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Children With CancerNCT07367048

Four Life Domains Vision Board Program

A study testing Four Life Domains Vision Board Program in people with Children With Cancer, run by Gazi University.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 12 to 18 years
Conditions the study is for
Children With Cancer
What is being tested?
Four Life Domains Vision Board Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
No sites listed yet
Study dates
30 Jan 2026to 20 Mar 2027
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 12 to 18 years
  • All sexes
  • No healthy volunteers
  • Child, Adult

Who may be able to join

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

Who cannot join

  • 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

About this study

Official title: The Effect of the Four Life Domains Vision Board Program on Hope and Psychological Resilience in Adolescents Undergoing Cancer Treatment: A Randomized Controlled Trial

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.

Read the detailed description

This study is designed as a parallel-group randomized controlled trial to evaluate the effectiveness of a Four Life Domains-Based Vision Board Program on hope and psychological resilience in adolescents undergoing cancer treatment. Adolescents receiving cancer therapy are exposed to prolonged physical symptoms and psychosocial stressors, which may negatively impact emotional well-being, hope, and resilience. Therefore, supportive psychosocial interventions that promote self-expression, meaning-making, and positive future orientation are needed.

The study will be conducted in the pediatric hematology-oncology units of Gazi University Health Application and Research Center and Etlik City Hospital in Türkiye during 2026. The study population will consist of adolescents aged 12-18 years who have been receiving cancer treatment for at least six months. A total of 60 participants will be enrolled, with 30 adolescents allocated to the intervention group and 30 to the control group.

Participants meeting the inclusion criteria will be assigned a unique study identification number. Stratified block randomization based on age and gender will be applied. Random allocation will be performed by an independent statistician using a computerized randomization tool, and group assignments will be concealed in sealed, opaque envelopes to ensure allocation concealment.

The intervention group will participate in a structured Five-Week Vision Board Program grounded in four life domains: health, well-being, love/connection, and self-expression. The program includes weekly sessions integrating guided breathing exercises, mindfulness practices, creative art-based activities, and vision board creation processes. The modules include:

Breath and First Light: Opening the Door to Self

My Potential and Resources: Mapping My Strengths

Connection and Love: My Circle of Heart

Self-Expression: My Story and My Future

Reinforcement Session: The Big Picture - Reframing Hope

During each session, participants will progressively add visual and symbolic elements to their personal vision boards. The final session focuses on integrating the vision board as a holistic representation of hope and resilience.

The control group will receive standard hospital care without any additional psychosocial intervention. Data will be collected using a Sociodemographic Information Form, the Hope Scale for Adolescents, and the Psychological Resilience Scale. Assessments will be conducted at baseline (pre-test) and after completion of the five-week intervention (post-test). When necessary, data collection tools will be administered electronically via secure online platforms.

The effectiveness of the intervention will be evaluated by comparing pre- and post-intervention changes in hope and psychological resilience between the intervention and control groups. This study aims to provide evidence for a feasible, creative, and holistic psychosocial support model for adolescents undergoing cancer treatment.

Being tested
Four Life Domains Vision Board Program
Keywords
adolescent cancer, Vision board intervention, hope, Psychosocial intervention

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Four Life Domains Vision Board ProgramOther

    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

Study groups in NCT07367048
Study groupRoleWhat they receive
Control GroupNo interventionReceived standart care
Four Life Domains Vision Board ProgramExperimentalReceived Four Life Domains Vision Board Program
Receives: Other: Four Life Domains Vision Board Program

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

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

  2. 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.

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

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Jan 2026
  2. Study start30 Jan 2026 (estimated)
  3. Primary completion20 Mar 2027 (estimated)
  4. Study completion20 Mar 2027 (estimated)

Resources

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
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.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07367048
Sponsor's protocol ID
2026-65
Status last verified
Jan 2026
First submitted
17 Jan 2026
Last updated
26 Jan 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided: A decision regarding the sharing of individual participant data has not yet been made. Any future data sharing will be considered following completion of the study, in accordance with ethical approval, participant consent, and applicable data protection regulations.

Publications

  • 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

Questions about this trial

What is this clinical trial studying?

A study testing Four Life Domains Vision Board Program in people with Children With Cancer, run by Gazi University.

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 4 inclusion and 3 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 26 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

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?

Adolescent Hopefulness Scale, (time frame: Baseline (pre-intervention) and immediately after completion of the 5-week intervention). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07367048, which also lists 1 linked publication.

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 26 Jan 2026.

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