NCT06804005

Brief Summary

This study aims to examine the effects of creative approaches aimed at reducing anxiety and increasing happiness by addressing the future concerns and subjective well-being levels of university students. Although the negative effects of anxiety on students' academic and personal lives have been widely examined in the literature, studies on the effectiveness of artistic interventions such as mandala painting and music therapy in reducing anxiety are limited. In this context, the study aims to fill an important gap in the field by evaluating the combined effects of these two methods. In particular, it aims to provide evidence-based methods that will improve the mental and emotional states of university students with practical results, thus making a positive contribution to both individual health and educational processes. Main Hypotheses of the Study:

  • H1: There is a difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
  • H1-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
  • H2: There is a difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not.
  • H2-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not. Research Questions:
  • Is mandala painting and music activity effective in reducing nursing students' future anxiety levels?
  • Is mandala painting and music activity effective in increasing nursing students' subjective well-being levels?
  • Which of the mandala painting and music activity applications is more effective on nursing students' future anxiety and subjective well-being?

Trial Health

87
On Track

Trial Health Score

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

Enrollment
90

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started May 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

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

January 13, 2025

Completed
18 days until next milestone

First Posted

Study publicly available on registry

January 31, 2025

Completed
3 months until next milestone

Study Start

First participant enrolled

May 15, 2025

Completed
1 month until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2025

Completed
5 days until next milestone

Study Completion

Last participant's last visit for all outcomes

June 20, 2025

Completed
Last Updated

September 5, 2025

Status Verified

August 1, 2025

Enrollment Period

1 month

First QC Date

January 13, 2025

Last Update Submit

August 28, 2025

Conditions

Keywords

nursing studentwell beinganxiety

Outcome Measures

Primary Outcomes (1)

  • Well-being

    The Subjective Well-being Scale assesses individuals' cognitive evaluations of their lives and the frequency and intensity of positive and negative emotions they experience.

    4 weeks

Secondary Outcomes (1)

  • Future Anxiety

    4 weeks

Study Arms (3)

Music group

EXPERIMENTAL

The music activity will be performed with the research applicant's instrument (guitar) after the repertoire list is created with the songs the students want. The music will be sung continuously in an area equipped with a sound system so that the subjects can listen comfortably without headphones, and will be performed with the participation of the students along with peer support. Each intervention activity will last approximately 60 minutes.

Behavioral: Music group

Mandala coloring

EXPERIMENTAL

In the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes.

Behavioral: mandala group

Control Group

NO INTERVENTION

They will only fill out survey forms.

Interventions

Music groupBEHAVIORAL

Music will be sung continuously in an area equipped with a sound system so that subjects can listen comfortably without headphones, and will be performed with the participation of students and peer support. Each intervention activity will last approximately 60 minutes.

Music group
mandala groupBEHAVIORAL

In the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes.

Mandala coloring

Eligibility Criteria

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

You may qualify if:

  • Studying in the Nursing Department of Erbaa Faculty of Health Sciences
  • Volunteering to participate in the study

You may not qualify if:

  • Filling out scales and forms incompletely
  • Wanting to leave the research
  • Not participating fully in activities

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Tokat Gaziosmanpasa University

Tokat Province, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, OUTCOMES ASSESSOR
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: randomized-controlled
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Lecturer

Study Record Dates

First Submitted

January 13, 2025

First Posted

January 31, 2025

Study Start

May 15, 2025

Primary Completion

June 15, 2025

Study Completion

June 20, 2025

Last Updated

September 5, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share
Shared Documents
CSR

Locations