About this trial
This study will examine whether a mandala-based coloring program affects pregnant women's perceptions of traumatic childbirth, behavioral emotion regulation, and psychological resilience. Pregnant women aged 18 to 49 years will be randomly assigned to a mandala intervention group or a control group.
Participants in the intervention group will attend eight 45-minute sessions over four weeks (two sessions per week). Sessions will include brief preparation and breathing exercises, mandala coloring, and a short discussion. The control group will receive no study intervention. Participants in both groups will complete questionnaires before the intervention, immediately afterward, and at one-month and three-month follow-up assessments. Researchers will compare changes in the groups' questionnaire scores.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Being between the ages of 18 and 49,
Being in the 1st, 2nd, or 3rd trimester,
Volunteering to participate in the study,
Completing the forms in full,
Disqualifiers
Having a diagnosis of a high-risk pregnancy,
Not wishing to continue with the study,
Experiencing communication difficulties (not knowing Turkish, or having hearing, speech, or comprehension impairments),
Trial design
Parallel
Treatments tested in this trial
Mandala-Based
BehavioralEight 45-minute mandala-based sessions over four weeks, delivered twice weekly.
Treatment groups
Trial outcomes
Primary outcomes
Change in Perception of Traumatic Childbirth Scale score
The 13-item Perception of Traumatic Childbirth Scale measures anticipated traumatic childbirth perception. Total scores range from 0 to 130; higher scores indicate a stronger perception of traumatic childbirth. Change from baseline will be compared between groups.
Secondary outcomes
Change in Behavioral Emotion Regulation Questionnaire subscale scores
The 20-item Behavioral Emotion Regulation Questionnaire assesses five behavioral strategies: seeking distraction, withdrawal, actively approaching, seeking social support, and ignoring. Items are rated from 1 to 5. Higher subscale scores indicate more frequent use of the corresponding strategy. Changes in subscale scores will be compared between groups.
Change in Brief Resilience Scale score
The 6-item Brief Resilience Scale assesses psychological resilience. Items are rated from 1 to 5, with items 2, 4, and 6 reverse-coded. Higher scores indicate greater psychological resilience. Change from baseline will be compared between groups.
Sponsors and contacts
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Sakarya University
Lead sponsor
Bartın Unıversity
Sponsor institution
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