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AdjustmentNCT07512817

The Effect of Online Solution- Focused Group Counseling On Adjustment, Psychological Well- Being and Resilience

A study testing Solution- focused group counseling in people with Adjustment and Resilience, run by Gazi University at 1 site in Turkey (Türkiye).

Active, not recruiting

Under way, not looking for participants. Everyone needed has enrolled. The study is still running.

Official record
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Trial summary

In this study, the effect of online solution- focused group counseling on adjustment, psychological well- being and resilience in individuals will be examined. The research will be carried out as a randomized controlled experimental study with a pre-test, post- test and follow- up design. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Adjustment, Resilience, Psychological Well-being
What is being tested?
Solution- focused group counseling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteTurkey (Türkiye)
Study dates
17 Dec 2025to 1 Dec 2026
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Being 18 years of age or older,
  • Having a permanent colostomy due to colorectal cancer,
  • At least 2 months having passed since the permanent colostomy was placed,
  • Being able to use computers and online applications,
  • Having no problems with verbal and written communication,
  • Not having any physical or mental condition that would prevent cooperation.

Who cannot join

  • Having previously had an ostomy • Having received psychotherapy in the last year or currently receiving it.

Trial locations and contacts

1 site in 1 country.

Turkey (Türkiye)1 site
  • Hacettepe University

    Ankara, Ankara

Other trials in Turkey (Türkiye)

About this study

Official title: The Effect of Online Solution- Focused Group Counseling On Adjustment, Psychological Well- Being and Resilience in Individuals: A Randomized Controlled Trial

In this study, the effect of online solution- focused group counseling on adjustment, psychological well- being and resilience in individuals will be examined. The research will be carried out as a randomized controlled experimental study with a pre-test, post- test and follow- up design.

Read the detailed description

Colorectal cancers are among the most frequently diagnosed cancer types both in our country and worldwide and constitute a major public health problem that leads to morbidity and mortality despite advanced diagnostic and treatment methods. Their high prevalence necessitates action to protect both individual and public health. The treatment of colorectal cancers includes radiotherapy (RT), chemotherapy (CT), antibody therapy, and surgical interventions. Surgical procedures for colon cancer vary depending on the location of the tumor. As a result of these surgical interventions, an ostomy may be created for reasons such as saving the patient's life, protecting the anastomosis line, or eliminating the necessity of the anus.

The term ostomy is derived from the Greek word stoma, meaning "mouth" or "opening." In medical terminology, a stoma/ostomy refers to a surgically created opening of a hollow organ onto the body surface to allow the elimination of waste products. Colostomy is one of the most common therapeutic interventions applied in pathological conditions of the colon, particularly colorectal cancer, and is defined as the exteriorization of the large intestine onto the skin.

Studies indicate that living with a colostomy affects individuals' overall quality of life. Patients with a stoma face not only physical and functional challenges but also psychological, emotional, and social losses. The presence of a colostomy has been associated with various complex problems, including psychological and sexual difficulties, dissatisfaction with altered body image, changes in daily routines, travel difficulties, and fatigue.

Changes occurring in the lives of individuals with a colostomy significantly affect their interpersonal and intimate relationships. Adopting a new lifestyle adapted to colostomy management may have an emotional impact on the patient as well as on close individuals such as family members and sexual partners. According to previous studies, married individuals experience major changes in their sexual lives, particularly immediately after surgery or during the early stages of the disease. Moreover, women have been found to have lower quality of life compared to men, a situation associated with body image changes, fear of rejection, and inability to perform household tasks. As having a colostomy may lead to partial or complete job loss, the professional lives of colostomy patients are also seriously affected.

Individuals with a colostomy encounter various physiological, psychological, and social challenges. Psychological resilience plays a crucial role in coping with these difficulties. Psychological resilience is defined as a dynamic process of positive adaptation in the face of significant adversity. Research has shown that individuals reporting higher levels of psychological resilience engage more frequently in health-promoting behaviors compared to those with lower resilience. Furthermore, individuals with higher psychological resilience demonstrate better adaptation to chronic illnesses than those with lower resilience. However, research on psychological resilience in individuals with permanent ostomies remains limited.

Studies have demonstrated that as psychological resilience increases in individuals with permanent ostomies, their adaptation to the ostomy also improves. Another study reported that decreases in psychological resilience among individuals with permanent ostomies were associated with reductions in health-related quality of life. In a study conducted by Dong X and colleagues (2017), a positive relationship was found between psychological resilience and post-traumatic growth.

Solution-focused counseling is a strengths-based approach that emphasizes the resources individuals already possess and how these resources can be applied in the process of change. This approach aims to facilitate change in individuals' lives in the shortest possible time. It is based on the belief that change originates from two main sources: encouraging individuals to define their preferred future (how their lives would look if therapy were successful) and detailing the skills and resources they have already demonstrated (examples of current and past successes).

A review of the literature revealed no studies investigating the effects of solution-focused group counseling in individuals with permanent colostomies. Therefore, understanding the effects of online solution-focused group counseling on adaptation, psychological well-being, and psychological resilience in individuals with permanent colostomies due to colorectal cancer is of great importance for the entire healthcare team, particularly for mental health and psychiatric nurses, who constitute a vital component of this team.

Being tested
Solution- focused group counseling
Keywords
Solution- focused counseling, Adjustment, Resilience, Psychological Well- being
Medical subject headings
Psychological Well-Being

What participants receive

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

  • Solution- focused group counselingBehavioural

    After the follow-up tests will be completed, it is planned to apply 6 sessions group counseling to the intervention group in the same way to the control group, upon their request.

Study groups in NCT07512817
Study groupRoleWhat they receive
Solution- focused group counselingExperimentalSolution- focused group counseling to be carried out with the experimental group is planned as 6 sessions.The sessions are planned to be held in 3 groups of 8 people each. The duration of a session is planned to be approximately 90 minutes. Group counseling with the experimental group will be carried out online every week.The appropriate day for the sessions will be decided together with the member of each group. The same group session will be held on the same day and time.
Receives: Behavioral: Solution- focused group counseling
ControlNo interventionControl group will not receive any intervention.

What is being measured

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

  1. Adaptation of the ostomy adjustment

    Adaptation of the ostomy adjustment scale, developed by Simmons et al. (2009), was adapted into Turkish by Karadağ et al. (2011). The scale consists of 23 items and includes four subscales: Acceptance, Anxiety/Concern, Social Adjustment, and Anger. It is structured as a 5-point Likert-type scale and is scored on a range from 0 to 4 (strongly agree, agree, undecided, disagree, strongly disagree). The total scale score ranges between 0 and 92. Higher scores obtained from each item indicate a higher level of adjustment.

    BTwelve items in the scale (items 2, 5, 7, 8, 10, 11, 12, 13, 16, 17, 18, and 21) contain negatively worded statements and are therefore reverse-coded. For positively coded items, responses are scored from 0 to 4, whereas for reverse-coded items, scoring is applied from 4 to 0. In the Turkish version of the scale, the overall Cronbach's alpha coefficient was calculated as .93.

    Measured: Pre-intervention, immediately after the intervention, 3rd month follow-up

  2. Psychological Well-Being

    The Psychological Well-Being Scale, developed by Diener et al. (2009; 2010), was adapted into Turkish by Telef (2011; 2013). The scale is unidimensional and consists of eight items. Items of the Psychological Well-Being Scale are rated on a 7-point Likert scale ranging from 1 (strongly disagree) to 7 (strongly agree). All items are positively worded. Total scores range from 8 (if strongly disagree is selected for all items) to 56 (if strongly agree is selected for all items), with higher scores indicating that the individual possesses greater psychological resources and strengths.

    In the Turkish version of the scale, the overall Cronbach's alpha coefficient was calculated as .80.

    Measured: Pre-intervention, immediately after the intervention, 3rd month follow-up

  3. Resilience

    The Resilience Scale for Adults, developed by Friborg et al. (2003), was adapted into Turkish by Basım and Çetin (2011). The scale consists of 33 items and includes six subscales: Perception of Self, Perception of Future, Structured Style, Social Competence, Family Cohesion, and Social Resources. It is a 5-point Likert-type scale presented in five response options.

    The scale does not have a specific cut-off score. Items numbered 1, 3, 4, 8, 11, 12, 13, 14, 15, 16, 23, 24, 25, 27, 31, and 33 are reverse-coded. For positively coded items, responses are scored from 1 to 5, whereas for reverse-coded items, scoring is applied from 5 to 1. In the Turkish version of the scale, the overall Cronbach's alpha coefficient was calculated as .86, while the Cronbach's alpha values for the subscales ranged between .66 and .81.

    Measured: Pre-intervention, immediately after the intervention, 3rd month follow-up

Timeline

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

  1. First posted6 Apr 2026
  2. Study start17 Dec 2025
  3. Primary completion1 Dec 2026 (estimated)
  4. Study completion1 Dec 2026 (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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
In the study, 48 individuals were taken as sampling, 24 of which were experimental and 24 were control.
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
48 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07512817
Sponsor's protocol ID
2025 - 1477
Status last verified
Dec 2025
First submitted
9 Jan 2026
Last updated
6 Apr 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Vonk-Klaassen SM, de Vocht HM, den Ouden ME, Eddes EH, Schuurmans MJ. Ostomy-related problems and their impact on quality of life of colorectal cancer ostomates: a systematic review. Qual Life Res. 2016 Jan;25(1):125-33. doi: 10.1007/s11136-015-1050-3. Epub 2015 Jun 30.

    PubMed 26123983
  • Tirgari B, Azizzadeh Forouzi M, Heidarzadeh A, Khalilzadeh Ganjalikhani M. Does Resilience Predict Ostomy Adjustment in Patients With Permanent Ostomy? J Wound Ostomy Continence Nurs. 2023 Sep-Oct 01;50(5):386-391. doi: 10.1097/WON.0000000000001007.

    PubMed 37713349
  • Stavropoulou A, Vlamakis D, Kaba E, Kalemikerakis I, Polikandrioti M, Fasoi G, Vasilopoulos G, Kelesi M. "Living with a Stoma": Exploring the Lived Experience of Patients with Permanent Colostomy. Int J Environ Res Public Health. 2021 Aug 12;18(16):8512. doi: 10.3390/ijerph18168512.

    PubMed 34444262
  • Shaffy Kaur S, Das K, Gupta R (2012). Physical, nutritional and sexual problems experienced by the patients with colostomy/ileostomy: a qualitative study. Nursing & Midwifery Research Journal, 8(3), 210-222.

  • Scardillo J, Dunn KS, Piscotty R Jr. Exploring the Relationship Between Resilience and Ostomy Adjustment in Adults With a Permanent Ostomy. J Wound Ostomy Continence Nurs. 2016 May-Jun;43(3):274-9. doi: 10.1097/WON.0000000000000222.

    PubMed 26963023
  • Kenderian S, Stephens EK, Jatoi A. Ostomies in rectal cancer patients: what is their psychosocial impact? Eur J Cancer Care (Engl). 2014 May;23(3):328-32. doi: 10.1111/ecc.12133. Epub 2013 Oct 10.

    PubMed 24118361
  • Iveson C, George E, Ratner H (2012). Brief coaching: A solution focused approach. Routledge.

  • Friborg O, Hjemdal O, Rosenvinge JH, Martinussen M. A new rating scale for adult resilience: what are the central protective resources behind healthy adjustment? Int J Methods Psychiatr Res. 2003;12(2):65-76. doi: 10.1002/mpr.143.

    PubMed 12830300
  • Favoriti P, Carbone G, Greco M, Pirozzi F, Pirozzi RE, Corcione F. Worldwide burden of colorectal cancer: a review. Updates Surg. 2016 Mar;68(1):7-11. doi: 10.1007/s13304-016-0359-y. Epub 2016 Apr 11.

    PubMed 27067591
  • El-Rahman Mohamed MA, El-Ata ABA, Elezaby HH. Relationship between resilience and health-related quality of life among patients with a permanent colostomy. Br J Nurs. 2022 Mar 24;31(6):S4-S12. doi: 10.12968/bjon.2022.31.6.S4.

    PubMed 35333551
  • Edwards MS, Chadda SD, Zhao Z, Barber BL, Sykes DP. A systematic review of treatment guidelines for metastatic colorectal cancer. Colorectal Dis. 2012 Feb;14(2):e31-47. doi: 10.1111/j.1463-1318.2011.02765.x.

    PubMed 21848897
  • Düzköylü Y, Bektaş H, Sarı YS, Koç O, Bilsel Y, Güneş ME. Akut mekanik barsak obstrüksiyonu nedeniyle opere edilen kolorektal kanser olgularının elektif şartlarda ameliyat edilen olgularla karşılaştırılması. Kolon Rektum Hastalıkları Dergisi, 2013; 23:89-95.

  • Dong X, Li G, Liu C, Kong L, Fang Y, Kang X, Li P. The mediating role of resilience in the relationship between social support and posttraumatic growth among colorectal cancer survivors with permanent intestinal ostomies: A structural equation model analysis. Eur J Oncol Nurs. 2017 Aug;29:47-52. doi: 10.1016/j.ejon.2017.04.007. Epub 2017 May 18.

    PubMed 28720265
  • Danielsen AK, Soerensen EE, Burcharth K, Rosenberg J. Learning to live with a permanent intestinal ostomy: impact on everyday life and educational needs. J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):407-12. doi: 10.1097/WON.0b013e3182987e0e.

    PubMed 23820473
  • Corcoran, J., & Pillai, V. (2009). A review of the research on solution-focused therapy. British Journal of Social Work, 39(2), 234-242.

Questions about this trial

What is this clinical trial studying?

A study testing Solution- focused group counseling in people with Adjustment and Resilience, run by Gazi University 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: under way, not looking for participants, as of the sponsor's last update on 6 Apr 2026. 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?

Adaptation of the ostomy adjustment (time frame: Pre-intervention, immediately after the intervention, 3rd month follow-up). 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?

On the ClinicalTrials.gov record for NCT07512817, which also lists 20 linked publications.

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 6 Apr 2026.

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