ClinicalTrials.gg
Active, not recruitingNCT07777107Updated Aug 20, 2026

Warm and Cool Color Visual Focusing in Labor

An interventional study of Warm-color visual and Cool-color visual in Labor Pain and Anxiety, sponsored by Balikesir University. Active, not recruiting at 1 site in Turkey (Türkiye). Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-08-20.

Sponsored by Balikesir University · Not applicable, Interventional, and Supportive care

From the registry’s dates

  • Registered 1 year 5 months after the study started (first participant enrolled Mar 2025, registered Aug 2026).

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Phase
Not applicable
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 119 studies in Labor Pain with a site in Turkey — 22 open to participants now, 30 under way, none of them phase 3. Labor Pain · Turkey.

Enrollment
84th of 112
64 · median 94
Started
2025
with 14 others
No phase
111 of 119
20 open now
Primary completion
2026-03
later than 16 of 29 live
Registered
109th of 119
by date
Lead sponsor
4 of 119
Balikesir University

Among the 119 studies in Labor Pain with a site in Turkey, this one is the 84th largest by enrollment of the 112 interventional ones that give a count, is one of 15 that started in 2025, is one of 111 with no phase, reaches primary completion later than 16 of the 29 other live ones, and was the 109th registered.

Labor Pain

423 studies on the registry are indexed under Labor Pain; 74 are open to participants now.

Browse Labor Pain studies →

Open to participants now

22 of the 119 studies in Labor Pain with a site in Turkey are open now. Recruiting first, the newest first:

17 more — sign in →

All 22 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 30 Labor Pain studies recruiting now, 8 (27%) set no upper age limit and 22 (73%) stop at 75 or younger; 3 take children under 18; 20 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 119 studies in Labor Pain with a site in Turkey, or all of them as a file.
02

Study summary

This randomized controlled trial was conducted to compare the effects of focusing on warm- and cool-color visuals during labor on labor pain, state anxiety, childbirth comfort, and labor duration. Nulliparous pregnant women were randomly assigned to warm- or cool-color visual focusing groups. Visual focusing was initiated during the early stage of labor and continued throughout labor. Labor pain, state anxiety, childbirth comfort, and labor duration were assessed at predefined stages of cervical dilatation.

03

Conditions studied

  • Labor Pain and Anxiety

Keywords

  • Visual focusing; warm colors; cool colors; labor pain; midwifery; childbirth
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

Nulliparous pregnant women Singleton pregnancy Term pregnancy (37-42 weeks of gestation) Cephalic fetal presentation Spontaneous onset of labor Cervical dilatation of 1 cm at enrollment Ability to communicate in Turkish Voluntary participation in the study -

Exclusion criteria

Exclusion Criteria:

High-risk pregnancy or obstetric complications Presence of a condition requiring emergency obstetric intervention Use of pharmacological analgesia during labor Visual impairment that could interfere with focusing on the visual Development of maternal or fetal complications requiring discontinuation of the intervention

-

05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
64 participants (actual)

Study arms

  • Experimental
    Warm-color group

    A visual dominated by warm colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods. Standard midwifery care was provided.

    Other: Warm-color visual

  • Experimental
    Cool-color group

    A visual dominated by cool colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods. Standard midwifery care was provided.

    Other: Cool-color visual

Interventions

  • OtherWarm-color visual

    A visual dominated by warm colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods.

  • OtherCool-color visual

    A visual dominated by cool colors was placed in the delivery room, and visual focusing was initiated at 1 cm of cervical dilatation. The midwife briefly introduced the artwork and the artist and asked the women to focus their attention on the visual throughout labor, particularly during painful periods.

06

What researchers measure

Primary outcomes

  1. labor pain

    Labor pain intensity was assessed using the Visual Analog Scale (VAS) at 4-5 cm, 6-7 cm, and 8-10 cm cervical dilatation. The VAS ranges from 0 to 10, with higher scores indicating greater pain intensity.

    Time frame: At 4-5 cm, 6-7 cm, and 8-10 cm cervical dilatation during labor.

Secondary outcomes

  1. State Anxiety

    State anxiety was assessed using the State Anxiety Inventory (STAI-I) at 6-7 cm cervical dilatation. The scale consists of 20 items, with total scores ranging from 20 to 80. Higher scores indicate higher levels of state anxiety.

    Time frame: At 6-7 cm cervical dilatation during labor.

  2. Childbirth Comfort

    Childbirth comfort was assessed using the Childbirth Comfort Questionnaire (CCQ) at 4-5 cm and 8-10 cm cervical dilatation. Higher scores indicate higher levels of childbirth comfort.

    Time frame: At 4-5 cm and 8-10 cm cervical dilatation during labor.

  3. Labor Duration

    Labor duration was determined by recording the time elapsed from 4 cm cervical dilatation to full cervical dilatation (10 cm).

    Time frame: From 4 cm to 10 cm cervical dilatation during labor.

07

Study locations

1 site
08

References and documents

Publications

  • Turkmen H, Cetinkaya S, Kilic H, Tuna SD, Sirvanci M, Mutlu H. The Effect of Ice Massage Applied to the SP6 Point on Labor Pain, Labor Comfort, Labor Duration, and Anxiety: A Randomized Clinical Trial. J Midwifery Womens Health. 2024 Jul-Aug;69(4):491-498. doi: 10.1111/jmwh.13600. Epub 2024 Jan 15. PubMed 38223923 ↗
  • Turkmen H, Cetinkaya S, Kilic H, Apay E, Karamuftuoglu D, Yoruk S, Ozkirim E. Effect of Focusing on Maryam's Flower During the First Stage of the Labor on the Labor Pain, Labor Duration, and Levels of Comfort and Satisfaction. Clin Nurs Res. 2021 Jul;30(6):780-789. doi: 10.1177/1054773820984911. Epub 2020 Dec 29. PubMed 33371726 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2025 to primary completion in Mar 2026, 12 months.

Of 191 non-industry interventional studies with no phase under Labor Pain, half reached primary completion within 9 months of starting (the median), counting those still running; a quarter within 5 and three quarters within 14. This study's 12 months is above that.

Counting every sponsor, half of 193 studies reached it within 9 months; a quarter within 5 and three quarters within 14.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 18, 2026
First posted
Aug 20, 2026
StartActual
Mar 1, 2025
Primary completionActual
Mar 1, 2026
CompletionEst.
Mar 1, 2027
Last update
Aug 20, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07777107
Lead sponsor
Balikesir University
Responsible party
Hülya TÜRKMEN (associate professor, Balikesir University) — Principal investigator
First posted
Aug 20, 2026
Start date
Mar 1, 2025
Primary completion
Mar 1, 2026
Completion
Mar 1, 2027 (estimated)
Last update
Aug 20, 2026

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is active, not recruiting, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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