ClinicalTrials.gg
RecruitingNCT07535021Updated Apr 16, 2026

The Effect of Mandala Art Therapy, Psychological Resilience, Coping With Cancer, Colorectal Cancer Surgery

An interventional study of Mandala art therapy and rutine service operation in Colorectal Cancer, Coping, Cognitive and Psychological Well-Being, sponsored by Cumhuriyet University. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years to 74 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-04-16.

Sponsored by Cumhuriyet University · Not applicable, Interventional, and Other

From the registry’s dates

  • Primary completion was expected by Jun 2026, 5 months ago, but the record still lists the study as recruiting.
  • Registered 3 months after the study started (first participant enrolled Jan 2026, registered Apr 2026).
  • Started Jan 2026; still recruiting 10 months later.

Help build ClinicalTrials.gg — short surveys, remote interviews or testing, in your language. Take part →

Phase
Not applicable
Study type
Interventional
Enrollment
70
Allocation
Randomized
Ages
18 Years to 74 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-13

Among 89 studies in Colorectal Neoplasms with a site in Turkey — 20 open to participants now, 22 under way, 5 of them phase 3. Colorectal Neoplasms · Turkey.

Planned enrollment
41st of 64
70 · median 108
Started
2026
with 5 others
No phase
34 of 89
6 open now
Primary completion
2026-06
later than 7 of 21 live
Registered
87th of 89
by date

Among the 89 studies in Colorectal Neoplasms with a site in Turkey, this one is the 41st largest by planned enrollment of the 64 interventional ones that give a count, is one of 6 that started in 2026, is one of 34 with no phase, reaches primary completion later than 7 of the 21 other live ones, and was the 87th registered.

Colorectal Neoplasms

6,544 studies on the registry are indexed under Colorectal Neoplasms; 1,666 are open to participants now.

Browse Colorectal Neoplasms studies →

Open to participants now

20 of the 89 studies in Colorectal Neoplasms with a site in Turkey are open now. Recruiting first, the newest first:

14 more — sign in →

All 20 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 1,184 Colorectal Neoplasms studies recruiting now, 767 (65%) set no upper age limit and 264 (22%) stop at 75 or younger; 48 take children under 18; 124 take healthy volunteers.

This study: 18 Years to 74 Years · all sexes · healthy volunteers too.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

Was this useful?
Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 89 studies in Colorectal Neoplasms with a site in Turkey, or all of them as a file.
02

Study summary

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.

03

Conditions studied

  • Colorectal Cancer
  • Coping, Cognitive
  • Psychological Well-Being

Keywords

  • colorectal cancer
  • cope with cancer
  • psychological resilience
  • mandala art therapy
  • nursing care
04

Who can participate

Ages eligible
18 Years to 74 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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

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.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
70 participants (estimated)

Study arms

  • Experimental
    The application of mandala art therapy to patients undergoing colorectal cancer surgery

    Colorectal cancer patients

    Other: Mandala art therapy

  • Other
    rutine service operation

    Colorectal cancer patients

    Other: rutine service operation

Interventions

  • OtherMandala art therapy

    Mandala art therapy was applied to the experimental group in the postoperative period.

  • Otherrutine service operation

    No additional intervention will be made to the control group; only data collection forms will be applied.

06

What researchers measure

Primary outcomes

  1. Patient Information Form on experimental group

    The form includes personal information such as age, gender, marital status, education level, employment status, smoking, and alcohol use; and clinical information such as family history of cancer, loss of life due to cancer, stage of cancer diagnosis, stoma placement, and metastasis status.

    Time frame: 1 day

  2. Cognitive Emotional Coping Scale with Cancer pre-test post-test on experimental group

    The scale consists of 21 items and 5 sub-dimensions (cognitive avoidance, cognitive re-evaluation, distraction and suppression, optimism and hope, uncontrollable thoughts) and is a 6-point Likert scale. The scale is answered as follows: "Strongly Disagree" (0), "Disagree" (1), "Partially Disagree" (2), "Partially Agree" (3), "Agree" (4), "Strongly Agree" (5) (Appendix-2). The minimum score on the scale is 0 and the maximum score is 105. It is known that as the score on the scale increases, the coping abilities of individuals also increase.

    Time frame: 1 day

  3. Short Psychological Resilience Scale pre-test post-test on experimental group

    The scale measures psychological resilience. The scale is prepared in a 5-point Likert type and contains 6 items. The scale is answered as follows: "Not suitable at all" (1), "Not suitable" (2), "Somewhat suitable" (3), "Suitable" (4), The answer is "Completely Appropriate" (5). Items 2, 4 and 6 on the scale are reverse coded. A high score on the scale indicates high psychological resilience.

    Time frame: 1 day

  4. Patient Information Form on control group

    The form includes personal information such as age, gender, marital status, education level, employment status, smoking, and alcohol use; and clinical information such as family history of cancer, loss of life due to cancer, stage of cancer diagnosis, stoma placement, and metastasis status.

    Time frame: 1 day

  5. Cognitive Emotional Coping Scale with Cancer pre-test post-test on control group

    The scale consists of 21 items and 5 sub-dimensions (cognitive avoidance, cognitive re-evaluation, distraction and suppression, optimism and hope, uncontrollable thoughts) and is a 6-point Likert scale. The scale is answered as follows: "Strongly Disagree" (0), "Disagree" (1), "Partially Disagree" (2), "Partially Agree" (3), "Agree" (4), "Strongly Agree" (5) (Appendix-2). The minimum score on the scale is 0 and the maximum score is 105. It is known that as the score on the scale increases, the coping abilities of individuals also increase.

    Time frame: 1 day

  6. Short Psychological Resilience Scale pre-test post-test on control group

    The scale measures psychological resilience. The scale is prepared in a 5-point Likert type and contains 6 items. The scale is answered as follows: "Not suitable at all" (1), "Not suitable" (2), "Somewhat suitable" (3), "Suitable" (4), The answer is "Completely Appropriate" (5). Items 2, 4 and 6 on the scale are reverse coded. A high score on the scale indicates high psychological resilience.

    Time frame: 1 day

07

Study locations

1 of 1 sites recruiting
08

References and documents

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. PubMed 18696313 ↗

Individual participant data

Plan to share: Yes — We plan to publish the study in an international journal.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report, Analytic code

Time frame: Data will be collected for six months.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Jan 2026 (actual). Primary completion is estimated for Jun 2026, 5 months after the start.

Of 899 non-industry interventional studies with no phase under Colorectal Neoplasms, half reached primary completion within 32 months of starting (the median), counting those still running; a quarter within 15 and three quarters within 62. This study's planned 5 months is below that.

Counting every sponsor, half of 956 studies reached it within 32 months; a quarter within 14 and three quarters within 60.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 10, 2026
First posted
Apr 16, 2026
StartActual
Jan 1, 2026
Primary completionEst.
Jun 2026
CompletionEst.
Dec 2026
Last update
Apr 16, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07535021
Responsible party
Pınar YILMAZ EKER (Asst. Prof. Dr., Cumhuriyet University) — Principal investigator
First posted
Apr 16, 2026
Start date
Jan 1, 2026
Primary completion
Jun 2026 (estimated)
Completion
Dec 2026 (estimated)
Last update
Apr 16, 2026

Study contacts

Pınar YILMAZ EKER
Contact
yilmazpinar20@gmail.com
+90 530 946 89 19
Ayşegül KAYA İMREK
Contact
aysegulkayagk@gmail.com
+90 507 037 76 65
Melis BOZOGLU
study director · İstanbul Atlas University
Pınar YILMAZ EKER
principal investigator · Cumhuriyet University
Ayşegül KAYA İMREK
study director · Cumhuriyet University
Çağla TOPRAK
study director · İstanbul Atlas University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Interested in this study?

Eligibility is decided by the study team. Share this record with your doctor or contact the team directly.

Contact study team

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion