Four Life Domains Vision Board Program

NCT07367048 | Not Yet Recruiting

• 1 other identifier: 2026-65
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

This randomized controlled trial aims to evaluate the effect of a Four Life Domains-Based Vision Board Program on hope and psychological resilience among adolescents undergoing cancer treatment. Adolescents receiving cancer treatment often experience psychological distress that may negatively affect their sense of hope and resilience. Vision board-based psychosocial interventions grounded in positive psychology and creative expression may support adaptive coping and emotional well-being. The study will be conducted in pediatric hematology-oncology units of Gazi University Health Application and Research Center and Etlik City Hospital in Türkiye. A total of 60 adolescents aged 12-18 years who have been receiving cancer treatment for at least six months will be randomly assigned to either the intervention group (n=30) or the control group (n=30). Participants in the intervention group will receive a structured 5-week Four Life Domains-Based Vision Board Program, consisting of four core modules and one reinforcement session, while the control group will receive standard hospital care only. Outcome measures, including hope and psychological resilience, will be assessed at baseline and after completion of the intervention. The findings are expected to contribute to the development of innovative and holistic psychosocial support interventions for adolescents undergoing cancer treatment.

Conditions

Children With Cancer

Keywords

adolescent cancer; Vision board intervention; hope; Psychosocial intervention

Outcome Measures

Primary Outcomes (2)

• Adolescent Hopefulness Scale,

  Hope level will be assessed using the Adolescent Hopefulness Scale, a 24-item visual analog scale developed by Hinds and Gattuso and validated for Turkish adolescents aged 12-18 years. The scale measures adolescents' positive future expectations and hope at the time of assessment. Each item is scored on a 100-mm visual analog line, with total scores ranging from 0 to 2400. Higher scores indicate higher levels of hope.

  Baseline (pre-intervention) and immediately after completion of the 5-week intervention

• Psychological Resilience

  Psychological resilience will be measured using the Child and Youth Resilience Measure (CYRM-28), which assesses individual, relational, and contextual resilience resources in adolescents aged 12-18 years. The scale consists of 28 items rated on a 5-point Likert scale. Higher total scores indicate greater psychological resilience.

  Baseline (pre-intervention) and immediately after completion of the 5-week intervention

Study Arms (2)

Control Group

NO INTERVENTION

Received standart care

Four Life Domains Vision Board Program

EXPERIMENTAL

Received Four Life Domains Vision Board Program

Other: Four Life Domains Vision Board Program

Interventions

Four Life Domains Vision Board Program OTHER

The Four Life Domains-Based Vision Board Program is a structured psychosocial intervention designed to enhance hope and psychological resilience in adolescents undergoing cancer treatment. The program is grounded in positive psychology, mindfulness, and expressive arts approaches and focuses on four core life domains: health, well-being, love/relationships, and self-expression. The intervention consists of five weekly sessions (four core modules and one reinforcement session), delivered once per week. Each session includes guided breathing exercises, mindfulness-based awareness practices, and creative art activities centered on vision board development. Adolescents actively create and expand a personalized vision board throughout the program by adding visual, symbolic, and written elements reflecting personal strengths, goals, values, emotional resources, and future-oriented hopes within each life domain. Session modules include: (1) Breath and First Light: Opening the Door to Self, f

Four Life Domains Vision Board Program

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Adolescents aged 12-18
• Has been receiving cancer treatment for at least 6 months
• Able to communicate in Turkish
• Not in the terminal stage

You may not qualify if:

• Those who have experienced a serious traumatic life event in the last 6 months
• Those with a psychiatric diagnosis
• Those with a medical condition that would prevent participation in the intervention

Sponsors & Collaborators

• Gazi University: lead

Related Publications (1)

• 1. Esenay FI, Conk Z. Ergenler için Umutluluk Ölçeği: Geçerlik-güvenirlik çalışması.(2012). Ankara Sağlık Bilimleri Dergisi, 2, 230-248. 2. Arslan, G. (2015). Ergenlerde psikolojik sağlamlık: Bireysel koruyucu faktörlerin rolü. Türk Psikolojik Danışma ve Rehberlik Dergisi, 5(44), 149-158. 3. Ball, J., Bindler, R. M., Cowen, K. J., & Shaw, M. R. (2017). Principles of pediatric nursing : caring for children (Seventh ed.). Pearson Education. 4. Dupuis, L. L., Vettese, E., Aftandilian, C., Agarwal, V., Baggott, C., Bradfield, S. M., Crellin-Parsons, N., Freyer, D. R., Kelly, K. M., & King, A. A. (2025). Factors Associated With Self-Report Symptom Screening Adherence in Pediatric Cancer Patients. Cancer Medicine, 14(14), e71053. 5. Jin, X., Li, H., Chong, Y. Y., Mann, K. F., Yao, W., & Wong, C. L. (2023). Feasibility and preliminary effects of acceptance and commitment therapy on reducing psychological distress and improving the quality of life of the parents of children with cancer: A pilot randomised controlled trial. Psycho-oncology, 32(1), 165-169. 6. Kisecik Sengul, Z., & Kilicarslan, E. (2025). Investigation into the impact of technology-based motivation program applied to children following cancer diagnosis and their families: a randomized controlled study. BMC psychology, 13(1), 857. 7. O'Daffer, A., Comiskey, L., Scott, S. R., Zhou, C., Bradford, M. C., Yi-Frazier, J. P., & Rosenberg, A. R. (2023). Protocol for the promoting resilience in stress management (PRISM) intervention: a multi-site randomized controlled trial for adolescents and young adults with advanced cancer. BMC Palliative Care, 22(1), 1-9. 8. Ozdemir Koyu, H., & Tas Arslan, F. (2021). The effect of physical and psychosocial symptoms on caregiver burden of parents of children with cancer. European Journal of Cancer Care, 30(6), e13513. 9. Tutelman, P. R., Moran, C., Beattie, S. M., Khu, M., Howlett, M., Scheidl, J., Boychuk, A., Silveira, K., Henning, J. W., & Schulte, F. S. (2024). Acceptab

  RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: This is a single-blind study. Due to the nature of the psychosocial intervention, participants and intervention providers cannot be blinded to group assignment. However, outcome assessors and data analysts will be blinded to group allocation to minimize assessment bias.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr. Research Assistant

Model Details: This study is designed as a parallel-group randomized controlled trial. Eligible adolescents undergoing cancer treatment will be randomly assigned to either the intervention group or the control group in a 1:1 ratio. The intervention group will receive a structured five-week Vision Board Program based on four life domains (health, well-being, love, and self-expression), while the control group will continue to receive standard hospital care without any additional psychosocial intervention. Outcomes will be assessed at baseline (pre-intervention) and after completion of the intervention (post-intervention). Outcome assessors will be blinded to group allocation due to the nature of the study.

Study Record Dates

• First Submitted: January 17, 2026
• First Posted: January 26, 2026
• Study Start: January 30, 2026
• Primary Completion (Estimated): March 20, 2027
• Study Completion (Estimated): March 20, 2027
• Last Updated: January 26, 2026

Record last verified: 2026-01