NCT07563556

Brief Summary

The purpose of this study is to investigate whether a 4-week program called "Combined Mind-Body Intervention" can help survivors of the February 6, 2023, earthquakes manage stress and improve their ability to participate in daily activities. The study specifically aims to answer the following question: Does a program combining guided imagery and progressive muscle relaxation lead to significant, long-term improvements in occupational performance (self-care, work, and leisure), reduced stress levels, and better overall quality of life for earthquake survivors when compared to a control group? The study will involve: Target Population: Adults aged 18 to 65 who directly experienced the 2023 earthquakes and currently reside in the affected region .Intervention: Participants in the intervention group will attend eight individual sessions (twice a week) focusing on deep breathing, step-by-step muscle relaxation, and guided visualization of peaceful environments. Evaluation: Changes in stress, mood, and daily activity performance will be measured at the beginning of the study, at the end of the 4-week program, and during a 6-month follow-up period to determine the lasting effects of the intervention.

Trial Health

63
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
26

participants targeted

Target at below P25 for not_applicable

Timeline
6mo left

Started Apr 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress8%
Apr 2026Nov 2026

Study Start

First participant enrolled

April 20, 2026

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

April 21, 2026

Completed
13 days until next milestone

First Posted

Study publicly available on registry

May 4, 2026

Completed
26 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2026

Expected
6 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 30, 2026

Last Updated

May 4, 2026

Status Verified

April 1, 2026

Enrollment Period

1 month

First QC Date

April 21, 2026

Last Update Submit

April 29, 2026

Conditions

Keywords

earthquake victimoccupational therapymind-body interventionoccupational performance

Outcome Measures

Primary Outcomes (1)

  • Canadian Occupational Performance Measure (COPM) - Performance and Satisfaction Scores

    The COPM is a semi-structured interview used to identify and prioritize issues in occupational performance. Participants rate their perceived performance and satisfaction for their top five identified problem areas in daily activities (self-care, productivity, and leisure). Both scales use a 10-point Likert scale ranging from 1 ("not able to do it" or "not satisfied") to 10 ("able to do it extremely well" or "extremely satisfied") . Higher scores indicate better occupational performance and higher satisfaction.

    Baseline, at the end of the 4-week intervention, and at the 6-month follow-up.

Secondary Outcomes (3)

  • Hospital Anxiety and Depression Scale - Anxiety Sub-scale (HADS-A)

    Baseline, Week 4, and Month 6.

  • Hospital Anxiety and Depression Scale - Depression Sub-scale (HADS-D)

    Baseline, Week 4, and Month 6.

  • Nottingham Health Profile (NHP) Domain Scores

    Baseline, Week 4, and Month 6.

Study Arms (2)

Combined Mind-Body Intervention

EXPERIMENTAL

his group receives 8 individual sessions, conducted twice weekly for 30 to 40 minutes.Each session consists of Jacobson's progressive muscle relaxation and guided imagery techniques.Participants are also instructed to perform daily home practice

Other: combined mind-body intervention

Control Group (Routine Care & Monitoring)

ACTIVE COMPARATOR

Participants receive routine care along with supplemental support.They will be contacted by phone twice a week for 4 weeks by the investigator to monitor their general health status.The phone calls are limited to general status inquiries to minimize bias related to investigator attention.

Behavioral: Routine Care and Follow-up Phone Calls

Interventions

The intervention consists of 8 individual sessions (30-40 mins, twice weekly) combining Jacobson's Progressive Muscle Relaxation (PMR) and Guided Imagery. Sessions begin with 5 minutes of diaphragmatic breathing. PMR involves 15 minutes of tensing and relaxing specific muscle groups (limbs, face, trunk) to reduce physical tension. This is followed by 15 minutes of Guided Imagery, visualizing sensory-rich "safe places" (e.g., childhood gardens) to promote emotional regulation. Participants perform 15-minute daily home practice. Sessions take place in a quiet, dimly lit environment with relaxing music. For physiological standardization, participants avoid caffeine, nicotine, and food one hour before. This occupational therapy protocol aims to enhance participation in daily activities (self-care, work, leisure) and reduce stress levels

Combined Mind-Body Intervention

Participants receive their standard routine care. Additionally, they will be contacted by phone twice a week for 4 weeks by the primary investigator to inquire about their general health and well-being. These calls are limited to status inquiries to ensure that any observed changes in the study are due to the intervention itself rather than the attention provided by the researcher.

Control Group (Routine Care & Monitoring)

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Being between 18 and 65 years old.
  • Having directly experienced the February 6, 2023 earthquake.
  • Currently residing in the earthquake zone.
  • Possessing sufficient cognitive and language skills to participate in assessments and the intervention.

You may not qualify if:

  • Having an additional psychiatric or neurological disease diagnosis.
  • Having received non-pharmacological interventions (such as psychotherapy, CBT, art therapy, or meditation) before or during the study.
  • Currently using psychiatric medications.
  • Having a history of other physical (e.g., violence) or psychological trauma.
  • Being pregnant or currently breastfeeding.
  • Having a current substance addiction.
  • Demonstrating suicidal tendencies.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Hacettepe University

Ankara, Turkey (Türkiye)

Location

Central Study Contacts

Emine Sağlamoğlu, Master

CONTACT

gamze ekici, professor

CONTACT

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
research assistant/ MSc OT

Study Record Dates

First Submitted

April 21, 2026

First Posted

May 4, 2026

Study Start

April 20, 2026

Primary Completion (Estimated)

May 30, 2026

Study Completion (Estimated)

November 30, 2026

Last Updated

May 4, 2026

Record last verified: 2026-04

Locations