<?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>IRCT20230628058613N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-10-06</date_registration>
      <primary_sponsor>University of social welfare and rehabilitation sciences</primary_sponsor>
      <public_title>Effect of parent training program to improve occupation of play in children with autism</public_title>
      <acronym></acronym>
      <scientific_title>Developing a parent training program to improve occupation of play in children with autism spectrum disorder and investigating its effect on children's play skills and parental self-efficacy</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-12-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>62</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72447</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, the stratified randomization method is used and the participants are divided into different subgroups based on the child's level of play. Within each subgroup, a block randomization procedure with blocks of 4 was used to ensure equal representation of participants in each treatment group, and to minimize imbalances over time. This combination of stratified and block randomization is performed using R software, which increases accuracy and reduces human error. The software determines the appropriate blocks and allocates the samples, which ensures that the allocation process is truly random, Blinding description: In this study, the outcome assessors and the statistical data analyst will be unaware of allocating participants to the intervention and control groups. To ensure proper blinding, each participant will be assigned identifiers without specific information about groups. Also, any signs or symbols associated with the allocation group in the data and materials provided to the evaluator will be removed. The statistical analyst also faces only two groups ("Group 1" and "Group 2"), without knowing which one is related to the intervention group and which one is to the control group. The true identity of the groups will not be revealed until the statistical analyses are completed and before the results are presented. This blinding is done to avoid any bias or indirect influence in the evaluation and analysis process.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Autism spectrum disorder.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The intervention group in this study is parents of children with autism spectrum disorder who will receive the parent training program. This program is developed based on occupational performance coaching and will be held once a week for 12 sessions. The duration of each session will be 45 to 60 minutes. Intervention 2: Control group: The control group in this study is parents of children with autism spectrum disorder who will not receive any intervention.</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:
IDP: Once participants have been anonymized, we will share the data in an article. This article will discuss the effect of parent training program to improve occupation of play in children with autism and parental self-efficacy. The correlation of study findings will be examined with demographic information and made publicly available. 
Study protocol: We will present the study's methodology in a paper.
Informed consent form: The details regarding informed consent form can be found in the proposal of this study.
Clinical study report: We will disseminate the clinical study report within a separate research paper.

When:
Access to the data will be possible from one month after the publication of the results.

To whom:
After publishing the paper, it will be accessible to researchers.

Conditions:
The access depends on the journal in which we will publish the study results.

Where to obtain:
Reach out to jamshidian.ot@gmail.com for any related information.

How to obtain:
We cannot disclose data before it is published. Please be patient until the results are published.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Ehsan Jamshidian</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Occupational therapy department, University of social welfare and rehabilitation sciences, Kodakyar Ave., Daneshjo Blvd.,Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 21 2218 0063</telephone>
        <email>jamshidian.ot@gmail.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Hooshang Mirzaie</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Occupational therapy department, University of social welfare and rehabilitation sciences, Kodakyar Ave., Daneshjo Blvd.,Evin</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1985713871</zip>
        <telephone>+98 21 2218 0063</telephone>
        <email>hooshang_mirzaie@yahoo.com</email>
        <affiliation>University of social welfare and rehabilitation sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Parental consent to participate in the study by obtaining written consent
Having a child in the age range of 3 to 6 years
Receive a diagnosis of autism spectrum disorder by a child psychiatrist
Obtaining a score of 54 and above on the Gilliam Autism Rating Scale
Being in level 1 or 2 of autism spectrum disorder
Availability of at least one parent who can continuously participate in educational and research workouts
A stable course of the child's rehabilitation, medication, and school for at least one month prior to the start of the evaluations (no foreseeable change during participation in the study)
Having at least a diploma in order to complete questionnaires and receive training</inclusion_criteria>
      <agemin>3 years</agemin>
      <agemax>6 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Participating in another intensive treatment program for more than 10 hours per week
The presence of severe behavioral or emotional problems in the child
Diagnosis of psychiatric disorders in parents based on structured clinical interview for DSM-5 disorders (SCID-5)
The presence of severe medical problems, such as blindness, deafness, and epilepsy in a child
Insufficient parental commitment for participation in the intervention</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F84.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Autistic disorder</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The intervention group in this study is parents of children with autism spectrum disorder who will receive the parent training program. This program is developed based on occupational performance coaching and will be held once a week for 12 sessions. The duration of each session will be 45 to 60 minutes.</i_keyword>
      <i_keyword>Control group: The control group in this study is parents of children with autism spectrum disorder who will not receive any intervention.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Play skills. Timepoint: At the beginning of the study and 3 and 4 months after the start of the parent education program. Method of measurement: Test of Playfulness (ToP).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Severity of autism symptoms. Timepoint: At the beginning of the study and 3 and 4 months after the start of the parent training program. Method of measurement: Autism Treatment Evaluation Checklist (ATEC).</sec_outcome>
      <sec_outcome>Parental stress. Timepoint: At the beginning of the study and 3 and 4 months after the start of the parent training program. Method of measurement: Parent Stress Index (PSI).</sec_outcome>
      <sec_outcome>Parental self-efficacy. Timepoint: At the beginning of the study and 3 and 4 months after the start of the parent education program. Method of measurement: Tool to Measure Parenting Self-Efficacy (TOPSE).</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>University of social welfare and rehabilitation sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-08-22</approval_date>
        <contact_name>Research Ethics Committees of University of Social Welfare and Rehabilitation Sciences</contact_name>
        <contact_address>Occupational therapy department, University of social welfare and rehabilitation sciences, Kodakyar Ave., Daneshjo Blvd.,Evin Tehran Tehran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
