<?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>IRCT20250927067383N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2025-10-07</date_registration>
      <primary_sponsor>Persian Gulf University</primary_sponsor>
      <public_title>Effectiveness of Cognitive-Behavioral and Mindfulness-Based Therapies in Adults with Attention-Deficit/Hyperactivity Disorder</public_title>
      <acronym></acronym>
      <scientific_title>Comparative Effectiveness of Cognitive Behavioral Therapy and Mindfulness-Based Cognitive Therapy on Executive Functions, Cognitive Disengagement Syndrome, Stress Management, and Quality of Life in Adults with ADHD</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-09-22</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>60</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/86503</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The sampling method of this study is multi-stage cluster random sampling, and the assignment of subjects to groups is also random, Blinding description: Participants: Individuals enrolled in the study were aware of the type of treatment they were receiving (cognitive-behavioral or cognitive-mindfulness), but were not accurately informed of the existence of a control group and between-group comparisons to reduce the expectation effect.

Principal Investigator: The principal investigator, who was responsible for data analysis, was not aware of the coding of groups (A, B, and C) until the end of data collection, and analyses were conducted as anonymous data.

Therapists: Due to the nature of psychological interventions, therapists were aware of the type of intervention they were implementing and there was no possibility of blinding them.

Healthcare personnel: Because the intervention was implemented in an academic setting and by a trained researcher, clinical personnel had no involvement in the treatment and care of participants.

Data collectors and outcome assessors: The individuals who collected and scored the questionnaires were unaware of the type of intervention and the grouping of participants. The questionnaires were delivered and analyzed with only the participants' anonymous codes (without mentioning the treatment group).

Authors of the final report: The initial writing of the article was done based on the coded data (without disclosing the groups) and only after the statistical analyses were completed, the group codes were opened and the results were interpreted accordingly.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Attention deficit hyperactivity disorder.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Cognitive-behavioral therapy. Intervention 2: Control group: No intervention was performed. Intervention 3: Intervention group: Mindfulness-based cognitive therapy.</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 To maintain confidentiality</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Leila Kamran</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bushehr, Persian Gulf Street, Persian Gulf University</address>
        <city>Bushehr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7516913817</zip>
        <telephone>0773122</telephone>
        <email>l.kamran92@gmail.com</email>
        <affiliation>Persian Gulf University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Leila Kamran</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Bushehr, Persian Gulf Street, Persian Gulf University</address>
        <city>Bushehr</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>7516913817</zip>
        <telephone>0773122</telephone>
        <email>l.kamran92@gmail.com</email>
        <affiliation>Persian Gulf University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Age 18- 40 years old
Sufficient motivation</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>40 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>History of neurological disorders
Color blindness
Lack of computer knowledge</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F90</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Attention-deficit hyperactivity disorders</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Cognitive-behavioral therapy</i_keyword>
      <i_keyword>Control group: No intervention was performed.</i_keyword>
      <i_keyword>Intervention group: Mindfulness-based cognitive therapy</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Inattention score measured by the Barkley Adult ADHD Rating Scale-IV (BAARS-IV).Hyperactivity score measured by the BAARS-IV.Impulsivity score measured by the BAARS-IV.Sluggish Cognitive Tempo (SCT) score measured by the BAARS-IV and performance-based tests.Cold executive functions (cognitive flexibility, sustained attention, response inhibition, planning) measured by the Wisconsin Card Sorting Test (WCST), Stroop Test, Tower of London, and Continuous Performance Test (CPT).Hot executive functions (emotion regulation and decision-making) measured by related questionnaires and decision-making tasks.Quality of life measured by the Adult ADHD Quality of Life Questionnaire (AAQoL).Stress management measured by the Depression Anxiety Stress Scales (DASS-21). Timepoint: Pre-test before the intervention begins, post-test immediately after the end of the treatment sessions, and follow-up 2 months after the end of treatment. Method of measurement: Barclay Adult Attention-Deficit Hyperactivity Disorder Rating Scale, Adult ADHD Quality of Life Scale (AAQoL), Depression-Anxiety-Stress Scale (DASS), Stroop test, Wisconsin Card Sorting Test, Tower of London Test, Continuous Performance Test (CPT).</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>Persian Gulf University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2025-08-12</approval_date>
        <contact_name>Bushehr University of Medical Sciences</contact_name>
        <contact_address>Asadabadi Street, Alley 3, Parsam Building, Unit 8 Shiraz Fars Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
