RNRCTScandinavian journal of caring sciences2026

The Effect of Mandala Colouring on Spiritual and Psychological Well-Being in Family Members Caring for Palliative Care Patients: Experimental Study.

Arzu Nurdaş

PMID 41928589

WHAT IT FOUND

Family carers of palliative care patients who took part in weekly mandala colouring reported higher spiritual and psychological well-being than carers who received no additional intervention.

Key findings

01Eighty-four family caregivers were randomised to four weekly one-hour mandala colouring sessions or no additional intervention.

02The estimated treatment effect for spiritual well-being was 27.14 points, where higher total scores indicate greater spiritual well-being.

03The estimated treatment effect for psychological well-being was 15.93 points on a scale from 8 to 56.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study was done in one palliative clinic, so results may not apply to other settings or cultures. Well-being was measured by self-report, which can be influenced by wanting to please the researcher. The control group received no additional activity, so attention, quiet time, or expectation may have contributed to the difference. The paper does not describe blinding of participants or assessors. The groups differed in education level and number of people responsible for care, which may have influenced well-being. The number analysed differs from the number reported as participating. The paper does not state which outcome was primary. The post hoc power analysis was incomplete and reported after data collection.

Declared interests

The author reports no funding conflicts and declares no conflicts of interest.

The easy way to misread this

Do not conclude that mandala colouring alone caused the well-being gains. The control group received no additional activity, outcomes were self-reported, and the groups differed in education and number of people responsible for care.

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