<?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>IRCT20180918041065N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2018-11-20</date_registration>
      <primary_sponsor>Ahvaz University of Medical Sciences</primary_sponsor>
      <public_title>Cognitive-Behavioral Therapy (CBT) on hot flushes in postmenopausal women</public_title>
      <acronym></acronym>
      <scientific_title>Comparing Face-to-Face and Telephone-Based Cognitive Behavioral Therapy on Hot Flushes in Postmenopausal Women</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2018-07-06</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>40</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/34088</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: In this study, eligible individuals will be randomly assigned to two groups of 
telephone counseling (N=20) and face-to-face counseling (N=20) using block randomization (block size: 4 and allocation ratio: 1). For allocation concealment, 20 four digit  numbers will be selected for each participant in the telephone group and face-to face group respectively and will be arranged according to the block size. Then  in order to hide the allocation, the numbers will be arranged in blocks of opaque envelop, respectively and will be given randomly to eligible individuals by the secretary.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Hot flushes in Postmenopausal women.</hc_freetext>
      <i_freetext>Intervention 1: ّFor the face-to face group, six sessions of 30 minutes each of cognitive-behavioral counseling will be held on a weekly basis for one intervention groups. These sessions composed of the following issues: expression of the rules and objectives of the study,  providing information about physiology of menopause as well its complications and treatment, introducing cognitive behavioral model including physiological, cognitive,behavioral and emotional components for hot flashes and night sweats, teaching breath and relaxation techniques, emphasizing the role of stress in boosting hot flashes, night sweats and cognitive behavioral strategies for reducing it,  focusing on cognitive responses(tragedy thoughts and extreme negative beliefs about hot flushes) and behavioral reactions(avoidance and activity) on hot flushes, providing weekly assignments, implementing cognitive behavioral strategies for hot flushes management, breathing techniques and relaxation for home work and finally preparing the main list of beliefs and cognition as well as their variability and methods to change negative beliefs. Intervention 2: For the telephone based counseling, there will be six sessions of 20-30 minutes telephone cognitive-behavioral counseling on a weekly basis. The content of these sessions are as follows: expression of the rules and objectives of the study, providing information on physiology of menopause as well as its complications and treatment, introducing cognitive behavioral model including physiological, cognitive,behavioral and emotional components for hot flashes and night sweats, teaching breath and relaxation techniques, emphasizing the role of stress in boosting hot flashes, night sweats and cognitive behavioral strategies for reducing it,  focusing on cognitive responses(tragedy thoughts and extreme negative beliefs about hot flushes) and behavioral reactions(avoidance and activity) on hot flushes, providing weekly assignments, implementing cognitive behavioral strategies for hot flushes management, breathing techniques and relaxation for home work and finally preparing the main list of beliefs and cognition as well as their variability and methods to change negative beliefs.</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:
The entire data can be shared after anonymize participants

When:
Data can be accessed after publication for a period of one year.

To whom:
Only for scholars working in the scientific institution

Conditions:
The data are available upon referencing name of investigators, clinical trials and research

Where to obtain:
Pourandokht Afshary, Faculty Member of Ahvaz Jundishapur University of Medical Sciences
Email: P_afshary@yahoo.com

How to obtain:
Send the request via email,will be answered as soon as possible

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Porandokht Afshary</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz, Golestan Ave, Ahvaz Jundishapur University of Medical Sciences, Nursing &amp; Midwifery School, Menopause Research Center</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>61357-15794</zip>
        <telephone>+98 61 3373 8619</telephone>
        <email>P_afshary@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Porandokht Afshary</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Ahvaz, Golestan Ave, Ahvaz Jundishapur University of Medical Sciences, Nursing &amp; Midwifery School, Menopause Research Center</address>
        <city>Ahvaz</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>61357-15794</zip>
        <telephone>+98 61 3373 8619</telephone>
        <email>P_afshary@yahoo.com</email>
        <affiliation>Ahvaz University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Normal Menopause
Passing at least one year and maximum five years from the cessation of menstruation
Being able to read and write
Having at least 10 hot flashes per week in a duration of one month
Having a score of more than 1 in response to the kupperman index
Having a cell phone</inclusion_criteria>
      <agemin>40 years</agemin>
      <agemax>60 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>Known Mental and Physical illnesses
History of Cognitive Behavioral Therapy(CBT)
Drug and other psychotropic substances abuse
Under medication for hot flashes</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>N95.1</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Menopausal and female climacteric states</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>ّFor the face-to face group, six sessions of 30 minutes each of cognitive-behavioral counseling will be held on a weekly basis for one intervention groups. These sessions composed of the following issues: expression of the rules and objectives of the study,  providing information about physiology of menopause as well its complications and treatment, introducing cognitive behavioral model including physiological, cognitive,behavioral and emotional components for hot flashes and night sweats, teaching breath and relaxation techniques, emphasizing the role of stress in boosting hot flashes, night sweats and cognitive behavioral strategies for reducing it,  focusing on cognitive responses(tragedy thoughts and extreme negative beliefs about hot flushes) and behavioral reactions(avoidance and activity) on hot flushes, providing weekly assignments, implementing cognitive behavioral strategies for hot flushes management, breathing techniques and relaxation for home work and finally preparing the main list of beliefs and cognition as well as their variability and methods to change negative beliefs.</i_keyword>
      <i_keyword>For the telephone based counseling, there will be six sessions of 20-30 minutes telephone cognitive-behavioral counseling on a weekly basis. The content of these sessions are as follows: expression of the rules and objectives of the study, providing information on physiology of menopause as well as its complications and treatment, introducing cognitive behavioral model including physiological, cognitive,behavioral and emotional components for hot flashes and night sweats, teaching breath and relaxation techniques, emphasizing the role of stress in boosting hot flashes, night sweats and cognitive behavioral strategies for reducing it,  focusing on cognitive responses(tragedy thoughts and extreme negative beliefs about hot flushes) and behavioral reactions(avoidance and activity) on hot flushes, providing weekly assignments, implementing cognitive behavioral strategies for hot flushes management, breathing techniques and relaxation for home work and finally preparing the main list of beliefs and cognition as well as their variability and methods to change negative beliefs.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Hot flush score in the Kupperman index. Timepoint: Hot flush at baseline, at the end of intervention, six weeks after intervention, and two months after intervention. Method of measurement: Kupperman Index.</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>Ahvaz University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2018-06-30</approval_date>
        <contact_name>Ethics Committee of Ahvaz Jundishapur University of Medical Sciences</contact_name>
        <contact_address>Iran, Ahvaz, Golestan Blv, Ahvaz Jundishapur University of Medical Sciences Ahvaz Khouzestan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
