Effects of Jin Shin Jyutsu-Based Hand Application on Quality of Life and Psychosocial Status in Perimenopausal Women

The Effect of Jin Shin Jyutsu-Based Hand Application Guided by the Transactional Model of Stress and Coping on Quality of Life and Psychosocial Status in Perimenopausal Women

This study aims to evaluate the effect of Jin Shin Jyutsu-based hand application guided by the Transactional Model of Stress and Coping on quality of life and psychosocial status in perimenopausal women. Participants will receive a structured hand application intervention over a defined period. Outcomes related to quality of life and psychosocial well-being will be assessed before and after the intervention.

Study Overview

• Status: Not yet recruiting
• Conditions: Depression; Quality of Life; Stress; Anxiety
• Intervention / Treatment: Behavioral: Jin Shin Jyutsu®-Based Hand Application; Behavioral: General Health Education

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Eslem Altıntaş, M.Sc.; Phone Number: +90 541 610 54 12; Email: eslem.altintas@acibadem.edu.tr

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye)
    • Istanbul Provincial Directorate of Health - Family Health Centers

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: Yes

Description

Inclusion Criteria:

• Women aged 40-54 years
• Being in the perimenopausal period according to the STRAW+10 criteria
• Being literate

Exclusion Criteria:

• Use of hormone replacement therapy
• Regular use of complementary or alternative therapy
• History of diagnosed psychiatric disorders
• Inability to comply with the intervention protocol

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Supportive Care
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Jin Shin Jyutsu-Based Hand Application; Participants assigned to this arm will receive a Jin Shin Jyutsu®-based hand application intervention guided by the Transactional Model of Stress and Coping. The intervention includes an initial individual training session (approximately 30-40 minutes) providing education on stress, coping, and the principles of Jin Shin Jyutsu®, followed by a structured self-application protocol. Participants will practice the hand application daily for 14 consecutive days, for at least 15 minutes per day, and will be supported with reminder messages to enhance adherence. This intervention is designed as a supportive self-care approach rather than a medical treatment.	Behavioral: Jin Shin Jyutsu®-Based Hand Application; Participants assigned to the experimental arm will receive a Jin Shin Jyutsu®-based hand application program guided by the Transactional Model of Stress and Coping. During the initial session, participants will receive a structured face-to-face training lasting approximately 30-40 minutes, including verbal instruction, visual materials, and a practical demonstration of the hand application techniques. Participants will be instructed to practice the Jin Shin Jyutsu® hand application daily for at least 15 minutes over a 14-day period. The intervention is designed as a self-care-based supportive approach and does not involve medical treatment, physical manipulation, or pharmacological therapy. To support adherence, participants will receive written instructions, a daily self-monitoring log, and brief reminder messages via WhatsApp® during the intervention period. No additional therapeutic techniques or relaxation interventions will be provided.
Active Comparator: Control Group; Participants assigned to this arm will receive standard informational counseling related to general health during perimenopause. This includes a brief verbal education session (approximately 10-15 minutes) covering perimenopause-related changes and general lifestyle recommendations, such as sleep hygiene, balanced nutrition, physical activity, and stress awareness. No Jin Shin Jyutsu® techniques or relaxation interventions will be provided during the study period. Outcome assessments will be conducted at the same time points as the experimental group.	Behavioral: General Health Education; Participants assigned to the control group will receive standard verbal health education related to general health during perimenopause. The content includes information on common perimenopausal changes and general lifestyle recommendations. No Jin Shin Jyutsu® techniques, relaxation exercises, or structured coping interventions are included.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Descriptive Information Form	This is a 24-question form designed by researchers to determine participants' sociodemographic characteristics, women's health status, general health knowledge, lifestyle, and support levels.	Day 1 (Baseline, Pre-Intervention)
Coping Strategies	The Stress Coping Methods Scale (SBÇYÖ) is a self-report questionnaire assessing active and cognitive coping strategies used by adults when facing stressful situations. The scale consists of 21 items rated on a 5-point Likert scale (1-5) and includes five subdomains: logical analysis, positive reappraisal, problem solving, seeking professional support, and seeking environmental support. Total and subscale scores increase as the corresponding coping strategy is used more frequently. Higher scores indicate greater use of the specified coping strategy.	Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).
Menopause-Specific Quality of Life	The Menopause-Specific Quality of Life Questionnaire - II (MENQOL / MÖYKÖ-II) is a validated self-report instrument developed to assess the presence and severity of menopause-related symptoms and their impact on quality of life across vasomotor, psychosocial, physical, and sexual domains. The scale consists of 29 items. For each item, participants indicate whether the symptom is present; if present, the level of discomfort is rated. Item scores are converted to a 1-8 scoring system. The total score ranges from 29 to 232, with higher scores indicating worse quality of life and greater negative impact of menopausal symptoms.	Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).
Distress Thermometer	The Distress Thermometer is a single-item visual analog scale designed to rapidly assess overall psychological distress. Participants rate their distress level on a scale ranging from 0 (no distress) to 10 (extreme distress). Higher scores indicate higher levels of psychological distress. In this study, the problem list accompanying the Distress Thermometer is not used.	Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).
Depression, Anxiety, and Stress	The Depression Anxiety Stress Scales-21 (DASS-21) is a self-report questionnaire assessing depression, anxiety, and stress symptoms over the past week. It consists of 21 items, with three subscales of seven items each. Items are rated on a 4-point Likert scale (0-3). Subscale scores range from 0 to 42 after standard score conversion. Higher scores indicate greater levels of depression, anxiety, and stress, reflecting worse psychological outcomes.	Day 1 (Baseline, before intervention for intervention groups, before routine assessment for control group) and Day 14 (Post-intervention for intervention groups, after routine assessment for active comparator).
Daily Practice Schedule for JSJ®-Based Hand Application	This chart, developed by the researchers, is designed for participants to regularly record their daily practices for 14 days. The chart includes the day, total time, whether the five-finger grip was completed, and notes. This chart will be used to monitor the level of adherence to the intervention and the frequency of problem-focused coping actions.	The intervention group will complete this chart for 14 days.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Depression, Anxiety, and Stress	Depression, anxiety, and stress levels will be evaluated using the Depression Anxiety Stress Scales-21 (DASS-21). Total score and subscale scores for depression, anxiety, and stress will be analyzed. Higher scores indicate greater psychological distress.	Baseline and 2 weeks post-intervention
Psychological Distress	Psychological distress will be assessed using the Distress Thermometer, a single-item self-report measure rated on a numerical scale from 0 to 10. Higher scores represent greater perceived distress.	Baseline and 2 weeks post-intervention
Coping Strategies	Coping strategies will be assessed using the Coping Strategies Scale (Stress Coping Methods Scale). Total score and subscale scores reflecting different coping approaches will be analyzed in accordance with the Transactional Model of Stress and Coping.	Baseline and 2 weeks post-intervention

Collaborators and Investigators

• Sponsor: Istanbul University - Cerrahpasa
• Investigators: Principal Investigator: Nevin Şahin, Prof. Dr., Istanbul University - Cerrahpasa

Study record dates

Study Major Dates

• Study Start (Estimated): February 1, 2026
• Primary Completion (Estimated): August 1, 2027
• Study Completion (Estimated): August 1, 2027

Study Registration Dates

• First Submitted: January 22, 2026
• First Submitted That Met QC Criteria: January 22, 2026
• First Posted (Actual): January 29, 2026

Study Record Updates

• Last Update Posted (Actual): February 3, 2026
• Last Update Submitted That Met QC Criteria: January 30, 2026
• Last Verified: January 1, 2026

More Information

Terms related to this study

• Keywords: Depression; Quality of Life; Anxiety; Stress; Perimenopause
• Additional Relevant MeSH Terms: Mental Disorders; Behavioral Symptoms; Behavior; Anxiety Disorders; Depression
• Other Study ID Numbers: 2025-20/740

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No