<?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>IRCT20110827007422N8</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2026-05-20</date_registration>
      <primary_sponsor>Mazandaran University of Medical Sciences</primary_sponsor>
      <public_title>Effectiveness of childbirth application on improving self-confidence and clinical skills of midwifery students</public_title>
      <acronym></acronym>
      <scientific_title>Production and evaluation of the effectiveness of the  childbirth application to improve the self-confidence and clinical skills of midwifery students</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2026-02-19</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>31</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/89048</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Education/Guidance.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Enhancing the self-confidence and  clinical skill of midwifery students.</hc_freetext>
      <i_freetext>Intervention group: Intervention group: Intervention group: In this research, the intervention group includes midwifery students who will learn about the delivery process through the application for 4 weeks. The content of the intervention will be based on the natural childbirth internship curriculum of the midwifery expert. The teaching framework will be implemented through this application in the method of repeated learning (Repeated learning) and students will use various methods such as educational videos, color images, voiced slides and... They will be trained several times in a single content. The present study will be conducted in two phases for midwifery students. In the first phase, the design, implementation and evaluation of the maternity process application will be done. In the second phase, the effectiveness evaluation of the application will be implemented using Kirkpatrick's learning evaluation pyramid or model.At the first level, the reaction of the students will be done with a qualitative method (questionnaire of satisfaction with the teaching method). Then, at the second level of learning, evaluation will be done using the self-evaluation visual analog scale questionnaire. At the third level (behavior), students' self-confidence and clinical skills will be measured using the Cooper-Smith self-confidence questionnaire and the scenario-oriented online test before the intervention, immediately and one month after the intervention (for a period of one month) and a checklist will be designed to determine the frequency of the exercise..</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 There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Fatemeh Gholamnezhad</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sari- Amir Mazandarani St.- Wasal Shirazi St.- Nasiba Nursing and Midwifery School</address>
        <city>sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>48167715793</zip>
        <telephone>+98 11 3336 7344</telephone>
        <email>fatemehgholamnezhad59@gmail.com</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. Zhila Ganji</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Sari- Amir Mazandarani St.- Vasal Shirazi St.- Nasiba Faculty of Nursing and Midwifery</address>
        <city>Sari</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>48167715793</zip>
        <telephone>+98 11 3336 7344</telephone>
        <email>zhila.ganji@yahoo.com</email>
        <affiliation>Mazandaran University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Willingness to participate in the study
students of the 6th and 8th semester of midwifery
completing the theoretical unit of pregnancy and childbirth</inclusion_criteria>
      <agemin>20 years</agemin>
      <agemax>25 years</agemax>
      <gender>Female</gender>
      <exclusion_criteria>withdrawal from participation in the study after receiving the application</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>O80.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Spontaneous vertex delivery</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Intervention group: Intervention group: In this research, the intervention group includes midwifery students who will learn about the delivery process through the application for 4 weeks. The content of the intervention will be based on the natural childbirth internship curriculum of the midwifery expert. The teaching framework will be implemented through this application in the method of repeated learning (Repeated learning) and students will use various methods such as educational videos, color images, voiced slides and... They will be trained several times in a single content. The present study will be conducted in two phases for midwifery students. In the first phase, the design, implementation and evaluation of the maternity process application will be done. In the second phase, the effectiveness evaluation of the application will be implemented using Kirkpatrick's learning evaluation pyramid or model.At the first level, the reaction of the students will be done with a qualitative method (questionnaire of satisfaction with the teaching method). Then, at the second level of learning, evaluation will be done using the self-evaluation visual analog scale questionnaire. At the third level (behavior), students' self-confidence and clinical skills will be measured using the Cooper-Smith self-confidence questionnaire and the scenario-oriented online test before the intervention, immediately and one month after the intervention (for a period of one month) and a checklist will be designed to determine the frequency of the exercise.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Self- confidence. Timepoint: Before the intervention - immediately after the intervention - 4 weeks after the end of the intervention. Method of measurement: Cooper-Smith questionnaire.</prim_outcome>
      <prim_outcome>Clinical skill. Timepoint: Before the intervention - immediately after the intervention - 4 weeks after the end of the intervention. Method of measurement: Scenario-oriented online test.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Self- assessment. Timepoint: Before intervention - immediately after intervention - 4 weeks after intervention. Method of measurement: Visual analog evaluation scale.</sec_outcome>
      <sec_outcome>Satisfaction. Timepoint: immediately after intervention - 4 weeks after intervention. Method of measurement: Questionnaire of satisfaction with the teaching method.</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>Mazandaran University of Medical Sciences--vice-chancellor for research and Technology. Dr. Ahmad Ali .Enayati</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2026-01-28</approval_date>
        <contact_name>Ethics Committee of Mazandaran University of Medical Sciences</contact_name>
        <contact_address>Sari-Moalem St., Moalem Square, Vice President of Research and Technology, Mazandaran University of Medical Sciences Sari Mazandaran Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
