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Mandala Activity for Anxiety and Emotional and Psychological Well-Being in Adolescents With Siblings With Special Needs

Effect of a Mandala Activity on Anxiety Levels and Emotional and Psychological Well-Being in Adolescents Who Have Siblings With Special Needs: A Randomized Controlled Trial

Status
Not yet recruiting
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07551180
Enrollment
64
Registered
2026-04-24
Start date
2026-05-02
Completion date
2026-06-30
Last updated
2026-04-24

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

Conditions

Anxiety, Emotional Well-being, Psychological Well-being

Keywords

Adolescents, Siblings with Special Needs, Mandala Activity, Emotional Well-Being, Psychological Well-Being, Anxiety, Randomized Controlled Trial

Brief summary

The purpose of this randomized controlled trial is to evaluate whether a structured mandala activity program can reduce anxiety and improve emotional and psychological well-being in adolescents who have a sibling with special needs. Adolescents in this group may experience emotional difficulties because of the demands and challenges associated with having a sibling who requires special care and support. However, supportive and accessible interventions for these adolescents are limited. In this study, eligible participants will be randomly assigned to either an intervention group or a control group. The intervention group will participate in a structured mandala activity program, while the control group will not receive this program during the study period. Anxiety and emotional and psychological well-being will be assessed before and after the intervention using standardized measurement tools. The main question of this study is whether participation in the mandala activity program leads to better mental well-being outcomes compared with the control group. The findings may help determine whether mandala-based activities can be used as a simple, supportive, and non-pharmacological approach for adolescents who have a sibling with special needs.

Detailed description

This randomized controlled trial is designed to investigate the effect of a structured mandala activity program on anxiety and emotional and psychological well-being in adolescents who have a sibling with special needs. Adolescents in this group may be affected by psychosocial challenges associated with living with and supporting a sibling who requires ongoing special care. These challenges may influence their emotional adjustment and psychological well-being. However, evidence-based supportive interventions specifically targeting this population remain limited. The primary objective of the study is to evaluate whether participation in a structured mandala activity program reduces anxiety and improves emotional and psychological well-being in adolescents who have a sibling with special needs. The study also aims to generate evidence regarding the potential usefulness of a structured, supportive, and non-pharmacological intervention for this population. Participants who meet the eligibility criteria will be randomly allocated to either the intervention group or the control group. The intervention group will participate in the mandala activity program delivered in a structured format. The control group will not receive the mandala intervention during the study period and will continue under usual conditions. Assessments will be conducted before and after the intervention using standardized measurement tools evaluating anxiety and emotional and psychological well-being. This study is based on the assumption that structured mandala activities may provide emotional expression, psychological support, and a calming effect for adolescents who experience stress related to having a sibling with special needs. The results of the study are expected to contribute to the literature on adolescent mental health and to support the development of feasible and accessible psychosocial interventions for this potentially vulnerable group.

Interventions

BEHAVIORALMandala Activity Program

A structured mandala activity program administered to adolescents who have a sibling with special needs. This behavioral intervention is designed to provide emotional support, promote self-expression, reduce anxiety, and improve emotional and psychological well-being. The program will be delivered according to the planned study protocol for participants assigned to the intervention group.

Sponsors

Akdeniz University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)

Masking description

Participants will be masked to group allocation and will not be informed whether they are assigned to the intervention group or the control group. Due to the nature of the study procedures, the researchers conducting the intervention and follow-up assessments will be aware of group assignment.

Intervention model description

Participants will be randomly assigned in a 1:1 ratio to either a structured mandala activity program group or a control group with no mandala intervention during the study period. Both groups will be followed in parallel and assessed before and after the intervention.

Eligibility

Sex/Gender
ALL
Age
10 Years to 19 Years
Healthy volunteers
Yes

Inclusion criteria

* Adolescents within the predefined study age range * Having a sibling with special needs * Ability to communicate in Turkish * Willingness to participate in the study * Written informed consent from a parent or legal guardian and assent from the adolescent * Availability to attend the planned intervention and assessment sessions

Exclusion criteria

* Having any physical, cognitive, or communication problem that would prevent participation in the mandala activity program or completion of the measurement tools * Not attending the planned intervention sessions * Withdrawal of consent/assent during the study period

Design outcomes

Primary

MeasureTime frameDescription
Anxiety LevelBaseline and immediately after completion of the interventionChange in anxiety level measured using the State-Trait Anxiety Inventory for Children.

Secondary

MeasureTime frameDescription
Emotional Well-BeingBaseline and immediately after completion of the interventionChange in emotional well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.
Psychological Well-BeingBaseline and immediately after completion of the interventionChange in psychological well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.

Countries

Turkey (Türkiye)

Contacts

CONTACTSüleyman Şahin, MSc
sahinsuleyman44@gmail.com+90 542 429 3644
CONTACTSelma Öncel, PhD
oselma@akdeniz.edu.tr+90 533 764 01 97
PRINCIPAL_INVESTIGATORSelma Öncel, PhD

Akdeniz University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 25, 2026