The Effect of Mandala Art Therapy on the Psychological Well-Being and Perception of Social Support in Elderly People

NCT07458945 | Completed

• 1 other identifier: GazıUnıversity-FBOz
• Study Type: interventional
• Target: 35
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to examine the effects of mandala art therapy on psychological well-being and perceived social support in elderly individuals. Research Hypotheses H1: Mandala art therapy significantly increases the psychological well-being of elderly individuals (p \< 0.05). H2: Mandala art therapy significantly increases the perceived social support scores of elderly individuals (p \< 0.05). H3: There is a positive and significant relationship between psychological well-being and perceived social support scores after mandala art therapy (p \< 0.05).

Conditions

Elderly

Keywords

Psychological well-being, Social support

Outcome Measures

Primary Outcomes (1)

• Psychological Well-Being Scale in the Elderly

  Psychological Well-Being Scale in the Elderly (YPWB): The scale was used to measure the psychological well-being of elderly individuals. It was developed by Gümüş Demir (2023) and consists of 15 items on a 5-point Likert-type scale (1 = completely disagree - 5 = completely agree) (Appendix 2). Based on the scale's scoring system, there is no set cut-off score for the well-being of elderly individuals. Higher scores indicate increased well-being. The lowest possible score on the scale is 15, and the highest is 75. Additionally, items 8 and 13 were reverse-coded. The scale's Cronbach's alpha coefficient was calculated as 0.89, and the composite reliability coefficient was 0.90. The scale's item-total correlation values ranged between 0.48 and 0.69 (Gümüş Demir, 2023).

  four weeks after the preliminary test

Secondary Outcomes (1)

• Multidimensional Scale of Perceived Social Support

  four weeks after the preliminary test

Study Arms (2)

Mandala

EXPERIMENTAL

The Mandala Art Therapy Program was developed by researchers based on literature (Chen et al., 2025; Omidivd, 2025; Ergür et al., 2021).The program, consisting of four sessions, will be conducted face-to-face once a week.Each session will last approximately 40-60 minutes.The sessions will be facilitated by the first researcher (FBÖD), who holds a mandala practitioner certification.The second researcher (ND), who holds an art therapy practitioner certification, will attend all sessions and serve as co-leader.The program will be implemented in a room approved by the administration at the location where the participants are registered, where participants will feel comfortable and where the session will not be interrupted.Session content is as follows:Session Content 1: Introduction, Group Rules, Focus and short breathing exercise (2 minutes), Mandala introduction (10 minutes), Coloring the prepared Mandala Drawing (symmetrical patterns) (30-40 minutes), Sharing of feelings (5-10 minutes)

Other: MANDALA

CONTROL

NO INTERVENTION

Elderly individuals who agree to participate in the study and meet other criteria will be administered the SMMT, and those who score 24 or higher will be included in the study. After administering the data collection tools to both the intervention and control groups, the intervention group will receive a four-week Mandala Art Therapy Program. All materials used during the program (paper, pencils, compasses, rulers, crayons, etc.) will be provided free of charge by the researchers. The control group will not receive any intervention during this period. After the intervention, participants in both groups will complete a posttest and a follow-up test. After the study is completed, the Mandala Art Therapy program will be administered by the researchers to volunteer participants in the control group.

Interventions

MANDALA OTHER

The Mandala Art Therapy Program was developed by researchers based on literature (Chen et al., 2025; Omidivd, 2025; Ergür et al., 2021).The program, consisting of four sessions, will be conducted face-to-face once a week.Each session will last approximately 40-60 minutes.The sessions will be facilitated by the first researcher (FBÖD), who holds a mandala practitioner certification.The second researcher (ND), who holds an art therapy practitioner certification, will attend all sessions and serve as co-leader.The program will be implemented in a room approved by the administration at the location where the participants are registered, where participants will feel comfortable and where the session will not be interrupted.Session content is as follows:Session Content 1: Introduction, Group Rules, Focus and short breathing exercise (2 minutes), Mandala introduction (10 minutes), Coloring the prepared Mandala Drawing (symmetrical patterns) (30-40 minutes), Sharing of feelings (5-10 minutes).

Mandala

Eligibility Criteria

• Age: 60 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University

Ankara, Ankara, 06490, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: lecturer doctor

Model Details: The study type is a randomized controlled trial.Research Universe and Sample: The study population will consist of N=3060 elderly individuals registered at the Retirement Club in September 2025. The sample size was determined using G\*Power 3.1.9.7 Software Package Program.The sample size was calculated using data from the mandala study conducted by Ahmadi et al. (2023) with α=0.05, 1-β=0.80, d=0.60, and ρ=0.60, resulting in a sample size of n=58. Anticipating potential attrition, the sample size was increased by 20%, and n=70 was determined, comprising 35 intervention groups and 35 control groups. Inclusion criteria for the study were: willingness to participate, age 60 or older, a score of 24 or higher on the Mini Mental Standard Test, and no impairment in auditory-visual communication skills and fine motor skills.

Study Record Dates

• First Submitted: February 2, 2026
• First Posted: March 9, 2026
• Study Start: November 24, 2025
• Primary Completion: December 25, 2025
• Study Completion: January 26, 2026
• Last Updated: March 9, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)