Mindfulness-based Zentangle for Parents

NCT06094803 | Completed

• 1 other identifier: HE-RD/2023/1.17
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

Substantial evidence supports the effect of mindfulness practices on improving health outcomes. Zentangle is a mindfulness-based art therapy (MBAT) that combines art-making and meditation using simple materials. The goal of this pilot randomized controlled trial is to assess the effectiveness of mindfulness-based Zentangle interventions for reducing depression and anxiety symptoms and mindful parenting in parents with mild to severe depression or anxiety. Participants will be instructed to attain the Zentangle courses, a Certified Zentangle Teacher (CZT) will deliver two 2-hour weekly group sessions. At the end of the course, they will be invited to participate in an artwork show. After completing the assessments, the waitlist control group will receive the same training sessions and also be invited to the artwork show. The hypothesis is that the intervention group will show more significant decreases in depressive and anxiety symptoms, mental well-being and mindful parenting improvement, less stress and better quality of life than the control group.

Conditions

Depressive Symptoms; Anxiety; Well-Being, Psychological

Keywords

Depressive Symptoms; Anxiety; Zentangle; Parents; Mindfulness-based

Outcome Measures

Primary Outcomes (2)

• Changes in Depressive Symptoms

  Depressive symptoms will be assessed using the Patient Health Questionnaire (PHQ)-9. Participants will be asked to rate the frequency of nine symptoms experienced in the past two weeks on a 4-point Likert scale, ranging from 0 (not at all) to 3 (nearly every day). The total score on the PHQ-9 ranges from 0 to 27, with higher scores indicating a higher severity of depressive symptoms.

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

• Changes in Anxiety Symptoms

  To assess anxiety disorder, the Generalized Anxiety Disorder (GAD)-7 scale will be adopted. Participants will rate the frequency of seven symptoms on a 4-point Likert scale (from 0=not at all to 3=nearly every day), using the same response options as the PHQ-9 scale. The total score on the GAD-7 ranges from 0 to 21, with a higher score indicating a greater level of anxiety.

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

Secondary Outcomes (4)

• Changes in Well-being

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

• Changes in Perceived Psychological Stress

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

• Quality-adjusted Life Years (QALYs)

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

• Mindfulness in Parenting

  T1: Baseline; T2: Immediate post-intervention; T3: Three months after the intervention

Other Outcomes (1)

• Overall satisfaction with the program and subjective changes

  T2: Immediate post-intervention; T3: Three months after the intervention

Study Arms (2)

Receiving Mindfulness-based Zentangle Interventions

EXPERIMENTAL

Participants in the intervention group will receive two 2-hour weekly sessions, focusing on two main themes, which are "Self-awareness and self-kindness" as well as "Acceptance and non-judgmental attitude". Each session with one hour duration and have five different contents separately.

Behavioral: Mindfulness-based Zentangle Program

Waitlist Control Group

NO INTERVENTION

The waitlist control group will not receive any training before all the assessments have been done by both groups. Yet, they will receive the same mindfulness-based Zenatngle training after the assessment period (3 months after baseline). They will be notified that their level of depressive and/or anxiety symptoms when the baseline assessment has been finished. Respondents with Patient Health Questionnaire (PHQ-9) or General Anxiety Disorder (GAD-7) score higher than 14 will be advised to consult a doctor, same as the intervention group.

Interventions

Mindfulness-based Zentangle Program BEHAVIORAL

Session 1 focuses on "Self-awareness and Self-kindness" through the Zentangle method. It covers the introduction, basic techniques, and eight steps of Zentangle. Participants practice mindfulness and learn grid and round patterns. Drawing mindfully and interactive sharing are encouraged for engagement and reflection. Session 2 emphasizes "Acceptance and Non-judgmental Attitude". It builds on the previous session, exploring advanced techniques in the Zentangle method. Participants practice mindfulness, learn organic and texturing patterns, create their own artwork, and engage in interactive sharing for reflection.

Receiving Mindfulness-based Zentangle Interventions

Eligibility Criteria

• Age: 24 Years - 59 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Parents with children in primary or secondary schools (Grade P1-6 and S1-6, 6-17 years old), being between 24 and 59 years old;
• Report mild to severe depressive symptoms (score of 5-27 on the Patient Health Questionnaire, PHQ-9) or anxiety (General Anxiety Disorder (GAD) - 7, score 5-21) during the screening. Respondents with PHQ or GAD score \> 14 will be advised to consult a doctor.
• Hong Kong residents who can speak Cantonese and read Chinese;
• Individuals who have interests in participation and are able to communicate.

You may not qualify if:

• \) under psychiatric treatment or taking antidepressants in the past six months;

Sponsors & Collaborators

• Hong Kong Metropolitan University: lead

Study Sites (1)

Jockey Club Institute of Healthcare, Hong Kong Metropolitan University

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Depression; Anxiety Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Behavioral Symptoms; Behavior; Mental Disorders; Personal Satisfaction

Study Officials

• Yuying Sun

  Hong Kong Metropolitan University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: October 16, 2023
• First Posted: October 23, 2023
• Study Start: October 31, 2023
• Primary Completion: June 24, 2024
• Study Completion: August 31, 2024
• Last Updated: October 15, 2024

Record last verified: 2024-10

Locations

HK (1)