The Effects of Mandala Coloring on Women During Menopause

NCT07332065 | Not Yet Recruiting

• 1 other identifier: KahramanmaraşSIU-NURSİNG-KK-01
• Study Type: interventional
• Target: 70
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of this clinical study is to determine the effect of mandala coloring on menopausal symptoms, sexual quality of life, and self-esteem in women during menopause period. The main questions the study aims to answer are as follows:

• Participants in the intervention group will attend 30-minute mandala coloring sessions once a week for 4 weeks.
• Participants in the control group will not receive any intervention during the same period.
• Both groups will be assessed using a questionnaire at the beginning of the study and at the end of the 4th week (pre-test/post-test).

Conditions

Menopause; Self Esteem; Sexual Activity; Women; Menopause Symptoms

Keywords

menopause; menopause symptoms; self esteem; mandala coloring; sexual quality of life; mandala

Outcome Measures

Primary Outcomes (1)

• Menopausal Symptoms

  The primary outcome measure in this study is the severity of menopausal symptoms as assessed by the Menopause Rating Scale. This scale is an 11-item measure developed by Heineman et al. (1996) to assess the severity of menopausal symptoms. The minimum score that can be obtained on the scale is 0, while the maximum score is 44. An increase in the score obtained from the scale indicates an increase in the severity of the complaints experienced, while also showing that quality of life has been negatively affected. In this study, the validity and reliability of the scale in Turkish were conducted by Can Gürkan (2005). The Turkish version of the scale will be used. Within the scope of the current study, it is expected that women in menopause who engage in mandala coloring will show improvement in menopause symptoms. In other words, the Menopause Rating Scale scores of women in the experimental group will be lower than those of women who do not practice mandala coloring.

  Time Frame: Fromenrollmenttotheend of intervention at 4 weeks.

Secondary Outcomes (2)

• Sexual Quality Of Life

  Time Frame: From enrollment to the end of intervention at 4 weeks.

• Self-Esteem

  Time Frame: From enrollment to the end of intervention at 4 weeks.

Study Arms (2)

Mandala coloring

EXPERIMENTAL

Participants will take part in 30-minute mandala painting sessions once a week for four weeks.

Other: Mandala coloring

Control group

NO INTERVENTION

No intervention will be applied to participants in the control group within 4 weeks.

Interventions

Mandala coloring OTHER

Mandala coloring is a structured creative art activity based on colouring mandala shapes, which consist of circular and symmetrical patterns, increasing focus and promoting relaxation. As one of the art therapies, mandala colouring can have a therapeutic effect on individuals.

Also known as: Mandala art activity

Mandala coloring

Eligibility Criteria

• Age: 40 Years - 65 Years
• Gender Eligibility Details: Female gender is suitable as the study is on menopausal symptoms.
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Being between the ages of 40 and 65,
• Not having experienced menstruation for at least one year,
• Having a score of 15 or higher on the MSDS (meaning having experienced at least moderate menopause),
• Not having received hormone replacement therapy for menopausal symptoms,
• Not having undergone surgical menopause,
• Experiencing at least one vasomotor symptom of menopause (hot flashes, night sweats, sudden sweating attacks, palpitations, chills and shivering attacks, etc.).
• Being able to read, write, speak, and understand Turkish,
• Not having previously received mandala art therapy training or regularly practicing mandala coloring,
• Not having an allergy to mandala coloring materials,
• Not practicing spiritual practices such as yoga or meditation,
• Agreeing to participate in the study.

You may not qualify if:

• Having a physical symptom that may prevent mandala coloring,
• Having communication and perception problems,
• Having difficulty understanding or speaking Turkish,
• Having a psychiatric illness or taking psychiatric medication,
• Having experienced a loss in the last 6 months.

Sponsors & Collaborators

• Kahramanmaras Sutcu Imam University: lead

MeSH Terms

Conditions

Sexual Behavior

Condition Hierarchy (Ancestors)

Behavior

Central Study Contacts

Kevser Katkaya, Bachelor's Degree in Nursing

CONTACT

+905510091506; kevserkatkaya@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 11, 2025
• First Posted: January 12, 2026
• Study Start: January 20, 2026
• Primary Completion: February 20, 2026
• Study Completion (Estimated): June 20, 2026
• Last Updated: January 12, 2026

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share