The Effect of Art-based Mandala Intervention

NCT07496268 | Completed

• 1 other identifier: ıstanbulımu IMU-2026-BD
• Study Type: interventional
• Target: 80
• Locations: 1 country
• Sites: 1

Brief Summary

Objective This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. Methods A randomized controlled experimental study with 80 participants (experimental group n = 40; control group n = 40) was conducted. The experimental group participated in mandala coloring three times a week for 12 weeks. Data were collected using a descriptive form, a death anxiety scale, and the State-Trait Anger Expression Inventory.

Conditions

Art Therapy; Mandala Coloring; Anger; Death Anxiety; Elderly

Outcome Measures

Primary Outcomes (1)

• Death Anxiety Scale

  Death Anxiety Scale: The validity and reliability study of the Turkish version of the "Death Anxiety Scale". The scale 15-item true/false scale measures anxiety and fear related to one's own death and mortality risk. Each "yes" response to the first nine items and each "no" response to the remaining six items receives a score of "1." The total score indicates the level of death anxiety. The maximum possible score is 15, with scores interpreted as follows: 0-4 (mild), 5-9 (moderate), 10-14 (severe), and 15 (panic).

  Baseline and 12 weeks follow-up

Study Arms (2)

Mandala

EXPERIMENTAL

Mandala

Behavioral: Mnadala coloring

Control

OTHER

do nothing

Behavioral: Control

Interventions

Mnadala coloring BEHAVIORAL

Mnadala coloring

Mandala

Control BEHAVIORAL

do nothing

Control

Eligibility Criteria

• Age: 65 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Older Adult (65+)

You may qualify if:

• residing in the nursing home, being 65 years of age or older, scoring 24 or more points on the Mini-Mental State Examination, having no psychiatric diagnoses, not currently participating in courses related to coping with anxiety and stress, and voluntarily agreeing to participate in the study.

Sponsors & Collaborators

• Istanbul Medeniyet University: lead

Study Sites (1)

Istanbul Medeniyet University

Istanbul, Kartal, 34862, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Necrophobia

Study Design

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

Model Details: This randomized controlled trial involved older adults who engaged in mandala coloring three times a week for 12 weeks. Based on the assumption that mandala coloring could reduce thanatophobia (fear of death) levels by 30 % (effect size dz: 0.5), a sample size of at least 35 participants per group was determined using a power of 95 %, alpha of 0.05, and beta of 0.20. Anticipating potential attrition, 100 participants were initially enrolled. After applying exclusion criteria, the study was completed with 80 participants (experimental group n = 40; control group n = 40). The researchers created a flow diagram based on CONSORT guidelines. Due to the nature of the intervention, blinding of the participants was not possible. Upon study completion, an independent statistician, blinded to group allocation, analyzed the data and reported the findings.

Study Record Dates

• First Submitted: March 11, 2026
• First Posted: March 27, 2026
• Study Start: April 12, 2024
• Primary Completion: April 24, 2025
• Study Completion: June 23, 2025
• Last Updated: March 27, 2026

Record last verified: 2026-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)