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This randomized controlled trial aims to evaluate the effect of listening to Holy Qur'an recitation compared with music sound on sleep quality among children aged 6 to 10 years undergoing chemotherapy. Sleep disturbances are common in pediatric oncology patients and may negatively affect recovery, emotional well-being, and overall quality of life. Non-pharmacological interventions such as auditory therapy may help improve sleep without medication-related side effects.
Participants will be randomly assigned to either a Holy Qur'an listening group or a music sound listening group. Each intervention will be applied during bedtime over a specified period. Sleep quality will be assessed using the Children's Sleep Habits Questionnaire (CSHQ) and optional sleep diary data.
The study hypothesizes that children who listen to Holy Qur'an recitation will demonstrate greater improvement in sleep quality compared to those who listen to music sound. The findings may provide evidence for safe, culturally appropriate, and non-pharmacological interventions to enhance sleep quality in children undergoing chemotherapy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No Intervention: Control Group Receiving Routine Care | No Intervention | Participants in this group will receive routine hospital care during chemotherapy without any additional auditory intervention before sleep. No music or Holy Qur'an recitation will be provided. | |
| Music Group | Experimental | using music sound 20 minute before bed time |
|
| Holy Qur'an Group | Experimental | using holly qurran sound 20 minute before bed time |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Music Therapy | Other | Participants will listen to calming music for 20 minutes before bedtime each night during chemotherapy. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Sleep Quality Score children sleep habit questionare (CSHQ-33 item) | The Children's Sleep Habits Questionnaire (CSHQ) is a 33-item parent-reported questionnaire assessing sleep behavior in children. Total scores range from 33 to 99, with higher scores indicating poorer sleep quality and more sleep disturbances. | Baseline and after 1 week of intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hiwa Cancer Hospital | Erbil | Kurdistan Region | Iraq |
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| ID | Term |
|---|---|
| D012893 | Sleep Wake Disorders |
| ID | Term |
|---|---|
| D009422 | Nervous System Diseases |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D009147 | Music Therapy |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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Participants will be randomly assigned to one of three parallel groups: a control group receiving routine care, a Holy Qur'an recitation group, and a music sound group. All groups will be followed simultaneously during the study period. Participants will remain in their assigned group throughout the trial, and outcomes will be compared between the three groups to evaluate the effect of the interventions on sleep quality.
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This study will use an open-label design with no masking. Participants, care providers, and investigators will be aware of group assignments because the interventions involve listening to different audio types (Holy Qur'an recitation, music sound, or routine care), which cannot be concealed. Outcome measures will be collected using standardized questionnaires to minimize potential bias.
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| Holy Qur'an Recitation | Other | Participants will listen to Holy Qur'an recitation for 20 minutes before bedtime each night during chemotherapy. |
|
| D001523 | Mental Disorders |
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |