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Effect of Twin Hearts Meditation and Mandala Coloring on Exam Anxiety in Nursing Students

NCT07470632 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100

Last updated 2026-03-13

No results posted yet for this study

Summary

This randomized clinical trial aimed to compare the effectiveness of Mandala coloring and Twin Hearts Meditation in reducing exam anxiety among undergraduate nursing students. Participants were randomly assigned to either the Mandala coloring group or the Twin Hearts Meditation group. Both interventions were administered before a practical examination. Anxiety levels were measured before and after the intervention using the State-Trait Anxiety Inventory (STAI). The study evaluated which complementary and non-pharmacological intervention was more effective in reducing exam-related anxiety among nursing students.

Conditions

  • Exam Anxiety

Interventions

BEHAVIORAL

Twin Heart Meditation

Participants in this group receive Twin Hearts Meditation, a guided meditation technique based on the principles of loving-kindness and spiritual energy. The intervention aims to reduce exam-related anxiety by promoting emotional balance and relaxation. Intervention: Behavioral: Twin Hearts Meditation Participants practice guided meditation sessions lasting 30 minutes under the supervision of the researcher. The meditation protocol includes: Physical warm-up exercises Activation of the heart chakra Activation of the crown chakra Blessing the Earth with loving-kindness Silent meditation using the phrase "Amen" Expression of gratitude Closing exercises Sessions are conducted in a quiet room using audio guidance.

BEHAVIORAL

Mandala Coloring

Participants were provided with a printed mandala outline on A4 paper and six colored pencils (red, orange, yellow, green, blue, purple). They engaged in free, unstructured mandala coloring for 30 minutes

Sponsors & Collaborators

  • Near East University, Turkey

    lead OTHER

Principal Investigators

  • Pouran Varvani Farahani, PhD · PhD in Pediatric Nursing, Department of Nursing, Faculty of Health Science, Cyprus International University

Study Design

Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Model
PARALLEL

Eligibility

Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2025-01-05
Primary Completion
2025-01-20
Completion
2025-01-20

Countries

  • Cyprus

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07470632 on ClinicalTrials.gov