As in the case of previous studies, to prevent confusion and make the mandala drawing process easier, a few videos describing what a mandala is were shown to the patients, and information was provided. Next, each patient was given a set of felt-tip pens (in 24 different colors) and ready-to-use mandala papers, and they were asked to complete the mandala activity. The patients were given empty mandala books with enough pages for them to draw mandalas every day, they were asked to perform the mandala activity regularly in a time interval of their own choice every day, and whether they performed the activity was checked daily without them noticing (so that they would not have the feeling of being checked on or inspected).

The Life Satisfaction Scale was administered to patients in the control group at the first encounter (pre-test) and three weeks after the first encounter (post-test). Although the pre- and post-test treatment protocols were the same for both intervention and control groups, the only difference between their treament was the mandala activity, which was not applied to those in the control group. Patients in the control group continued their routine lives at home for three weeks. After the application, the mandala activity was applied to all patients who wanted it.

mandala

Nursel A Dal, Assist Prof

This study aimed to determine the effect of mandala activity on life satisfaction of women receiving chemotherapy for gynecological cancer.

Data will be collected using the descriptive information form and the Life Satisfaction Scale.

This study was designed as a randomized controlled prospective double-blind clinical trial.

participants will not known wich type of group

Because gynecological cancers occur only in women

The Effect of Mandala Activity on Life Satisfaction

The Effect of Mandala Activity on Life Satisfaction of Women Receiving Chemotherapy for Gynecological Cancer: A Randomized Controlled Study

Average score from life satisfaction scale ( Minimum score; 5, Maximum score;25)

Average score from life satisfaction scale( Minimum score;5 , Maximum score;25)

Munzur University

Principal Investigator

Behaviors and Mental Disorders

All Conditions

Anxiety Disorders

Mandala group will participate in 2 sessions of individual mandala drawing art activity with the theme of 'Emotions' accompanied by classical or instrumental music. In each session, a mandala will be created.

Mandala group

Value clarification groups will participate in the value clarification activity by writing 2 sessions individually with the theme of 'Emotions' accompanied by classical or instrumental music.

Value clarification group

Meltem GÜRCAN, Res. Assist.

Sevcan Atay Turan, PhD

Sevcan ATAY TURAN, PhD

The research is planned to be conducted with a randomized controlled experimental study. In the research, it is aimed to determine the effect of mandala drawing art and value clarification application based on Watson Human Care Theory on the anxiety and mood of the parents of children with cancer.

The population of the study consists of the parents of children diagnosed with cancer in the Akdeniz University Hospital Pediatric Hematology and Oncology Clinic. The sample of the study is three groups; intervention 1 group (n:25), intervention 2 group (n:25) and control group (n:25) will consist of a total of 75 people. A closed envelope system with simple randomization will be used in sample selection.

Intervention 1 group will participate in 2 sessions of individual mandala drawing art activity with the theme of 'Emotions' accompanied by classical or instrumental music. In each session, a mandala will be created. Intervention 2 groups will participate in the value clarification activity by writing 2 sessions individually with the theme of 'Emotions' accompanied by classical or instrumental music. The Personal Information Form, State Anxiety Inventory and Positive-Negative Affect Scale will be applied to the intervention groups at the first session and the second session to collect pre-test and post-test data. No intervention will be made to the control group, and the same data collection tools will be applied to the intervention groups.

İn addition, in this study, a qualitative study will be conducted to determine the experiences of parents of children with cancer. For the qualitative study, the participant will be asked to interpret the colors and shapes of the mandala parent drew in the second session, and a face-to-face interview will be held with a semi-structured form.

Mandala Art and Value Clarification With Parents of Children With Cancer

The Effect of Mandala Art and Value Clarification Based on Watson's Theory of Human Caring on the Anxiety and Mood of Parents of Children With Cancer

The scale consists of 20 items, 10 of which are positive and 10 of which are negative, describing various emotions. The scale has 2 sub-dimensions: positive and negative affect.

The State Anxiety Inventory is a 4-point Likert-type scale consisting of 20 items. According to the level of life of individuals; It is answered by marking one of the options such as (1) not at all, (2) a little, (3) a lot, (4) completely.

Koç University

Akdeniz University

Research Assistant

Depression

Depressive Disorder

Scales were applied to the experimental group in the first encounter with the adolescent (pre-test). Then, a total of two sessions of individual mandala activities were performed at least 48 hours apart. Each adolescent freely drawn and painted the unstructured mandala on white paper, starting from the center and expanding. The same scales were reapplied last (post-test).

Scales were applied to the control group with an interval of 5 days and received routine nursing care (pre-test, post-test).

Mandala is a method of expressing one's feelings and thoughts. The person draws and paints the paper in a round shape.

Mandala Activity

Interventions routinely implemented by nurses in the clinic

Routine nursing care

Aim: The aim of this study is to determine the effect of mandala activity on adolescents receiving cancer treatment on psychological symptoms and anxiety/depression level.

Method: The study was conducted as a randomized controlled experimental study with adolescents aged 12-17 years receiving cancer treatment in Akdeniz University Hospital Pediatric Hematology and Oncology Clinic. The sample group was composed of 30 adolescents in the experimental group and 30 adolescents in the control group using the closed envelope system in accordance with the selection criteria of the sample. The experimental group was given 2 sessions of mandala drawing and staining activity with music at least 48 hours apart. In the study, individual activity was preferred. In each session, adolescents were allowed to draw and stain a mandala. 'Data Collection Form' before the first session, 'Memorial Symptom Assessment Scale', ''Hospital Anxiety and Depression Scale were applied to the experimental group before and after the first session. The same data collection tools were applied to the control group at 48 hours intervals without any activity.

Type of the Study This research; This is a randomized controlled experimental study to determine whether mandala activity applied to adolescents receiving cancer treatment has an effect on psychological symptoms and anxiety / depression level.

Place and Time of the Study The research was carried out in Antalya Akdeniz University Hospital, Child Hematology / Oncology Clinic. The research data were collected by the researcher between March 2019 and February 2020. Akdeniz University Child Hematology and Oncology Clinic is a 32-bed institution where children between 0-18 years old receive inpatient treatment and care. It is forbidden to visit the clinic to protect patients from infection, thereby providing a calm environment in the clinic. The rooms are double and single.

Mandala activity at a normal room temperature (average 25 ° C), in terms of being bright enough and a comfortable environment for adolescents; It was planned to have a room that was spacious, clean, with a window opening (not opening to the corridor) and in sunlight, and it was decided that the most suitable environment in the clinic was the patient's own room.

Sample of the Research The sampling of the study was composed of all adolescents who received cancer treatment in Akdeniz University Hospital Child Hematology / Oncology Clinic. Adolescents who accepted to participate in the study on a voluntary basis and having the inclusion criteria constituted the sample of the study. The sample group was formed in accordance with the sample selection criteria and divided into two as experimental and control groups. As a result of the power analysis, the sample group with 80% power and 0.05 error margin; The experimental group 30 and the control group 30 were planned to form a total of 60 children receiving cancer treatment.

Data Collection Tools In this study; Two scales were used for the descriptive features of the Personal Information Form, Memorial Symptom Evaluation Scale Psychological Sub-Dimension (MSDÖ-P) and Hospital Anxiety and Depression Scale (Adolescent Age Group Form).

Prior to the research, permission was obtained from the Antalya Akdeniz University Clinical Research Ethics Committee regarding the method and design of the study (Decision No: 492, Date: 11.07.2018). After obtaining the approval of the ethics committee, necessary verbal and written permissions were obtained from Akdeniz University Hospital. Permission was obtained to use the Memorial Symptom Assessment Scale, which was adapted to Turkish for children aged 10-18 by Atay in 2008, validity and reliability study. Permission was obtained via e-mail to use the Hospital Anxiety and Depression Scale, which was validated for validity and reliability in the adolescent age group by Erkan in 2014.

Before starting the study, it was explained to the adolescent about the purpose, duration, fee of the research, all information will be kept confidential and will not be used anywhere other than the thesis. In addition, informed consent was obtained from the adolescent by explaining that there will be no difficulty in participating in the study and that the study is based on volunteering, and that they can leave whenever they want during the application phase. Before the application of the research, the parent was informed about the research in written or verbally. The researcher attended mandala education before the thesis study.

Mandala Activity (İnterventation Group) Scales were applied to the experimental group in the first encounter with the adolescent (pre-test). One day later, one session of individual mandala activity were performed. Later at least 48 hours, also one session of individual mandala activity. Each adolescent created two seans mandala and freely drawn and painted the unstructured mandala on white paper, starting from the center and expanding. A day after the second session mandala activity the same scales were reapplied last (post-test).

Control Group Scales were applied to the control group with an interval of 5 days and received routine nursing care (pre-test, post-test).

Mandala Activity Application Steps

* Researchers ensured that the patient is not in times such as sleep or meal time.
* The best time for the activity was determined by exchanging ideas with the patient.
* Hygienic rules were taken care of (Washing hands and wiping the materials with alcohol cotton).
* A comfortable environment has been provided for activities (the room is bright enough, closing the room door to prevent noise, lifting the back of the bed with the patient in a sitting position, and adjusting the height of the table brought in front of the patient).
* Sample videos on how to draw mandala were watched before the application.
* Adolescents were told that the beauty of the drawings was not important, as the mandala is a means of expression and sharing.
* In the individual mandala activity, the drawings were made with classical / instrumental music.
* It was provided to paint and then paint before painting from the center on the picture paper without disturbing the order.
* When created mandala, all the drawings and paintings were made inside the circles drawn together.
* Adolescents are free to choose colors and shapes during the individual mandala activity.
* Unless the adolescents asked for help, the researcher did not intervene in the mandala drawing

Mandala Activity and Adolescents With Cancer

The Effect of Mandala Activity on Psychological Symptoms, Anxiety and Depression Level of Adolescents Receiving Cancer Treatment

Memorial Symptom Assessment Scale is a scale developed by Portenoy et al. In 1994 in order to determine the symptoms experienced by patients with cancer diagnosis in the last week. In 2000, Collins et al. Adapted the scale to adults by carrying out the validity and reliability study of children aged 10-18 years of age. Adaptation, validity and reliability studies were carried out in 2007 by Atay et al. The psychological sub-dimension of the scale was used in the planned study. In this study, Cronbach's alpha value of all items of the scale was determined as .90. The statistically significant increase in the mean score of psychological symptoms in posttest measurement in the intervention group is the success criterion of the study. Significance level is set at p\<0.05 in analyzes. No statistically significant difference is expected in the pretest posttest mean scores of the control group.

Hospital Anxiety and Depression Scale was developed in 1983 by Zigmond and Snaith. The Turkish version of the scale in the adult age group was made in 1997 by Aydemir et al. The application time of the scale is 2-5 minutes. In 2014, Erkan adapted to Turkish culture and language in the 12-17 adolescent age group, and its validity and reliability study was performed. The scale consists of 14 items, it includes the 7-item Anxiety subscale and Depression subscale. In each item, a score of 0-3 is obtained by choosing one of the four-likert type options.

The statistically significant increase in the mean score of anxiety and depression in posttest measurement in the intervention group is the success criterion of the study. Significance level is set at p\<0.05 in analyzes. No statistically significant difference is expected in the pretest posttest mean scores of the control group.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
The Effect of Mandala Activity on Life Satisfaction	NCT05283460	ART Life Satisfacti... Gynecologic Can...	mandala	25 Years - 65 Years	Munzur University
Mandala Art and Value Clarification With Parents of Children With Cancer	NCT05907070	Nursing Caries	Mandala group Value clarifica...	-	Akdeniz University
Mandala Art and Value Clarification With Parents of Children With Cancer	NCT05907070	Nursing Caries	Mandala group Value clarifica...	-	Akdeniz University
Mandala Activity and Adolescents With Cancer	NCT04297982	Nursing	Mandala Activit... Routine nursing...	12 Years - 17 Years	Akdeniz University

Spots Global Cancer Trial Database for mandala

Every month we try and update this database with for mandala cancer trials from around the world to help patients and their families find trials that might be right for them.
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Spots Global Cancer Trial Database for mandala

Every month we try and update this database with for mandala cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for mandala cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.