Study design (if review, criteria of inclusion for studies)
Randomized controlled trial
Participants
120 children aged 6-18 years with CF with mild-to-moderate anxiety
Interventions
Mandala coloring. The children were randomly divided into two groups: intervention and control. The children in the intervention group performed mandala coloring exercises every evening for 30 minutes for 6 consecutive days.
Outcome measures
The level of anxiety in the children in both groups was measured using the Spielberger State-Trait Anxiety Inventory before the intervention and 6 days after the first measurement.
Main results
An analysis of the mean anxiety scores before and after the intervention showed a significant decrease in the anxiety level in the Mandala group (Z = -3.74, p < 0.05). Moreover, a significant decrease was observed after the intervention between the children in the mandala and control groups in terms of average anxiety levels (U = 1206, p < 0.05). An intergroup comparison showed that state anxiety was significantly different between the two groups (U = 1143, p < 0.05), but no statistical difference was observed in terms of trait anxiety (p > 0.05).
Authors' conclusions
The results indicated that holding six mandala coloring sessions reduced the anxiety of children with CF. Thus, mandala coloring is recommended as a complementary non-pharmacological method to reduce children's anxiety.
Keywords: Child; Adolescent; Caregivers; Home; Home Care Services; non pharmacological intervention - psyco-soc-edu-org; Organization;