ArticleIranian journal of nursing and midwifery research
Effectiveness of Mandala Coloring Intervention on Children's Preoperative Anxiety: A Randomized Clinical Trial Study in Iran.
Article in Iranian journal of nursing and midwifery research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness of mandala coloring on the psychological and physiological symptoms in adult hospitalized patients: a meta-analysis.BMC complementary medicine and therapies · 2026Pooled it
- Preoperative interventions for reducing anxiety in school-age children undergoing surgery: a network meta-analysis.The Cochrane database of systematic reviews · 2026Article
- The Effect of Color Therapy on Anxiety in Chemotherapy Patients Attending the Oncology Department: A Randomized Clinical Trial.SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Mandala coloring is a distraction strategy to reduce the anxiety in children. However, it has received little attention for the management of anxiety in hospitalized children. This study aimed to examine the effectiveness of mandala coloring on preoperative anxiety in children. Materials and Methods: This randomized controlled trial study was conducted using a pre-test-post-test design in two intervention and control groups. The 64 school-age children, who were admitted to the pediatric surgery ward in Mofid Hospital in Tehran, were allocated to the test and control groups, using a single-blind block randomized design. Children in the control group underwent routine preoperative visits. Meanwhile, the children in the intervention group, mandala coloring intervention was done at least one hour before entering the operating room for 15-20 minutes. The level of anxiety was measured through the Spielberger State-Trait Anxiety Inventory, before and after the intervention of both groups. Results were analyzed using Results: In the intervention group, there was a statistically significant in post-intervention than the pre-intervention and the children reported a lower level of anxiety (t = 4.51, df = 31, Conclusions: The results indicated that likely, mandala coloring intervention was not effective in reducing preoperative anxiety in children. Further studies are needed to more assess the effects of mandala coloring on anxiety of children undergoing surgery.
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