NCT07277647|Completed
Effects of a Head and Neck Stretching Exercise Program With Teach-Back-Based Education on Voice Quality, Anxiety, and Psychological Resilience After Thyroidectomy
TeachBackThyr
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TeachBackThyr
Sponsor study identifier
interventional
103
1 country
1
Study Start
May 12, 2023
Actual (reported)Primary Completion
May 12, 2023
Actual (reported)Study Completion
January 12, 2024
Actual (reported)The aim of this clinical randomized controlled trial is to evaluate the effects of head and neck stretching exercises performed after thyroidectomy on voice function, anxiety, and psychological resilience, and to examine the effectiveness of this intervention in adult patients undergoing thyroidectomy. The primary questions to be answered are: Do head and neck stretching exercises improve voice function (Voice Handicap Index) after thyroidectomy? Do head and neck stretching exercises reduce patients' anxiety levels and increase psychological resilience? As a comparison group, researchers will compare the effects of head and neck stretching exercises to a control group receiving only routine care to assess the effects of exercises on voice, anxiety, and psychological resilience. Participants will be asked to participate in the following procedures: Patients in the experimental group will undergo head and neck stretching exercises in the early post-thyroidectomy period. Voice function, anxiety, and psychological resilience will be measured in both groups before surgery and at postoperative day 1, week 1, week 2, and month 1.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
January 12, 2024
Actual (reported)Click on a node to explore related trials.
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
May 12, 2023
Actual (reported)May 12, 2023
Actual (reported)January 12, 2024
Actual (reported)November 29, 2025
Actual (reported)December 11, 2025
Actual (reported)State Anxiety Level,Connor-Davidson Resilience Scale (CD-RISC),Voice Handicap
State-Trait Anxiety Inventory (STAI) State anxiety will be assessed using the State subscale of the State-Trait Anxiety Inventory (STAI-S). The STAI-S consists of 20 items rated on a 4-point Likert scale. Total scores range from 20 to 80, with higher scores indicating higher levels of state anxiety. Connor-Davidson Resilience Scale (CD-RISC) Psychological resilience will be assessed using the Connor-Davidson Resilience Scale (CD-RISC-25). The scale consists of 25 items rated on a 5-point Likert scale. Total scores range from 0 to 100, with higher scores indicating greater psychological resilience. Voice Handicap Index-10 (VHI-10) Voice-related disability will be assessed using the Voice Handicap Index-10 (VHI-10). The VHI-10 consists of 10 items rated on a 5-point Likert scale. Total scores range from 0 to 40, with higher scores indicating greater perceived voice handicap.
Preoperative, postoperative 1st day, 1st week, 2nd week and 1st month.
Structured patient education + neck stretching exercises
routine care only
The intervention is a nurse-led, structured patient education program based on the, combined with a supervised head-neck stretching exercise program. Unlike routine postoperative care, this intervention includes: (1) preoperative individualized education using the Teach-Back method, (2) a printed educational booklet specifically developed for thyroidectomy patients, and (3) a standardized 30-day head-neck stretching exercise program initiated in the early postoperative period (starting on postoperative day 1). The exercise program is performed daily at home with visual and written guidance. In addition, patients receive regular follow-up and reinforcement during the postoperative period. This comprehensive and multimodal structure distinguishes the intervention from standard care and other single-component educational approaches.
Atatürk University Research Hospital, Erzurum, Türkiye
Erzurum, 25000, Turkey (Türkiye)
Prof. Dr. NEZİHA KARABULUT, Principal Investigator
Ataturk University Faculty of Nursing, Erzurum, Türkiye
103 participants (actual enrollment reported by the registry).
Contact the study team to confirm eligibility.
First Submitted
November 29, 2025
First Posted
December 11, 2025
Study Start
May 12, 2023
Actual (reported)Primary Completion
May 12, 2023
Actual (reported)Study Completion
January 12, 2024
Actual (reported)Last Updated
October 29, 2026
Record last verified: 2026-10
Individual participant data (IPD) will not be shared in order to protect participant confidentiality and because the ethical approval for this study limits data use to the current research purposes only.
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Source: ClinicalTrials.gov.
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