Mandala coloring to ease anxiety and discomfort during chemotherapy
Official title: The Effect of Mandala Coloring on Psychological Distress, Anxiety, and Comfort in Breast Cancer Patients Receiving Outpatient Chemotherapy
Run by Artvin Coruh University · NCT07367269 · Data updated 2026-11-12
This trial will test whether 30 minutes of mandala coloring during outpatient chemotherapy can reduce anxiety and distress and improve comfort for adults with breast cancer.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 60 (estimated) |
| Sponsor | Artvin Coruh University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Artvin) |
| Status | Recruiting |
| Started | January 27, 2026 |
| Main results expected | January 20, 2027 |
| Study ends | January 20, 2027 |
| Registry record updated | February 3, 2026 |
| Trial ID | NCT07367269 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults (≥18) with a diagnosis of breast cancer receiving outpatient chemotherapy who can communicate, have no physical limitation to coloring, and are willing to participate.
✕Probably not a fit
Patients with severe cognitive impairment, hand or arm disabilities that prevent coloring, inpatient chemotherapy, or those unwilling to participate may not receive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial will enroll 60 breast cancer patients receiving outpatient chemotherapy at Artvin State Hospital and randomly assign them 1:1 to mandala coloring or routine care. Participants in the intervention group will color mandala patterns for 30 minutes at the start of their chemotherapy session while controls receive routine care only. Psychological distress, anxiety, and comfort will be measured immediately before and after the chemotherapy session. Block randomization with allocation concealment using sequentially numbered opaque sealed envelopes will be used to reduce bias.
Why it matters
Potential benefit: If successful, this low-cost activity could help reduce anxiety and distress and increase comfort during chemotherapy sessions.
How similar studies have gone: Prior small studies and complementary-medicine reports suggest mandala coloring can reduce anxiety and distress in cancer patients, but evidence specifically during outpatient chemotherapy is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Being 18 years of age or older * Having a diagnosis of breast cancer and receiving chemotherapy * Having no communication problems * Having no physical disability that would prevent mandala coloring * Being willing to participate in the study Exclusion Criteria: * not meeting inclusion criteria
Where it's running
-
Artvin State Hospital
Artvin, Turkey (Türkiye) Recruiting
Study contacts
- Study coordinator: Efe Hasdemir Efe Hasdemir, MD
- Email: hasdemir52@gmail.com
- Phone: +90 5433750709
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.