<?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>IRCT20260718070245N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-07-25</date_registration>
      <primary_sponsor>Islamic Azad University</primary_sponsor>
      <public_title>Acceptance and Commitment Therapy for Reducing Academic Fatigue, Distress, and Hopelessness</public_title>
      <acronym></acronym>
      <scientific_title>The Effectiveness of Acceptance and Commitment Therapy (ACT) on Reducing Academic Fatigue, Distress, and Hopelessness in Female Secondary School Students with Test Anxiety.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-08-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Recruiting</recruitment_status>
      <url>https://irct.ir/trial/91846</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: The randomization method used in this study is block randomization with a block size of 4. The allocation sequence will be generated using Random Allocation Software and placed in consecutive sealed envelopes. After final confirmation of each participant's entry conditions, the researcher will open the envelopes in order to allocate individuals to the intervention or control group.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Test anxiety.</hc_freetext>
      <i_freetext>Intervention 1: First Intervention Group:Participants in the experimental group will receive group Acceptance and Commitment Therapy (ACT) based on a standardized protocol for 4 weeks (comprising 8 sessions of 90 minutes each, twice a week). The sessions include training in components of acceptance, cognitive defusion, self-as-context, contacting the present moment (mindfulness), values clarification, and committed action. Intervention 2: Control Group:Participants in the control group will receive no psychological intervention during the 4-week study period and will remain on a waiting list. To comply with ethical principles, similar training sessions will be held for this group after the completion of the study and the post-test.</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 No further information available.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Mohammad Hossein Mohabi Nooraldinvand</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Islamic Azad University Ahvaz Branch، Farhangshahr، Golestan Highway</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3733361349</zip>
        <telephone>+98 61 3334 8420</telephone>
        <email>info@iauahvaz.ac.ir</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Mohammad Hossein Mohabi Nooraldinvand</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Islamic Azad University Ahvaz Branch، Farhangshahr، Golestan Highway</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>3733361349</zip>
        <telephone>+98 61 3334 8420</telephone>
        <email>info@iauahvaz.ac.ir</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Female secondary school student in Ahvaz
Having test anxiety (high score on Sarason’s Test Anxiety Inventory)
Written informed consent from parents or legal guardian
Ability to comprehend and respond to questionnaire items and intervention instructions</inclusion_criteria>
      <agemin>12 years</agemin>
      <agemax>18 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Age outside the secondary school range
History of serious psychiatric disorders requiring immediate specialized treatment
Unwillingness to cooperate throughout the intervention period</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F41.8</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other specified anxiety disorders</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>Behavior</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>First Intervention Group:Participants in the experimental group will receive group Acceptance and Commitment Therapy (ACT) based on a standardized protocol for 4 weeks (comprising 8 sessions of 90 minutes each, twice a week). The sessions include training in components of acceptance, cognitive defusion, self-as-context, contacting the present moment (mindfulness), values clarification, and committed action.</i_keyword>
      <i_keyword>Control Group:Participants in the control group will receive no psychological intervention during the 4-week study period and will remain on a waiting list. To comply with ethical principles, similar training sessions will be held for this group after the completion of the study and the post-test</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Test anxiety. Timepoint: At the beginning of the study, before the start of the intervention (pre-test), and immediately after the completion of the Acceptance and Commitment Therapy sessions, at the end of the fourth week (post-test). Method of measurement: Sarason Test Anxiety Questionnaire.</prim_outcome>
      <prim_outcome>Academic fatigue. Timepoint: At the beginning of the study, before the start of the intervention (pre-test), and immediately after the completion of the Acceptance and Commitment Therapy sessions, at the end of the fourth week (post-test). Method of measurement: Academic Burnout Inventory by Salmela-Aro, Kiuru, and Nurmi (2009).</prim_outcome>
      <prim_outcome>Psychological distress. Timepoint: At the beginning of the study, before the start of the intervention (pre-test), and immediately after the completion of the Acceptance and Commitment Therapy sessions, at the end of the fourth week (post-test). Method of measurement: Kessler Psychological Distress Scale.</prim_outcome>
      <prim_outcome>Hopelessness. Timepoint: At the beginning of the study, before the start of the intervention (pre-test), and immediately after the completion of the Acceptance and Commitment Therapy sessions, at the end of the fourth week (post-test). Method of measurement: Beck Hopelessness Scale (BHS).</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>Islamic Azad University</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-06-09</approval_date>
        <contact_name>Ethics Committee of Islamic Azad University, Ahvaz Branch</contact_name>
        <contact_address>Islamic Azad University Ahvaz Branch، Farhangshahr، Golestan Highway Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
