Effect of Mandala Coloring on Menopausal Attitude, Perceived Stress and Mindfulness

Menopause is a natural stage of life characterized by hormonal changes that may affectwomen's physical and psychological well‐being. During this period, women may experiencevasomotor symptoms, sleep disturbances, mood changes, increased stress, and negativeattitudes toward menopause. Supporting women's psychological well‐being during menopausehas become an important aspect of women's health care.Mindfulness‐based and art‐basedinterventions have increasingly been used as non‐pharmacological approaches to improvepsychological health and reduce stress. Mandala coloring is a structured art‐basedintervention that promotes concentration, helps individuals focus on the present moment,and may contribute to emotional regulation and relaxation. Previous studies have shownthat mandala coloring may reduce anxiety and stress levels while improving overallwell‐being.This study will be conducted as a parallel‐group randomized controlledexperimental trial. The study will take place at Islampasa Family Health Center No.12located in Rize, Türkiye. A total of 140 menopausal women aged between 45 and 55 yearswho meet the eligibility criteria will be included in the study.Participants will berandomly assigned to either an intervention group or a control group using a web‐basedrandomization procedure. Women assigned to the intervention group will participate instructured mandala coloring sessions for four weeks, three times per week, for a total of12 sessions. The first session will be conducted face‐to‐face at the family health centerunder researcher supervision. The remaining sessions will be completed individually byparticipants at home during evening hours.Participants in the control group will receiveroutine care provided at the family health center without any additionalintervention.Data will be collected before and after the intervention using the PersonalInformation Form, Menopause Attitude Scale, Perceived Stress Scale, and State MindfulnessScale.The primary purpose of this study is to determine whether structured mandalacoloring has an effect on attitudes toward menopause, perceived stress, and mindfulnesslevels in menopausal women.