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.
Adolescents within the predefined study age range
Having a sibling with special needs
Ability to communicate in Turkish
Willingness to participate in the study
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
Parallel
Mandala Activity Program
BehavioralA 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.
Anxiety Level
Change in anxiety level measured using the State-Trait Anxiety Inventory for Children.
Emotional Well-Being
Change in emotional well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.
Psychological Well-Being
Change in psychological well-being measured using the Stirling Children's Emotional and Psychological Well-Being Scale.
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