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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).

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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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
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.

Turkey (Türkiye)1 site
  • Tokat Gaziosmanpasa University

    Tokat Province

Other trials in Turkey (Türkiye)

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).
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 groups in NCT06804005
Study groupRoleWhat they receive
Music groupExperimentalThe 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 coloringExperimentalIn 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 GroupNo interventionThey will only fill out survey forms.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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)
  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.

  1. First posted31 Jan 2025
  2. Study start15 May 2025
  3. Primary completion15 Jun 2025
  4. Study completion20 Jun 2025

Resources

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)
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

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.

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