Mandala Art and Value Clarification With Parents of Children With Cancer

Study Overview
=================
Brief Summary
-----------------
The research is planned to be conducted with a randomized controlled experimental study. In the research, it is aimed to determine the effect of mandala drawing art and value clarification application based on Watson Human Care Theory on the anxiety and mood of the parents of children with cancer.

Detailed Description
-----------------
The population of the study consists of the parents of children diagnosed with cancer in the Akdeniz University Hospital Pediatric Hematology and Oncology Clinic. The sample of the study is three groups; intervention 1 group (n:25), intervention 2 group (n:25) and control group (n:25) will consist of a total of 75 people. A closed envelope system with simple randomization will be used in sample selection. Intervention 1 group will participate in 2 sessions of individual mandala drawing art activity with the theme of 'Emotions' accompanied by classical or instrumental music. In each session, a mandala will be created. Intervention 2 groups will participate in the value clarification activity by writing 2 sessions individually with the theme of 'Emotions' accompanied by classical or instrumental music. The Personal Information Form, State Anxiety Inventory and Positive-Negative Affect Scale will be applied to the intervention groups at the first session and the second session to collect pre-test and post-test data. No intervention will be made to the control group, and the same data collection tools will be applied to the intervention groups. İn addition, in this study, a qualitative study will be conducted to determine the experiences of parents of children with cancer. For the qualitative study, the participant will be asked to interpret the colors and shapes of the mandala parent drew in the second session, and a face-to-face interview will be held with a semi-structured form.

Official Title
-----------------
The Effect of Mandala Art and Value Clarification Based on Watson's Theory of Human Caring on the Anxiety and Mood of Parents of Children With Cancer

Conditions
-----------------
Nursing Caries

Intervention / Treatment
-----------------
* Other: Mandala group
* Other: Value clarification group


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Having the ability to read, write, speak and understand Turkish Being the parent of a 0-17-year-old child diagnosed with cancer Staying in the hospital with child Being hospitalized for at least the second course of treatment of the child Exclusion Criteria: Having a physical problem that may prevent you from drawing and typing a mandala and participating in value clarification Not being able to take a break from caring for their child and participate in individual activities Having the child in the terminal period Relapse disease of the child
Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Randomized controlled trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mandala group<br>Mandala drawing and coloring on paper | Other: Mandala group<br>* Mandala group will participate in 2 sessions of individual mandala drawing art activity with the theme of 'Emotions' accompanied by classical or instrumental music. In each session, a mandala will be created.<br>|
| Experimental: Value clarification group<br>Value clarification by writing on paper | Other: Value clarification group<br>* Value clarification groups will participate in the value clarification activity by writing 2 sessions individually with the theme of 'Emotions' accompanied by classical or instrumental music.<br>|
| No Intervention: Control group<br>Routine nursing care | |

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Positive-Negative Affect Scale (PANAS) | The scale consists of 20 items, 10 of which are positive and 10 of which are negative, describing various emotions. The scale has 2 sub-dimensions: positive and negative affect. | pre-test | 
| Positive-Negative Affect Scale (PANAS) | The scale consists of 20 items, 10 of which are positive and 10 of which are negative, describing various emotions. The scale has 2 sub-dimensions: positive and negative affect. | 5 days after pre-test | 
| State Anxiety Inventory (STAI) | The State Anxiety Inventory is a 4-point Likert-type scale consisting of 20 items. According to the level of life of individuals; It is answered by marking one of the options such as (1) not at all, (2) a little, (3) a lot, (4) completely. | pre-test | 
| State Anxiety Inventory (STAI) | The State Anxiety Inventory is a 4-point Likert-type scale consisting of 20 items. According to the level of life of individuals; It is answered by marking one of the options such as (1) not at all, (2) a little, (3) a lot, (4) completely. | 5 days after pre-test | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
child, value clarification, parent, cancer, mandala