ChildbirthNCT07533448
Effects of Nada Yoga Music and Mandala Coloring During Labor on Pain, Anxiety, and Maternal Outcomes
A study testing NADA and MANDALA in people with Childbirth and Labor Process, run by Agri Ibrahim Cecen University at 1 site in Turkey (Türkiye).
Trial summary
Aim: The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women. Materials and Methods: This study was conducted as a randomized controlled trial with a pretest-post test group design including measurements at multiple time… Read more about this study
- Who is it for?
- Ages 18 years and older, women only
- Conditions the study is for
- Childbirth, Labor Process
- What is being tested?
- NADA and MANDALA
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 106 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 1 Jun 2025to 1 May 2026
- 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 18 years and older
- Women only
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age ≥18 years
- No communication barriers
- Pregnant women admitted to Ağrı Training and Research Hospital for vaginal delivery
- Willingness to participate in the study
- No contraindication to normal vaginal delivery (e.g., cephalopelvic disproportion)
- Term pregnancy (38-42 weeks of gestation)
Show all 9Show fewer
- Absence of any chronic disease (e.g., diabetes, hypertension)
- No condition preventing mandala coloring (e.g., hand or finger injuries, structural impairments)
- No condition preventing listening to music (e.g., hearing impairment)
Who cannot join
- Pregnant women who prefer cesarean delivery despite having no contraindication to vaginal birth
- Failure to respond to the questionnaire items
- Presence of psychiatric disorders (e.g., social phobia, schizophrenia, bipolar disorder)
- Conditions requiring emergency cesarean section during the first stage of labor
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Ağri İbrahim Çeçen Universty
Ağrı, Ağri, 04100
About this study
Official title: Evaluation of the Effects of Nada Yoga Music and Mandala Coloring During Childbirth on Pain, Anxiety, Labor Process, and Maternal Satisfaction
Aim:
The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women.
Read more
Materials and Methods:
This study was conducted as a randomized controlled trial with a pretest-post test group design including measurements at multiple time points. The study population consisted of pregnant women admitted for vaginal delivery to the labor unit of a hospital between June 1, 2025, and May 1, 2026. Sample size was calculated using the G*Power 3.1.9.7 program. In the sample size calculation, the Cohen's d = 0.80 value obtained from the reference study was used as the basis and was converted to an approximate effect size of f = 0.40. Analysis performed with a 5% significance level and 80% statistical power indicated that the required minimum sample size for the three groups was 66 participants in total. To prevent potential data loss, support voluntary participation, and increase statistical power, 36 participants were initially planned for each group; however, because one participant in each intervention group was younger than 18 years of age and was therefore excluded, the study was completed with a total of 106 participants in the mandala coloring (n = 35), Nada Yoga music (n = 35), and control (n = 36) groups.
- Conditions
- Childbirth, Labor Process
- Being tested
- NADA, MANDALA
- Keywords
- Pain during labor, Mandala coloring, Childbirth, Nada Yoga music
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
NADAOther
Listening to Nada Yoga music
MANDALAOther
Mandala coloring
| Study group | Role | What they receive |
|---|---|---|
| NADA | Experimental | Nada Yoga music Receives: Other: NADA |
| MANDALA | Experimental | Mandala coloring Receives: Other: MANDALA |
| CONTROL | No intervention | Control |
What is being measured
The primary outcome is the main question the study is designed to answer.
Visual Analog Scale (VAS)
The Visual Analog Scale (VAS) is It is a unidimensional measurement tool used to evaluate labor pain intensity. Pain level is determined by measuring the point marked by the participant on a 10-cm line ranging from 0 (no pain) to 10 (unbearable pain). Higher scores indicate more severe pain perception. The VAS is widely used as a valid and reliable method for the quantitative evaluation of pain perception, particularly in pregnant women and women during labor
Measured: Baseline, Periprocedural (labor stages: first, second, third)
Personal Information Form
This form was developed by the researchers based on the relevant literature to collect data on the participants' sociodemographic characteristics.
Measured: Baseline
Birth Satisfaction Scale-Short Form (BSS-S)
The Birth Satisfaction Scale-Short Form (BSS-S) This scale, developed by Martin and Fleming and revised by Martin and Martin, is a 10-item, 5-point Likert-type instrument designed to evaluate women's perceptions of childbirth. The Turkish validity and reliability study was conducted by Göncü and Karahan. Scores obtained from the scale range from 0 to 40, with higher scores indicating greater satisfaction; in the Turkish adaptation, scores were classified as low (<13), moderate (14-27), and high (≥28) satisfaction. Items are scored between 0 and 4, and items 2, 4, 7, and 8 are reverse coded. Although the original scale included three subdimensions, the Turkish validity study identified two subdimensions with eigenvalues above 1: Personal Attributes \& Stress (PAS) and Quality of Care (QC).
Measured: Baseline, Periprocedural (labor stages: first, second, third)
State Anxiety Inventory (SAI-I)
The State Anxiety Inventory (SAI-I) It was developed to evaluate anxiety level at a specific moment. The scale was adapted into Turkish by Öner and Le Compte. The scale is a self-report instrument that evaluates the individual's current emotional state. It consists of a total of 20 items, and items are scored on a 4-point Likert scale (not at all = 1, somewhat = 2, very much = 3, completely = 4). Obtained scores range from 20 to 80, with higher scores indicating higher anxiety levels.
Measured: Baseline, Periprocedural (labor stages: first, second, third)
Labor Process Evaluation Form
The Labor Process Evaluation Form (Appendix 5) is a tool developed by the researcher based on the relevant literature (Tuncay, 2024) to assess the childbirth process of the participants.
Measured: Periprocedural (labor stages: first, second, third)
Labor Process Evaluation Form (LPEF)
Labor Process Evaluation Form (LPEF): It was prepared by the researcher in accordance with the literature to evaluate clinical and experiential characteristics associated with the labor process in the participants. The form includes labor stages, labor duration, and basic clinical findings related to the mother and newborn
Measured: Periprocedural (labor stages: third)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Apr 2026
- Study start1 Jun 2025
- Primary completion1 Oct 2025
- Study completion1 May 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for ChildbirthStudies 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
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- All individuals who agreed to participate in the study will be informed about the research, and written informed consent will be obtained using the Informed Consent Form. A copy of the signed consent form will also be provided to the participants. The study data will be collected by the researcher using the following instruments developed in line with the relevant literature: Personal Information Form (PIF), Visual Analog Scale (VAS), State Anxiety Inventory, Birth Satisfaction Scale-Short Form (BSS-S), and the Labor Process Evaluation Form. Participants will be assigned to groups using a randomization method. The control group will receive only routine care. The intervention group will receive the assigned non-pharmacological interventions. All participants in both groups will complete the Personal Information Form (PIF) (Appendix 1), Visual Analog Scale (VAS) (Appendix 2), State Anxiety Inventory (Appendix 4), and Labor Process Evaluation Form (Appendix 5). During the first, secon
- Masking
- None (open label)
- Enrolment
- 106 participants (actual)
Sponsor and investigators
- Lead sponsor
- Agri Ibrahim Cecen University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, NURTEN ÖZÇALKAP, Agri Ibrahim Cecen University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07533448
- Sponsor's protocol ID
- 2025/87
- Status last verified
- May 2026
- First submitted
- 22 Mar 2026
- Last updated
- 26 Aug 2026
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Individual participant data (IPD) will not be publicly shared due to ethical and confidentiality considerations, as the dataset contains sensitive personal and clinical information. However, de-identified data may be made available from the corresponding author upon reasonable request.
Publications
Göncü S. Adaptation of the Birth Satisfaction Scale-Short Form into Turkish and Determination of Its Psychometric Properties. Institute of Health Sciences, Department of Midwifery. Master's Thesis, Karabük: Karabük University; 2015.
Study at a glance
From the registry record, last updated by the sponsor on 26 Aug 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Effects of Nada Yoga Music and Mandala Coloring During Childbirth on Pain, Anxiety, Labor Process, and Maternal Satisfaction
- ClinicalTrials.gov ID
- NCT07533448
- Acronym / sponsor ID
- 2025/87
- Conditions
- Childbirth, Labor Process
- Keywords
- Pain during labor, Mandala coloring, Childbirth, Nada Yoga music
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 106 participants (actual)
- Lead sponsor
- Agri Ibrahim Cecen UniversityUniversity, hospital or other
- Study start
- 1 Jun 2025 (actual)
- Primary completion
- 1 Oct 2025 (actual)
- Study completion
- 1 May 2026 (actual)
- First posted
- 16 Apr 2026 (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.
Aim:
The aim of this study is to evaluate the effect of mandala coloring on labor pain, childbirth experience, and maternal satisfaction in pregnant women.
Materials and Methods:
This study was conducted as a randomized controlled trial with a pretest-post test group design including measurements at multiple time points. The study population consisted of pregnant women admitted for vaginal delivery to the labor unit of a hospital between June 1, 2025, and May 1, 2026. Sample size was calculated using the G*Power 3.1.9.7 program. In the sample size calculation, the Cohen's d = 0.80 value obtained from the reference study was used as the basis and was converted to an approximate effect size of f = 0.40. Analysis performed with a 5% significance level and 80% statistical power indicated that the required minimum sample size for the three groups was 66 participants in total. To prevent potential data loss, support voluntary participation, and increase statistical power, 36 participants were initially planned for each group; however, because one participant in each intervention group was younger than 18 years of age and was therefore excluded, the study was completed with a total of 106 participants in the mandala coloring (n = 35), Nada Yoga music (n = 35), and control (n = 36) groups.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
- Model description
- All individuals who agreed to participate in the study will be informed about the research, and written informed consent will be obtained using the Informed Consent Form. A copy of the signed consent form will also be provided to the participants. The study data will be collected by the researcher using the following instruments developed in line with the relevant literature: Personal Information Form (PIF), Visual Analog Scale (VAS), State Anxiety Inventory, Birth Satisfaction Scale-Short Form (BSS-S), and the Labor Process Evaluation Form. Participants will be assigned to groups using a randomization method. The control group will receive only routine care. The intervention group will receive the assigned non-pharmacological interventions. All participants in both groups will complete the Personal Information Form (PIF) (Appendix 1), Visual Analog Scale (VAS) (Appendix 2), State Anxiety Inventory (Appendix 4), and Labor Process Evaluation Form (Appendix 5). During the first, secon
| Arm | Type | Receives |
|---|---|---|
| NADA | Experimental | Other: NADANada Yoga music |
| MANDALA | Experimental | Other: MANDALAMandala coloring |
| CONTROL | No intervention | –Control |
Who may qualify
- Ages
- 18 years and older
- Sex
- Female only
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (9 listed)
- Age ≥18 years
- No communication barriers
- Pregnant women admitted to Ağrı Training and Research Hospital for vaginal delivery
- Willingness to participate in the study
- No contraindication to normal vaginal delivery (e.g., cephalopelvic disproportion)
Key exclusion criteria (4 listed)
- Pregnant women who prefer cesarean delivery despite having no contraindication to vaginal birth
- Failure to respond to the questionnaire items
- Presence of psychiatric disorders (e.g., social phobia, schizophrenia, bipolar disorder)
- Conditions requiring emergency cesarean section during the first stage of labor
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 |
|---|---|---|
| NADAListening to Nada Yoga music | Other | NADA |
| MANDALAMandala coloring | Other | MANDALA |
Primary outcome
Visual Analog Scale (VAS)
Time frame: Baseline, Periprocedural (labor stages: first, second, third)
The Visual Analog Scale (VAS) is It is a unidimensional measurement tool used to evaluate labor pain intensity. Pain level is determined by measuring the point marked by the participant on a 10-cm line ranging from 0 (no pain) to 10 (unbearable pain). Higher scores indicate more severe pain perception. The VAS is widely used as a valid and reliable method for the quantitative evaluation of pain perception, particularly in pregnant women and women during labor
Personal Information Form
Time frame: Baseline
This form was developed by the researchers based on the relevant literature to collect data on the participants' sociodemographic characteristics.
Birth Satisfaction Scale-Short Form (BSS-S)
Time frame: Baseline, Periprocedural (labor stages: first, second, third)
The Birth Satisfaction Scale-Short Form (BSS-S) This scale, developed by Martin and Fleming and revised by Martin and Martin, is a 10-item, 5-point Likert-type instrument designed to evaluate women's perceptions of childbirth. The Turkish validity and reliability study was conducted by Göncü and Karahan. Scores obtained from the scale range from 0 to 40, with higher scores indicating greater satisfaction; in the Turkish adaptation, scores were classified as low (<13), moderate (14-27), and high (≥28) satisfaction. Items are scored between 0 and 4, and items 2, 4, 7, and 8 are reverse coded. Although the original scale included three subdimensions, the Turkish validity study identified two subdimensions with eigenvalues above 1: Personal Attributes \& Stress (PAS) and Quality of Care (QC).
State Anxiety Inventory (SAI-I)
Time frame: Baseline, Periprocedural (labor stages: first, second, third)
The State Anxiety Inventory (SAI-I) It was developed to evaluate anxiety level at a specific moment. The scale was adapted into Turkish by Öner and Le Compte. The scale is a self-report instrument that evaluates the individual's current emotional state. It consists of a total of 20 items, and items are scored on a 4-point Likert scale (not at all = 1, somewhat = 2, very much = 3, completely = 4). Obtained scores range from 20 to 80, with higher scores indicating higher anxiety levels.
Labor Process Evaluation Form
Time frame: Periprocedural (labor stages: first, second, third)
The Labor Process Evaluation Form (Appendix 5) is a tool developed by the researcher based on the relevant literature (Tuncay, 2024) to assess the childbirth process of the participants.
Labor Process Evaluation Form (LPEF)
Time frame: Periprocedural (labor stages: third)
Labor Process Evaluation Form (LPEF): It was prepared by the researcher in accordance with the literature to evaluate clinical and experiential characteristics associated with the labor process in the participants. The form includes labor stages, labor duration, and basic clinical findings related to the mother and newborn
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 26 Aug 2026.
- Results publicationGöncü S. Adaptation of the Birth Satisfaction Scale-Short Form into Turkish and Determination of Its Psychometric Properties. Institute of Health Sciences, Department of Midwifery. Master's Thesis, Karabük: Karabük University; 2015.
- Individual participant dataSharing planned: No. Individual participant data (IPD) will not be publicly shared due to ethical and confidentiality considerations, as the dataset contains sensitive personal and clinical information. However, de-identified data may be made available from the corresponding author upon reasonable request.
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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 NADA and MANDALA in people with Childbirth and Labor Process, run by Agri Ibrahim Cecen 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 9 inclusion and 4 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 26 Aug 2026. 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?
Visual Analog Scale (VAS) (time frame: Baseline, Periprocedural (labor stages: first, second, third)). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT07533448, which also lists 1 linked publication.
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 26 Aug 2026.