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The research is planned as a randomized controlled trial with a two-group (art-based flow drawing and mandala), pre-test, post-test design.
This study aims to compare the effects of the "Dance of the Pen" (art-based flow drawing) and mandala activities on state anxiety in patients undergoing chemotherapy and to evaluate intervention satisfaction. The research is planned as a randomized controlled trial with a two-group, pre-test, post-test design. The study will be conducted in two hospitals in Istanbul with a total of 60 participants. The intervention group will receive the "Dance of the Pen" and mandala activities. Randomization will be based on the patients' chemotherapy session days, and the study will be conducted as a single-blind study. Data will be collected using a Personal Information Form, the State Anxiety Scale (STAI-I), and a Distress Thermometer. Interventions will be applied in structured sessions lasting approximately 30-60 minutes. The population of the study will consist of patients receiving chemotherapy at hospital, and those patients meeting the inclusion criteria will constitute the sample of the study. Participants will be informed about the study before the research begins. Those who agree to participate will be assigned to a randomized group and will undergo either the "Dance of the Pen" or "Mandala activity," both conducted as single-session interviews. Participants will complete a Personal Information Form and the STAI-I before the activity, and will also undergo the STAI-I and distress thermometer tests afterwards.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mandala | Experimental | Patients will be given a file containing mandala designs, and they will be asked to color the design of their choice with their preferred colored pencils (pastel, crayon, marker) throughout the treatment. |
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| Art therapy | Experimental | During chemotherapy, the patient will be given a pen and will be played music. Following instructions, they will be asked to draw on the paper with their eyes closed and then interpret the drawing. |
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| Control group | No Intervention | Participants will only receive the clinical procedure. The clinical procedure will be an information session about the treatment. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mandala therapy | Other | Patients will be given a file containing mandala designs, and they will be asked to color the design of their choice with their preferred colored pencils (pastel, crayon, marker) throughout the treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| State anxiety scale | The State Anxiety Scale will be administered prior to the intervention, followed by randomly assigned art therapy or mandala practice. The State Anxiety Scale and distress thermometer will be administered again after the intervention is completed. A high score on the State Anxiety Scale indicates high anxiety levels. | 6 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Basaksehir Cam Sakura Hospital | Istanbul | Istanbul | 34000 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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| ID | Term |
|---|---|
| D001155 | Art Therapy |
| ID | Term |
|---|---|
| D026421 | Sensory Art Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D012046 | Rehabilitation |
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| Art therapy | Other | During chemotherapy, the patient will be given a pen to hold with their eyes closed and asked to draw on a blank piece of paper according to the instructions. Afterwards, their drawing will be analyzed and interpreted. |
|
| D000359 |
| Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D011613 | Psychotherapy |
| D004191 | Behavioral Disciplines and Activities |