The Effect of Mandala Coloring Activity on Test Anxiety

NCT ID: NCT06695650

Last Updated: 2025-02-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-02

Study Completion Date

2025-03-01

Brief Summary

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This study aims to investigate the effect of mandala coloring activity on test anxiety of nursing students.

Detailed Description

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University life poses various challenges for students, such as being away from family, financial difficulties, and exam anxiety, which can increase stress levels. Test anxiety, a form of situation-specific anxiety, negatively impacts students' academic performance and well-being by reducing concentration and learning efficiency. The combination of theoretical and clinical demands in nursing education further amplifies stress, making it a particularly challenging field for students.

This study is a randomized controlled experimental research conducted between December 2, 2024, and January 13, 2025. The study population consists of nursing students enrolled in the Mental Health and Psychiatric Nursing course at a private university during the 2024-2025 academic year. Based on sample size calculations conducted using the G\*Power program, considering similar studies and measurement methods, it was determined that 26 students per group are required. Accounting for potential data loss, it is planned to conduct the study with a total of 62 students, 32 in each group.

Students will be informed about the research, and those who voluntarily agree to participate will complete a "Demographic Characteristics Form" and a pre-test using the "Test Anxiety Inventory." Subsequently, students will be randomly assigned to the intervention and control groups in a 1:1 ratio using a random numbers table, with 31 students in each group. Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period. Email reminders will be sent to the students about the coloring sessions, and they will submit their completed mandalas to the researchers every Friday. Students who fail to complete two consecutive coloring sessions will be excluded from the study. Thirty minutes before the exam, the "Test Anxiety Inventory" will be applied as a post-test, and the study will be concluded. The data obtained will be subjected to statistical analysis, and the process of writing the manuscript will follow.

Conditions

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Educational Problems Anxiety Test Anxiety Mental Health

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors
Single: The outcome assessor did not know which group they were assigned to.

Study Groups

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Mandala Group

Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period. Email reminders will be sent to the students about the coloring sessions, and they will submit their completed mandalas to the researchers every Friday.

"Demographic Characteristics Form" and a pre-test using the "Test Anxiety Inventory." Thirty minutes before the exam, the "Test Anxiety Inventory" will be applied as a post-test.

Group Type EXPERIMENTAL

Mandala Coloring

Intervention Type OTHER

Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period

Control Group

Non intervention. "Demographic Characteristics Form" and a pre-test using the "Test Anxiety Inventory." Thirty minutes before the exam, the "Test Anxiety Inventory" will be applied as a post-test.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Mandala Coloring

Students in the intervention group will be provided with mandala templates and coloring materials. They will be asked to color for 15 minutes twice a week over a two-month period

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being a student enrolled in the Mental Health and Psychiatric Nursing course at the selected private university.
* Proficiency in the Turkish language.
* Having no physical disability that would hinder coloring activities.
* Willingness to participate voluntarily.

Exclusion Criteria

* Students with psychological diagnoses such as anxiety or depression.
* Students who do not fully complete the questionnaire/survey forms.
* Students who neglect mandala coloring for two consecutive sessions.
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ankara Medipol University

OTHER

Sponsor Role collaborator

Nursemin ÜNAL

OTHER

Sponsor Role lead

Responsible Party

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Nursemin ÜNAL

Associate Professor

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Gamze ACAVUT

Role: PRINCIPAL_INVESTIGATOR

Ankara Medipol University

Locations

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Ankara Medipol University

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Nursemin Unal

Role: CONTACT

+905077433629

Facility Contacts

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Nursemin ÜNAL

Role: primary

05077433629

References

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Sari Ozturk C, Kilicarslan Toruner E. The effect of mindfulness-based mandala activity on anxiety and spiritual well-being levels of senior nursing students: A randomized controlled study. Perspect Psychiatr Care. 2022 Oct;58(4):2897-2909. doi: 10.1111/ppc.13138. Epub 2022 Jul 3.

Reference Type BACKGROUND
PMID: 35780483 (View on PubMed)

Khademi F, Rassouli M, Rafiei F, Moayedi S, Torres M, Marzban N, Haji E, Golitaleb M. The effect of mandala colouring on anxiety in hospitalized COVID-19 patients: A randomized controlled clinical trial. Int J Ment Health Nurs. 2021 Oct;30 Suppl 1(Suppl 1):1437-1444. doi: 10.1111/inm.12901. Epub 2021 Jun 18.

Reference Type BACKGROUND
PMID: 34143568 (View on PubMed)

Zhang MQ, Liu X, Huang Y. Does Mandala Art Improve Psychological Well-Being in Patients? A Systematic Review. J Integr Complement Med. 2024 Jan;30(1):25-36. doi: 10.1089/jicm.2022.0780. Epub 2023 Sep 1.

Reference Type BACKGROUND
PMID: 37668598 (View on PubMed)

Other Identifiers

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2024/11

Identifier Type: -

Identifier Source: org_study_id

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