Nursing StudentsNCT06804005
Mandala Coloring, Music, and Nursing Students' Anxiety and Well-Being
A study testing Music group and mandala group in people with Nursing Students and Well-being, run by Tokat Gaziosmanpasa University at 1 site in Turkey (Türkiye).
Trial summary
This study aims to examine the effects of creative approaches aimed at reducing anxiety and increasing happiness by addressing the future concerns and subjective well-being levels of university students. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Nursing Students, Well-being, Anxiety
- What is being tested?
- Music group and mandala group
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 90 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 15 May 2025to 20 Jun 2025
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Studying in the Nursing Department of Erbaa Faculty of Health Sciences
- Volunteering to participate in the study
Who cannot join
- Filling out scales and forms incompletely
- Wanting to leave the research
- Not participating fully in activities
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effects of Mandala Coloring and Music Activity on Future Anxiety and Subjective Well-Being in Nursing Students: A Randomized Controlled Trial
This study aims to examine the effects of creative approaches aimed at reducing anxiety and increasing happiness by addressing the future concerns and subjective well-being levels of university students. Although the negative effects of anxiety on students' academic and personal lives have been widely examined in the literature, studies on the effectiveness of artistic interventions such as mandala painting and music therapy in reducing anxiety are limited. In this context, the study aims to fill an important gap in the field by evaluating the combined effects of these two methods. In particular, it aims to provide evidence-based methods that will improve the mental and emotional states of university students with practical results, thus making a positive contribution to both individual health and educational processes.
Main Hypotheses of the Study:
Read more
- H1: There is a difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
- H1-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
- H2: There is a difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not.
- H2-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not.
Research Questions:
- Is mandala painting and music activity effective in reducing nursing students' future anxiety levels?
- Is mandala painting and music activity effective in increasing nursing students' subjective well-being levels?
- Which of the mandala painting and music activity applications is more effective on nursing students' future anxiety and subjective well-being?
Read the detailed description
While performing mandala painting activities, individuals focus on the present moment, especially when the individual's attention is focused on the activity at hand, and therefore it is accepted that such artistic practices are based on awareness (Chen et al., 2024). Studies in the literature report that mandala painting is an effective method in reducing negative mood and anxiety (Babouchkina and Robbins, 2015; Stinley et al., 2015; Sandmire et al., 2016). Another method used to reduce anxiety is music activities. Music therapy is a field in which music and music-related activities are used to meet the physical, mental, social and psychological needs of individuals. It can be said that music appeals to people's emotions and thoughts with its unique language and forms of expression. Music, which is considered one of the oldest treatment methods in history, is widely used in different cultures. In addition, music has positive effects on the treatment of mental illnesses and on some hormones that regulate mood. Music interventions that are clinically and evidence-based within a therapeutic relationship to achieve individual-specific goals have led to music therapy being accepted as a scientific treatment method. Music can affect people's emotional state, lead to changes in their behaviors, create psychological and physiological effects, and facilitate communication, which emphasizes the importance of music as a therapeutic element (Bulfone et al., 2019; Şen, 2022). This research aims to examine the effects of creative approaches to reduce anxiety and increase happiness by addressing university students' future concerns and subjective well-being levels. Although the negative effects of anxiety on students' academic and personal lives have been widely examined in the literature, studies on the effectiveness of artistic interventions such as mandala painting and music therapy in reducing anxiety are limited. In this context, the research aims to fill an important gap in the field by evaluating the combined effect of these two methods. In particular, it aims to provide evidence-based methods that will improve the mental and emotional states of university students with its practical results, and to make a positive contribution to both individual health and educational processes. As a result, university students' concerns about the future can have negative effects on both their mental and physical health. In this context, strategies to reduce anxiety about the future and approaches to increase happiness will play an important role in improving students' general well-being. Artistic and musical activities can reduce anxiety by strengthening individuals' emotional and mental states and help them live a healthy life. Such activities not only contribute to the personal development of university students, but also provide important opportunities for them to serve society as more creative, productive and healthy individuals. In addition, research in this area will make a valuable contribution to the literature and create a wider impact.
Data Collection Tools
- Sociodemographic Characteristics Form: consists of 4 questions in total, including age, gender, class, and region of birth.
- Subjective Well-Being Scale: The scale developed by Tuzgöl- Dost (2005) consists of 46 items. The aim of the scale is to determine the subjective well-being levels of individuals by determining the frequency and intensity of positive and negative emotions they experience with their cognitive evaluations about their lives. The subjective well-being scale consists of personal judgments about living spaces and positive and negative emotional expressions. The response system is in the form of a five-point Likert scale for each expression as "(5) Completely Appropriate", "(4) Mostly Appropriate", "(3) Partially Appropriate", "(2) Somewhat Appropriate", (1) "Not Appropriate at All". 26 of the scale items are positive and 20 are negative. Negative expressions; These are items 2, 4, 6, 10, 13, 15, 17, 19, 21, 24, 26, 28, 30, 32, 35, 37, 38, 40, 43, and 45. Negative statements are scored by reversing the scores. Positive statements are items 1, 3, 5, 7, 8, 9, 11,12, 14, 16, 18, 20, 22, 23, 25, 27, 26, 29,31, 33, 34, 36, 39, 41, 42, and 44. The lowest score that can be obtained from the scale is 46 and the highest score is 230. A high score indicates a high level of subjective well-being. Cronbach's alpha internal consistency coefficient is 93, and the test-retest reliability coefficient is 86. Subjective well-being reliability coefficients show that the scale is suitable for measuring the subjective well-being levels of university students.
- Future Anxiety Scale in University Students: The 5-point Likert-type Future Anxiety Scale, consisting of a total of 19 items, was developed by Geylani and Yıldız in 2022. The first factor of the scale was called "Future Fear" and the second factor was called "Hopelessness about the Future". The internal consistency of the scale was evaluated with the item-total score correlation and Cronbach's α method. Cronbach's α values were calculated as 0.91 for the entire scale, 0.95 for the first factor, and 0.88 for the second factor (Geylani \& Yıldız, 2022).
- Conditions
- Nursing Students, Well-being, Anxiety
- Being tested
- Music group, mandala group
- Keywords
- nursing student, well being, anxiety
- Medical subject headings
- Anxiety Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Music groupBehavioural
Music will be sung continuously in an area equipped with a sound system so that subjects can listen comfortably without headphones, and will be performed with the participation of students and peer support. Each intervention activity will last approximately 60 minutes.
mandala groupBehavioural
In the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes.
| Study group | Role | What they receive |
|---|---|---|
| Music group | Experimental | The music activity will be performed with the research applicant's instrument (guitar) after the repertoire list is created with the songs the students want. The music will be sung continuously in an area equipped with a sound system so that the subjects can listen comfortably without headphones, and will be performed with the participation of the students along with peer support. Each intervention activity will last approximately 60 minutes. Receives: Behavioral: Music group |
| Mandala coloring | Experimental | In the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes. Receives: Behavioral: mandala group |
| Control Group | No intervention | They will only fill out survey forms. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Well-being
The Subjective Well-being Scale assesses individuals' cognitive evaluations of their lives and the frequency and intensity of positive and negative emotions they experience.
Measured: 4 weeks
Secondary outcomes (1)
Future Anxiety
Evaluates nursing students' fear of the future and hopelessness levels about the future.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted31 Jan 2025
- Study start15 May 2025
- Primary completion15 Jun 2025
- Study completion20 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Nursing StudentsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- randomized-controlled
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 90 participants (actual)
Sponsor and investigators
- Lead sponsor
- Tokat Gaziosmanpasa University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Abdurrahim UYANIK, Tokat Gaziosmanpasa University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06804005
- Sponsor's protocol ID
- Gaziosmanpasa-CBAU
- Status last verified
- Aug 2025
- First submitted
- 13 Jan 2025
- Last updated
- 5 Sep 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 5 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effects of Mandala Coloring and Music Activity on Future Anxiety and Subjective Well-Being in Nursing Students: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06804005
- Acronym / sponsor ID
- Gaziosmanpasa-CBAU
- Conditions
- Nursing Students, Well-being, Anxiety
- Keywords
- nursing student, well being, anxiety
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 90 participants (actual)
- Lead sponsor
- Tokat Gaziosmanpasa UniversityUniversity, hospital or other
- Study start
- 15 May 2025 (actual)
- Primary completion
- 15 Jun 2025 (actual)
- Study completion
- 20 Jun 2025 (actual)
- First posted
- 31 Jan 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to examine the effects of creative approaches aimed at reducing anxiety and increasing happiness by addressing the future concerns and subjective well-being levels of university students. Although the negative effects of anxiety on students' academic and personal lives have been widely examined in the literature, studies on the effectiveness of artistic interventions such as mandala painting and music therapy in reducing anxiety are limited. In this context, the study aims to fill an important gap in the field by evaluating the combined effects of these two methods. In particular, it aims to provide evidence-based methods that will improve the mental and emotional states of university students with practical results, thus making a positive contribution to both individual health and educational processes.
Main Hypotheses of the Study:
- H1: There is a difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
- H1-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who painted mandalas and those who did not.
- H2: There is a difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not.
- H2-0: There is no difference between the levels of future anxiety and subjective well-being between nursing students who participated in the music activity and those who did not.
Research Questions:
- Is mandala painting and music activity effective in reducing nursing students' future anxiety levels?
- Is mandala painting and music activity effective in increasing nursing students' subjective well-being levels?
- Which of the mandala painting and music activity applications is more effective on nursing students' future anxiety and subjective well-being?
Detailed description
While performing mandala painting activities, individuals focus on the present moment, especially when the individual's attention is focused on the activity at hand, and therefore it is accepted that such artistic practices are based on awareness (Chen et al., 2024). Studies in the literature report that mandala painting is an effective method in reducing negative mood and anxiety (Babouchkina and Robbins, 2015; Stinley et al., 2015; Sandmire et al., 2016). Another method used to reduce anxiety is music activities. Music therapy is a field in which music and music-related activities are used to meet the physical, mental, social and psychological needs of individuals. It can be said that music appeals to people's emotions and thoughts with its unique language and forms of expression. Music, which is considered one of the oldest treatment methods in history, is widely used in different cultures. In addition, music has positive effects on the treatment of mental illnesses and on some hormones that regulate mood. Music interventions that are clinically and evidence-based within a therapeutic relationship to achieve individual-specific goals have led to music therapy being accepted as a scientific treatment method. Music can affect people's emotional state, lead to changes in their behaviors, create psychological and physiological effects, and facilitate communication, which emphasizes the importance of music as a therapeutic element (Bulfone et al., 2019; Şen, 2022). This research aims to examine the effects of creative approaches to reduce anxiety and increase happiness by addressing university students' future concerns and subjective well-being levels. Although the negative effects of anxiety on students' academic and personal lives have been widely examined in the literature, studies on the effectiveness of artistic interventions such as mandala painting and music therapy in reducing anxiety are limited. In this context, the research aims to fill an important gap in the field by evaluating the combined effect of these two methods. In particular, it aims to provide evidence-based methods that will improve the mental and emotional states of university students with its practical results, and to make a positive contribution to both individual health and educational processes. As a result, university students' concerns about the future can have negative effects on both their mental and physical health. In this context, strategies to reduce anxiety about the future and approaches to increase happiness will play an important role in improving students' general well-being. Artistic and musical activities can reduce anxiety by strengthening individuals' emotional and mental states and help them live a healthy life. Such activities not only contribute to the personal development of university students, but also provide important opportunities for them to serve society as more creative, productive and healthy individuals. In addition, research in this area will make a valuable contribution to the literature and create a wider impact.
Data Collection Tools
- Sociodemographic Characteristics Form: consists of 4 questions in total, including age, gender, class, and region of birth.
- Subjective Well-Being Scale: The scale developed by Tuzgöl- Dost (2005) consists of 46 items. The aim of the scale is to determine the subjective well-being levels of individuals by determining the frequency and intensity of positive and negative emotions they experience with their cognitive evaluations about their lives. The subjective well-being scale consists of personal judgments about living spaces and positive and negative emotional expressions. The response system is in the form of a five-point Likert scale for each expression as "(5) Completely Appropriate", "(4) Mostly Appropriate", "(3) Partially Appropriate", "(2) Somewhat Appropriate", (1) "Not Appropriate at All". 26 of the scale items are positive and 20 are negative. Negative expressions; These are items 2, 4, 6, 10, 13, 15, 17, 19, 21, 24, 26, 28, 30, 32, 35, 37, 38, 40, 43, and 45. Negative statements are scored by reversing the scores. Positive statements are items 1, 3, 5, 7, 8, 9, 11,12, 14, 16, 18, 20, 22, 23, 25, 27, 26, 29,31, 33, 34, 36, 39, 41, 42, and 44. The lowest score that can be obtained from the scale is 46 and the highest score is 230. A high score indicates a high level of subjective well-being. Cronbach's alpha internal consistency coefficient is 93, and the test-retest reliability coefficient is 86. Subjective well-being reliability coefficients show that the scale is suitable for measuring the subjective well-being levels of university students.
- Future Anxiety Scale in University Students: The 5-point Likert-type Future Anxiety Scale, consisting of a total of 19 items, was developed by Geylani and Yıldız in 2022. The first factor of the scale was called "Future Fear" and the second factor was called "Hopelessness about the Future". The internal consistency of the scale was evaluated with the item-total score correlation and Cronbach's α method. Cronbach's α values were calculated as 0.91 for the entire scale, 0.95 for the first factor, and 0.88 for the second factor (Geylani \& Yıldız, 2022).
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
- Model description
- randomized-controlled
| Arm | Type | Receives |
|---|---|---|
| Music group | Experimental | Behavioral: Music groupThe music activity will be performed with the research applicant's instrument (guitar) after the repertoire list is created with the songs the students want. The music will be sung continuously in an area equipped with a sound system so that the subjects can listen comfortably without headphones, and will be performed with the participation of the students along with peer support. Each intervention activity will last approximately 60 minutes. |
| Mandala coloring | Experimental | Behavioral: mandala groupIn the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes. |
| Control Group | No intervention | –They will only fill out survey forms. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (2 listed)
- Studying in the Nursing Department of Erbaa Faculty of Health Sciences
- Volunteering to participate in the study
Key exclusion criteria (3 listed)
- Filling out scales and forms incompletely
- Wanting to leave the research
- Not participating fully in activities
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Music groupMusic will be sung continuously in an area equipped with a sound system so that subjects can listen comfortably without headphones, and will be performed with the participation of students and peer support. Each intervention activity will last approximately 60 minutes. | Behavioural | Music group |
| mandala groupIn the mandala coloring activity, they will be asked to choose the picture they want from the mandala coloring booklets and color it however they want. This activity will take approximately 60 minutes. | Behavioural | Mandala coloring |
Primary outcome
Well-being
Time frame: 4 weeks
The Subjective Well-being Scale assesses individuals' cognitive evaluations of their lives and the frequency and intensity of positive and negative emotions they experience.
1 secondary outcome
Future Anxiety
Time frame: 4 weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 5 Sep 2025.
- Individual participant dataSharing planned: Yes
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Music group and mandala group in people with Nursing Students and Well-being, run by Tokat Gaziosmanpasa University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 5 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Well-being (time frame: 4 weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 5 Sep 2025.