<?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>IRCT20191214045730N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2022-02-24</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Effects of community based intervention focused on the comprehensive nurturing care of the child on parent-child communicative styles and lexical development of 12-24 month old children</public_title>
      <acronym></acronym>
      <scientific_title>Effects of community based intervention focused on the comprehensive nurturing care of the child on parent-child communicative styles and lexical development of 12-24 month old children</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2022-01-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>140</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/60498</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: First, individuals would be allocated to one of middle or low socio-economic classes based on the information obtained from the socio-economic questionnaire. For random allocation of the subjects of each SES class to one of the intervention or control groups, block randomization method (4 blocks) will be used. In each block, 2 individuals are assigned to the intervention group and 2 people to the control group. For each block, random sequences will be generated by Random allocation software and then, concealed in sequentially numbered, sealed, opaque envelopes.</study_design>
      <phase>N/A</phase>
      <hc_freetext>late talker.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group1:  12 to 24 months old late talkers from middle socioeconomic class whose parents receive 2 mobile health applications (named comprehensive child care application (MOHAK) and the art of communicate with the child through love, talking, playing and reading (HAK)), as well as 14 short educational videos about the appropriate  mother-child interactions styles on their smart phone, in addition to common counselling interventions by speech therapists. Parents,  will have 3 to 5 individual 45-minute sessions with the researchers to learn about working with the apps, scheduling files, and using from age-appropriate contents in daily routine situations. They will give weekly reports to researchers and will receive appropriate corrective/confirmatory feedbacks from them. The duration of the intervention period will be 6 months from the time of enrolment. Intervention 2: Intervention group: 12 to 24 months old late talkers from lower socioeconomic class. These children will receive the same intervention as the  intervention group 1. Intervention 3: Control group1: 12 to 24 months old late talkers from middle socioeconomic class who receive  no intervention other than common counselling interventions by speech therapists. Intervention 4: Control group 2: 12 to 24 months old late talkers from lower socioeconomic class who receive  no intervention other than common counselling interventions by speech therapists.</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:
size of productive /comprehensive vocabulary of children 
lexical, semantic and communicative indexes extracted from language and interactive samples

When:
6 months after publication

To whom:
researchers and clinicians

Conditions:
A variety of linguistic analyzes are allowed on the data

Where to obtain:
Dr. Toktam Maleki Shahmahmood
Email: malekist@mums.ac.ir

How to obtain:
Data will be sent immediately after the request and stating the reason for the request.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Toktam Maleki Shahmahmood</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>East door of Ferdowsi University, Public Relations Department of the University</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177899191</zip>
        <telephone>+98 51 3884 9152</telephone>
        <email>malekist@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Toktam Maleki Shahmahmood</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>East door of Ferdowsi University, Public Relations Department of the University</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9177899191</zip>
        <telephone>+98 51 3884 9153</telephone>
        <email>malekist@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age between 12 to 24 months
Having verbal and communication skills below the expected level for age, based on the scores in the Persian version of the MacArthur-Bates Communicative Development Inventories- checklist 1 / 2
Having age-appropriate performances in all developmental domains (except for verbal communication) based on the Persian version of the Ages and Stages Questionnaire (ASQ) and the Bayley Scales of Infant and Toddler Development
Classified in middle or lower socioeconomic classes based on the researcher-made questionnaire of socio-demographics
No history of neurological defects; problems such as low birth weight (less than 1500), hypoxia at birth, head trauma, sensory deficits (in vision/ hearing), seizures end, etc.
Patients' parents are monolingual Persian speakers, literate, have a mobile phone to receive educational files and know how to work with it / be able to learn it</inclusion_criteria>
      <agemin>12 months</agemin>
      <agemax>24 months</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Parents' not willing to participate in the study</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>R62.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Delayed milestone in childhood</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group1:  12 to 24 months old late talkers from middle socioeconomic class whose parents receive 2 mobile health applications (named comprehensive child care application (MOHAK) and the art of communicate with the child through love, talking, playing and reading (HAK)), as well as 14 short educational videos about the appropriate  mother-child interactions styles on their smart phone, in addition to common counselling interventions by speech therapists. Parents,  will have 3 to 5 individual 45-minute sessions with the researchers to learn about working with the apps, scheduling files, and using from age-appropriate contents in daily routine situations. They will give weekly reports to researchers and will receive appropriate corrective/confirmatory feedbacks from them. The duration of the intervention period will be 6 months from the time of enrolment.</i_keyword>
      <i_keyword>Intervention group: 12 to 24 months old late talkers from lower socioeconomic class. These children will receive the same intervention as the  intervention group 1.</i_keyword>
      <i_keyword>Control group1: 12 to 24 months old late talkers from middle socioeconomic class who receive  no intervention other than common counselling interventions by speech therapists.</i_keyword>
      <i_keyword>Control group 2: 12 to 24 months old late talkers from lower socioeconomic class who receive  no intervention other than common counselling interventions by speech therapists.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Vocabulary size (comprehension and production scores). Timepoint: Before study, after study. Method of measurement: Persian version of  MacArthur-Bates Communicative Development Inventories.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Parent- child communicative behaviors. Timepoint: after intervention. Method of measurement: structural analysis of mother-child free play.</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>2021-07-25</approval_date>
        <contact_name>Ethic Committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Khorasan Razavi, Mashhad, East door of Ferdowsi University, Public Relations Department of the University (Tardarandshjoo), Website Unit Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
