About this 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.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Adolescents aged 12-18
Has been receiving cancer treatment for at least 6 months
Able to communicate in Turkish
Not in the terminal stage
Disqualifiers
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
Trial design
Parallel
Treatments tested in this trial
Four Life Domains Vision Board Program
Other interventionThe 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
Treatment groups
Trial outcomes
Primary outcomes
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.
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.
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