NCT04309279

Brief Summary

This study will examine the effects of Zentangle as an intervention for reducing stress and enhancing psychological wellbeing among Hong Kong adults. Zentangle is a mindful doodling process in which participants draw repetitive, structured patterns on small pieces of paper. The patterns consist of combinations of dots, lines, and curves. Zentangle is developed in 2003 by two Americans, and this concept is still new to many people. Some studies suggested that Zentangle can be effective in reducing stress and anxiety, but the number of research papers on Zentangle is limited. Although Zentangle has become a rather popular stress relief activity in Hong Kong recently due to its easiness to learn and minimal tool requirement, there is no related study on its effectiveness in promoting psychological wellbeing in Hong Kong.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
38

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Apr 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 9, 2020

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 16, 2020

Completed
26 days until next milestone

Study Start

First participant enrolled

April 11, 2020

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 30, 2020

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

July 30, 2020

Completed
Last Updated

January 15, 2021

Status Verified

January 1, 2021

Enrollment Period

3 months

First QC Date

March 9, 2020

Last Update Submit

January 14, 2021

Conditions

Keywords

ZentangleMindful doodlingMindfulnessPsychological Well-being

Outcome Measures

Primary Outcomes (1)

  • Change in Positive and Negative Affect Schedule (PANAS)

    PANAS is a 20-item scale, comprises of two 10-item subscales measuring positive affect (PA) and negative affect (NA). This self-report measure is being widely used in both clinical and community settings. A 5-point Likert scale is employed, ranging from "very slightly or not at all" to "extremely", to measure the extent to which participants have experienced such feelings over a specific period of time.

    Baseline (Pre-intervention), immediately after intervention and 2-week post-intervention

Secondary Outcomes (5)

  • Change in Depression Anxiety Stress Scales-21 (DASS-21)

    Baseline (Pre-intervention) and 2-week post-intervention

  • Five Facet Mindfulness Questionnaire-Short Form (FFMQ-SF)

    Baseline (Pre-intervention) and 2-week post-intervention

  • Self-Compassion Scale-Short Form (SCS-SF)

    Baseline (Pre-intervention) and 2-week post-intervention

  • Insomnia Severity Index (ISI)

    Baseline (Pre-intervention) and 2-week post-intervention

  • Treatment evaluation form and engagement questionnaire

    Immediately after intervention and 2-week post-intervention

Study Arms (2)

Zentangle group

EXPERIMENTAL
Behavioral: Zentangle

Wait-list Control Group

NO INTERVENTION

Interventions

ZentangleBEHAVIORAL

Zentangle is a mindful doodling process in which participants draw repetitive, structured patterns on small pieces of paper. The patterns consist of combinations of dots, lines, and curves.

Also known as: Mindful doodling
Zentangle group

Eligibility Criteria

Age18 Years - 65 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Hong Kong residents
  • Aged from 18 to 65
  • Cantonese language fluency
  • Willingness to provide informed consent and comply with the trial protocol
  • Be able to join online webinar via a computer

You may not qualify if:

  • Have suicidal ideation
  • Are using medication or psychotherapy for any psychiatric disorder
  • Experiencing depression and anxiety
  • Have major psychiatric, medical or neurocognitive disorders that make participation infeasible based on the research team's judgment
  • Are currently participating in a mindfulness practice

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

The Chinese University of Hong Kong

Shatin, Hong Kong

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: The randomization will be performed by an independent assessor using a computer-generated list of numbers. A 2-hour online Zentangle class will be delivered to the Zentangle group by a certified Zentangle teacher via online webinar. The Zentangle group will complete a short qualitative questionnaire and participate in a 15-minute brief discussion right after the Zentangle class. They will also be encouraged to practice Zentangle daily for two weeks. Both Zentangle group and waitlist control group will complete a set of online questionnaires before the intervention commences, immediately after the intervention and 2 weeks after the intervention. An online Zentangle class will be provided to the waitlist control group after the post-intervention data of the Zentangle group has been collected.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

March 9, 2020

First Posted

March 16, 2020

Study Start

April 11, 2020

Primary Completion

June 30, 2020

Study Completion

July 30, 2020

Last Updated

January 15, 2021

Record last verified: 2021-01

Locations