Mandala Activity for Anxiety and Emotional and Psychological Well-Being in Adolescents With Siblings With Special Needs

NCT07551180 | Not Yet Recruiting

• 1 other identifier: TBAEK-99
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this randomized controlled trial is to evaluate whether a structured mandala activity program can reduce anxiety and improve emotional and psychological well-being in adolescents who have a sibling with special needs. Adolescents in this group may experience emotional difficulties because of the demands and challenges associated with having a sibling who requires special care and support. However, supportive and accessible interventions for these adolescents are limited. In this study, eligible participants will be randomly assigned to either an intervention group or a control group. The intervention group will participate in a structured mandala activity program, while the control group will not receive this program during the study period. Anxiety and emotional and psychological well-being will be assessed before and after the intervention using standardized measurement tools. The main question of this study is whether participation in the mandala activity program leads to better mental well-being outcomes compared with the control group. The findings may help determine whether mandala-based activities can be used as a simple, supportive, and non-pharmacological approach for adolescents who have a sibling with special needs.

Conditions

Anxiety; Emotional Well-being; Psychological Well-being

Keywords

Adolescents; Siblings with Special Needs; Mandala Activity; Emotional Well-Being; Psychological Well-Being; Anxiety; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

• Anxiety Level

  Change in anxiety level measured using the State-Trait Anxiety Inventory for Children.

  Baseline and immediately after completion of the intervention

Secondary Outcomes (2)

• Emotional Well-Being

  Baseline and immediately after completion of the intervention

• Psychological Well-Being

  Baseline and immediately after completion of the intervention

Study Arms (2)

Intervention Group

EXPERIMENTAL

Participants in this arm will receive a structured mandala activity program. The intervention is designed as a supportive behavioral program to reduce anxiety and improve emotional and psychological well-being. Assessments will be conducted before and after the intervention period.

Behavioral: Mandala Activity Program

Control Group

NO INTERVENTION

Participants in this arm will not receive the mandala activity program during the study period. They will continue under usual conditions and will complete the same assessments as the intervention group at the planned measurement times.

Interventions

Mandala Activity Program BEHAVIORAL

A structured mandala activity program administered to adolescents who have a sibling with special needs. This behavioral intervention is designed to provide emotional support, promote self-expression, reduce anxiety, and improve emotional and psychological well-being. The program will be delivered according to the planned study protocol for participants assigned to the intervention group.

Intervention Group

Eligibility Criteria

• Age: 10 Years - 19 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Adolescents within the predefined study age range
• Having a sibling with special needs
• Ability to communicate in Turkish
• Willingness to participate in the study
• Written informed consent from a parent or legal guardian and assent from the adolescent
• Availability to attend the planned intervention and assessment sessions

You may not qualify if:

• Having any physical, cognitive, or communication problem that would prevent participation in the mandala activity program or completion of the measurement tools
• Not attending the planned intervention sessions
• Withdrawal of consent/assent during the study period

Sponsors & Collaborators

• Akdeniz University: lead

Study Sites (1)

Özel Kars Derman Özel Eğitim Ve Rehabilitasyon Merkezi

Kars, Kars, 36000, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Anxiety Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Mental Disorders; Personal Satisfaction; Behavior

Study Officials

• Selma Öncel, PhD

  Akdeniz University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Süleyman Şahin, MSc

CONTACT

+90 542 429 3644; sahinsuleyman44@gmail.com

Selma Öncel, PhD

CONTACT

+90 533 764 01 97; oselma@akdeniz.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will be masked to group allocation and will not be informed whether they are assigned to the intervention group or the control group. Due to the nature of the study procedures, the researchers conducting the intervention and follow-up assessments will be aware of group assignment.
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Participants will be randomly assigned in a 1:1 ratio to either a structured mandala activity program group or a control group with no mandala intervention during the study period. Both groups will be followed in parallel and assessed before and after the intervention.

Study Record Dates

• First Submitted: April 20, 2026
• First Posted: April 24, 2026
• Study Start: May 2, 2026
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: April 24, 2026

Record last verified: 2026-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)