Effect of Mandala Coloring on Menopausal Attitude, Perceived Stress and Mindfulness

NCT07657429 | Not Yet Recruiting

• 1 other identifier: OMU-MANDALA-2026
• Study Type: interventional
• Target: 140
• Locations: 1 country
• Sites: 1

Brief Summary

Menopause is a natural life stage associated with hormonal changes that may affect women physically and psychologically. During this period, women may experience increased stress levels, negative attitudes toward menopause, and decreased mindfulness. Mandala coloring is a structured art-based intervention that may promote relaxation and improve psychological well-being. This randomized controlled trial aims to evaluate the effect of mandala coloring on attitudes toward menopause, perceived stress, and mindfulness levels among menopausal women.

Conditions

Menopause; Psychological Stress; Mindfulness

Keywords

Mandala Coloring; Menopause; Perceived Stress; Mindfulness; Women Health; Randomized Controlled Trial

Outcome Measures

Primary Outcomes (1)

• Perceived Stress Level

  Changes in perceived stress levels of menopausal women will be assessed using the Perceived Stress Scale (PSS-10). Higher scores indicate higher perceived stress.

  Baseline and 4 weeks after intervention

Secondary Outcomes (2)

• Menopause Attitude

  Baseline and 4 weeks after intervention

• State Mindfulness

  Baseline and 4 weeks after intervention

Study Arms (2)

Mandala Intervention Group

EXPERIMENTAL

Participants in this group will receive mandala coloring sessions three times a week for four weeks in addition to routine care.

Behavioral: Mandala Coloring Program

Control Group

ACTIVE COMPARATOR

Participants in this group will receive routine care provided by the family health center without mandala coloring intervention.

Other: Routine Care

Interventions

Mandala Coloring Program BEHAVIORAL

Participants in the intervention group will receive a mandala coloring program for 4 weeks. The program will be performed 3 times per week, for a total of 12 sessions. The first session will be conducted face-to-face at the family health center, and the remaining sessions will be completed at home. Participants will use standardized mandala templates and coloring materials provided by the researchers.

Mandala Intervention Group

Routine Care OTHER

Participants in the control group will receive routine care provided by the family health center. This includes general health monitoring, menopausal health counseling, and standard follow-up services without any mandala coloring intervention during the study period.

Control Group

Eligibility Criteria

• Age: 45 Years - 55 Years
• Sex: female
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Women aged 45-55 years
• Being in the menopausal period (absence of menstruation for at least 12 months)
• Ability to read and understand Turkish
• Voluntary agreement to participate in the study

You may not qualify if:

• Diagnosed psychiatric or cognitive disorders
• Communication problems preventing participation
• Visual impairment or fine motor limitations preventing mandala coloring
• Use of hormone replacement therapy
• Regular participation in mandala coloring, mindfulness, or similar mind-body practices

Sponsors & Collaborators

• Ondokuz Mayıs University: lead

Study Sites (1)

12 No. Islampasa Family Health Center, Rize

Rize, Rize Province, 53020, Turkey (Türkiye)

Location

Related Publications (1)

• Kirca AS, Dagli E, Derin E, Aka N. The effect of mandala coloring on anxiety and quality of life of women in the climacteric period: a randomized controlled study. Rev Assoc Med Bras (1992). 2024 Jul 19;70(6):e20240059. doi: 10.1590/1806-9282.20240059. eCollection 2024.

  PMID: 39045964 BACKGROUND

MeSH Terms

Conditions

Stress, Psychological

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior

Study Officials

• NAZLI BALTACI, Assoc. Prof. Dr.

  Ondokuz Mayis University Faculty of Health Sciences

  STUDY CHAIR

Central Study Contacts

CEMRE ÇİLİNGİR, MSc Student

CONTACT

+90 536 274 36 46; cemrecilingir3103@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Graduate Researcher

Model Details: Participants will be randomly assigned to either the mandala coloring intervention group or the routine care control group in parallel.

Study Record Dates

• First Submitted: June 14, 2026
• First Posted: June 18, 2026
• Study Start: May 30, 2026
• Primary Completion (Estimated): September 30, 2026
• Study Completion (Estimated): September 30, 2026
• Last Updated: June 29, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)