The Effect of a Mandala Coloring-Based Nursing Intervention on Perceived Nursing Image and Anxiety in Children Hospitalized in a Pediatric Clinic: A Randomized Controlled Trial

NCT07845123 | Recruiting

• 1 other identifier: Mandala Coloring in Children
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to evaluate the effect of a mandala coloring-based nursing intervention on perceived nursing image and state anxiety levels in children aged 8-11 years hospitalized in a pediatric clinic.

Conditions

Attitude to Health

Keywords

Mandala; Hospitalization; Anxiety; Nurse; Nursing Image

Outcome Measures

Primary Outcomes (3)

• Introductory Information Form

  The Introductory Information Form was prepared by the researchers based on the relevant literature. The form consists of a total of 10 questions designed to assess the sociodemographic characteristics of the children and their parents, as well as information regarding hospitalization. It includes questions concerning variables such as the child's age, gender, grade level, previous hospitalization experience, duration of stay, and reason for admission, as well as the parent's age, education level, employment status, and family type.

  Baseline

• State Anxiety Level

  Assessed using the State Anxiety Inventory for Children (SAIC / STAIC). The scale consists of 20 items scored between 20 and 60, where higher scores indicate higher levels of state anxiety.

  Baseline (Day 1), Day 3 (1 hour after the final intervention session), and Pre-discharge (approximately 1 hour before discharge).

• Perceived Nursing Image

  Assessed using the Children's Perceived Nursing Image Scale. The scale consists of 35 items scored between 35 and 175, where higher scores indicate a more positive perception of the nursing image.

  Baseline (Day 1) and Pre-discharge (approximately 1 hour before discharge).

Study Arms (2)

Control Group

NO INTERVENTION

Routine clinical care will be applied to the control group. No action will be taken.

Experimental Group

EXPERIMENTAL

Children will receive a mandala coloring-based nursing intervention for 20 minutes once a day for three consecutive days during hospitalization, and their anxiety and perceived nursing image will be evaluated.

Other: Mandala Coloring

Interventions

Mandala Coloring OTHER

Children in the intervention group will receive a mandala coloring-based nursing intervention conducted by the researcher for 20 minutes once daily over three consecutive days. The session will take place in the patient's room or a quiet area within the pediatric clinic at a time that does not interfere with routine care. Each child will be provided with an individual mandala coloring book and a set of 12 colored pencils. Prior to the session, brief communication will be established to explain the activity, allowing the child full autonomy over color selection and coloring style without interference. Communication from the researcher will remain neutral, standardized, and age-appropriate. Children in the control group will receive routine clinical care only, with no mandala coloring or other distraction interventions applied.

Experimental Group

Eligibility Criteria

• Age: 8 Years - 11 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Aged between 8 and 11 years
• Hospitalized in the Pediatric Clinic of Kilis Alaeddin Yavaşça State Hospital
• Expected hospitalization for at least three more days based on clinical evaluation and having no clinical impediment to completing the 3-day intervention protocol
• Able to read and write in Turkish with adequate cognitive ability to understand questions
• Willingness of both child and parent to participate, with written informed consent provided by the parent
• Being able to communicate at an adequate level

You may not qualify if:

• Inability to complete the 3-day intervention protocol due to early discharge or other reasons
• Deterioration of the child's clinical condition preventing continuation of the application
• Inability to complete data collection or outcome measurement procedures
• Request by the child or parent to withdraw from the study at any stage

Sponsors & Collaborators

• Artvin Coruh University: lead

Study Sites (1)

Kilis Prof. Dr. Alaeddin Yavaşca State Hospital, Kilis, Central

Kilis, Central, Turkey (Türkiye)

RECRUITING

Related Publications (1)

• Akay G, Guducu Tufekci F. Storytelling Intervention Relieved Pain During Tracheostomy Suction in Children Under Palliative Care: A Randomised Controlled Trial. Scand J Caring Sci. 2026 Mar;40(1):e70182. doi: 10.1111/scs.70182.

  PMID: 41588469 RESULT

Related Links

• Randomized Controlled Trial

MeSH Terms

Conditions

Anxiety Disorders

Condition Hierarchy (Ancestors)

Mental Disorders

Study Officials

• Gamze AKAY, 1

  Artvin Coruh University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Gamze AKAY, 1

CONTACT

05314536661; gamzeakay_25@artvin.edu.tr

Elif Simay KOÇ, 2

CONTACT

+90 507 149 97 46; elifsimay.koc@kilis.edu.tr

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: Assistant Professor

Study Record Dates

• First Submitted: September 22, 2026
• First Posted: September 28, 2026
• Study Start (Estimated): November 1, 2026
• Primary Completion (Estimated): February 1, 2027
• Study Completion (Estimated): May 1, 2027
• Last Updated: September 28, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)