Pediatric CancerNCT07861477
Murottal as Adjunctive Intervention in Pediatric
A study testing Murottal Intervention in people with Pediatric Cancer and Hematologic Malignancies, run by Universitas Airlangga at 1 site in Indonesia.
Trial summary
This study aims to evaluate whether listening to the recitation of Surah Ar-Rahman (Murottal) before bedtime can help improve anxiety and sleep quality in hospitalized children with blood cancer. Read more about this study
- Who is it for?
- Ages 8 to 12 years
- Conditions the study is for
- Pediatric Cancer, Hematologic Malignancies, Anxiety
- What is being tested?
- Murottal Intervention
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 20 participants
- Where
- 1 siteIndonesia
- Study dates
- 19 Dec 2025to 15 May 2026
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 8 to 12 years
- All sexes
- No healthy volunteers
- Child
Who may be able to join
- Muslim pediatric patients aged 8-12 years.
- Diagnosed with hematological malignancies (acute lymphoblastic leukemia, acute myeloid leukemia, or chronic myelogenous leukemia).
- Hospitalized for chemotherapy.
- Preserved auditory function (no hearing impairment).
- Indonesian-literate guardians.
- Baseline anxiety (SCARED score ≥25) or sleep disturbance (SDSC score >39).
Who cannot join
- Severe neurological disorders.
- Medical instability or requirement for ICU care.
- Undetected sensory or auditory impairments at baseline.
- Withdrawal of consent.
- Significant medical deterioration or complications requiring transfer to the pediatric ICU.
- Did not complete at least 5 of 7 intervention sessions.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Quranic Auditory Stimulus (Surah Ar-Rahman) as Adjunctive Psychospiritual Intervention for Anxiety and Sleep Disturbances in Pediatric Blood Cancer: A Pilot Randomized Controlled Trial
This study aims to evaluate whether listening to the recitation of Surah Ar-Rahman (Murottal) before bedtime can help improve anxiety and sleep quality in hospitalized children with blood cancer. Twenty children aged 8-12 years will be divided into two groups: one group will receive standard care plus the Murottal intervention for 7 days, while the other group will receive standard care only. Anxiety and sleep quality will be measured using validated questionnaires (SCARED and SDSC) before and after the intervention. We hope this study will provide evidence that Murottal can be a safe, non-invasive, and culturally appropriate supportive therapy for pediatric cancer patients.
Read the detailed description
This was a pilot, parallel-group, randomized controlled trial conducted at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Twenty pediatric patients aged 8-12 years with hematological malignancies (ALL, AML, or CML) were randomly assigned to either an intervention group (standard care + nightly Murottal recitation of Surah Ar-Rahman for 7 consecutive days) or a control group (standard care alone). The Murottal intervention consisted of a 13-minute and 5-second audio recording delivered via headphones before bedtime. Anxiety was measured using the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire, and sleep disturbances were measured using the Sleep Disturbance Scale for Children (SDSC). The primary outcome was the change in SDSC score from baseline to post-intervention (day 8). Secondary outcomes included changes in SCARED scores and categorical anxiety changes. The trial was retrospectively registered at ClinicalTrials.gov (NCT07861477).
- Conditions
- Pediatric Cancer, Hematologic Malignancies, Anxiety, Sleep Disturbances in Children, Leukemia (Both ALL and AML)
- Being tested
- Murottal Intervention
- Keywords
- Murottal, Surah Ar-Rahman, Anxiety, Sleep disturbances, Pediatric oncology
- Medical subject headings
- Neoplasms, Hematologic Neoplasms, Anxiety Disorders, Leukemia, Leukemia, Myeloid, Acute, Parasomnias
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Murottal InterventionBehavioural
Also called Quranic Recitation, Surah Ar-Rahman
Participants received standard medical and nursing oncology care plus a structured auditory intervention of Murottal (Quranic recitation of Surah Ar-Rahman) once daily for 7 consecutive nights at bedtime. The audio file was 13 minutes and 5 seconds, delivered in MP3 format via over-ear headphones at a volume below 60% of maximum (approximately 70 dB SPL). The intervention was performed between 20:00 and 21:00 while the child rested comfortably in bed. The recitation was performed by Muhammad Umar Mubarak from the educational channel Riko the Series.
| Study group | Role | What they receive |
|---|---|---|
| Control | No intervention | Participants received standard medical, nursing, and supportive pediatric oncology care without the Murottal auditory intervention. They were studied under the same hospital bed conditions for 7 consecutive days. At the end of the study, families in the control arm received the Murottal audio package and psychospiritual supportive educational materials to ensure ethical fairness. |
| Murottal Intervention | Experimental | Participants received standard medical and nursing oncology care plus a structured auditory intervention of Murottal (Quranic recitation of Surah Ar-Rahman) once daily for 7 consecutive nights at bedtime. The audio file was 13 minutes 5 seconds, delivered via over-ear headphones at a volume below 60% of maximum (approximately 70 dB SPL). The intervention was performed between 20:00 and 21:00 while the child rested in bed. Receives: Behavioral: Murottal Intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED) Score
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED) score from baseline to post-intervention (day 8). The SCARED is a 41-item self-report questionnaire. The total score ranges from 0 to 82. Higher scores indicate a worse outcome (greater anxiety). A cut-off score of ≥25 indicates clinical anxiety.
Measured: Baseline (Day 0) and Post-intervention (Day 8)
Change in Sleep Disturbance Scale for Children (SDSC) Score
Change in Sleep Disturbance Scale for Children (SDSC) score from baseline to post-intervention (day 8). The SDSC is a 26-item parent-report questionnaire. The total score ranges from 26 to 130. Higher scores indicate a worse outcome (greater sleep disturbance). A cut-off score of >39 indicates clinically significant sleep disturbance.
Measured: Baseline (Day 0) and Post-intervention (Day 8)
Secondary outcomes (2)
Change in Categorical Anxiety Status
Proportion of children transitioning from 'anxious' (Screen for Child Anxiety Related Emotional Disorders [SCARED] total score ≥25) to 'not anxious' (SCARED total score <25) after the 7-day intervention. The SCARED total score ranges from 0 to 82, with higher scores indicating a worse outcome (greater anxiety).
Measured: Baseline (Day 0) and Post-intervention (Day 8)
Change in Categorical Sleep Disturbance Status
Change in categorical Sleep Disturbance Scale for Children (SDSC) status from baseline to post-intervention (day 8). The SDSC is a 26-item parent-report questionnaire. The total score ranges from 26 to 130. Higher scores indicate a worse outcome (greater sleep disturbance). A cut-off score of >39 indicates clinically significant sleep disturbance.
Measured: Baseline (Day 0) and Post-intervention (Day 8)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2026
- Study start19 Dec 2025
- Primary completion15 May 2026
- Study completion15 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for Pediatric CancerStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Parallel assignment, 1:1 allocation ratio. Participants were randomized to either the Murottal intervention group (standard care + nightly Surah Ar-Rahman recitation for 7 days) or the control group (standard care alone).
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 20 participants (actual)
Sponsor and investigators
- Lead sponsor
- Universitas Airlangga
- Sponsor type
- University, hospital or other
- Collaborators
- Universitas Airlangga Hospital, Surabaya
- Responsible party
- Principal investigator, Muhammad Zulfa Nizar Anas, Universitas Airlangga
- Investigators
- Izzatul Fithriyah, Sp.KJ, Study chair, Universitas Airlangga
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07861477
- Sponsor's protocol ID
- 1459/KEPK/XI/2025
- Status last verified
- Oct 2026
- First submitted
- 30 Sep 2026
- Last updated
- 9 Oct 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data will not be shared due to the sensitive nature of the data and the vulnerability of the study population (children with hematological malignancies). Participants were assured during the informed consent process that their data would remain confidential and would not be shared with third parties. Additionally, the data contains protected health information that could potentially compromise participant privacy. Requests for data may be considered by the corresponding author only upon reasonable request and with approval from the institutional ethics committee.
Publications
Sheikh IN, Roth M, Stavinoha PL. Prevalence of Sleep Disturbances in Pediatric Cancer Patients and Their Diagnosis and Management. Children (Basel). 2021 Nov 29;8(12):1100. doi: 10.3390/children8121100.
PubMed 34943294Al-Jubouri MBA, Isam SR, Hussein SM, Machuca-Contreras F. Recitation of quran and music to reduce chemotherapy-induced anxiety among adult patients with cancer: A clinical trial. Nurs Open. 2021 Jul;8(4):1606-1614. doi: 10.1002/nop2.781. Epub 2021 Feb 15.
PubMed 33587831Ghiasi A, Keramat A. The Effect of Listening to Holy Quran Recitation on Anxiety: A Systematic Review. Iran J Nurs Midwifery Res. 2018 Nov-Dec;23(6):411-420. doi: 10.4103/ijnmr.IJNMR_173_17.
PubMed 30386389
Study at a glance
From the registry record, last updated by the sponsor on 9 Oct 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Quranic Auditory Stimulus (Surah Ar-Rahman) as Adjunctive Psychospiritual Intervention for Anxiety and Sleep Disturbances in Pediatric Blood Cancer: A Pilot Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT07861477
- Acronym / sponsor ID
- 1459/KEPK/XI/2025
- Conditions
- Pediatric Cancer, Hematologic Malignancies, Anxiety, Sleep Disturbances in Children, Leukemia (Both ALL and AML)
- Keywords
- Murottal, Surah Ar-Rahman, Anxiety, Sleep disturbances, Pediatric oncology
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 20 participants (actual)
- Lead sponsor
- Universitas AirlanggaUniversity, hospital or other
- Collaborators
- Universitas Airlangga Hospital, Surabaya
- Study start
- 19 Dec 2025 (actual)
- Primary completion
- 15 May 2026 (actual)
- Study completion
- 15 May 2026 (actual)
- First posted
- 6 Oct 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to evaluate whether listening to the recitation of Surah Ar-Rahman (Murottal) before bedtime can help improve anxiety and sleep quality in hospitalized children with blood cancer. Twenty children aged 8-12 years will be divided into two groups: one group will receive standard care plus the Murottal intervention for 7 days, while the other group will receive standard care only. Anxiety and sleep quality will be measured using validated questionnaires (SCARED and SDSC) before and after the intervention. We hope this study will provide evidence that Murottal can be a safe, non-invasive, and culturally appropriate supportive therapy for pediatric cancer patients.
Detailed description
This was a pilot, parallel-group, randomized controlled trial conducted at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Twenty pediatric patients aged 8-12 years with hematological malignancies (ALL, AML, or CML) were randomly assigned to either an intervention group (standard care + nightly Murottal recitation of Surah Ar-Rahman for 7 consecutive days) or a control group (standard care alone). The Murottal intervention consisted of a 13-minute and 5-second audio recording delivered via headphones before bedtime. Anxiety was measured using the Screen for Child Anxiety Related Emotional Disorders (SCARED) questionnaire, and sleep disturbances were measured using the Sleep Disturbance Scale for Children (SDSC). The primary outcome was the change in SDSC score from baseline to post-intervention (day 8). Secondary outcomes included changes in SCARED scores and categorical anxiety changes. The trial was retrospectively registered at ClinicalTrials.gov (NCT07861477).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 2
- Model description
- Parallel assignment, 1:1 allocation ratio. Participants were randomized to either the Murottal intervention group (standard care + nightly Surah Ar-Rahman recitation for 7 days) or the control group (standard care alone).
| Arm | Type | Receives |
|---|---|---|
| Control | No intervention | –Participants received standard medical, nursing, and supportive pediatric oncology care without the Murottal auditory intervention. They were studied under the same hospital bed conditions for 7 consecutive days. At the end of the study, families in the control arm received the Murottal audio package and psychospiritual supportive educational materials to ensure ethical fairness. |
| Murottal Intervention | Experimental | Behavioral: Murottal InterventionParticipants received standard medical and nursing oncology care plus a structured auditory intervention of Murottal (Quranic recitation of Surah Ar-Rahman) once daily for 7 consecutive nights at bedtime. The audio file was 13 minutes 5 seconds, delivered via over-ear headphones at a volume below 60% of maximum (approximately 70 dB SPL). The intervention was performed between 20:00 and 21:00 while the child rested in bed. |
Who may qualify
- Ages
- 8 to 12 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Muslim pediatric patients aged 8-12 years.
- Diagnosed with hematological malignancies (acute lymphoblastic leukemia, acute myeloid leukemia, or chronic myelogenous leukemia).
- Hospitalized for chemotherapy.
- Preserved auditory function (no hearing impairment).
- Indonesian-literate guardians.
Key exclusion criteria (6 listed)
- Severe neurological disorders.
- Medical instability or requirement for ICU care.
- Undetected sensory or auditory impairments at baseline.
- Withdrawal of consent.
- Significant medical deterioration or complications requiring transfer to the pediatric ICU.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Murottal InterventionAlso: Quranic Recitation, Surah Ar-RahmanParticipants received standard medical and nursing oncology care plus a structured auditory intervention of Murottal (Quranic recitation of Surah Ar-Rahman) once daily for 7 consecutive nights at bedtime. The audio file was 13 minutes and 5 seconds, delivered in MP3 format via over-ear headphones at a volume below 60% of maximum (approximately 70 dB SPL). The intervention was performed between 20:00 and 21:00 while the child rested comfortably in bed. The recitation was performed by Muhammad Umar Mubarak from the educational channel Riko the Series. | Behavioural | Murottal Intervention |
Primary outcome
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED) Score
Time frame: Baseline (Day 0) and Post-intervention (Day 8)
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED) score from baseline to post-intervention (day 8). The SCARED is a 41-item self-report questionnaire. The total score ranges from 0 to 82. Higher scores indicate a worse outcome (greater anxiety). A cut-off score of ≥25 indicates clinical anxiety.
Change in Sleep Disturbance Scale for Children (SDSC) Score
Time frame: Baseline (Day 0) and Post-intervention (Day 8)
Change in Sleep Disturbance Scale for Children (SDSC) score from baseline to post-intervention (day 8). The SDSC is a 26-item parent-report questionnaire. The total score ranges from 26 to 130. Higher scores indicate a worse outcome (greater sleep disturbance). A cut-off score of >39 indicates clinically significant sleep disturbance.
2 secondary outcomes
Change in Categorical Anxiety Status
Time frame: Baseline (Day 0) and Post-intervention (Day 8)
Change in Categorical Sleep Disturbance Status
Time frame: Baseline (Day 0) and Post-intervention (Day 8)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Oct 2026.
- Background: PubMed 34943294Sheikh IN, Roth M, Stavinoha PL. Prevalence of Sleep Disturbances in Pediatric Cancer Patients and Their Diagnosis and Management. Children (Basel). 2021 Nov 29;8(12):1100. doi: 10.3390/children8121100.
- Background: PubMed 33587831Al-Jubouri MBA, Isam SR, Hussein SM, Machuca-Contreras F. Recitation of quran and music to reduce chemotherapy-induced anxiety among adult patients with cancer: A clinical trial. Nurs Open. 2021 Jul;8(4):1606-1614. doi: 10.1002/nop2.781. Epub 2021 Feb 15.
- Background: PubMed 30386389Ghiasi A, Keramat A. The Effect of Listening to Holy Quran Recitation on Anxiety: A Systematic Review. Iran J Nurs Midwifery Res. 2018 Nov-Dec;23(6):411-420. doi: 10.4103/ijnmr.IJNMR_173_17.
- Individual participant dataSharing planned: No. Individual participant data will not be shared due to the sensitive nature of the data and the vulnerability of the study population (children with hematological malignancies). Participants were assured during the informed consent process that their data would remain confidential and would not be shared with third parties. Additionally, the data contains protected health information that could potentially compromise participant privacy. Requests for data may be considered by the corresponding author only upon reasonable request and with approval from the institutional ethics committee.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Izzatul Fithriyah, Sp.KJ study chair
Universitas Airlangga
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Murottal Intervention in people with Pediatric Cancer and Hematologic Malignancies, run by Universitas Airlangga at 1 site in Indonesia.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Indonesia. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in Screen for Child Anxiety Related Emotional Disorders (SCARED) Score (time frame: Baseline (Day 0) and Post-intervention (Day 8)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07861477, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Oct 2026; AzTrials last refreshed its copy on 26 Oct 2026.