[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100636148":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":29,"centralContacts":33,"locations":41,"responsibleParty":54,"collaborators":25,"id":56,"slug":57,"hasResults":58,"nctId":59,"briefTitle":60,"officialTitle":60,"acronym":25,"eligibilityCriteria":61,"healthyVolunteers":58,"sex":62,"minAge":63,"maxAge":64,"enrollmentInfo":65,"targetDuration":25,"studyType":68,"phases":69,"briefSummary":71,"conditions":72,"keywords":74,"overallStatus":81,"whyStopped":25,"lastUpdateSubmitDate":82,"lastUpdatePostDateStruct":83,"startDateStruct":86,"completionDateStruct":88,"leadSponsor":90,"locationsCount":91},{"fullName":5,"class":6},"Kinnaird College for Women","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Mandala Coloring","EXPERIMENTAL","Participants in the experimental group will be provided with printed mandala designs on A4 sheets. The same mandala design will be used for all participants. A set of colored pencils will be provided. Participants will complete a single mandala coloring session. Psychological outcomes will be assessed at baseline and immediately after the intervention.",[13],"Behavioral: Mandala Coloring",{"label":15,"type":16,"description":17,"interventionNames":18},"Free-Form Drawing","ACTIVE_COMPARATOR","Participants in the control group will be provided with plain white A4 sheets and colored pencils and will engage in free-form drawing. Psychological outcomes will be assessed at baseline and immediately after the session.",[19],"Behavioral: Free-Form Drawing",[21,26],{"type":22,"name":9,"description":23,"armGroupLabels":24,"otherNames":25},"BEHAVIORAL","This intervention involves a single-session structured mandala coloring activity using standardized printed mandala designs on A4 sheets. All participants receive the same design to ensure consistency and reduce variation across individuals. The intervention is designed as a brief, low-cost, non-pharmacological behavioral technique aimed at inducing relaxation and enhancing state mindfulness in patients undergoing hemodialysis.",[9],null,{"type":22,"name":15,"description":27,"armGroupLabels":28,"otherNames":25},"This comparator intervention will involve a single-session free-form drawing activity using plain white A4 sheets and colored pencils. Participants were instructed to draw freely without predefined patterns or structured designs.",[15],[30],{"name":31,"affiliation":5,"role":32},"Ebadat Noor Malik","PRINCIPAL_INVESTIGATOR",[34,38],{"name":31,"role":35,"phone":36,"phoneExt":25,"email":37},"CONTACT","+923367277899","ebadattnoor@gmail.com",{"name":39,"role":35,"phone":25,"phoneExt":25,"email":40},"Sara Asad","sara.asad@kinnaird.edu.pk",[42],{"facility":43,"status":25,"city":44,"state":45,"zip":25,"country":46,"countryCode":47,"cosmosGeoPoint":48,"geoPoint":53,"contacts":25},"Sheikh Zayed Hospital, OMC Dialysis Center","Lahore","Punjab Province","Pakistan","PK",{"type":49,"coordinates":50},"Point",[51,52],74.35071,31.558,{"lat":52,"lon":51},{"type":32,"investigatorFullName":31,"investigatorTitle":55,"investigatorAffiliation":5,"oldNameTitle":25,"oldOrganization":25},"Principal Investigator","100636148","effectiveness-of-mandala-coloring-on-state-mindfulness-mood-and-psychological-distress-among-patients-undergoing-hemodialysis-100636148",false,"NCT07561918","Effectiveness of Mandala Coloring on State Mindfulness, Mood and Psychological Distress Among Patients Undergoing Hemodialysis","Inclusion Criteria:\n\n* Age 18-50 years\n* Receiving in-center hemodialysis 2-3 times per week\n* Scored in the range 20-29 on Kessler Psychological Distress Scale (K10)\n* Able to read and understand English or Urdu\n\nExclusion Criteria:\n\n* Arteriovenous fistula in the dominant arm\n* Diagnosis of dementia or delirium\n* Presence of hearing impairment, interfering with participation\n* Acute renal failure\n* Current chemotherapy or radiotherapy","ALL","18 Years","50 Years",{"count":66,"type":67},60,"ESTIMATED","INTERVENTIONAL",[70],"NA","The goal of this study is to see if mandala coloring helps improve state mindfulness, mood and psychological distress in patients undergoing hemodialysis. The study will also compare mandala coloring with free-form coloring.\n\nThe main questions are:\n\nDoes mandala coloring improve state mindfulness in hemodialysis patients compared to free-form coloring? Does mandala coloring improve mood compared to free-form coloring? Does mandala coloring reduce psychological distress compared to free-form coloring?\n\nParticipants will be placed into two groups. One group will do mandala coloring and the other group will do free-form coloring. Both groups will complete assessment before and after the activity.\n\nResearchers will compare results from before and after the activity and also between the two groups, to see if there are any differences.",[73],"End Stage Renal Disease \u002F Hemodialysis",[9,75,76,77,78,79,80],"Hemodialysis","State Mindfulness","Mood","Psychological Distress","Art Therapy","Quasi experimental","NOT_YET_RECRUITING","2026-05-07",{"date":84,"type":85},"2026-05-12","ACTUAL",{"date":87,"type":67},"2026-04",{"date":89,"type":67},"2026-05",{"name":5,"class":6},1]