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NCT Number: NCT07425847

The Effect of Music Therapy and the 4-7-8 Breathing Exercise

Objective: This study was conducted to evaluate the effectiveness of music therapy and 4-7-8 breathing exercises in managing anxiety among nursing students during IV drug administration education.

Method: This study was conducted using a randomized controlled experimental research model. The study was conducted between March and July 2025 with first-year nursing students studying at the Faculty of Nursing at a university in eastern Turkey. The sample consisted of 97 students (music therapy group: 32, 4-7-8 breathing exercise group: 32, control group: 33), determined using Power analysis. Data were collected using a "Personal Information Form" and the State Anxiety Inventory (STAI Form TX-I), which measures state anxiety levels.

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Key information

Conditions

Nursing Students Anxiety Disorders Mental Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Inonu University

Malatya, 44280, Turkey (Türkiye)

About this study

When nursing students came to the laboratory application, a personal information form and state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The state anxiety inventory was administered again at the end of the 2nd lesson.

Students were given information about the 4-7-8 breathing technique. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The State Anxiety Inventory was administered again after the breathing exercises.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Students enrolled in the first year of nursing,
  • Taking the IV drug administration course for the first time,
  • Volunteering to participate in the study were included in the study.

Exclusion criteria

  • Students repeating the course, students who graduated from health-related fields,
  • Students who did not volunteer to participate in the study were excluded from the study.

Treatment and study plan

Music Therapy

Behavioral

When nursing students came to the laboratory application, a personal information form and state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The state anxiety inventory was administered again at the end of the 2nd lesson.

BREATHING EXERCISE

Behavioral

When nursing students arrived for the laboratory application, the personal information form and state anxiety inventory were administered. Students were given information about the 4-7-8 breathing technique. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The State Anxiety Inventory was administered again after the breathing exercises.

Primary outcomes

  1. Effect of State Anxiety

    Time frame: 3 hours

    When nursing students came to the laboratory application, state anxiety inventory were administered. During the laboratory practice (1st Lesson - 40 min.) and 2nd Lesson (40 min.), instrumental Turkish classical music in the Hüseynî mode was played at the same volume through computer speakers. The 4-7-8 breathing exercise was performed once (6 breaths) before the start of the laboratory practice (1st lesson - 40 min) and before the 2nd lesson (40 min). The state anxiety inventory was administered again at the end of the 2nd lesson.

    State Anxiety Inventory (STAI Form TX-I): The reliability of the original inventory was first examined by Spielberger et al. (1964). The Turkish adaptation and standardization of the scale were conducted by Öner and Le Compte.Higher total scores indicate higher levels of state anxiety.

Sponsors and collaborators

Lead sponsor

Inonu University

Other

Registry information

Official study title

The Effect of Music Therapy and the 4-7-8 Breathing Exercise Technique on Anxiety Management Among Nursing Students During IV Drug Administration Education:Randomized Controled Trial

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Feb 23, 2026
Registry last updated
Feb 23, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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