Effects of Zentangle art workplace health promotion activities on rural healthcare workers

Hsu, Mei-Hsiu; Wang, C.; Tzou, Shiow-Jyu; Pan, Tzu-Cheng; Tang, Pei-Ling

doi:10.1016/j.puhe.2021.05.033

Cited by 18 publications

(21 citation statements)

References 13 publications

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“…Moreover, artwork intervention can work as a mindfulness-based therapy model to bring positive effects such as stress reduction, emotional regulation, self-esteem, self-awareness and resilience ( Coholic, 2011 ). Specifically, the evidence about face-to-face artwork interventions has shown improved psychological well-being in different settings, including counsellors in the United States ( Ifrach and Miller, 2016 ), nurses and nursing assistants in Lithuania ( Karpavičiūtė and Macijauskienė, 2016 ; Hsu et al, 2021 ) and end-of-life workers in Hong Kong ( Potash et al, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

“…Relaxation effects can be created by drawing structured patterns repeatedly; these patterns consist of dots, lines, simple curves, S-curves and orbs ( Krahula, 2012 ). This method has been reported as having a positive association with improved mental well-being in psychosis patients in Taiwan ( Chen et al, 2016 ), primary school students in Taiwan ( Chia et al, 2020 ), healthcare workers in Taiwan ( Hsu et al, 2021 ), and first-year university teacher students in Malaysia ( Hui and Marof, 2019 ). Chen et al (2016) reported that Zentangle significantly improved psychosis patients’ ( n = 22 in intervention and n = 22 in control groups) social interaction anxieties and self-esteem through eight weekly one-hour workshops.…”

Section: Introductionmentioning

confidence: 99%

“… Chia et al (2020) associated the Zentangle method with reducing stress and calming the minds of primary school students ( N = 12) through eight weekly 75-min drawing workshops. Hsu et al (2021) found that it helped to improve healthcare workers’ psychological well-being by reducing stress, workplace stress and frustration, enhancing self-efficacy and increasing their commitment to work ( N = 40) from just one four-hour workshop. Hui and Marof (2019) reported that the Zentangle method increased the positive affect of the university students ( N = 44) with four three-hour workshops.…”

Section: Introductionmentioning

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: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

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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“…In the same sense, studies on cancer patients engaging in creative art therapy found that it eased their preoccupation with their cancer diagnosis and allowed them to feel challenged and have a sense of achievement in doing something new and different (Stuckey & Nobel, 2010). Hsu et al (2021), in their study on the effects of creative art intervention on rural healthcare workers, found that engaging in Zentangle art (the process of concentrating while painting) had a positive and healing effect on emotions. The Zentangle art-based intervention demonstrated that painting therapy improved physical, psychological, and spiritual well-being in rural healthcare workers by reducing stress and frustration in the workplace, strengthening self-worth and the ability to function effectively, and increasing commitment to work (Hsu et Finally, Story et al (2021), in their longitudinal study on engagement in art therapy and mortality risk, established that participation in any creative art that is an active art-based therapy decreased all-cause mortality risk in adults, especially in older adults.…”

Section: Visual Art Therapymentioning

confidence: 99%

Creative Art: Connection to Health and Well-Being

Gorny-Wegrzyn¹

2022

JSS

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This paper explores the association between creativity and health. We examined the literature to investigate if participating in creative arts such as dance and movement, music, visual art therapy, and creative writing has a beneficial effect on health and well-being. Recently, there has been an increased interest in studying how participatory and receptive arts can enhance wellness. Increasingly new research shows a correlation between creativity, improved feelings of well-being, and other positive health outcomes. Studies in this area indicate that engaging in creative arts brings about psychosocial, physiological, and behavioural responses that may help to decrease loneliness, depression, pain, and many other health-related issues. We reviewed and analyzed how creative arts can create channels for expressing emotions and improve physical, mental, and spiritual health. In this review, we define and discuss: 1) Creative Art Activities and Health; 2) Receptive and Participatory Engagement: Well-Being and Social Connectedness; 3) Health and Well-being in Later Stages of Life; 4) Art therapy and Children; 5) Creativity and Well-Being during COVID-19; 6) Specific Art Therapies and Their Beneficial Effects. We anticipate this review could underpin further research in health promotion. We also aim to encourage partnerships between the fields of health and creative arts to develop strategies to further their collaboration.

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“…One reported on the integration of Zentangle into a children’s education program to enhance motor and language skills and self-confidence [ 6 ] but conducted evaluation mainly through observation of only forty children in two kindergarten classes. The other reported a Zentangle art intervention on rural healthcare workers to reduce workplace stress [ 7 ] but was limited by a small sample size of 40 participants. We found no reports of intervention studies on Zentangle, online or offline, targeted at the general public.…”

Section: Introductionmentioning

confidence: 99%

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

Sit

Ng²,

et al. 2022

IJERPH

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Mindfulness-based art therapy has shown to improve psychological well-being. Zentangle is an easy-to-learn, mindfulness-based art therapy suitable for everyone. We reported the transition from face-to-face to online Zentangle workshops in family social services during COVID-19. We explored feedback from face-to-face workshops and the acceptability of an online approach utilizing information communication technology (ICT) to achieve greater service reach, satisfaction, and knowledge and related outcomes. Under the Hong Kong Jockey Club SMART Family-Link Project and in collaboration with Caritas Integrated Family Service Centre—Aberdeen, this study was conducted in two phases: a four-session, face-to-face workshop (phase one) and eleven online single-session workshops (phase two) from September 2019 to September 2020. A total of 305 participants joined the workshops. Phase one participants (n = 11) reported high satisfaction (4.7 out of 5), increases in knowledge (4.2/5) and confidence (3.9/5) towards managing stress, increases in knowledge (4.1/5) and confidence (3.9/5) in showing support and care towards family members, and an increase in knowledge towards strengthening family relationships (4.0/5). Phase two participants (n = 294) also reported high satisfaction (4.7/5) and strongly agreed that ICT helped with learning Zentangle more conveniently, that they had increased knowledge and interest in Zentangle (all 4.7/5), and would definitely join the workshop again (4.8/5). The qualitative data supported the quantitative findings. We are the first to report on the utilization of ICT in an exploratory trial of brief, online Zentangle art workshops targeting the general public, with high satisfaction and positive participant experiences with ICT integration, learning Zentangle, and enhanced psychological and family well-being. This study provided preliminary evidence on the use of ICT to successfully transition face-to-face to online workshops and reach a wider audience.

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Effects of Zentangle art workplace health promotion activities on rural healthcare workers

Cited by 18 publications

References 13 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

Creative Art: Connection to Health and Well-Being

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

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