CancerNCT06467331
The Effect of Hippotherapy on The Development of Life Satisfaction, Health Literacy and Healthism Attitude of Young Adults After Cancer Treatment
A study testing Hippotherapy in people with Cancer and Nursing, run by Betül Çakmak at 1 site in Turkey (Türkiye).
Trial summary
This research aims to evaluate the impact of hippotherapy on life satisfaction, health literacy, and health culture among young adults who have undergone cancer treatment. The study underscores the importance of providing support to patients post-cancer treatment. Read more about this study
- Who is it for?
- Ages 18 to 30 yearsHealthy volunteers can take part
- Conditions the study is for
- Cancer, Nursing, Hippotherapy
- What is being tested?
- Hippotherapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 40 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Dec 2024to 1 Oct 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 30 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Between the ages of 18-30
- He has been diagnosed with cancer and his treatment has been completely completed.
- Least literate
- Pregnant and non-puerperal
- Does not have any physical or cognitive disabilities
- No visual or auditory disabilities
Who cannot join
- Individuals who cannot participate in all hippotherapy activities
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Ankara Yıldırım Beyazıt University, Faculty of Health Sciences, Department of Nursing
Ankara, 06010
About this study
Official title: The Effect of Hippotherapy on The Development of Life Satisfaction, Health Literacy and Healthism Attitude of Young Adults After Cancer Treatment: Randomized Controlled Experimental Research
This research aims to evaluate the impact of hippotherapy on life satisfaction, health literacy, and health culture among young adults who have undergone cancer treatment. The study underscores the importance of providing support to patients post-cancer treatment. While the literature extensively supports the use of animal-assisted interventions in nursing care plans and practices, there is a notable absence of studies examining the holistic effects of hippotherapy on cancer survivors, both nationally and globally. Given that nurses play a pivotal role in the prevention, diagnosis, treatment, and rehabilitation stages of all diseases, and strive to enhance patient quality of life through comprehensive care, the findings of this project are expected to not only bolster the visibility and professional efficacy of nurses but also inspire similar future research. The research tools employed will determine how complementary supportive practices influence the life satisfaction, health literacy, and health culture of young adults during critical life-shaping periods. These results could provide significant evidence of the nurse's role in patient education, support, and overall care improvement.
Read the detailed description
Cancer is one of the most important diseases that threaten human health today. It is predicted that the number of cancer survivorship will increase in the future with advances in diagnosis, treatment and care approaches. It is stated that after cancer treatment, individuals have difficulty in continuing treatment due to reasons such as post-treatment side effects, economic and social problems, and their quality of life is negatively affected. It is stated that cancer diagnosis and treatment processes can be observed more specifically in young adults compared to other age groups. It is reported that especially young adults with cancer experience higher levels of depression, worse quality of life and deterioration in body image during treatment, and have difficulty achieving goals related to social, business and academic life. For this reason, it is thought that health professionals have important roles and responsibilities in supporting the lives of young adults, especially after cancer treatment. Nurses should be able to determine the psychosocial needs of individuals, support them in creating positive behavioral changes, empower individuals about coping methods, and take an active role in improving the quality of life of individuals. Complementary methods are one of the approaches frequently included in nurses' care content. Animal-assisted interventions, which are one of the complementary methods, are used at a very limited level in our country. In the Nursing Interventions Classification (NIC) system, it is stated that Animal Assisted Practices contribute positively to the physical, spiritual and social recovery of the individual. Hippotherapy, also known as horse-assisted therapy, is one of the animal-assisted therapies. They are regularly scheduled activities implemented to provide functionality to individuals' lives and contribute to the improvement of their general health status. With these activities, it is aimed to improve the perception of individuals in the sensory field, to strengthen self-confidence, to relax, to provide peace of mind, courage and self-confidence, to remove fear and discouragement, to eliminate distraction, supporting group speaking training, increasing the ability of the individual to express himself, to provide social support for each individual. It aims to ensure that they are always ready for communication. This project will examine the effect of Hippotherapy on life satisfaction, health literacy and the development of a healthy culture of young adult individuals after cancer treatment. The sample of the research will consist of 40 individuals between the ages of 18-35 who have been diagnosed with cancer and completed their treatment. A life satisfaction scale, health literacy scale, health culture scale and qualitative interview form will be used to collect data in the research. In the implementation of the research, hippotherapy implementation consisting of a total of 5 stations created by the researchers, lasting 30 minutes individually, will be applied to the individuals in the intervention group for 8 weeks, with the participation of the riding coaches. Research data will be collected by the researchers before the implementation (0th), in the 4th and 8th weeks of the implementation.
- Conditions
- Cancer, Nursing, Hippotherapy, Life Satisfaction
- Being tested
- Hippotherapy
- Keywords
- cancer, nursing, life satisfaction, health literacy, Healthism Attitude
- Medical subject headings
- Neoplasms, Personal Satisfaction
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
HippotherapyOther
Also called activity with horse
Hippotherapy, also known as horse-assisted therapy, is a form of animal-assisted therapy. It consists of regularly scheduled sessions designed to enhance functionality in individuals' lives and contribute to their overall health improvement.
| Study group | Role | What they receive |
|---|---|---|
| The group in which hippotherapy activity will be applied | Experimental | In the implementation of the experimental group, hippotherapy implementation consisting of a total of 5 stations created by the researchers, lasting 30 minutes individually, will be applied to the individuals in the intervention group for 8 weeks, with the participation of the riding coaches. Research data will be collected by the researchers before the implementation (0th), in the 4th and 8th weeks. Receives: Other: Hippotherapy |
| The group in which hippotherapy activity will not be applied | No intervention | In the control group, no interventions will be administered to the participants; data collection will occur solely at the outset (week 0) and at the research period's conclusion (week 8). After completing the main research activities, participants in the control group will be invited to an activity involving horses. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in the health literacy level of young adults with hippotherapy effectiveness
The Health Literacy Scale consists of three sub-dimensions: Functional Health Literacy (Items 1, 2, 3, 4, 5), Interactive Health Literacy (Items 6, 7, 8, 9, 10), and Critical Health Literacy (Items 11, 12, 13, 14). Each item on the scale is scored from "strongly disagree" (1 point) to "strongly agree" (5 points) on a five-point Likert scale. Scores on the scale range from 14 to 70. Higher total scores indicate an increase in the level of health literacy. The Cronbach's alpha reliability coefficient of the Health Literacy Scale is 0.85.
Measured: 12 weeks
Change in the life satisfaction level of young adults with hippotherapy effectiveness
The Life Satisfaction Scale consists of a total of 21 items, one of which is reversed. The scale is designed as a five-point Likert type (1=Not at all suitable, 2=Not suitable, 3=Somewhat suitable, 4=Suitable, 5=Completely suitable). Item 6 of the scale is scored in reverse. The possible scores from the Life Satisfaction Scale range from 21 to 105. Higher scores on the scale indicate that the individual has positive perceptions regarding their own life. The scale has five sub-dimensions: the first sub-dimension is general life satisfaction (Items 1, 2, 3, 4, 5, and 6); the second is relationship satisfaction (Items 7, 8, 9, 10, and 11); the third is self-satisfaction (Items 12, 13, 14, and 15); the fourth is social environment satisfaction (Items 16, 17, and 18); and the fifth is job satisfaction (Items 19, 20, and 21). The Cronbach's alpha reliability coefficient of the scale is calculated as .89.
Measured: 12 weeks
Change in the Healthism Attitude level of young adults with hippotherapy effectiveness
The Healthism Attitude scale consists of 14 items, each rated from "completely disagree" (1 point) to "completely agree" (5 points) on a five-point Likert scale. The scale has two sub-dimensions: the Critique of Individual Actions (Items 1, 2, 3, 4, 5, 6, 7, 8) and Judgment sub-dimension (Items 9, 10, 11, 12, 13, 14). As scores on the scale increase, so does the level of knowledge about the culture of being healthy. The internal consistency coefficient of the Healthism Attitude scale is found to be .891.
Measured: 12 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted21 Jun 2024
- Study start1 Dec 2024 (estimated)
- Primary completion30 Jun 2025 (estimated)
- Study completion1 Oct 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomized Controlled Trial
- Masking
- None (open label)
- Enrolment
- 40 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Betül Çakmak
- Sponsor type
- University, hospital or other
- Collaborators
- Ankara Yildirim Beyazıt University
- Responsible party
- Sponsor-investigator, Betül Çakmak, Ankara Yildirim Beyazıt University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06467331
- Sponsor's protocol ID
- 18.08.2024
- Status last verified
- Dec 2024
- First submitted
- 10 Jun 2024
- Last updated
- 12 Dec 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: It will not be shared with other researchers.
Study at a glance
From the registry record, last updated by the sponsor on 12 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect of Hippotherapy on The Development of Life Satisfaction, Health Literacy and Healthism Attitude of Young Adults After Cancer Treatment: Randomized Controlled Experimental Research
- ClinicalTrials.gov ID
- NCT06467331
- Acronym / sponsor ID
- 18.08.2024
- Conditions
- Cancer, Nursing, Hippotherapy, Life Satisfaction
- Keywords
- cancer, nursing, life satisfaction, health literacy, Healthism Attitude
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 40 participants (estimated)
- Lead sponsor
- Betül ÇakmakUniversity, hospital or other
- Collaborators
- Ankara Yildirim Beyazıt University
- Study start
- 1 Dec 2024 (estimated)
- Primary completion
- 30 Jun 2025 (estimated)
- Study completion
- 1 Oct 2025 (estimated)
- First posted
- 21 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This research aims to evaluate the impact of hippotherapy on life satisfaction, health literacy, and health culture among young adults who have undergone cancer treatment. The study underscores the importance of providing support to patients post-cancer treatment. While the literature extensively supports the use of animal-assisted interventions in nursing care plans and practices, there is a notable absence of studies examining the holistic effects of hippotherapy on cancer survivors, both nationally and globally. Given that nurses play a pivotal role in the prevention, diagnosis, treatment, and rehabilitation stages of all diseases, and strive to enhance patient quality of life through comprehensive care, the findings of this project are expected to not only bolster the visibility and professional efficacy of nurses but also inspire similar future research. The research tools employed will determine how complementary supportive practices influence the life satisfaction, health literacy, and health culture of young adults during critical life-shaping periods. These results could provide significant evidence of the nurse's role in patient education, support, and overall care improvement.
Detailed description
Cancer is one of the most important diseases that threaten human health today. It is predicted that the number of cancer survivorship will increase in the future with advances in diagnosis, treatment and care approaches. It is stated that after cancer treatment, individuals have difficulty in continuing treatment due to reasons such as post-treatment side effects, economic and social problems, and their quality of life is negatively affected. It is stated that cancer diagnosis and treatment processes can be observed more specifically in young adults compared to other age groups. It is reported that especially young adults with cancer experience higher levels of depression, worse quality of life and deterioration in body image during treatment, and have difficulty achieving goals related to social, business and academic life. For this reason, it is thought that health professionals have important roles and responsibilities in supporting the lives of young adults, especially after cancer treatment. Nurses should be able to determine the psychosocial needs of individuals, support them in creating positive behavioral changes, empower individuals about coping methods, and take an active role in improving the quality of life of individuals. Complementary methods are one of the approaches frequently included in nurses' care content. Animal-assisted interventions, which are one of the complementary methods, are used at a very limited level in our country. In the Nursing Interventions Classification (NIC) system, it is stated that Animal Assisted Practices contribute positively to the physical, spiritual and social recovery of the individual. Hippotherapy, also known as horse-assisted therapy, is one of the animal-assisted therapies. They are regularly scheduled activities implemented to provide functionality to individuals' lives and contribute to the improvement of their general health status. With these activities, it is aimed to improve the perception of individuals in the sensory field, to strengthen self-confidence, to relax, to provide peace of mind, courage and self-confidence, to remove fear and discouragement, to eliminate distraction, supporting group speaking training, increasing the ability of the individual to express himself, to provide social support for each individual. It aims to ensure that they are always ready for communication. This project will examine the effect of Hippotherapy on life satisfaction, health literacy and the development of a healthy culture of young adult individuals after cancer treatment. The sample of the research will consist of 40 individuals between the ages of 18-35 who have been diagnosed with cancer and completed their treatment. A life satisfaction scale, health literacy scale, health culture scale and qualitative interview form will be used to collect data in the research. In the implementation of the research, hippotherapy implementation consisting of a total of 5 stations created by the researchers, lasting 30 minutes individually, will be applied to the individuals in the intervention group for 8 weeks, with the participation of the riding coaches. Research data will be collected by the researchers before the implementation (0th), in the 4th and 8th weeks of the implementation.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomized Controlled Trial
| Arm | Type | Receives |
|---|---|---|
| The group in which hippotherapy activity will be applied | Experimental | Other: HippotherapyIn the implementation of the experimental group, hippotherapy implementation consisting of a total of 5 stations created by the researchers, lasting 30 minutes individually, will be applied to the individuals in the intervention group for 8 weeks, with the participation of the riding coaches. Research data will be collected by the researchers before the implementation (0th), in the 4th and 8th weeks. |
| The group in which hippotherapy activity will not be applied | No intervention | –In the control group, no interventions will be administered to the participants; data collection will occur solely at the outset (week 0) and at the research period's conclusion (week 8). After completing the main research activities, participants in the control group will be invited to an activity involving horses. |
Who may qualify
- Ages
- 18 to 30 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Between the ages of 18-30
- He has been diagnosed with cancer and his treatment has been completely completed.
- Least literate
- Pregnant and non-puerperal
- Does not have any physical or cognitive disabilities
Key exclusion criteria (1 listed)
- Individuals who cannot participate in all hippotherapy activities
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| HippotherapyAlso: activity with horseHippotherapy, also known as horse-assisted therapy, is a form of animal-assisted therapy. It consists of regularly scheduled sessions designed to enhance functionality in individuals' lives and contribute to their overall health improvement. | Other | The group in which hippotherapy activity will be applied |
Primary outcome
Change in the health literacy level of young adults with hippotherapy effectiveness
Time frame: 12 weeks
The Health Literacy Scale consists of three sub-dimensions: Functional Health Literacy (Items 1, 2, 3, 4, 5), Interactive Health Literacy (Items 6, 7, 8, 9, 10), and Critical Health Literacy (Items 11, 12, 13, 14). Each item on the scale is scored from "strongly disagree" (1 point) to "strongly agree" (5 points) on a five-point Likert scale. Scores on the scale range from 14 to 70. Higher total scores indicate an increase in the level of health literacy. The Cronbach's alpha reliability coefficient of the Health Literacy Scale is 0.85.
Change in the life satisfaction level of young adults with hippotherapy effectiveness
Time frame: 12 weeks
The Life Satisfaction Scale consists of a total of 21 items, one of which is reversed. The scale is designed as a five-point Likert type (1=Not at all suitable, 2=Not suitable, 3=Somewhat suitable, 4=Suitable, 5=Completely suitable). Item 6 of the scale is scored in reverse. The possible scores from the Life Satisfaction Scale range from 21 to 105. Higher scores on the scale indicate that the individual has positive perceptions regarding their own life. The scale has five sub-dimensions: the first sub-dimension is general life satisfaction (Items 1, 2, 3, 4, 5, and 6); the second is relationship satisfaction (Items 7, 8, 9, 10, and 11); the third is self-satisfaction (Items 12, 13, 14, and 15); the fourth is social environment satisfaction (Items 16, 17, and 18); and the fifth is job satisfaction (Items 19, 20, and 21). The Cronbach's alpha reliability coefficient of the scale is calculated as .89.
Change in the Healthism Attitude level of young adults with hippotherapy effectiveness
Time frame: 12 weeks
The Healthism Attitude scale consists of 14 items, each rated from "completely disagree" (1 point) to "completely agree" (5 points) on a five-point Likert scale. The scale has two sub-dimensions: the Critique of Individual Actions (Items 1, 2, 3, 4, 5, 6, 7, 8) and Judgment sub-dimension (Items 9, 10, 11, 12, 13, 14). As scores on the scale increase, so does the level of knowledge about the culture of being healthy. The internal consistency coefficient of the Healthism Attitude scale is found to be .891.
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Dec 2024.
- Individual participant dataSharing planned: No. It will not be shared with other researchers.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Hippotherapy in people with Cancer and Nursing, run by Betül Çakmak at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 12 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in the health literacy level of young adults with hippotherapy effectiveness (time frame: 12 weeks). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 12 Dec 2024.