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The Effect of some Stoic Teachings on Happiness and Death Anxiety in Breast Cancer Patients.

Protocol summary

Study aim
Determining the effect of teaching selected Stoic teachings on happiness and death anxiety in breast cancer patients.
Design
The clinical trial had two control and intervention groups, which were randomly divided into control groups, and each group, including attrition, will have 35 people, with 23 people remaining in each group at the end. The intervention phase in the intervention group will consist of six sessions of stoic training, a combination of virtual and in-person.
Settings and conduct
The intervention will be conducted at Iranmehr Hospital in Birjand in the form of two in-person sessions for patients and four recorded sessions in a virtual space.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Includes patients with the above conditions and also willing to participate in the study, with access to cyberspace (the patient or a close relative through whom the patient can follow the content),Having Iranian nationality, not having speech or hearing problems, interest in participating in the study. Exclusion criteria: Included more than two absences from educational sessions, unwillingness to participate in the educational process, death or worsening of the patient's condition to the extent that the patient could not receive and follow the education، withdrawal from continuing cooperation with the research for any reason and at any stage of the research, and incomplete completion of the questionnaires.
Intervention groups
After completing the first questionnaire, the intervention group will receive six training sessions on an excerpt from Stoic teachings in a combination of virtual and in-person sessions, and then they will fill out the initial questionnaire again.
Main outcome variables
Observation of the effect of selected Stoic teachings on the happiness and death anxiety of patients in the intervention group .

General information

Reason for update
Acronym
.
IRCT registration information
IRCT registration number: IRCT20260125068660N1
Registration date: 2026-02-06, 1404/11/17
Registration timing: prospective

Last update: 2026-02-06, 1404/11/17
Update count: 0
Registration date
2026-02-06, 1404/11/17
Registrant information
Name
Mobina Arjmandi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 933 578 4106
Email address
mobina82arjmandi@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2026-02-20, 1404/12/01
Expected recruitment end date
2026-08-23, 1405/06/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The Effect of some Stoic Teachings on Happiness and Death Anxiety in Breast Cancer Patients.
Public title
The Effect of some Stoic Teachings on Happiness and Death Anxiety in Breast Cancer Patients.
Purpose
Education/Guidance
Inclusion/Exclusion criteria
Inclusion criteria:
Having Iranian nationality Diagnosis of the disease by a specialist doctor Interest in participating in the study Ability to access and control patients
Exclusion criteria:
Addiction to alcohol and psychotropic drugs speech or hearing problems
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 70
Randomization (investigator's opinion)
Randomized
Randomization description
Individual randomization: After confirming the eligibility criteria and obtaining informed consent, participants were allocated to the intervention and control groups using simple randomization with an allocation ratio of 1:1. Initially, a unique code was assigned to each participant, and an independent random number was generated for each individual using a random number generator. According to a predefined rule, participants with a random number less than 0.5 were assigned to the intervention group, while the remaining participants were allocated to the control group. The allocation process was performed independently for each participant, and all individuals had an equal probability of being assigned to either group.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
In the study, patients will be randomly divided into two intervention and control groups. The control group will receive the intervention and will fill out a questionnaire before and after the intervention and Stoic teachings, while the control group will fill out the questionnaire twice, like the intervention group, at the same time interval, but without receiving the intervention.

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Birjand University of Medical Sciences.
Street address
Birjand University of Medical Sciences, Moalem Street 33, Reyhaneh Dormitory, Vice President for Cultural Affairs of the University..
City
Birjand
Province
South Khorasan
Postal code
9717853577
Approval date
2025-09-19, 1404/06/28
Ethics committee reference number
IR.BUMS.REC.1404.282

Health conditions studied

1

Description of health condition studied
Breast cancer
ICD-10 code
C50
ICD-10 code description
C50-C50 Malignant neoplasm of breast: C50 Malignant neoplasm of breast / 1)C50.0 Malignant neoplasm: Nipple and areola. 2) C50.1 Malignant neoplasm: Central portion of breast.

Primary outcomes

1

Description
Happiness on the Exposed Happiness Questionnair،Death anxiety Templer Brain Anxiety Questionnaire.
Timepoint
Filling out the initial questionnaire before and after the study (each with an interval of up to one week).
Method of measurement
Oxford Happiness Questionnaire and Templar Death Anxiety Questionnaire

Secondary outcomes

1

Description
Comparison of initial and final questionnaires filled out by the hospital (Exposed Happiness Questionnaire and Templer Death Anxiety Questionnaire)
Timepoint
The first questionnaire was completed one week before the start of the intervention and the final questionnaire was completed one week after the intervention.
Method of measurement
The 29-question Oxford Happiness Questionnaire, with each question scoring between zero and three, and the 15-question Templar Death Anxiety Questionnaire, with a yes or no score.

Intervention groups

1

Description
Intervention group:Participants in the intervention group will receive six sessions of selected Stoic philosophy–based educational training, consisting of two face-to-face sessions and four virtual sessions delivered via recorded podcasts. The face-to-face sessions will last approximately one hour each, and the virtual sessions will last approximately 30 minutes each. Participants will complete the study questionnaires before and after the intervention.
Category
Lifestyle

2

Description
Control group: Participants in the control group will complete the baseline and final questionnaires at the same time intervals as the intervention group but will not receive any educational intervention during the study period. For ethical considerations, the educational materials will be provided to the control group after completion of both questionnaires.
Category
Lifestyle

Recruitment centers

1

Recruitment center
Name of recruitment center
Birjand University of Medical Sciences.
Full name of responsible person
Masoud Yousefi
Street address
Birjand University of Medical Sciences, Moalem St. 33
City
Birjand
Province
South Khorasan
Postal code
9717853577
Phone
+98 56 3239 5000
Email
mobina82arjmandi@gmail.com
Web page address
https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.bums.ac.ir/&ved=2ahUKEwi5hb3A-qqSAxWoUkEAHYDWNQsQFnoECCcQAQ&usg=AOvVaw2z7Ih8dK8P8kcfIlEHnh5_

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Birjand University of Medical Sciences
Full name of responsible person
Masoud Yousefi
Street address
Birjand University of Medical Sciences, Moalem St. 33
City
Birjand
Province
South Khorasan
Postal code
9717853577
Phone
+98 56 3239 5000
Email
mobina82arjmandi@gmail.com
Web page address
https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.bums.ac.ir/&ved=2ahUKEwi5hb3A-qqSAxWoUkEAHYDWNQsQFnoECCcQAQ&usg=AOvVaw2z7Ih8dK8P8kcfIlEHnh5_
Grant name
Budget from the Vice Chancellor of Birjand University of Medical Sciences
Grant code / Reference number
.
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Birjand University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

2

Sponsor
Name of organization / entity
Birjand University of Medical Sciences
Full name of responsible person
Masoud Yousefi
Street address
Birjand University of Medical Sciences, Moalem St. 33
City
Birjand
Province
South Khorasan
Postal code
9717753577
Phone
+98 992 714 1640
Email
mobina82arjmandi@gmail.com
Web page address
https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.bums.ac.ir/&ved=2ahUKEwi5hb3A-qqSAxWoUkEAHYDWNQsQFnoECCcQAQ&usg=AOvVaw2z7Ih8dK8P8kcfIlEHnh5_
Grant name
Funding from Birjand University of Medical Sciences
Grant code / Reference number
.
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Birjand University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Birjand University of Medical Sciences
Full name of responsible person
Mobina Arjmandi
Position
medical student
Latest degree
Medical doctor
Other areas of specialty/work
Medical student
Street address
Birjand, Moalem St. 33, Birjand University of Medical Sciences
City
Birjand
Province
South Khorasan
Postal code
9717853577
Phone
0098538821496
Email
mobina82arjmandi@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Birjand University of Medical Sciences
Full name of responsible person
Mobina Arjmandi
Position
Medical student
Latest degree
Medical doctor
Other areas of specialty/work
Breast Cancer
Street address
University of Medical Sciences, Moallem Street 33
City
Birjand
Province
South Khorasan
Postal code
9717853577
Phone
+98 51 3882 1496
Email
mobina82arjmandi@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Birjand University of Medical Sciences
Full name of responsible person
Mobina Arjmandi
Position
Medical student
Latest degree
Medical doctor
Other areas of specialty/work
Breast Cancer
Street address
Birjand University of Meضdical Sciences, Moalem Street 33.
City
Birjand
Province
South Khorasan
Postal code
9718753577
Phone
+98 51 3882 1496
Email
mobina82arjmandi@gmail.com
Web page address
https://www.google.com/url?sa=t&source=web&rct=j&opi=89978449&url=https://www.bums.ac.ir/&ved=2ahUKEwiu1tjAkrWSAxXxZkEAHXm4LCEQFnoECBwQAQ&usg=AOvVaw2z7Ih8dK8P8kcfIlEHnh5_

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
Upon reasonable request, information will be made available within one week by email to the responsible author.
When the data will become available and for how long
If requested, it will be sent to the responsible author via email within one week.
To whom data/document is available
If requested, it will be sent to the responsible author via email within one week.
Under which criteria data/document could be used
If requested, it will be sent to the responsible author via email within one week.
From where data/document is obtainable
If requested, it will be sent to the responsible author via email within one week.
What processes are involved for a request to access data/document
If requested, it will be sent to the responsible author via email within one week.
Comments
If requested, it will be sent to the responsible author via email within one week.
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