dialectal problems
Having sleep disorders history before pregnancy
A bad important event has been occured from three months before the commencement of the study
Having medical disease
Having mental illness
Having midwifery problems
Having history of infertility and the current pregnancy does be a result of infertility treatment
Pre-pregnancy BMI does be equal to or greater than 30
Having addiction to tobacco (hookah, cigarettes, cheeks, drugs) or alcohol and psychosocial drugs, research unit or his husband
During the research she does have night shift work</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>G47.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Disorders of initiating and maintaining sleep [insomnia]</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>N/A</i_code>
      <i_code>N/A</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: usual care health center receives over 8 weeks</i_keyword>
      <i_keyword>Intervention 2: In the Telehealth group, first they become familiar with the stages of the research between the 16th to 20th weeks of pregnancy (30-45 minutes), then 4 coded CDs (60-65 minutes) with the contents of the health and healthy behaviors during sleep is given to moms and they will be advised to watch a CD every week, during these 4 weeks and 4 weeks after that (8 weeks), telephone counseling is provided for 10-15 minutes based on the need of the patient (once a week ), Each telephone consultation includes 2 sections, the first part of the consultation is based on the content of the weekly CD, and the second part will be dedicated to the specific needs of each client and the presentation of proposed solutions. Then, the quality of sleep will be evaluated immediately and 4 weeks after the intervention (totally 12 weeks).</i_keyword>
      <i_keyword>Intervention 1: In the group which its education is based on continuous care model, in first meeting (45-30 minutes) pregnant women in 16 to 20 weeks of pregnancy with a family member, after completing the survey device, become familiar with the research steps (orientation) then four 90-60 minutes sessions with consultation, discussion and Q &amp; A ,with the contents of the health and healthy behaviors during sleep are held in 4 weeks and communication with his family is established by phone and booklet(sensitization ).If, it is needed, to study new problems, maintaining connection with mother, answer to her questions and review the lists some meetings with phone calls (10 minutes)will be held (control) and in the evaluation phase, sleep quality will be discussed immediately and 4 weeks later (totally 12 weeks)</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Sleep quality. Timepoint: Before the intervention, immediately after intervention and 4 weeks after intervention. Method of measurement: Pittsburgh Sleep Quality Index.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Severe insomnia. Timepoint: Before, immediately after and 4 weeks after intervention. Method of measurement: Insomnia Severity Index.</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 and Technology, Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2017-06-03</approval_date>
        <contact_name>The Ethics Committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Contact Number 38411538-051; Fax Number 38430249-051; Deputy of Research &amp; Technology University; Mashhad University of Medical Sciences; next to Hoveizeh Cinema; University of Mashhad Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
