<?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>IRCT20240425061565N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-06-03</date_registration>
      <primary_sponsor>Gonabad University of Medical Sciences</primary_sponsor>
      <public_title>Investigating the effect of acupressure on anxiety and sleep quality</public_title>
      <acronym></acronym>
      <scientific_title>Effect of acupressure at Yin-Tang point on the anxiety and sleep quality of pre-hospital emergency workers</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-05-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>46</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/76474</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Supportive, Randomization description: Sampling will be done in an accessible manner and based on the entry criteria, and then they will be randomly assigned to sham and intervention groups by using four permutation blocks (AABB, ABAB, ABBA, BABA, BAAB, BBAA) by throwing a dice. . In this way, we give codes 1 to 6 to each of the quaternary permutation blocks to match the numbers in the dice. Code 1 to the AABB permutation block, code 2 to the ABAB block, code 3 to the ABBA block, and BABA block Code 4, BBAA block code 5 and BAAB block code 6. Then, due to the fact that the required sample size for this research is 46 people, we have to roll the dice 12 times (4*12=48) so that at least 46 samples are included in the research, and after matching the number of the dice with the code belonging to the permutation blocks in the order of the sample In this method, the letters A mean the samples that are placed in the intervention group, and the letters B mean the samples that are placed in the sham group, Blinding description: They will be placed in sham and intervention groups randomly by using four permutation blocks (AABB, ABAB, ABBA, BABA, BAAB, BBAA) by throwing a dice. In each group, demographic information questionnaire, Spielberger anxiety index and Petersburg sleep quality index will be completed by the research units. Then, in the intervention group, pressing the Yin Tang point (between the two eyebrows in line with the nasal septum) for two minutes and only once a day (from 8 am to 11 am) and three times a week for four weeks by The researcher will do (5). The researcher pressed his thumb to a depth of 1.5 to 1.5 cm for 5 seconds and then rested for 2 seconds and continued this action for 2 minutes, but in the sham group, 2 cm above the hairline with Using the thumb will press to a depth of 1 to 1.5 cm, similar to the intervention group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Anxiety and poor sleep quality.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Squeezing the Yin-Tang point (between the two eyebrows in most part of the nasal septum) will be done by the researcher for two minutes and only once a day (from 8:00 am to 11:00 am) three times a week for four weeks. The researcher should press his thumb to a depth of 1.5 to 1.5 cm for 5 seconds and then rest for 2 degrees and continue this action for 2 minutes. Intervention 2: control group (sham): 2 cm above the hair growth line using the thumb to a depth of 1 to 1.5 cm, similar to the intervention group. For two minutes and only once a day (from 8 am to 11 am) and as It will be done three times a week for four weeks by the researcher.</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:
Only part of the data, such as information related to the main outcome, should be shared.

When:
The access period starts 6 months after the results are published

To whom:
Only for researchers working in academic and scientific institutions

Conditions:
In order to use statistics to conduct other similar researches

Where to obtain:
Using the researcher's email:
rezamoazzen34@gmail.com
Or Reza Mozen's phone:
09153358696

How to obtain:
Using the researcher's email:
rezamoazzen34@gmail.com
Or Reza Mozen's phone:
09153358696

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Reza Moazzen</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Kashmar. No. 28, 7 Shahid Beheshti St</address>
        <city>kashmar</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9671953133</zip>
        <telephone>+98 51 5525 2730</telephone>
        <email>rezamoazzen34@gmail.com</email>
        <affiliation>Gonabad University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Taherh Baloochi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Gonabad, near Asian Road, Gonabad University of Medical Sciences</address>
        <city>Gonabad</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>9691793718</zip>
        <telephone>+98 915 533 9768</telephone>
        <email>‪tbaloochi@gmail.com</email>
        <affiliation>Gonabad University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Informed consent to participate in the research
Having an associate's, bachelor's or master's degree in nursing and emergency medicine
Having at least 2 years of experience working in pre-hospital emergency centers
Not facing crises such as the death of loved ones and divorce in the last six months
Not having a history of anxiety and insomnia (self-reported)
Not having a history of using anxiety medications related to sleep quality reduction
Attending the work environment during the research
Failure to pass the stress management course
Absence of severe skin diseases</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>65 years</agemax>
      <gender>Male</gender>
      <exclusion_criteria>Incompatibility of work shifts with other colleagues who have night shifts
Headquarters force and managers</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>N/A</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Squeezing the Yin-Tang point (between the two eyebrows in most part of the nasal septum) will be done by the researcher for two minutes and only once a day (from 8:00 am to 11:00 am) three times a week for four weeks. The researcher should press his thumb to a depth of 1.5 to 1.5 cm for 5 seconds and then rest for 2 degrees and continue this action for 2 minutes.</i_keyword>
      <i_keyword>control group (sham): 2 cm above the hair growth line using the thumb to a depth of 1 to 1.5 cm, similar to the intervention group. For two minutes and only once a day (from 8 am to 11 am) and as It will be done three times a week for four weeks by the researcher.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Anxiety. Timepoint: It will be done three times a week (three days a week) for up to a month, only once per time (day) and in the time period (8 am to 11 am). Method of measurement: 1. Questionnaire of demographic characteristics 2. Spielberger anxiety level questionnaire.</prim_outcome>
      <prim_outcome>Sleep quality. Timepoint: It will be done three times a week (three days a week) for up to a month, only once per time (day) and in the time period (8 am to 11 am). Method of measurement: 1. Questionnaire of demographic characteristics 2. Petersburg Sleep Quality Questionnaire.</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>Gonabad University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-05-14</approval_date>
        <contact_name>Ethics Committee of Gonabad University of Medical Sciences</contact_name>
        <contact_address>Gonabad, Ghadir Square, Imam Khomeini St., Gonabad Medical Sciences Headquarters Gonabad Razavi Khorasan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
