Anxiety
Conditions
Keywords
yoga, adolescent, cancer, theory
Brief summary
This controlled interventional study aims to evaluate the effect of a Human Caring Theory-based yoga program on state anxiety levels in adolescents diagnosed with cancer. Adolescents aged 12-18 years who are receiving outpatient follow-up will be assigned to an intervention group or a control group. The intervention group will participate in an individualized four-week online yoga program delivered through Zoom, comprising two 60-minute sessions per week. The control group will receive no study intervention and will complete the same data collection forms. State anxiety will be assessed using the State Anxiety Inventory (STAI-I). The study will be conducted through the Pediatric Oncology Outpatient Clinic of Akdeniz University Hospital in Antalya, Türkiye.
Detailed description
Adolescents diagnosed with cancer may experience anxiety related to uncertainty, treatment-related adverse effects, social isolation, and disruptions in autonomy and identity development. The intervention integrates yoga with Jean Watson's Human Caring Theory to support mind-body awareness, emotional regulation, hope, self-awareness, and a healing environment. The program was developed by the researchers with expert input and relevant literature. Yoga sessions will be delivered remotely and individually through Zoom by the first researcher, who has nine years of pediatric oncology nursing experience and is trained as a children's yoga instructor. Session dates and times will be scheduled according to each participant's availability. Before each session, the participant's physical capacity and any limitations will be assessed. Yoga postures will be adapted to the participant's abilities, with emphasis on safe mind-body awareness rather than perfect performance. Written and verbal assent/consent will be obtained from adolescents and their parents before participation.
Interventions
BEHAVIORALHuman Caring Theory-Based Individualized Online Yoga Program
The theory-based program incorporates yoga postures, breathing practices, relaxation, mindfulness, and mind-body awareness. Before each session, the adolescent's physical capacity and limitations will be assessed, and the postures will be adapted accordingly. Sessions will be delivered individually by a pediatric oncology researcher who is also a trained children's yoga instructor.
Sponsors
Akdeniz University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Aged 12-18 years * Diagnosed with an oncological disease * Receiving follow-up care at the Pediatric Oncology Outpatient Clinic * Able to understand the study scales and instructions * Able to attend the online sessions regularly and having the necessary internet access * Adolescent assent and parent/legal guardian consent obtained
Exclusion criteria
* Requesting withdrawal from the study * Missing two or more yoga sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in State Anxiety Level | 0. -4. week | State anxiety will be assessed using the State Anxiety Inventory (STAI-I). The instrument consists of 20 items and produces a total score ranging from 20 to 80; higher scores indicate higher levels of state anxiety. |
Outcome results
None listed