Four Life Domains Vision Board Program

Overview

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.

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.