NCT07145398

Brief Summary

The mandala coloring method allows patients to focus their attention on a circle and use colors with repetitive movements. This state of focus and relaxation can have positive effects on anxiety and other negative moods. There are a limited number of studies in the literature on the use of mandala coloring in children. Therefore, the study was designed to investigate the effects of mandala coloring on pain, stress, and sleep quality in children hospitalized in the burn unit.

Trial Health

63
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Trial Health Score

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

Enrollment
40

participants targeted

Target at P25-P50 for not_applicable

Timeline
0mo left

Started Aug 2025

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
not yet 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

Study Progress90%
Aug 2025Jun 2026

First Submitted

Initial submission to the registry

August 21, 2025

Completed
4 days until next milestone

Study Start

First participant enrolled

August 25, 2025

Completed
3 days until next milestone

First Posted

Study publicly available on registry

August 28, 2025

Completed
4 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 4, 2026

Completed
5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 5, 2026

Expected
Last Updated

August 28, 2025

Status Verified

August 1, 2025

Enrollment Period

4 months

First QC Date

August 21, 2025

Last Update Submit

August 27, 2025

Conditions

Keywords

pediatric burnmandala paintingpaınstresssleep quality

Outcome Measures

Primary Outcomes (3)

  • Pain Level

    Pain levels will be assessed using the Wong-Baker FACES Pain Rating Scale, which is validated for children. Scores range from 0 (no pain) to 10 (worst pain).

    Baseline (before the intervention) and day 7

  • Stress Level

    Stress levels will be measured using the Perceived Stress Scale for Children (ages 7-11). Higher scores indicate greater perceived stress.

    Baseline and day 7

  • Sleep Quality

    Sleep quality will be evaluated using the Children's Sleep Habits Questionnaire. Higher scores indicate poorer sleep quality.

    Baseline and day 7

Study Arms (2)

Mandala Coloring

EXPERIMENTAL

Children hospitalized in the burn unit randomized to this group will participate in daily mandala coloring sessions. Each session will last approximately 30 minutes and will be conducted once per day for 7 consecutive days under the supervision of the research team. During these sessions, children will select and color mandala patterns using crayons or colored pencils. Standard burn unit care will also be provided

Behavioral: Mandala Coloring

Control - Standard Care

OTHER

Children in the control group will receive only routine burn unit care without any additional interventions. No mandala coloring sessions will be conducted.

Other: Control - Standard Care

Interventions

Children hospitalized in the burn unit will participate in structured mandala coloring sessions. Each session will last approximately 30 minutes and will be conducted once daily for 7 consecutive days. Children will be provided with printed mandala patterns and coloring materials, and the sessions will be supervised by the research team. The purpose of the intervention is to reduce pain and stress levels and improve sleep quality in burn patients.

Mandala Coloring

Children in the control group will receive routine burn unit care without any additional interventions. No mandala coloring sessions will be provided.

Control - Standard Care

Eligibility Criteria

Age6 Years - 12 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Both the parent and the child are willing to participate in the study.
  • Child is between 6 and 12 years of age.
  • Burn degree is 1st or 2nd degree.
  • The child does not have an acute psychiatric diagnosis (e.g., severe anxiety disorder, psychotic conditions).
  • The child has basic fine motor skills (e.g., ability to hold a pencil, ability to color).
  • The child does not have any chronic illness.
  • The child has newly initiated burn treatment.

You may not qualify if:

  • Parent or child is not willing to participate in the study.
  • Burn degree is 3rd or 4th degree.
  • The child has any chronic illness.
  • The child has a developmental disorder.
  • The child has visual perception impairments (e.g., color blindness, severe visual loss).

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yuzuncu Yıl University

Van, (541) 398-3680, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Sleep Initiation and Maintenance Disorders

Condition Hierarchy (Ancestors)

Sleep Disorders, IntrinsicDyssomniasSleep Wake DisordersNervous System DiseasesMental Disorders

Central Study Contacts

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Randomized controlled experimental design with pretest-posttest experiment and control group
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Student

Study Record Dates

First Submitted

August 21, 2025

First Posted

August 28, 2025

Study Start

August 25, 2025

Primary Completion

January 4, 2026

Study Completion (Estimated)

June 5, 2026

Last Updated

August 28, 2025

Record last verified: 2025-08

Data Sharing

IPD Sharing
Will share

De-identified individual participant data will be shared with researchers who provide a methodologically sound proposal. Data will be available upon request beginning 6 months after study completion for a period of 3 years.

Shared Documents
STUDY PROTOCOL, SAP, ICF
Time Frame
Data will be available upon request starting 6 months after study completion for a period of 3 years.
Access Criteria
De-identified individual participant data will be available upon request starting 6 months after study completion for a period of 3 years. Access will be granted to qualified researchers who submit a methodologically sound proposal and sign a data sharing agreement. Supporting documents that may be provided include the study protocol, statistical analysis plan, and informed consent form.

Locations