<?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>IRCT20260815070657N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-08-28</date_registration>
      <primary_sponsor>Islamic Azad University</primary_sponsor>
      <public_title>Investigating the impact of artificial intelligence in reducing stress, anxiety, and increasing skills</public_title>
      <acronym></acronym>
      <scientific_title>Investigating the impact of artificial intelligence in reducing stress, anxiety, and increasing students' skills</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-09-21</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>30</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/92559</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Double blinded, Placebo: Not used, Assignment: Parallel, Purpose: Education/Guidance, Randomization description: In this study, simple randomization method is used to assign female high school students in Izeh city to two experimental and control groups. The randomization unit in this study is female high school students who meet the conditions for entering the study and have given their informed consent and that of their parents or legal guardians to participate in the study. First, a complete list of volunteer students who have been selected based on the study entry criteria is prepared. Then, each participant is assigned a unique numerical identification code. These codes are entered into the Random Number Generator software and a random number is generated for each student. After generating these numbers, the participants are sorted in ascending order based on the value of the random number. Then, individuals are assigned to two groups; sequentially, half of the students on the list are assigned to the experimental group and the other half to the control group, Blinding description: In order to control bias and improve the internal validity of the research, this study was designed with a double-blind protocol; in this way, the outcome assessor (the one who measures the variables of stress, anxiety, and math skills) and the data analyst will be kept unaware of the allocation of female high school students in Izeh city to the experimental and control groups. In this process, the outcome assessor will administer stress, math anxiety, and math skills performance tests at all stages of the pre-test and post-test, without knowing the assigned group of the participants, in order to prevent bias in the assessment; also, all raw data will be provided to the statistical analyst with anonymous codes (such as groups 1 and 2), and the true nature of the groups will not be revealed until the end of the data analysis process. All allocation steps will be performed by an independent person from the research team, and the decoding of the allocation codes will only be done after the final completion of the statistical analyses.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Anxiety problems of students in education.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Math lesson training sessions using artificial intelligence-based tools, based on the Rezaei educational package (1403), will be implemented in 8 90-minute sessions (one session per week) for students in the intervention group in groups. This training is designed to reduce students' stress and anxiety when facing math lessons and improve their learning skills, problem-solving, and academic performance. Artificial intelligence-based training is an interactive and personalized approach that facilitates the math learning process by providing explanations appropriate to the students' learning level, generating various examples and exercises, immediate feedback, identifying errors, and providing step-by-step guidance in solving problems. This approach helps students to gain a better understanding of concepts and solve problems with more confidence by receiving appropriate educational support and gradual practice, instead of experiencing confusion, avoidance, and anxiety when facing math problems. This intervention has main educational themes that lead to reducing the psychological stress caused by mathematics lessons and increasing students' mathematical skills; these themes include: familiarization with the educational application and responsible use of artificial intelligence tools, initial assessment of learning level and identification of weaknesses, interactive teaching of selected mathematical concepts, providing exercises tailored to each student's ability, teaching problem-solving steps, receiving immediate feedback and correcting common errors, practicing diverse and practical problems, strengthening logical thinking and self-confidence in solving problems, and finally reviewing, consolidating, and summarizing what has been learned. The main emphasis of this program is on transforming mathematical learning from an anxious and difficult experience to a gradual, understandable, participatory process that is tailored to the educational needs of students. Intervention 2: Control group: They will not receive any intervention or treatment and will receive education in the traditional way.</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>No - There is not a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for not sharing IPD is Participant data is completely confidential and I do not intend to publish it.</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Zinat Davoodi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 5, Fatemeh Zahra Alley, Shahid Valipour Street</address>
        <city>Izeh</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4769185275</zip>
        <telephone>+98 938 091 6514</telephone>
        <email>zintdaoodi74@gmail.com</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Zinat Davoodi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>No. 5, Fatemeh Zahra Alley, Shahid Valipour Street</address>
        <city>Izeh</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>4769185275</zip>
        <telephone>+98 938 091 6514</telephone>
        <email>zintdaoodi74@gmail.com</email>
        <affiliation>Islamic Azad University</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Being between 15 and 18 years of age.
Being a secondary school student.
Willingness to participate in the study.</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>18 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Having a physical illness that may interfere with the treatment process.
Use of psychiatric medications.</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>F41</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other anxiety disorders</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Behavior</i_code>
      <i_code>N/A</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Math lesson training sessions using artificial intelligence-based tools, based on the Rezaei educational package (1403), will be implemented in 8 90-minute sessions (one session per week) for students in the intervention group in groups. This training is designed to reduce students' stress and anxiety when facing math lessons and improve their learning skills, problem-solving, and academic performance. Artificial intelligence-based training is an interactive and personalized approach that facilitates the math learning process by providing explanations appropriate to the students' learning level, generating various examples and exercises, immediate feedback, identifying errors, and providing step-by-step guidance in solving problems. This approach helps students to gain a better understanding of concepts and solve problems with more confidence by receiving appropriate educational support and gradual practice, instead of experiencing confusion, avoidance, and anxiety when facing math problems. This intervention has main educational themes that lead to reducing the psychological stress caused by mathematics lessons and increasing students' mathematical skills; these themes include: familiarization with the educational application and responsible use of artificial intelligence tools, initial assessment of learning level and identification of weaknesses, interactive teaching of selected mathematical concepts, providing exercises tailored to each student's ability, teaching problem-solving steps, receiving immediate feedback and correcting common errors, practicing diverse and practical problems, strengthening logical thinking and self-confidence in solving problems, and finally reviewing, consolidating, and summarizing what has been learned. The main emphasis of this program is on transforming mathematical learning from an anxious and difficult experience to a gradual, understandable, participatory process that is tailored to the educational needs of students.</i_keyword>
      <i_keyword>Control group: They will not receive any intervention or treatment and will receive education in the traditional way.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Stress. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Stress of academic expectations Ang and Hwan 2006.</prim_outcome>
      <prim_outcome>Anxiety. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Friedman and Jacob 1997 Test Anxiety Questionnaire.</prim_outcome>
      <prim_outcome>Problem-solving skills. Timepoint: before performing the intervention and two weeks after completion of the intervention. Method of measurement: Heppner Problem Solving Questionnaire, 1982.</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>2026-07-21</approval_date>
        <contact_name>Behbahan Islamic Azad University Ethics Committee</contact_name>
        <contact_address>Shahid Bayani St., Amir Kabir Blvd. Behbahan Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
