<?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>IRCT20231001059571N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-11-27</date_registration>
      <primary_sponsor>Mashhad University of Medical Sciences</primary_sponsor>
      <public_title>Comparison of the Effect of an Interactive vs Non-Interactive Educational Mobile Application on Nursing Students' Knowledge, Self-Efficacy, and Skills in Weaning, Extubation, and Re-intubation techniques for Mechanically Ventilated Patients</public_title>
      <acronym></acronym>
      <scientific_title>Comparison of the Effect of an Interactive vs Non-Interactive Educational Mobile Application on Nursing Students' Knowledge, Self-Efficacy, and Skills in Weaning, Extubation, and Re-intubation techniques for Mechanically Ventilated Patients</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-12-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/72883</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: Random allocation of individuals to two groups, intervention and control, will be performed using STATA software (version 17) by a statistical expert. This software provides a random sequence of 70 letters, A and B, in a 1:1 ratio (35 A's and 35 B's). In the subsequent phase, 35 A cards and 35 B cards will be prepared in line with the sequence generated by the software, placed in sealed dark envelopes, and numbered from 1 to 70. As each participant arrives, based on the number assigned to them, the corresponding envelope will be opened, determining the volunteer's group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>موضوع مطالعه بیماری نمیباشد.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: In the interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong answer, in addition to displaying a message about the wrong choice, without referring to the correct option, a short explanation will be given about why the chosen answer is wrong. But if the correct option is selected, in addition to encouraging the student, a brief explanation is given to emphasize the correct option and confirm the student's learning, and a point is also considered for him. If they need more information, students can contact the research team by writing a comment. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. Also, students can compare their scores with other students and see their rank in the group at any time. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted. Intervention 2: Control group: In the non-interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong or correct answer, they can see different emojis. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted.</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 There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Razie Froutan</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ferdowsi University, Khorazmi Building, Faculty of Nursing and Midwifery</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9178154653</zip>
        <telephone>+98 51 3852 8514</telephone>
        <email>www.Raziefroutan@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Razie Froutan</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ferdowsi University, Khorazmi Building, Faculty of Nursing and Midwifery</address>
        <city>Mashhad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9178154653</zip>
        <telephone>+98 51 3852 8514</telephone>
        <email>www.Raziefroutan@mums.ac.ir</email>
        <affiliation>Mashhad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Students who voluntarily want to participate in research
Students who do not have previous experience using the relevant educational applications (weaning, extubation and reintubation)
Having an educational mobile phone is also one of the conditions for participating in the research</inclusion_criteria>
      <agemin>no limit</agemin>
      <agemax>no limit</agemax>
      <gender>Both</gender>
      <exclusion_criteria></exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: In the interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong answer, in addition to displaying a message about the wrong choice, without referring to the correct option, a short explanation will be given about why the chosen answer is wrong. But if the correct option is selected, in addition to encouraging the student, a brief explanation is given to emphasize the correct option and confirm the student's learning, and a point is also considered for him. If they need more information, students can contact the research team by writing a comment. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. Also, students can compare their scores with other students and see their rank in the group at any time. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted.</i_keyword>
      <i_keyword>Control group: In the non-interactive application group, After registration and receiving their username and password, students can log into the application and access educational content related to weaning, extubation, and reintubation. They then answer questions on the same topic, which are presented as short videos of patients from the intensive care unit, within a specified time frame. In case of choosing the wrong or correct answer, they can see different emojis. If 60% of the questions of each stage are answered correctly, the student can enter the next stage. This game is available to students for a week and during the week, a reminder message is sent to them to use the application. According to the counter embedded in the application, the number of times and duration of participation can be determined for each person, and if the duration of the student's participation in the game is less than the defined amount (one third of the required time), he/she will be removed from the game. The study was deleted.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Knowledge. Timepoint: Before intervention and seven days after using the application. Method of measurement: MCQ.</prim_outcome>
      <prim_outcome>Self efficacy. Timepoint: Before intervention and seven days after using the application. Method of measurement: self efficacy questionnaire.</prim_outcome>
      <prim_outcome>Skill. Timepoint: Before intervention, seven days after using the application, and during the ICU internship (encountering real patients under mechanical ventilation).". Method of measurement: OSCE exam before and after the intervention, and the logbook of ICU internship to assess skills during the internship.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></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>2023-10-18</approval_date>
        <contact_name>Ethics Committee of Mashhad University of Medical Sciences</contact_name>
        <contact_address>Daneshgah Ave, Ghoreishi Building Mashhad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
