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Mandala Coloring in Late Pregnancy
Sponsor: Fidan Balkaya
Summary
Anxiety, depression and poor sleep are common in the last months of pregnancy and often occur together. Medication options during pregnancy are limited, so simple, safe non-drug methods are needed. Mandala coloring is an art therapy technique in which a person colors circular patterns; it helps focus attention on the present moment and may have a calming effect. This randomized controlled trial will examine whether mandala coloring during the third trimester reduces depression, anxiety and stress, improves sleep, and reduces fear of childbirth. It will also look at birth outcomes and the childbirth experience. Pregnant women at 28 weeks of gestation who attend the obstetrics outpatient clinics of Malatya Training and Research Hospital will be randomly assigned to a mandala coloring group or a control group. Women in the mandala group will color two mandalas a week at home for 8 weeks (16 mandalas in total, about 20-30 minutes per session). Women in the control group will receive routine antenatal care only and will be offered the mandala materials after the study ends.
Official title: Effects of Mandala Art Therapy in Late Pregnancy on Expectant Mothers' Mental Health and Sleep: A Randomized Controlled Trial
Key Details
Gender
FEMALE
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
186
Start Date
2026-11-10
Completion Date
2027-02-28
Last Updated
2026-10-30
Healthy Volunteers
Yes
Conditions
Interventions
Mandala Coloring Group
Participants color two ready-made mandala templates per week for 8 weeks (16 sessions in total, approximately 20-30 minutes each) at home, at a time convenient for them, in a calm and quiet setting. Each participant receives a set of 7-color felt-tip pens and 16 mandala templates of her choice, together with a standard verbal and written briefing on the purpose, duration, session frequency and materials of the intervention. Adherence is monitored through a message sent to the researcher before each session and a photograph of the completed mandala sent afterwards; regular reminder messages are sent throughout the intervention.
Locations (1)
Inonu University Faculty of Nursing
Malatya, Battalgazi, Turkey (Türkiye)