Anxiety, Educational Problems, Mental Health, Test Anxiety
Conditions
Keywords
Test anxiety, Nursing education, Mandala coloring, Randomized Controlled Trial
Brief summary
This study aims to investigate the effect of mandala coloring activity on test anxiety of nursing students.
Detailed description
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.
Interventions
OTHERMandala 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
Sponsors
Ankara Medipol University
Nursemin ÜNAL
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Masking description
Single: The outcome assessor did not know which group they were assigned to.
Eligibility
Sex/Gender
ALL
Healthy volunteers
Yes
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from test anxiety values at two hours | At the beginning of the study irst admission. Two months later. | The items of the scale was created by including 50 anxiety statements developed by Baltaş (1999) with permission. The reliability analysis of the scale was conducted with the participation of 206 undergraduate students studying in Nursing, Physical Education Teaching, and Science Education departments. Data obtained from the application were subjected to factor analysis. As a result of the analysis, 12 items were removed from the scale due to factor load values being below 0.40, and 4 items were excluded for being non-discriminative (overlapping). The remaining 34 items were distributed across five sub-dimensions, with factor loadings ranging from 0.41 to 0.74. The scale is in a 5-point Likert format, and the internal reliability coefficient of the scale was calculated as Cronbach's Alpha (α) = 0.87. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactNursemin Unal
Outcome results
None listed