Mandala coloring to ease anxiety and discomfort during chemotherapy
The Effect of Mandala Coloring on Psychological Distress, Anxiety, and Comfort in Breast Cancer Patients Receiving Outpatient Chemotherapy
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
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 60 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | Artvin Coruh University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Artvin) |
| Trial ID | NCT07367269 on ClinicalTrials.gov |
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.
Who should consider this trial
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.
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.
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 performed: 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.
Eligibility criteria
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 this trial is running
Artvin
- Artvin State Hospital — Artvin, Turkey (Türkiye) (Recruiting)
Study contacts
- Study coordinator: Efe Hasdemir Efe Hasdemir, MD
- Email: hasdemir52@gmail.com
- Phone: +90 5433750709
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.