<?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>IRCT20231128060209N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-02-05</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>the effect of mindfulness – based cognitive counseling  on women with breast cancer .</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the effect of mindfulness – based cognitive  counseling on sexual self-esteem of women with breast cancer after mastectomy.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-02-14</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>52</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/74072</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: In this study, the total sample size is 52 participants (26 participants in each group, considering the potential for drop), selected in the form of 13 blocks of 4. The random allocation of research samples to Group A (control) and Group B (intervention) will be done by generating random sequences, and the formation of blocks will be done using the Random Allocation Software. Each of the generated random sequences is recorded on a registration card, and the cards are placed inside opaque envelopes (13 envelopes). Finally, the sealed envelopes are placed in a box in order. When the study participants who meet the criteria enter, one of the envelopes is randomly opened by a third person, who is a secretary, and the assigned group becomes apparent. Each block consists of 4 patients, and the order of patients being assigned to Group A or B is determined based on the selected block sequence. The fifth patient is again randomly selected from one of the blocks (selected by the secretary), and the type of intervention  is assigned to the fifth to eighth patients according to the order of the blocks, Blinding description: Due to the fact that our intervention is a consultation method, it is not possible to blind the researcher, the consultant (specialist related to the treatment) and the participants, so we can only have the blinding of the analyst (statistician).</study_design>
      <phase>N/A</phase>
      <hc_freetext>Sexual self-esteem in women with breast cancer after mastectomy.</hc_freetext>
      <i_freetext>Intervention 1: The intervention will consist of 8 sessions of 90 minutes in one day, but in 2 separate hours and for 2 groups of 12 people.   mindfulness based cognitive counseling  will be done for the test group. The content of the counseling sessions is according to the protocol of mindfulness treatment and reference books and includes :  meditation - breathing exercises - kindness to painful and damaged body parts -  cognitive beliefs - home practice, etc.  This process will be done in cooperation with Ahvaz University of Medical Sciences and Ahvaz Hospital. Intervention 2: Control group:  If the intervention is effective, the control group will also receive the educational package of Mindfulness  based cognitive counseling  (including video, audio, PowerPoint, etc.) after completing the study in the form of a CD or file.</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 After consulting with the supervisor and obtaining the consent of the people involved in the study and Ahvaz University of Medical Sciences, I will specify the sharing method.
​</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Sareh Khosravikhorram</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Floor 1 , Unit 9,  Alley 10 , Imam Hasan Avenue, Shahrak Azadi (District 21), Tehran.</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1398675561</zip>
        <telephone>+98 21 4459 7092</telephone>
        <email>khosravi.s@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Parvaneh Mousavi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>School of Nursing and Midwifery - Jundishapur University of Medical Sciences Ahvaz – - Esfand Street – Golestan - Ahvaz – Iran</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>33337- 61357</zip>
        <telephone>+98 61 3373 8331</telephone>
        <email>mousavi-p@ajums.ac.ir</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>being married
Having sex with her husband
Having at least one child
Women of reproductive age with breast cancer who have undergone total mastectomy surgery
After completing chemotherapy
Ability to participate in group therapy sessions
possessing at least a middle school education
Breast cancer diagnosis 6 months to 5 years before participating in the research
Obtaining a score lower than 87 from the sexual self-esteem questionnaire
Women aged 30 to 49</inclusion_criteria>
      <agemin>30 years</agemin>
      <agemax>49 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Suffering from chronic diseases such as blood pressure, diabetes and thyroid and autoimmune diseases
Taking Antipsychotic drugs in the last 6 months
Active psychotic disorders
Use of hormone replacement drugs
Drug addiction or dependence on alcohol or psychoactive substances based on the individual's own opinion
Treatment of another type of cancer or malignancy
The occurrence of an unfortunate event during the last 6 months
Participation in concurrent treatment programs to reduce sexual problems and reduce other psychological problems
hysterectomy
metastasis</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>C50</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Malignant neoplasm of breast</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>The intervention will consist of 8 sessions of 90 minutes in one day, but in 2 separate hours and for 2 groups of 12 people.   mindfulness based cognitive counseling  will be done for the test group. The content of the counseling sessions is according to the protocol of mindfulness treatment and reference books and includes :  meditation - breathing exercises - kindness to painful and damaged body parts -  cognitive beliefs - home practice, etc.  This process will be done in cooperation with Ahvaz University of Medical Sciences and Ahvaz Hospital.</i_keyword>
      <i_keyword>Control group:  If the intervention is effective, the control group will also receive the educational package of Mindfulness  based cognitive counseling  (including video, audio, PowerPoint, etc.) after completing the study in the form of a CD or file.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Sexual self-esteem of breast cancer patients after mastectomy. Timepoint: Comparison of the scores obtained from the short-form female sexual self-esteem questionnaire (SSEI-W-SF ) before and after the intervention in both intervention and control groups. Method of measurement: Women's Sexual Self-Esteem Questionnaire of Zeanah and Schwarz Short Form Persian Version .</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>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-11-26</approval_date>
        <contact_name>Ethics committee of Ahvaz  Jundishapur  University of Medical Sciences</contact_name>
        <contact_address>School of Nursing and Midwifery - Jundishapur University of Medical Sciences Ahvaz – - Esfand Street – Golestan - Ahvaz - Iran Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
