<?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>IRCT20200613047757N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2021-11-16</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Designing a  mobile-based inflammatory bowel disease management system by using gamification techniques and determining its effectiveness on disease activity index, mental health and quality of life</public_title>
      <acronym></acronym>
      <scientific_title>Evaluation of the effectiveness of mobile-based inflammatory bowel disease management system by using gamification techniques on disease activity index, mental health and quality of life</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-11-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>210</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/59842</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Other design features: In this study, patients' information needs will be extracted during 3 general phases and based on the identified needs, an exclusive educational content for patients will be developed. This system will be used to evaluate its effectiveness on effective factors, Randomization description: Combination of two methods of randomization, balanced blocks, and stratification. First, a randomized list will be generated for each center by randomization.com. Then, cards and envelopes will be prepared according to the number of samples. The cards will be placed in opaque envelopes in the order of the random allocation list created by the randomization system. Also, to keep the generated order of the cards, the serial number will be written on the envelopes. The purpose of the study will be explained to the person who accepts to participate signs the informed consent form. They will take an envelope, and will enter the intervention or control groups based on the contents of the envelope, Blinding description: Researchers and those involved in this research are blind to random order. After generating the randomization list, cards and envelopes will be prepared in the number of samples. The cards will be placed in the envelope in the order of the random allocation list created by the randomization system so that its contents are not visible from outside the envelope. Also, to prevent the order of the cards from being disturbed, the serial number is inserted on the envelopes. The purpose of the study is explained to the person who meets the conditions, and the person, if desired, signs the informed consent form and takes an envelope and then opens it and enters the intervention or control groups based on the contents of the envelope. The person's details include the patient's name, age, mobile number, and the doctor's name on the envelope. Finally, if patients enter the intervention group, the designed program will be installed on the patient or his mobile phone.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Ulcerative Colitis. Condition 2: Crohn Disease.</hc_freetext>
      <i_freetext>Intervention 1: The method of intervention in the experimental group is education and disease management via mobile phone for 6 months so that it can be trained through educational intervention with playfulness techniques and symptoms related to the disease are monitored and warnings are given to the patient if necessary. To. For remote measurement of disease activity in Crohn's patients, Harvey-Bradshaw index and in patients with ulcerative colitis, simple clinical colitis activity index will be used. Intervention 2: Control group: Patients in the control group will receive standard care and routine outpatient clinics based on guidelines.</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 more information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Narges Norouzkhani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Knowledge and Health City – In the end of Shahid Fakouri Blvd (In front of Fakouri 94) – Mashhad - Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>narges.norouzkhani@yahoo.com</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Narges Norouzkhani</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Knowledge and Health City – In the end of Shahid Fakouri Blvd (In front of Fakouri 94) – Mashhad - Iran</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9138813944</zip>
        <telephone>+98 51 3800 2000</telephone>
        <email>narges.norouzkhani@yahoo.com</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Diagnosis of inflammatory bowel disease based on internationally accepted diagnostic criteria including clinical signs, endoscopic findings, radiological and histological studies by a physician specializing in gastroenterology and adult liver
Minimum age 18 years
Willingness to enter the study and complete informed written consent
Ability to access and use smart phones and the Internet
Ability to read and write in Persian
Patients with at least one week on remission
Not receiving self-management and education-oriented programs at the same time and participating in another experimental study when registering a patient</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>75 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Inability to communicate with and match with researchers
Reluctance to continue cooperation
Pregnancy
Active perianal or anal abscess disease
Existence of an anastomosis of the bladder
Participate in another experimental study that may interfere with this study
Having other chronic and acute diseases diagnosed by a doctor such as liver, kidney, circulatory system and acute mental disorder</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>K51</hc_code>
      <hc_code>K50</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Ulcerative colitis</hc_keyword>
      <hc_keyword>Crohn's disease [regional enteritis]</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The method of intervention in the experimental group is education and disease management via mobile phone for 6 months so that it can be trained through educational intervention with playfulness techniques and symptoms related to the disease are monitored and warnings are given to the patient if necessary. To. For remote measurement of disease activity in Crohn's patients, Harvey-Bradshaw index and in patients with ulcerative colitis, simple clinical colitis activity index will be used.</i_keyword>
      <i_keyword>Control group: Patients in the control group will receive standard care and routine outpatient clinics based on guidelines.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Quality of life index. Timepoint: At the beginning of the study, 3 and 6 months after the intervention. Method of measurement: will be measured by a 32-item Inflammatory Bowel Disease Questionnaire.</prim_outcome>
      <prim_outcome>Disease activity index. Timepoint: At the beginning of the study, 3 and 6 months after the intervention. Method of measurement: Harvey-Bradshaw Index (HBI) for Crohn's disease and Simple Clinical Colitis Activity Index (SCCAI) for Ulcerative Colitis patients.</prim_outcome>
      <prim_outcome>Hospital Anxiety and Depression. Timepoint: At the beginning of the study, 3 and 6 months after the intervention. Method of measurement: Hospital Anxiety and Depression Scale (HADS).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Self-Efficacy Scale. Timepoint: At the beginning of the study, 3 and 6 months after the intervention. Method of measurement: IBD Self-efficacy Scale.</sec_outcome>
      <sec_outcome>Measure non-adherence. Timepoint: At the beginning of the study, 3 and 6 months after the intervention. Method of measurement: Morisky Medication Adherence Scale.</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>Mashhad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2021-11-07</approval_date>
        <contact_name>Mashhad University of Medical Sciences</contact_name>
        <contact_address>Knowledge and Health City – In the end of Shahid Fakouri Blvd (In front of Fakouri 94) – Mashhad - Iran Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
