A Feasibility Study on Zentangle and Pastel Nagomi Art for Mental Health Patients

NCT06779357 | Completed

• 1 other identifier: HSEARS20230124002
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Various studies have found that art-based workshops can reduce anxiety, stress and enhance positive emotion. Improving mental well-being plays an important role for people in the progress of recovery from mental illness. The Zentangle method and Pastel Nagomi Art promote relaxation by emphasizing no comparisons, critiques, or judgments of the finished piece with others, and appreciating the opportunity to make choices. However, there were limited studies examining the effectiveness of the artwork on people living in the community in the progress of recovery from mental illness. Purpose: To conduct a feasibility study to test the preliminary effects of Pastel Nagomi Art and Zentangle Art on mental health well-being among persons in recovery from mental illnesses. Methods: A 3-arm randomized control trial will be used: one arm with Zentangle workshops, the other arm with Pastel Nagomi Art, while the control group will receive usual care. Data collection from each participant will be conducted at 3-time points, at baseline (T0) before the 4-week weekly Pastel Nagomi Art or Zentangle Art program, right after the program (T1), and one month after the program (T2). The Statistical Software Package for Social sciences will be used for quantitative data analysis. All participants from each artwork group will be invited to partake 45-60 minutes focus group interview to share their experience with this intervention. The content of the focus group interview will be audio recorded. The audio recordings were transcribed verbatim in Chinese and imported into NVivo Pro 12 for data management. The qualitative data will be analyzed by using thematic content analysis.

Conditions

Mental Health Issue

Outcome Measures

Primary Outcomes (3)

• Recruitment rate

  The recruitment rate will be calculated by the number of participants recruited over the total number of participants approached

  8 weeks

• Consent rate

  The consent rate will be calculated with number of participants signed the consent form over the total number of participants indicated they would participate in the study the interventions, arrangement, and the effect of the artworks on the study outcomes

  8 weeks

• Attrition rate

  The attrition rate will be calculated with number of participants dropped out from the study over the total number of participants enrolled in the study

  8 weeks

Secondary Outcomes (8)

• Teh Depression Anxiety Stress Scale illnesses.

  8 weeks

• The Rosenberg Self-Esteem SCale

  8 weeks

• The General Self-Efficacy Scale

  8 weeks

• The Positive and Negative Affect Scale

  8 weeks

• The revised Cognitive and Affective Mindfulness Scale

  8 weeks

Study Arms (3)

Pastel Nagomi Art Group

EXPERIMENTAL

Four face-to-face sessions of Pastel Nagomi Art will be held weekly at the Hong Kong Polytechnic University or Community Psychiatric Nursing Service centres at the convenience of the participants. Each session will last for about 120 minutes for a group size of 10-15 participants. Depending on the progress of the participants, one or two Pastel Nagomi Arts will be produced. At the end of the 10 minutes of each session, the particpants will show their products with sharing to one another.

Other: Artwork

Zentangle Group

EXPERIMENTAL

Four face-to-face sessions of Zentangle method will be held weekly at the Hong Kong Polytechnic University or Community Psychiatric Nursing Service centres at the convenience of the participants. Each session will last for about 120 minutes for a group size of 10-15 participants. Depending on the progress of the participants, one or two Zentangle arts will be produced. At the end of the 10 minutes of each session, the participants will show their products with sharing to one another.

Other: Artwork

Control Group

NO INTERVENTION

The control group with the size of 10-15 participants will receive usual care, that is, the care provided by the Community Psychiatric Nursing Service (CPNS).

Interventions

Artwork OTHER

d. A 3-arm randomized control trial will be used: one arm with Zentangle workshops, the other arm with Pastel Nagomi Art, while the control group will receive usual care. Data collection from each participant will be conducted at 3-time points, at baseline (T0) before the 4-week weekly Pastel Nagomi Art or Zentangle Art program, right after the program (T1), and one month after the program (T2).

Pastel Nagomi Art Group; Zentangle Group

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Service users of the Community Psychiatric Services of Kowloon West Cluster
• had previously been clinically diagnosed with depression, anxiety or bipolar disorder

You may not qualify if:

• The individuals who cannot speak and understand Chinese,
• currently diagnosed with psychotic symptoms, and
• currently taking or took Zentangle or pastel Nagomi art before

Sponsors & Collaborators

• The Hong Kong Polytechnic University: lead
• Hospital Authority, Hong Kong: collaborator

Study Sites (1)

School of Nursing

Hong Kong, Hong Kong

Location

Study Officials

• Kin Cheung, PhD

  The Hong Kong Polytechnic University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: October 2, 2024
• First Posted: January 16, 2025
• Study Start: September 30, 2023
• Primary Completion: March 15, 2025
• Study Completion: March 19, 2025
• Last Updated: March 24, 2025

Record last verified: 2025-03

Locations

HK (1)