The Effect of Ho'Oponopono Technique on Ostomy Adjustment, Body Image, and Quality of Life

The Effect of Ho'Oponopono Technique on Ostomy Adjustment, Body Image and Quality of Life in Colostomy Patients: A Randomized Controlled Study

This study aims to evaluate the effects of the Ho'oponopono technique applied to patients with colostomy on ostomy adaptation, body image, and quality of life. Evidence from the existing literature suggests that the Ho'oponopono technique exerts beneficial effects on individuals' disease management and psychological well-being. However, to date, no studies have examined the application of the Ho'oponopono technique in individuals with ostomy or evaluated its outcomes in this population. Therefore, this study is expected to contribute to the nursing literature, support the integration of the Ho'oponopono technique into nursing practice, and provide evidence-based guidance for nursing care related to colostomy.

Study Overview

• Status: Completed
• Conditions: Colostomy - Stoma; Will Include Individuals Who Will Undergo Colostomy; ho'Oponopono; Adaptation to the Ostomy
• Intervention / Treatment: Behavioral: Ho'oponopono technique; Other: Standart of care

• Study Type: Interventional
• Enrollment (Actual): 64
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey (Türkiye)
  • Istanbul, Turkey (Türkiye)
    • Istanbul Basaksehir Cam and Sakura City Hospital

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Scheduled to undergo colostomy

Aged 18 years or older

Able to speak and understand Turkish

Literate (able to read and write)

Willing to participate in the study

Exclusion Criteria:

Having communication problems

Having a neurological or psychiatric disorder

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: Ho'oponopono Technique Intervention; The Ho'oponopono technique will be applied to patients in the intervention group after surgery.	Behavioral: Ho'oponopono technique; Patients in the intervention group will receive the Ho'oponopono technique face to face from a certified nurse at 10:00 a.m. on the 1st, 2nd, and 3rd postoperative days, and they will be instructed to continue practicing this technique for 21 days.
Active Comparator: Control Group (Standard Care); No intervention will be performed for the patients in this group. The scales to be used in the study will be administered within the same time frame as in the intervention group.	Other: Standart of care; Standard care is provided to individuals who have a stoma created in the postoperative period.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Quality of Life as Assessed by the Stoma Quality of Life Scale (Stoma-QOL) Total Score	Quality of life in individuals with an ostomy will be evaluated using the Baxter et al. Stoma Quality of Life Scale (Stoma-QOL), a standardized self-report questionnaire specifically developed for individuals with a stoma. The scale consists of 21 items that measure stoma-related quality of life. The first two items assess overall life satisfaction and are scored from 0 to 100, with higher scores indicating greater satisfaction. The remaining items evaluate three subdimensions: work and social life (6 items), sexuality and body image (5 items), and stoma function (6 items), and one item assesses perceived economic status. Item scores are summed and transformed according to the scoring manual to obtain a total score. The total Stoma-QOL score will be used as the single reported outcome, with higher scores indicating better quality of life. Score range: 0-100 Minimum: 0 Maximum: 100 Higher scores indicate better quality of life.	The Ho'oponopono technique will be applied on postoperative days 1, 2, and 3 at 10:00 a.m. and will continue until the end of the first month. Data will be collected using the study scales on days 1, 3, and 10, and at the end of the first month.
Ostomy Adjustment Level as Assessed by the Ostomy Adjustment Scale (OAS) Total Score	Adaptation to living with an ostomy will be evaluated using the Ostomy Adjustment Scale, a Likert-type, self-report measurement tool that provides a quantitative assessment of overall ostomy adjustment. The scale includes items addressing physical adjustment (stoma care, pouch management, and ability to perform daily activities), psychological adjustment (acceptance of the ostomy, anxiety, body image, and self-esteem), social adjustment (participation in social relationships, comfort in social environments, and perceived stigma), and coping and adaptation skills (problem-solving, use of support resources, and managing daily life with an ostomy). Each item is scored on a Likert scale, and item scores are summed to obtain a total score. The total score will be used as the single reported outcome, with higher scores indicating better adjustment to the ostomy. Score range: 34-204 Minimum: 34 Maximum: 204 Higher scores indicate better adjustment to the ostomy.	The Ho'oponopono technique will be applied on postoperative days 1, 2, and 3 at 10:00 a.m. and will continue until the end of the first month. Data will be collected using the study scales on days 1, 3, and 10, and at the end of the first month.
Body Image Perception as Assessed by the Body Image Scale (BIS) Total Score	Body image perception in individuals with an ostomy will be evaluated using the Body Image Scale, a self-report psychometric instrument that quantitatively measures satisfaction with body appearance and attitudes toward the body. The scale consists of Likert-type items assessing affective, cognitive, and behavioral responses related to body image. Each item is scored on a 4-point scale, and the item scores are summed to obtain a total score. The total score will be used as the single reported outcome. Higher scores indicate greater body image disturbance, whereas lower scores reflect a more positive body image perception. Score range: 0-30 Minimum: 0 Maximum: 30 Higher scores indicate poorer body image.	The Ho'oponopono technique will be applied on postoperative days 1, 2, and 3 at 10:00 a.m. and will continue until the end of the first month. Data will be collected using the study scales on days 1, 3, and 10, and at the end of the first month.

Collaborators and Investigators

• Sponsor: Saglik Bilimleri Universitesi

Study record dates

Study Major Dates

• Study Start (Actual): March 27, 2026
• Primary Completion (Actual): May 15, 2026
• Study Completion (Actual): May 15, 2026

Study Registration Dates

• First Submitted: January 14, 2026
• First Submitted That Met QC Criteria: April 7, 2026
• First Posted (Actual): April 13, 2026

Study Record Updates

• Last Update Posted (Actual): May 22, 2026
• Last Update Submitted That Met QC Criteria: May 18, 2026
• Last Verified: March 1, 2026

More Information

Terms related to this study

• Other Study ID Numbers: Ho'oponopono Technique

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