An Exploratory Trial of Brief Mindfulness-Based Zentangle Art Workshops in Family Social Services during COVID-19: Transitioning from Offline to Online

Sit, Shirley Man-Man; Ng, Ellen; Ho, Hilary Pui-Yee; Wong, Peony Cheuk-Yeuk; Wang, Man Ping; Ho, Sai Yin; Lam, Tai Hing; Lai, Agnes Yuen Kwan

doi:10.3390/ijerph191710926

Cited by 6 publications

(6 citation statements)

References 25 publications

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“…In the current study, a mixed mode (face-to-face and online) was used which is probably the first of its kind. Most of the artwork interventions in previous studies were conducted merely face-to-face ( Kim, 2013 ; Chen et al, 2016 ; Karpavičiūtė and Macijauskienė, 2016 ; Campenni and Hartman, 2020 ; Newland and Bettencourt, 2020 ; Hsu et al, 2021 ) or online modes ( Sit et al, 2022 ). In terms of dose, frequency and duration, this present study is comparable with previous work.…”

Section: Discussionmentioning

confidence: 99%

“…There were some variations. Hsu et al (2021) conducted a face-to-face Zentangle art study for healthcare workers with one four-hour session; while Sit et al (2022) conducted Zentangle art in online mode with weekly 30-to 90-min sessions for 11 weeks. The doses of the interventions might have varied because of the types of artwork, for instance, 90 min for creative art-making ( Burns and Waite, 2019 ) and 180 min for content-picture drawing ( Monti et al, 2013 ).…”

Section: Discussionmentioning

confidence: 99%

“…Coloring mandalas can also help to reduce anxiety and negative affect and increase positive affect in undergraduates ( Campenni and Hartman, 2020 ). Moreover, Zentangle art can improve self-esteem and reduce social interaction anxiety in patients with psychosis ( Chen et al, 2016 ) and enhance psychological and family well-being ( Sit et al, 2022 ). One previous study supported the present study’s finding, reporting that a four-week creative art program, including water-coloring, collage making, beading and knitting, was effective in enhancing the mental well-being among women ( Fraser and Keating, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

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Mixed-mode Zentangle and Pastel Nagomi artwork for improving mental well-being in university students during COVID-19 pandemic – a randomized controlled feasibility trial

Cheung

Tsang

et al. 2023

Front. Psychol.

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BackgroundUniversity students are identified as a high-risk group for mental health problems. Artworks have been found effective in enhancing individuals’ mental well-being in different populations, but none have been conducted on university students. This study was to address this research gap to determine the feasibility and estimate the preliminary effects of Zentangle and Pastel Nagomi on the mental well-being of undergraduate students during the COVID-19 pandemic.MethodThis was a 3-arm randomized controlled trial, with 33 undergraduates allocated to two 8-week artworks (Zentangle or Pastel Nagomi Art group) and a control group. Data were collected at baseline, and weeks 4, 6, 8, and 12. Focus group interviews were conducted at the 12-week follow-up.ResultsThe consent and attrition rates were 80.5 and 6.06%, respectively. The attendance rate ranged from 83.3 to 100%. Compared with the control group, the Pastel Nagomi art group had a significant improvement in retaining positive affect at week 6. This retention could be further observed at week 12. Moreover, the Zentangle group had a significant increase in positive affect at week 4, with better retention at week 12. In addition, the within-group analyses showed that the Pastel Nagomi art group had significantly decreased negative affect at weeks 6 and week 12; and the Zentangle group had significantly decreased depression at week 8. The qualitative findings suggested that the intervention resulted in the participants enjoying the artwork process, and being proud of their artwork and personal growth.LimitationThe study included an imbalance number of online vs. face-to-face sessions, and repeated measures may have affected the results.ConclusionThe study suggests that both artworks are effective in improving undergraduates’ mental well-being and that it is feasible to conduct future large-scale studies (263 words).

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Mixed-mode Zentangle and Pastel Nagomi artwork for improving mental well-being in university students during COVID-19 pandemic – a randomized controlled feasibility trial

Cheung

Tsang

et al. 2023

Front. Psychol.

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“…Another potential strength of our study is its complete virtual format, which enables participants to engage in the program, effectively eliminating transportation and location constraints. This approach significantly increases accessibility, extending the program's potential impact to a wider audience ( 37 , 53 ). In addition, the Zentangle Method was designed in a flexible and accepting manner and promoted positive feelings such as gratitude and self-accomplishment to help participants overcome negative feelings of self-criticism and failure.…”

Section: Discussionmentioning

confidence: 99%

Exploring Zentangle as a virtual mindfulness-based art intervention for people with serious mental illness

Stojcevski,

Cheung,

Agwu

et al. 2023

Front. Psychiatry

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IntroductionZentangle is an emerging art intervention that incorporates mindfulness into creative drawing. This pilot study explored Zentangle as a novel adjunct treatment for people with serious mental illness (SMI).MethodsSix participants with SMI completed an 8-week Zentangle program. Psychiatric outcomes were evaluated using the Brief Psychiatric Rating Scale (BPRS), Mindful Attention Awareness Scale (MAAS), Perceived Stress Scale (PSS), and Quality of Life Enjoyment and Satisfaction Scale (Q-LES-Q-SF). A focus group was conducted to better understand the experiences of the participants.ResultsA significant reduction in psychiatric symptoms was observed as measured by the total score on the BPRS between baseline and 5-week post-intervention (40.7 ± 9.1 vs. 33.7 ± 8.9, mean ± SD, p = 0.02). Participants also showed a significant increase in mindful attention using the average score on the MAAS between 1- and 5-week post-intervention (3.5 ± 0.4 vs. 4.2 ± 0.7, mean ± SD, p = 0.04). Four themes were generated from the focus group: (1) approaching mindfulness through Zentangle; (2) power of uncomplicated art creation; (3) understanding the value of self-appreciation; and (4) fostering a positive environment.DiscussionOur preliminary data suggest that the use of Zentangle for participants with SMI may have a positive impact on overall psychiatric symptoms and mindfulness. Moreover, the Zentangle Method encourages positive emotions like gratitude and self-accomplishment to counteract negative feelings of self-criticism and failure in participants.

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“…During the COVID-19 pandemic, families may have got separated because of social distancing restrictions ( 10 ). Family services provide on-site and online interventions to promote family wellbeing and communication quality, hence adversity coping capabilities ( 11 ). According to the inverse care law ( 12 ), medical care would be less utilized by socially disadvantaged people before and amidst the COVID-19 pandemic ( 13 , 14 ).…”

Section: Introductionmentioning

confidence: 99%

Factors associated with willingness and preferences to attend family services in Hong Kong: A population-based survey

Zeng

Gong

Lai

et al. 2023

Front. Public Health

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ObjectiveFamily services are open to the community at large as well as vulnerable groups; however, little is known about the willingness of communities to attend such services. We investigated the willingness and preferences to attend family services and their associated factors (including sociodemographic characteristics, family wellbeing, and family communication quality) in Hong Kong.MethodsA population-based survey was conducted on residents aged over 18 years from February to March 2021. Data included sociodemographic characteristics (sex, age, education, housing type, monthly household income, and the number of cohabitants), willingness to attend family services to promote family relationships (yes/no), family service preferences (healthy living, emotion management, family communication promotion, stress management, parent-child activities, family relationship fostering, family life education, and social network building; each yes/no), family wellbeing, and family communication quality (both scores 0–10). Family wellbeing was assessed using the average scores of perceived family harmony, happiness and health (each score 0–10). Higher scores indicate better family wellbeing or family communication quality. Prevalence estimates were weighted by sex, age and educational level of the general population. Adjusted prevalence ratios (aPR) for the willingness and preferences to attend family services were calculated in relation to sociodemographic characteristics, family wellbeing, and family communication quality.ResultsOverall, 22.1% (1,355/6,134) and 51.6% (996/1,930) of respondents were willing to attend family services to promote relationships or when facing problems, respectively. Older age (aPR = 1.37–2.30, P < 0.001–0.034) and having four or more cohabitants (aPR = 1.44–1.53, P = 0.002–0.003) were associated with increased aPR of willingness for both situations. Lower family wellbeing and communication quality were associated with lower aPR for such willingness (aPR = 0.43–0.86, P = 0.018–<0.001). Lower family wellbeing and communication quality were associated with preferences for emotion and stress management, family communication promotion, and social network building (aPR = 1.23–1.63, P = 0.017–<0.001).ConclusionsLower levels of family wellbeing and communication quality were associated with unwillingness to attend family services and preferences for emotion and stress management, family communication promotion, and social network building.

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An Exploratory Trial of Brief Mindfulness-Based Zentangle Art Workshops in Family Social Services during COVID-19: Transitioning from Offline to Online

Cited by 6 publications

References 25 publications

Mixed-mode Zentangle and Pastel Nagomi artwork for improving mental well-being in university students during COVID-19 pandemic – a randomized controlled feasibility trial

Mixed-mode Zentangle and Pastel Nagomi artwork for improving mental well-being in university students during COVID-19 pandemic – a randomized controlled feasibility trial

Exploring Zentangle as a virtual mindfulness-based art intervention for people with serious mental illness

Factors associated with willingness and preferences to attend family services in Hong Kong: A population-based survey

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