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Comparing the Effects of Art Therapy and Mandala Application on State Anxiety Levels in Chemotherapy Patients

Comparing the Effects of Art Therapy and Mandala Application on State Anxiety Levels in Chemotherapy Patients: A Randomized Controlled Study

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07435597
Enrollment
60
Registered
2026-02-27
Start date
2026-02-18
Completion date
2026-05-30
Last updated
2026-06-18

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chemotherapy, Oncologic Disease

Keywords

mandala, art therapy, oncology, chemotherapy

Brief summary

The research is planned as a randomized controlled trial with a two-group (art-based flow drawing and mandala), pre-test, post-test design.

Detailed description

This study aims to compare the effects of the "Dance of the Pen" (art-based flow drawing) and mandala activities on state anxiety in patients undergoing chemotherapy and to evaluate intervention satisfaction. The research is planned as a randomized controlled trial with a two-group, pre-test, post-test design. The study will be conducted in two hospitals in Istanbul with a total of 60 participants. The intervention group will receive the "Dance of the Pen" and mandala activities. Randomization will be based on the patients' chemotherapy session days, and the study will be conducted as a single-blind study. Data will be collected using a Personal Information Form, the State Anxiety Scale (STAI-I), and a Distress Thermometer. Interventions will be applied in structured sessions lasting approximately 30-60 minutes. The population of the study will consist of patients receiving chemotherapy at hospital, and those patients meeting the inclusion criteria will constitute the sample of the study. Participants will be informed about the study before the research begins. Those who agree to participate will be assigned to a randomized group and will undergo either the "Dance of the Pen" or "Mandala activity," both conducted as single-session interviews. Participants will complete a Personal Information Form and the STAI-I before the activity, and will also undergo the STAI-I and distress thermometer tests afterwards.

Interventions

OTHERMandala therapy

Patients will be given a file containing mandala designs, and they will be asked to color the design of their choice with their preferred colored pencils (pastel, crayon, marker) throughout the treatment.

OTHERArt therapy

During chemotherapy, the patient will be given a pen to hold with their eyes closed and asked to draw on a blank piece of paper according to the instructions. Afterwards, their drawing will be analyzed and interpreted.

Sponsors

Atlas University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes

Inclusion criteria

* Must be 18 years of age or older * Must be receiving chemotherapy treatment * Must be willing to participate in the research * Must be literate * Must be able to speak and understand Turkish

Exclusion criteria

* -Having any speech or comprehension impairment * Being treated with other forms of treatment * Having any accompanying psychiatric diagnosis * Using any psychiatric medication * Being enrolled in another program using a similar method could affect the study's outcome

Design outcomes

Primary

MeasureTime frameDescription
State anxiety scale6 monthsThe State Anxiety Scale will be administered prior to the intervention, followed by randomly assigned art therapy or mandala practice. The State Anxiety Scale and distress thermometer will be administered again after the intervention is completed. A high score on the State Anxiety Scale indicates high anxiety levels.

Countries

Turkey (Türkiye)

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Jun 19, 2026