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A Comparative Study on the Effects of Mindfulness Training and Jacobson’s Progressive Muscle Relaxation Based on Artificial Intelligence (AI) on Sense of Coherence and Pain Intensity in Women with Dysmenorrhea: A randomized controlled clinical trial

Protocol summary

Study aim
Comparative Evaluation of the Effects of Mindfulness Training and Jacobson’s Progressive Muscle Relaxation Based on Artificial Intelligence (AI) on Sense of Coherence and Pain Intensity in Women with Dysmenorrhea
Design
Clinical trial with control group, with parallel, randomized groups, 159 people
Settings and conduct
After obtaining ethics approval, participants will complete demographic info, Antonovsky’s the 13-item Sense of Coherence scale, and a visual analog scale at the study start. The intervention groups (mindfulness and progressive muscle relaxation) will be trained by the researcher using ChatGPT and perform the exercises individually at home for 8 weeks. The control group will receive no training. After the intervention, Antonovsky’s the 13-item Sense of Coherence scale and visual analog scales will be completed again. Sampling will occur at hospitals affiliated with Yasuj University of Medical Sciences, and interventions will be done in a private room at the women's clinic.
Participants/Inclusion and exclusion criteria
Admission requirements: Age between 18 and 40 years. Conditions of non-entry: Presence of severe psychiatric disorders (such as severe depression or severe anxiety) requiring specialized treatment.
Intervention groups
Intervention Group 1: Mindfulness: In this group, after training with ChatGPT by the researcher, interventions will be performed individually by the patients at home. The intervention will last for a total of 8 weeks. Intervention Group 2: Jacobson’s Progressive Muscle Relaxation: In this group, after training with ChatGPT by the researcher, interventions will be carried out individually by the patients at home. The intervention will last for a total of 8 weeks. Control group: non-intervention: this training group will not be given.
Main outcome variables
Antonovsky’s the 13-item Sense of Coherence scale and Visual Analogue Scale

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20200107046044N7
Registration date: 2025-11-20, 1404/08/29
Registration timing: prospective

Last update: 2025-11-20, 1404/08/29
Update count: 0
Registration date
2025-11-20, 1404/08/29
Registrant information
Name
Mohammadsajjad Mousavi
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 61 5242 1065
Email address
sajjad.mousavi2512@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2025-11-22, 1404/09/01
Expected recruitment end date
2026-02-20, 1404/12/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
A Comparative Study on the Effects of Mindfulness Training and Jacobson’s Progressive Muscle Relaxation Based on Artificial Intelligence (AI) on Sense of Coherence and Pain Intensity in Women with Dysmenorrhea: A randomized controlled clinical trial
Public title
A Comparative Study on the Effects of Mindfulness Training and Jacobson’s Progressive Muscle Relaxation Based on Artificial Intelligence (AI) on Sense of Coherence and Pain Intensity
Purpose
Supportive
Inclusion/Exclusion criteria
Inclusion criteria:
Ability to communicate and respond to the Antonovsky’s the 13-item Sense of Coherence scale and Visual Analogue Scale Age between 18 and 40 years Willingness to participate in the study and signing the informed consent form Definitive diagnosis of Dysmenorrhea by the relevant specialist physician Scoring 52 or above on the Antonovsky’s the 13-item Sense of Coherence scale No prior training or participation in studies similar to the current research within the past 6 months
Exclusion criteria:
Lack of willingness to participate in the study Presence of severe psychological disorders (such as major depression or severe anxiety) requiring specialized treatment Physical or mental disabilities—individuals who, due to their condition, are unable to perform relaxation or mindfulness exercises Use of sleeping pills, anti-anxiety, or antidepressant medications The need for immediate medical treatment Experiencing chronic pain or similar symptoms, such as lower abdominal pain or pain resulting from menstrual issues
Age
From 18 years old to 40 years old
Gender
Female
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size: 159
Randomization (investigator's opinion)
Randomized
Randomization description
Block random assignment will be done in such a way that according to the number of study groups (three groups) consisting of intervention 1 (Mindfulness), intervention 2 (Jacobson’s Progressive Muscle Relaxation) and control and calculated based on the factorial law, i.e. 3!= 3×2×1= 6, all the possible arrangement modes of people will be compiled based on the table below, considering A for intervention group 1 (Mindfulness), B for intervention group 2 (Jacobson’s Progressive Muscle Relaxation) and C for control group: 1 2 3 4 5 6 ABC ACB BAC BCA CAB CBA Then, since the estimated sample size was 159 people, in each block, three samples, each representative of a study group and their arrangement order was also different, from these blocks, placement sampling will be done. After the study objectives are fully explained, eligible research samples will be selected and, based on the time priority of referral, each of them will be assigned a code. By matching that number with the block random allocation list, the patients participating in the study will be assigned to one of the intervention 1 (Mindfulness), intervention 2 (Jacobson’s Progressive Muscle Relaxation), and control groups. This process will continue until the estimated sample size is completed.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Yasuj University of Medical Sciences
Street address
Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591741417
Approval date
2025-10-01, 1404/07/09
Ethics committee reference number
IR.YUMS.REC.1404.126

Health conditions studied

1

Description of health condition studied
Dysmenorrhea
ICD-10 code
N94.4
ICD-10 code description
Primary dysmenorrhea

Primary outcomes

1

Description
The Sense of Coherence score is derived from the Antonovsky’s the 13-item Sense of Coherence scale
Timepoint
On the first day of menstruation and on the first day of menstruation in the month following the completion of the interventions
Method of measurement
Antonovsky’s the 13-item Sense of Coherence scale

2

Description
Pain score based on Visual Analogue Scale
Timepoint
On the first day of menstruation and on the first day of menstruation in the month following the completion of the interventions
Method of measurement
Visual Analogue Scale

Secondary outcomes

empty

Intervention groups

1

Description
Intervention Group 1: MindfulnessThis group will undergo an 8-session mindfulness protocol as outlined below: Session 1: Introduction of participants and a brief overview of the 8 sessions. Raisin-eating exercise, followed by a 30-minute body scan meditation and discussion about the feelings experienced during the practice. Session 2: Body scan meditation and discussion of the experience. Seated meditation practice. Session 3: Practicing awareness and focus on emotions. Paying attention to the present moment, breathing, and body sensations. Three-minute breathing space exercise. Session 4: Breathing-focused meditation. Practicing the expression and listening of one’s own emotions. Session 5: Meditation practice. Practicing self-acceptance and acceptance of one’s emotions. Session 6: Breathing space practice. Practicing non-judgmental awareness of emotions and events. Session 7: Meditation focused on awareness of anything that enters consciousness in the present moment. Session 8: Review of experiences and implementation of the post-test.A follow-up phone call will be made to monitor the continuation of home practice. After the initial training by the researcher, the interventions will be carried out individually by the patients at home.The intervention includes 8 sessions, each lasting 1 hour, conducted once a week over a period of 8 weeks, in accordance with similar studies.Before the start of the intervention, artificial intelligence tools, including ChatGPT, will be introduced to the participants by the researcher. The researcher will provide full instructions on how to use these tools, including initial training, guidance, and troubleshooting of any technical issues. Consequently, if any questions arise, participants will only refer to these smart tools to find their answers. The intervention protocol will also be selected and implemented using the aforementioned AI tools.
Category
Lifestyle

2

Description
Intervention Group 2: Progressive Muscle Relaxation (PMR): In this group, the patient is placed in a lying down and comfortable position. On the first day, the relaxation training includes the following steps: identifying the target muscles, demonstrating and explaining the relaxation technique by the researcher, and practicing the technique under the researcher's supervision according to the protocol. Once patients are fully capable of performing the technique, they will repeat it every night at home before sleep. The researcher will follow up on their adherence at home. After the initial training by the researcher, the interventions will be carried out individually by the patients at home. The intervention consists of 8 sessions, each lasting 1 hour, held once a week over a period of 8 weeks. Prior to the start of the interventions, the artificial intelligence program, including ChatGPT, will be introduced to the participants by the researcher. The researcher will fully explain how to use these tools, including initial training, guidance, and troubleshooting any technical issues. As such, in the event of any questions, participants will refer only to these smart tools to find their answers. The intervention protocol will also be selected and implemented using the mentioned AI tools.
Category
Lifestyle

3

Description
Control group: non-intervention: There will be no intervention in this group.
Category
Lifestyle

Recruitment centers

1

Recruitment center
Name of recruitment center
Imam Sajjad Hospital
Full name of responsible person
MohammadSajjad Mousavi
Street address
Imam Sajjad Hospital, Next to Hotel Azadi, Yasuj, Kohgiloyeh and Boyerahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
6354169401
Phone
+98 74 3222 0163
Email
sajjad.mousavi2512@gmail.com

2

Recruitment center
Name of recruitment center
Shahid Beheshti Hospital
Full name of responsible person
MohammadSajjad Mousavi
Street address
Shahid Beheshti Hospital, Shahid Montazeri Ave., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591794857
Phone
+98 74 3322 1813
Fax
+98 74 3322 1811
Email
beheshtihospital@yasooj.ir

3

Recruitment center
Name of recruitment center
Martyr Dr. Jalil Hospital
Full name of responsible person
MohammadSajjad Mousavi
Street address
Martyr Dr. Jalil Hospital, Qarani Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591387493
Phone
+98 74 3333 7001
Email
sajjad.mousavi2512@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Yasouj University of Medical Sciences
Full name of responsible person
Cirruse Salehnasab
Street address
Yasuj University of Medical Sciences, Shahid Motahari Blvd., Yasuj, Kohgiluyeh and Boyer-Ahmad, Islamic Republic of Iran
City
Yasuj
Province
Kohgilouyeh-va-Boyrahmad
Postal code
7591741417
Phone
+98 74 3334 6078
Fax
+98 74 3334 6079
Email
nursing@yums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Yasouj 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
Ahvaz University of Medical Sciences
Full name of responsible person
MohammadSajjad Mousavi
Position
Faculty instructor
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Alfa 246 B, Golestan 1, Shahrak-e Mamku, Bandar-e-Mahshahr, Khuzestan, Islamic Republic of Iran
City
Bandar-e-Mahshahr
Province
Khouzestan
Postal code
6354169401
Phone
+98 61 5242 1065
Email
sajjad.mousavi2512@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
MohammadSajjad Mousavi
Position
Faculty instructor
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Alfa 246 B, Golestan 1, Shahrak-e Mamku, Bandar-e-Mahshahr, Khuzestan, Islamic Republic of Iran
City
Bandar-e-Mahshahr
Province
Khouzestan
Postal code
6354169401
Phone
+98 61 5242 1065
Email
sajjad.mousavi2512@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Ahvaz University of Medical Sciences
Full name of responsible person
MohammadSajjad Mousavi
Position
Faculty instructor
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Alfa 246 B, Golestan 1, Shahrak-e Mamku, Bandar-e-Mahshahr, Khuzestan, Islamic Republic of Iran
City
Bandar-e-Mahshahr
Province
Kohgilouyeh-va-Boyrahmad
Postal code
6354169401
Phone
+98 61 5242 1065
Email
sajjad.mousavi2512@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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