Self-Affirmation Intervention After Mastectomy

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorMuş Alparslan University

About this trial

This randomized controlled trial aims to evaluate the effect of a structured self-affirmation intervention on pain, depression, anxiety, and stress levels in patients undergoing mastectomy. The study will be conducted in two parallel groups, with the intervention group listening to an audio recording of positive self-affirmation statements. Primary outcomes will be assessed using the Visual Analog Scale and the Depression Anxiety Stress Scale (DASS-21). The goal is to provide evidence-based strategies to reduce psychosocial burden after mastectomy.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 18 years or older

Female patients who have undergone mastectomy surgery

Able to speak and understand Turkish

Provides informed consent and agrees to participate voluntarily

Disqualifiers

Diagnosed psychiatric disorder

Hearing impairment that prevents listening to the audio intervention

Trial design

Design model

Parallel

Treatments tested in this trial

  • Positive Self-Affirmation Audio with Calming Background Sounds

    Behavioral

    Participants in the intervention arm will receive a behavioral intervention consisting of an audio recording of positive self-affirmation statements accompanied by calming background sounds (birds chirping and flowing water). The recording lasts approximately 5 minutes and 40 seconds and will be delivered via an MP3 player and headphones. Patients will be instructed to listen to the recording at least once daily during the postoperative period, with encouragement to listen more frequently if desired.

Treatment groups

42 Participants
are divided into 2 treatment groups
Group A: Control Group (Standard Care)No intervention 0 interventions
Group B: Intervention Group (Self-Affirmation Audio)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Pain intensity

Measured using the Visual Analog Scale (VAS), scored from 0 (no pain) to 10 (worst pain).

Time frame
Baseline (preoperative, T0), postoperative day 1 (T1), postoperative day 3 (T2, before discharge), and day 10 follow-up (T3).
2

Depression, Anxiety, and Stress (DASS-21 subscales)

Assessed using the DASS-21 (validated Turkish version), a 21-item instrument with three subscales (depression, anxiety, stress), Likert 0-3; reliability previously reported (Cronbach's α \~0.88 in this study)

Time frame
T0 (preoperative baseline), T1 (post-op day 1), T2 (post-op day 3, before discharge), T3 (post-op day 10 follow-up).

Secondary outcomes

1

Intervention adherence (daily listening frequency)

Number of completed listening sessions per day recorded on the "Listening Adherence Log"; minimum once daily recommended during hospitalization and until day 10 post-op.

Time frame
From T0 training through T3 (daily tracking until day 10 post-op).

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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