Mandala Colouring: Its Impact on Well-Being, Self-Compassion, and Anxiety in Primiparous Pregnancies

NCT06804018 | Completed

• 1 other identifier: Gaziosmanpasa-AU
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

Maintaining well-being during pregnancy, reducing anxiety and supporting self-compassion are critical for the health of expectant mothers and the development of the baby. In addition to traditional medicine, alternative therapeutic approaches have been increasingly popular in recent years as a supportive approach during pregnancy. Among these alternative methods, creative activities such as mandala painting have the potential to reduce stress, increase mental focus and provide emotional balance. H1: There is a difference in well-being, self-compassion and anxiety levels between primiparous pregnant women who painted mandalas and those who did not during pregnancy. H0: There is no difference in well-being, self-compassion and anxiety levels between primiparous pregnant women who painted mandalas and those who did not during pregnancy. Sub-Hypotheses of the Study: H1-1: There is a difference in well-being between primiparous pregnant women who painted mandalas and those who did not during pregnancy. H1-2: There is a difference in self-compassion levels between primiparous pregnant women who painted mandalas and those who did not during pregnancy. H1-3: There is a difference in anxiety levels between primiparous pregnant women who painted mandalas and those who did not during pregnancy.

Conditions

Pregnant Women; Women Health; Well Being; Self Compassion; Anxiety

Keywords

Pregnant women; anxiety; well being; self compassion; mandala coloring

Outcome Measures

Primary Outcomes (1)

• Anxiety Scale

  The State Anxiety Inventory (STAI-X) will be used to determine the anxiety status of pregnant women.

  5 weeks

Secondary Outcomes (1)

• Well-being

  5 weeks

Other Outcomes (1)

• Self-Compassion

  5 weeks

Study Arms (2)

Intervention Group (pregnant women who will paint mandalas)

EXPERIMENTAL

Each participant in the intervention group will be given 12 different colored felt-tip pens or 12 different colored crayons (whichever the pregnant woman wishes) and mandala pictures taken by the researcher. They will be asked to choose the pictures they will color, and the pregnant women will be given mandalas with various patterns. They will be asked to color for an average of 20-30 minutes two days a week (on the day and time period they want). They will be told that they can do their coloring in an environment they want, that they will not have others do their coloring, and that they will not be called back to the hospital for coloring. A reminder message\* will be sent by the researcher according to the determined days before each coloring, and photos of the colored mandalas will be sent to the researcher via WhatsApp after coloring. Afterwards, it will be explained that the STAI form, the Well-being in Pregnancy Scale, and the Self-Compassion Scale will need to be filled out a to

Other: Mandala coloring

Control Group

NO INTERVENTION

For the control group, the scales and forms will be filled out at the end of the second and fourth weeks. Pregnant women will be asked to fill out the forms at the end of the second and fourth weeks and send them to the researcher via WhatsApp, and they will not be invited to a face-to-face interview again.

Interventions

Mandala coloring OTHER

Pregnant women who will paint mandalas

Intervention Group (pregnant women who will paint mandalas)

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Being between the ages of 18-35
• Being in the last three months of pregnancy (Amelia et al., 2020)
• Getting a State Anxiety Inventory (STAI) score of ≥40
• Having a smartphone and internet connection
• Being willing to participate in the study
• Being spontaneously pregnant
• Not having a diagnosed health risk (diabetes, preeclampsia, fetal anomaly, etc.) in the mother or fetus

Sponsors & Collaborators

• Tokat Gaziosmanpasa University: lead
• Hacettepe University: collaborator

Study Sites (1)

Tokat Gaziosmanpasa University

Erbaa, Tokat Province, 60500, 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
• Masking Details: The data from the study will be examined by an independent statistician. The person doing the analysis will not know the groups. Pregnant women included in the study will later learn which group they are in.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Randomized controlled study

Study Record Dates

• First Submitted: January 13, 2025
• First Posted: January 31, 2025
• Study Start: May 5, 2025
• Primary Completion: June 5, 2025
• Study Completion: June 5, 2025
• Last Updated: June 12, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: CSR

Locations

TU (1)