Anger, Art Therapy, Death Anxiety, Elderly, Mandala Coloring
Conditions
Brief summary
Objective This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. Methods A randomized controlled experimental study with 80 participants (experimental group n = 40; control group n = 40) was conducted. The experimental group participated in mandala coloring three times a week for 12 weeks. Data were collected using a descriptive form, a death anxiety scale, and the State-Trait Anger Expression Inventory.
Detailed description
Objective This study aimed to investigate the effect of art-based mandala intervention on anger and death anxiety in older adults residing in a nursing home. Methods A randomized controlled experimental study with 80 participants (experimental group n = 40; control group n = 40) was conducted. The experimental group participated in mandala coloring three times a week for 12 weeks. Data were collected using a descriptive form, a death anxiety scale, and the State-Trait Anger Expression Inventory.
Interventions
BEHAVIORALMnadala coloring
Mnadala coloring
BEHAVIORALControl
do nothing
Sponsors
Istanbul Medeniyet University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
SINGLE (Subject)
Intervention model description
This randomized controlled trial involved older adults who engaged in mandala coloring three times a week for 12 weeks. Based on the assumption that mandala coloring could reduce thanatophobia (fear of death) levels by 30 % (effect size dz: 0.5), a sample size of at least 35 participants per group was determined using a power of 95 %, alpha of 0.05, and beta of 0.20. Anticipating potential attrition, 100 participants were initially enrolled. After applying exclusion criteria, the study was completed with 80 participants (experimental group n = 40; control group n = 40). The researchers created a flow diagram based on CONSORT guidelines. Due to the nature of the intervention, blinding of the participants was not possible. Upon study completion, an independent statistician, blinded to group allocation, analyzed the data and reported the findings.
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* residing in the nursing home, being 65 years of age or older, scoring 24 or more points on the Mini-Mental State Examination, having no psychiatric diagnoses, not currently participating in courses related to coping with anxiety and stress, and voluntarily agreeing to participate in the study.
Exclusion criteria
* out of the inclusion criteria
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Death Anxiety Scale | Baseline and 12 weeks follow-up | Death Anxiety Scale: The validity and reliability study of the Turkish version of the "Death Anxiety Scale". The scale 15-item true/false scale measures anxiety and fear related to one's own death and mortality risk. Each "yes" response to the first nine items and each "no" response to the remaining six items receives a score of "1." The total score indicates the level of death anxiety. The maximum possible score is 15, with scores interpreted as follows: 0-4 (mild), 5-9 (moderate), 10-14 (severe), and 15 (panic). |
Countries
Turkey (Türkiye)
Outcome results
None listed