The Effect of Mandala Art Therapy, Psychological Resilience, Coping With Cancer, Colorectal Cancer Surgery
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Mandala art therapy, rutine service operation.
- Who it may be relevant to
- Registry conditions: Colorectal Cancer, Coping, Cognitive, Psychological Well-Being. Basic parameters: 18 years — 74 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Turkey (Türkiye)
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
The Effect of Mandala Art Therapy on Psychological Resilience and Coping With Cancer in Patients Undergoing Colorectal Cancer Surgery: a Prospective Randomized Controlled Study.
Overview
The aim of this study is to evaluate the effects of mandala art therapy on psychological resilience and coping with cancer in patients undergoing colorectal cancer surgery. This study was conducted as a randomized controlled trial with a pre-test-post-test design, including intervention and control groups. The study will be conducted between January 2026 and December 2026 with patients undergoing colorectal cancer surgery. The G.power 3.1.9.7 program was used for sample size calculation. The sample size was determined as 28 individuals in each group, considering equal sample sizes in the experimental and control groups, a 95% confidence interval (type I error 5%), and statistical power of 80% (type II error 20%) with an effect size of d=0.50. However, considering a possible 20% data loss, 35 individuals will be included in each group, resulting in a total sample size of 70 individuals. Sample selection will be made using sequential sampling according to inclusion criteria. Patients will then be randomly assigned to the experimental group (A) and the control group (B) using block randomization (four-block). First, 15 blocks of four, such as AABB, ABAB, ABBA, BBAA, BABA, BAAB, etc., will be prepared by the researcher and statistician. Individuals will then be divided into two groups according to the prepared list; this process will be repeated continuously until the sample size is complete. Three data collection forms were used. SPSS 22.00 software package was used for data analysis. Skewness and kurtosis analyses were performed to determine the normality of the data distribution. Frequency (n) and percentage (%) distributions were calculated to determine the sociodemographic and clinical characteristics of the participants. Independent samples t-test was used to determine the mean differences between two independent groups, dependent samples t-test was used to compare pre- and post-intervention measurements, and repeated measures one-way analysis of variance (ANOVA) was used. Cohen's d effect size was calculated to evaluate the significance of the difference between groups in terms of the intervention. The statistical significance level was accepted as p\<0.05.
Interventions
- Other Mandala art therapy
Mandala art therapy was applied to the experimental group in the postoperative period. - Other rutine service operation
No additional intervention will be made to the control group; only data collection forms will be applied.
Primary outcome measures
- Patient Information Form on experimental group [Time frame: 1 day]
- Cognitive Emotional Coping Scale with Cancer pre-test post-test on experimental group [Time frame: 1 day]
- Short Psychological Resilience Scale pre-test post-test on experimental group [Time frame: 1 day]
- Patient Information Form on control group [Time frame: 1 day]
- Cognitive Emotional Coping Scale with Cancer pre-test post-test on control group [Time frame: 1 day]
- Short Psychological Resilience Scale pre-test post-test on control group [Time frame: 1 day]
Eligibility criteria
Inclusion criteria
- To communicate,
- Aged 18 or older,
- Agreed to participate
- Scheduled for colorectal cancer surgery.
- No physical disability of the upper extremities,
- no visual problems,
- no history of psychotic drug use,
- pain intensity and fatigue level ≤3 points according to VAS-10 before MST application,
- will be hospitalized for 3 days postoperatively,
Exclusion criteria
- Over 74 years old,
- has not completed mandala art therapy application,
- is not compliant with the application,
- has a history of previous psychiatric diagnosis.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Other
Study locations
Turkey (Türkiye) · 1 center
- Sivas Cumhuriyet University — Sivas
Publications
- Doğan, T. (2015). Kısa Psikolojik Sağlamlık Ölçeği'nin Türkçe uyarlaması: Geçerlik ve güvenirlik çalışması Adaptation of the Brief Resilience Scale into Turkish: A validity and reliability study. Içinde The Journal of Happiness & Well-Being (C. 3, Sayı 1).
- Cwik, J. C., Vaganian, L., Bussmann, S., Labouvie, H., Houwaart, S., Gerlach, A. L., & Kusch, M. (2021). Assessment of coping with cancer-related burdens: psychometric properties of the Cognitive-Emotional Coping with Cancer scale and the German Mini-mental Adjustment to Cancer scale. Journal of Psychosocial Oncology Research & Practice, 3(1). https://doi.org/10.1097/or9.0000000000000046
- Smith BW, Dalen J, Wiggins K, Tooley E, Christopher P, Bernard J. The brief resilience scale: assessing the ability to bounce back. Int J Behav Med. 2008;15(3):194-200. doi: 10.1080/10705500802222972. PMID 18696313
Identifiers
NCT: NCT07535021 · 2025-10/45