Mandala Activity for Anxiety and Emotional and Psychological Well-Being in Adolescents With Siblings With Special Needs

April 20, 2026 updated by: Akdeniz University

Effect of a Mandala Activity on Anxiety Levels and Emotional and Psychological Well-Being in Adolescents Who Have Siblings With Special Needs: A Randomized Controlled Trial

The purpose of this randomized controlled trial is to evaluate whether a structured mandala activity program can reduce anxiety and improve emotional and psychological well-being in adolescents who have a sibling with special needs. Adolescents in this group may experience emotional difficulties because of the demands and challenges associated with having a sibling who requires special care and support. However, supportive and accessible interventions for these adolescents are limited.

In this study, eligible participants will be randomly assigned to either an intervention group or a control group. The intervention group will participate in a structured mandala activity program, while the control group will not receive this program during the study period. Anxiety and emotional and psychological well-being will be assessed before and after the intervention using standardized measurement tools.

The main question of this study is whether participation in the mandala activity program leads to better mental well-being outcomes compared with the control group. The findings may help determine whether mandala-based activities can be used as a simple, supportive, and non-pharmacological approach for adolescents who have a sibling with special needs.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Detailed Description

This randomized controlled trial is designed to investigate the effect of a structured mandala activity program on anxiety and emotional and psychological well-being in adolescents who have a sibling with special needs. Adolescents in this group may be affected by psychosocial challenges associated with living with and supporting a sibling who requires ongoing special care. These challenges may influence their emotional adjustment and psychological well-being. However, evidence-based supportive interventions specifically targeting this population remain limited.

The primary objective of the study is to evaluate whether participation in a structured mandala activity program reduces anxiety and improves emotional and psychological well-being in adolescents who have a sibling with special needs. The study also aims to generate evidence regarding the potential usefulness of a structured, supportive, and non-pharmacological intervention for this population.

Participants who meet the eligibility criteria will be randomly allocated to either the intervention group or the control group. The intervention group will participate in the mandala activity program delivered in a structured format. The control group will not receive the mandala intervention during the study period and will continue under usual conditions. Assessments will be conducted before and after the intervention using standardized measurement tools evaluating anxiety and emotional and psychological well-being.

This study is based on the assumption that structured mandala activities may provide emotional expression, psychological support, and a calming effect for adolescents who experience stress related to having a sibling with special needs. The results of the study are expected to contribute to the literature on adolescent mental health and to support the development of feasible and accessible psychosocial interventions for this potentially vulnerable group.

Study Type

Interventional

Enrollment (Estimated)

64

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • Turkey (Türkiye)
    • Kars
      • Kars, Kars, Turkey (Türkiye), 36000
        • Özel Kars Derman Özel Eğitim Ve Rehabilitasyon Merkezi
        • Contact:
        • Contact:
        • Principal Investigator:
          • Süleyman Şahin, MSc

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Adolescents within the predefined study age range
  • Having a sibling with special needs
  • Ability to communicate in Turkish
  • Willingness to participate in the study
  • Written informed consent from a parent or legal guardian and assent from the adolescent
  • Availability to attend the planned intervention and assessment sessions

Exclusion Criteria:

  • Having any physical, cognitive, or communication problem that would prevent participation in the mandala activity program or completion of the measurement tools
  • Not attending the planned intervention sessions
  • Withdrawal of consent/assent during the study period

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Group
Participants in this arm will receive a structured mandala activity program. The intervention is designed as a supportive behavioral program to reduce anxiety and improve emotional and psychological well-being. Assessments will be conducted before and after the intervention period.
Behavioral: Mandala Activity Program
A structured mandala activity program administered to adolescents who have a sibling with special needs. This behavioral intervention is designed to provide emotional support, promote self-expression, reduce anxiety, and improve emotional and psychological well-being. The program will be delivered according to the planned study protocol for participants assigned to the intervention group.
No Intervention: Control Group
Participants in this arm will not receive the mandala activity program during the study period. They will continue under usual conditions and will complete the same assessments as the intervention group at the planned measurement times.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Anxiety Level
Time Frame: Baseline and immediately after completion of the intervention
Change in anxiety level measured using the State-Trait Anxiety Inventory for Children.
Baseline and immediately after completion of the intervention

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Emotional Well-Being
Time Frame: Baseline and immediately after completion of the intervention
Change in emotional well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.
Baseline and immediately after completion of the intervention
Psychological Well-Being
Time Frame: Baseline and immediately after completion of the intervention
Change in psychological well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.
Baseline and immediately after completion of the intervention

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Akdeniz University

Investigators

  • Principal Investigator: Selma Öncel, PhD, Akdeniz University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

May 2, 2026

Primary Completion (Estimated)

June 30, 2026

Study Completion (Estimated)

June 30, 2026

Study Registration Dates

First Submitted

April 20, 2026

First Submitted That Met QC Criteria

April 20, 2026

First Posted (Actual)

April 24, 2026

Study Record Updates

Last Update Posted (Actual)

April 24, 2026

Last Update Submitted That Met QC Criteria

April 20, 2026

Last Verified

April 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • TBAEK-99

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

IPD Plan Description

Individual participant data will not be shared because of privacy, confidentiality, and ethical considerations related to the study population.

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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