<?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>IRCT20230612058461N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-06-20</date_registration>
      <primary_sponsor>Kermanshah University of Medical Sciences</primary_sponsor>
      <public_title>The effect of Virtual reality headsets on reducing pain and anxiety in implant</public_title>
      <acronym></acronym>
      <scientific_title>The effect of virtual reality headsets on reducing pain and anxiety in patients during implant surgery in dentistry</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-07-01</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>45</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/70649</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Crossover, Purpose: Treatment, Randomization description: Randomization was achieved using a list of numbers generated by the computer software List Randomizer. These numbers obtained from the previous section were generated by a blinded third-party statistician (someone who was not involved in screening, treatment, follow-up, data collection, or analysis) and were used to allocate participants to the two experimental groups. This information was hidden in sealed envelopes, which were opened before the surgical treatment, Blinding description: A blinded third-party statistician (one who was not involved in screening, treatment, follow-up, data collection, or analysis) achieved two-way blinding of physician and patient using a list of numbers generated by the List Randomizer computer software. These obtained numbers were used to assign the participants to two experimental groups. This information will be kept in sealed envelopes, hidden and opened prior to surgical treatment.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Condition 1: Anxiety. Condition 2: Pain.</hc_freetext>
      <i_freetext>Intervention 1: intervention group: in the first group of the experiment; Half of the patients undergo implant surgery for lower 6 teeth with VR in the second meeting, and in the third meeting, they undergo implant surgery for their other lower 6 teeth without VR. The average surgical procedure is 25 minutes. This time was without taking into account the time of patient preparation and anesthetic injection and waiting time for its effectiveness to start. In this project, the following questionnaires are used, and the time to use each of them is as follows. 1: NRS Questionnaire: This questionnaire is used at the beginning and end of the treatment session to measure the expected pain of the patient and the pain experienced after the treatment. , at the end of treatment to determine the level of patient satisfaction, at the end of treatment to determine the level of dentist satisfaction with the treatment process 2: STAI questionnaire: at the beginning of each treatment session to measure the level of anxiety of the patients' trait 3: MDAS questionnaire: at the beginning of each treatment session to measure the level of anxiety Dental patients. 4: Vividness on Memories telephone questionnaire: to check the extent to which patients recall memories 5: asking the patient to guess about the duration of the treatment process. Intervention 2: intervention group: in the second group of the experiment and vice versa in the first group; First, the patients undergo implant surgery for lower 6 teeth without VR, and in the third meeting, they undergo implant surgery for their other lower 6 teeth with VR. All tests and experiments are completely similar to the first intervention group.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is It will be referred to it again in future studies</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Alireza Ghobadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 1., Fazel Ave., Shahid Behesti Blvd., Kermanshah</address>
        <city>Kermanshah</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6715745649</zip>
        <telephone>+98 83 3424 2296</telephone>
        <email>alirezaghobadi1376@yahoo.com</email>
        <affiliation>Kermanshah University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Alireza Ghobadi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No 1., Fazel Ave., Shahid Behesti Blvd., Kermanshah</address>
        <city>Kermanshah</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>6715745649</zip>
        <telephone>+98 83 3424 2296</telephone>
        <email>alirezaghobadi1376@yahoo.com</email>
        <affiliation>Kermanshah University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Being a suitable candidate for implant surgery</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F06.4</hc_code>
      <hc_code>G89</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Anxiety disorder due to known physiological condition</hc_keyword>
      <hc_keyword>Pain, not elsewhere classified</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Devices</i_code>
      <i_code>Treatment - Devices</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>intervention group: in the first group of the experiment; Half of the patients undergo implant surgery for lower 6 teeth with VR in the second meeting, and in the third meeting, they undergo implant surgery for their other lower 6 teeth without VR. The average surgical procedure is 25 minutes. This time was without taking into account the time of patient preparation and anesthetic injection and waiting time for its effectiveness to start. In this project, the following questionnaires are used, and the time to use each of them is as follows. 1: NRS Questionnaire: This questionnaire is used at the beginning and end of the treatment session to measure the expected pain of the patient and the pain experienced after the treatment. , at the end of treatment to determine the level of patient satisfaction, at the end of treatment to determine the level of dentist satisfaction with the treatment process 2: STAI questionnaire: at the beginning of each treatment session to measure the level of anxiety of the patients' trait 3: MDAS questionnaire: at the beginning of each treatment session to measure the level of anxiety Dental patients. 4: Vividness on Memories telephone questionnaire: to check the extent to which patients recall memories 5: asking the patient to guess about the duration of the treatment process.</i_keyword>
      <i_keyword>intervention group: in the second group of the experiment and vice versa in the first group; First, the patients undergo implant surgery for lower 6 teeth without VR, and in the third meeting, they undergo implant surgery for their other lower 6 teeth with VR. All tests and experiments are completely similar to the first intervention group.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain in the Visual Analogue Scale (VAS) questionnaire. Timepoint: Before and immediately after studying. Method of measurement: Visual Analogue Scale 0-10.</prim_outcome>
      <prim_outcome>Anxiety in State-Trait Anxiety Inventory (STAI) variable. Timepoint: Before and immediately after studying. Method of measurement: Spielberger State-Trait Anxiety Inventory (STAI).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Vividnss of memories. Timepoint: One week after studying. Method of measurement: Visual Analogue Scale 0-10.</sec_outcome>
      <sec_outcome>Satisfaction. Timepoint: Immediately after studying. Method of measurement: Visual Analogue Scale 0-10.</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>Kermanshah University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-05-23</approval_date>
        <contact_name>Ethics Committee of Kermanshah University of Medical Sciences</contact_name>
        <contact_address>Ethics Committee.,  University Building No. 2., In front of Imam Ali (AS) Hospital., Shahid Beheshti Blvd., Kermanshah Kermanshah Kermanshah Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
