<?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>IRCT20200708048058N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2020-08-02</date_registration>
      <primary_sponsor>Tehran University of Medical Sciences</primary_sponsor>
      <public_title>Evaluation of the effectiveness of preventive exercise therapy on neck pain</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the effectiveness of preventive exercise therapy delivered by health care providers with the control group on the incidence of neck pain in adults</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2020-09-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>4000</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/49644</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Prevention, Randomization description: In order to prevent statistical contamination, randomization will be done in the cluster form at the level of health bases. Eight health bases with equal coverage population will enter simple randomization processes in Excel software and will be divided into two groups of control and exercise intervention. The randomization method is simple randomization, the unit is cluster randomization, and non-stratified randomization is used to better represent the reality of our target community. In this study, Excel statistical software will be used for randomization, Blinding description: In this study, considering the type of intervention (exercise), blinding cannot be carried out on the participants and the health care providers (who are responsible for educating people and collecting data). The data analyst is blinded to the grouping of each individual.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Neck pain.</hc_freetext>
      <i_freetext>Intervention 1: Control group: Without exercise intervention. Participants will be followed by health care providers and relevant data (incidence, prevalence, disability and the costs of treating neck pain) will be collected from them. Intervention 2: Intervention group: Neck exercise group, a sum of 10 simple stretch and strength exercises to strengthen the neck muscles and stabilize the posture which are practicable by the public at home, without any tools, while standing, sitting, and laying down. The training will emphasize on the neck's motion in different directions and also necks stability against force. These exercises, which will be taught to primary health care providers by Sports medicine specialists before the trial begins, will be taught to the Intervention group by primary health care providers in one session interviews, and pamphlets. This study aims to assess the effectiveness of exercises taught by the primary care providers to the study population.</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:
Comparison of the effectiveness of preventive exercise therapy delivered by health care providers with the control group on the incidence of neck pain in adults

When:
Starting in January 2022 for 5 years

To whom:
Researchers and policymakers in the field of public health and sports medicine

Conditions:
Systematic review/Meta-analysis

Where to obtain:
Tehran University of Medical Sciences (TUMS) Sports Medicine Research Center (SMRC)

How to obtain:
Contacting the author for correspondence with reasonable request

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ramin Kordi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>District 6, Jalal-e-Al-e-Ahmad Hwy, No. 7</address>
        <city>Tehran`</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>14395578</zip>
        <telephone>+98 21 8863 0227</telephone>
        <email>ramin_kordi@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Ramin Kordi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>District 6, Jalal-e-Al-e-Ahmad Hwy, No. 7</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>14395578</zip>
        <telephone>+98 21 8863 0227</telephone>
        <email>ramin_kordi@tums.ac.ir</email>
        <affiliation>Tehran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Participants under the coverage of rural health network of Tehran University of Medical Sciences
18 to 60 year-old participants</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>60 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Diagnosed neoplasm
Diagnosed remarkable psychiatric disorders
Diagnosed cognitive impairment
Unwillingness to participate/continue with participation</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M54.2</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Cervicalgia (Neck pain)</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>N/A</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Control group: Without exercise intervention. Participants will be followed by health care providers and relevant data (incidence, prevalence, disability and the costs of treating neck pain) will be collected from them.</i_keyword>
      <i_keyword>Intervention group: Neck exercise group, a sum of 10 simple stretch and strength exercises to strengthen the neck muscles and stabilize the posture which are practicable by the public at home, without any tools, while standing, sitting, and laying down. The training will emphasize on the neck's motion in different directions and also necks stability against force. These exercises, which will be taught to primary health care providers by Sports medicine specialists before the trial begins, will be taught to the Intervention group by primary health care providers in one session interviews, and pamphlets. This study aims to assess the effectiveness of exercises taught by the primary care providers to the study population.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Neck pain incidence. Timepoint: after 12 months since first visit. Method of measurement: Translated Neck pain and disability score (NPDS) questionnaires and participants' electronic health records (SIB).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Disability caused by neck pain. Timepoint: after 3, 6, and12 months since first visit. Method of measurement: NPDS questionnaire.</sec_outcome>
      <sec_outcome>Treatment cost. Timepoint: after 12 months since first visit. Method of measurement: Participants' electronic health records (SIB).</sec_outcome>
      <sec_outcome>Prevalence of neck pain. Timepoint: after 3, 6, and12 months since first visit. Method of measurement: NPDS questionnaire.</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>Tehran University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-05-22</approval_date>
        <contact_name>Vice-chancellor in research affairs- Tehran University of Medical Sciences</contact_name>
        <contact_address>Keshavarz Blv. Tehran, Iran Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
