NCT06695650

Brief Summary

This study aims to investigate the effect of mandala coloring activity on test anxiety of nursing students.

Trial Health

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Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
62

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Dec 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

November 17, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

November 19, 2024

Completed
13 days until next milestone

Study Start

First participant enrolled

December 2, 2024

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 13, 2025

Completed
16 days until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2025

Completed
Last Updated

February 28, 2025

Status Verified

February 1, 2025

Enrollment Period

2 months

First QC Date

November 17, 2024

Last Update Submit

February 26, 2025

Conditions

Keywords

Test anxietyNursing educationMandala coloringRandomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

  • Change from test anxiety values at two hours

    The items of the scale was created by including 50 anxiety statements developed by Baltaş (1999) with permission. The reliability analysis of the scale was conducted with the participation of 206 undergraduate students studying in Nursing, Physical Education Teaching, and Science Education departments. Data obtained from the application were subjected to factor analysis. As a result of the analysis, 12 items were removed from the scale due to factor load values being below 0.40, and 4 items were excluded for being non-discriminative (overlapping). The remaining 34 items were distributed across five sub-dimensions, with factor loadings ranging from 0.41 to 0.74. The scale is in a 5-point Likert format, and the internal reliability coefficient of the scale was calculated as Cronbach's Alpha (α) = 0.87.

    At the beginning of the study irst admission. Two months later.

Study Arms (2)

Mandala Group

EXPERIMENTAL

Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period. Email reminders will be sent to the students about the coloring sessions, and they will submit their completed mandalas to the researchers every Friday. "Demographic Characteristics Form" and a pre-test using the "Test Anxiety Inventory." Thirty minutes before the exam, the "Test Anxiety Inventory" will be applied as a post-test.

Other: Mandala Coloring

Control Group

NO INTERVENTION

Non intervention. "Demographic Characteristics Form" and a pre-test using the "Test Anxiety Inventory." Thirty minutes before the exam, the "Test Anxiety Inventory" will be applied as a post-test.

Interventions

Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period

Mandala Group

Eligibility Criteria

Sexall
Healthy VolunteersYes
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

  • Being a student enrolled in the Mental Health and Psychiatric Nursing course at the selected private university.
  • Proficiency in the Turkish language.
  • Having no physical disability that would hinder coloring activities.
  • Willingness to participate voluntarily.

You may not qualify if:

  • Students with psychological diagnoses such as anxiety or depression.
  • Students who do not fully complete the questionnaire/survey forms.
  • Students who neglect mandala coloring for two consecutive sessions.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ankara Medipol University

Ankara, Turkey (Türkiye)

RECRUITING

Related Publications (3)

  • Sari Ozturk C, Kilicarslan Toruner E. The effect of mindfulness-based mandala activity on anxiety and spiritual well-being levels of senior nursing students: A randomized controlled study. Perspect Psychiatr Care. 2022 Oct;58(4):2897-2909. doi: 10.1111/ppc.13138. Epub 2022 Jul 3.

    PMID: 35780483BACKGROUND
  • Khademi F, Rassouli M, Rafiei F, Moayedi S, Torres M, Marzban N, Haji E, Golitaleb M. The effect of mandala colouring on anxiety in hospitalized COVID-19 patients: A randomized controlled clinical trial. Int J Ment Health Nurs. 2021 Oct;30 Suppl 1(Suppl 1):1437-1444. doi: 10.1111/inm.12901. Epub 2021 Jun 18.

    PMID: 34143568BACKGROUND
  • Zhang MQ, Liu X, Huang Y. Does Mandala Art Improve Psychological Well-Being in Patients? A Systematic Review. J Integr Complement Med. 2024 Jan;30(1):25-36. doi: 10.1089/jicm.2022.0780. Epub 2023 Sep 1.

    PMID: 37668598BACKGROUND

MeSH Terms

Conditions

Anxiety DisordersPsychological Well-Being

Condition Hierarchy (Ancestors)

Mental DisordersPersonal SatisfactionBehavior

Study Officials

  • Gamze ACAVUT

    Ankara Medipol University

    PRINCIPAL INVESTIGATOR

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Single: The outcome assessor did not know which group they were assigned to.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

November 17, 2024

First Posted

November 19, 2024

Study Start

December 2, 2024

Primary Completion

February 13, 2025

Study Completion

March 1, 2025

Last Updated

February 28, 2025

Record last verified: 2025-02

Locations