Chinese Art Activities or Combined With Peer Group Participation on Psychological Well Being

NCT06841133 | Not Yet Recruiting DMC

• 1 other identifier: PSU IRB 2024-St-Nur 048
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 3

Brief Summary

The goal of this trial is to evaluate the effects of two interventions : routine care plus Chinese Art Activities(+CAA) and routine care plus Chinese Art Activities combined with Peer Group Participation (+CAA+PGP) on psychological well-being, loneliness, happiness, relaxation, and salivary cortisol levels in elderly participants (aged 60-85, new residents with ≤1 year of stay). The main questions it aims to answer are:

• Does the +CAA intervention improve psychological well-being and related outcomes compared to routine care?
• Does the +CAA+PGP intervention provide additional benefits over +CAA alone? Researchers will compare three groups (Group A: +CAA, Group B: +CAA +PGP, Group C: routine care) to see if the interventions lead to immediate and sustained improvements in the measured outcomes. Participants will:
• Undergo baseline assessments of psychological well-being(PWB), loneliness, happiness, relaxation, and salivary cortisol levels.
• Receive their assigned intervention over three sessions within one week (Monday, Wednesday, Friday).
• Complete outcome measures 30 minutes before and after each session.
• Participate in a final follow-up assessment one week after the last session to evaluate sustained effects.

Conditions

Aging

Keywords

Art Activity; Peer Group; psychological well-being; older

Outcome Measures

Primary Outcomes (5)

• Change From Baseline in Psychological Well-Being (PWB) Score at End of Intervention

  Psychological well-being was assessed using the 18-item Chinese version of Ryff's Psychological Well-Being Scale. This scale measures six dimensions of well-being: autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. Each item is scored on a 6-point Likert scale (1=strongly disagree, 6=strongly agree). The total score ranges from 18 to 108, with higher scores indicating better psychological well-being.

  From enrollment to one week after the final intervention session

• Change From Baseline in Happiness Score at End of Intervention

  Happiness was measured using a 100 mm Visual Analog Scale (VAS). Participants were asked to mark their current level of happiness on a horizontal line, where 0 mm represents "not happy at all" and 100 mm represents "extremely happy." The VAS is a widely used tool for assessing subjective feelings, and higher scores indicate greater happiness.

  From enrollment to one week after the final intervention session

• Change From Baseline in Relaxation Score at End of Intervention

  Relaxation was measured using a 100 mm Visual Analog Scale (VAS). Participants were asked to mark their current level of relaxation on a horizontal line, where 0 mm represents "not relaxed at all" and 100 mm represents "extremely relaxed." The VAS is a validated tool for assessing subjective states, and higher scores indicate greater relaxation.

  From enrollment to one week after the final intervention session

• Change From Baseline in Loneliness Score at End of Intervention

  Loneliness was measured using a 100 mm Visual Analog Scale (VAS). Participants were asked to mark their current level of loneliness on a horizontal line, where 0 mm represents "extremely lonely" and 100 mm represents "not lonely at all." The VAS is a reliable tool for assessing subjective feelings, and higher scores indicate lower loneliness.

  From enrollment to one week after the final intervention session

• Change From Baseline in Salivary Cortisol Level at End of Intervention

  Salivary cortisol levels were measured as an indicator of stress response. Participants provided saliva samples, which were analyzed in a specialized laboratory using enzyme-linked immunosorbent assay (ELISA) techniques. Cortisol levels are reported in nmol/L, and higher values may indicate higher stress levels. This method is non-invasive and widely used in stress-related research.

  From enrollment to one week after the final intervention session

Study Arms (3)

Chinese Art Activities (CAA)

EXPERIMENTAL

Participants will receive routine care plus the CAA intervention. The intervention is delivered over three sessions within one week (day1,3,5), with each session lasting 50 minutes.Baseline measures are collected pre-randomization. Outcomes are assessed 30 minutes before and after each intervention session . A final follow-up assessment is conducted one week after the last intervention.

Behavioral: Chinese Art Activities

Chinese Art Activities combined with Peer Group Participation (PGP)

EXPERIMENTAL

Participants will receive routine care plus the CAA and PGP intervention. The intervention is delivered over three sessions within one week (day1,3,5), with each session lasting 80 minutes.Baseline measures are collected pre-randomization. Outcomes are assessed 30 minutes before and after each intervention session . A final follow-up assessment is conducted one week after the last intervention

Behavioral: Chinese Art Activities combined with Peer Group Participation (PGP)

routine care

NO INTERVENTION

Participants in both the intervention and control groups will receive identical routine care, including daily activities such as simple limb exercises and group walks.

Interventions

Chinese Art Activities BEHAVIORAL

This activity based on Recreation therapy, aims to heal the psychological symptom cluster and enhance the PWB of the old Chinese transit to the elderly center. The activity follows the usual care during the process with the addition of Chinese art activities. It employed the following two main activities: (1) Traditional Chinese landscape painting; (2) Calligraphy. The activity will be conducted 50min by researchers. It can be conducted at hall, conference room, etc. in the elderly center (EC), and it is a group intervention

Chinese Art Activities (CAA)

Chinese Art Activities combined with Peer Group Participation (PGP) BEHAVIORAL

The activity follows the usual care during the process with the addition of Chinese art activities combined with Peer Group Participation. The activity will be conducted 80min by researchers. In groups of 5 people, after the painting and calligraphy activity, under the organization of peers, each group member will show their works and talk about their feelings and views on their works. They will also share the reasons why they chose these words or sentences. Everyone must say words of comfort and encouragement to others' work.

Chinese Art Activities combined with Peer Group Participation (PGP)

Eligibility Criteria

• Age: 60 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 60-85 years.
• Older persons living in Elderly Centers (ECs) for the first time, with a duration of stay ≤1 year.
• Normal cognitive function (Mini-Mental State Examination \[MMSE\] score \>24).
• Possess necessary reading and writing skills.
• Volunteer to participate in the study.

You may not qualify if:

• Older persons with serious diseases (e.g., heart failure, asthma, cerebrovascular disease, advanced tumors).
• Older persons who later leave the elderly center.

Sponsors & Collaborators

• Prince of Songkla University: lead

Study Sites (3)

Sukangyang · Gaoxin Yiyang

Suzhou, Jiangsu, 215000, China

Location

Sukangyang · Jiangling

Suzhou, Jiangsu, 215000, China

Location

Sukangyang · Yiyang

Suzhou, Jiangsu, 215000, China

Location

Related Publications (11)

• Aydin M, Kutlu FY. The Effect of Group Art Therapy on Loneliness and Hopelessness Levels of Older Adults Living Alone: A Randomized Controlled Study. Florence Nightingale J Nurs. 2021 Oct;29(3):271-284. doi: 10.5152/FNJN.2021.20224.

  PMID: 35110167 BACKGROUND

• Bourdon E, Belmin J. Enriched gardens improve cognition and independence of nursing home residents with dementia: a pilot controlled trial. Alzheimers Res Ther. 2021 Jun 16;13(1):116. doi: 10.1186/s13195-021-00849-w.

  PMID: 34134758 BACKGROUND

• Ellis JM. Psychological transition into a residential care facility: older people's experiences. J Adv Nurs. 2010 May;66(5):1159-68. doi: 10.1111/j.1365-2648.2010.05280.x.

  PMID: 20423358 BACKGROUND

• Hermann C. Bonsai as a group art therapy intervention among traumatized youth in KwaZulu-Natal. Psych J. 2021 Apr;10(2):177-186. doi: 10.1002/pchj.440. Epub 2021 Mar 9.

  PMID: 33751848 BACKGROUND

• Koppitz AL, Dreizler J, Altherr J, Bosshard G, Naef R, Imhof L. Relocation experiences with unplanned admission to a nursing home: a qualitative study. Int Psychogeriatr. 2017 Mar;29(3):517-527. doi: 10.1017/S1041610216001964. Epub 2016 Nov 17.

  PMID: 27852339 BACKGROUND

• Lan X, Xiao H, Chen Y. Life review for Chinese older adults in nursing homes: cultural acceptance and its effects. Int Psychogeriatr. 2019 Apr;31(4):527-535. doi: 10.1017/S1041610218001084. Epub 2018 Oct 2.

  PMID: 30277193 BACKGROUND

• Mello S, O'Connor KA. Morbidity and Mortality Following Relocation of Highly Dependent Long-Term Care Residents: A Retrospective Analytical Study. J Gerontol Nurs. 2016 Nov 1;42(11):34-38. doi: 10.3928/00989134-20160908-01. Epub 2016 Oct 5.

  PMID: 27711930 BACKGROUND

• Rebok GW, Ball K, Guey LT, Jones RN, Kim HY, King JW, Marsiske M, Morris JN, Tennstedt SL, Unverzagt FW, Willis SL; ACTIVE Study Group. Ten-year effects of the advanced cognitive training for independent and vital elderly cognitive training trial on cognition and everyday functioning in older adults. J Am Geriatr Soc. 2014 Jan;62(1):16-24. doi: 10.1111/jgs.12607. Epub 2014 Jan 13.

  PMID: 24417410 BACKGROUND

• Sun C, Yu Y, Li X, Cui Y, Ding Y, Zhu S, Li X, Chen S, Zhou R. The factors of adaptation to nursing homes in mainland China: a cross-sectional study. BMC Geriatr. 2020 Nov 30;20(1):517. doi: 10.1186/s12877-020-01916-x.

  PMID: 33256628 BACKGROUND

• Sun C, Zhou R, Cui Y, Ding Y, Li X, Li X, Zhang Y, Chen S, Xing Y. The Adaptation of Older Adults' Transition to Nursing Homes in Mainland China: A Qualitative Study. J Transcult Nurs. 2021 Jul;32(4):318-325. doi: 10.1177/1043659620923387. Epub 2020 May 23.

  PMID: 32449461 BACKGROUND

• Wu CS, Rong JR. Relocation experiences of the elderly to a long-term care facility in Taiwan: a qualitative study. BMC Geriatr. 2020 Aug 6;20(1):280. doi: 10.1186/s12877-020-01679-5.

  PMID: 32762717 BACKGROUND

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Officials

• Liping Pu

  Phd candidate of Faculty of Nursing Prince of Songkla University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Liping Pu

CONTACT

086-13912773783; jsszplp@126.com

Praneed Songwathana

CONTACT

+66-081-5429170; praneed.s@psu.ac.th

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: February 8, 2025
• First Posted: February 24, 2025
• Study Start: July 9, 2025
• Primary Completion: July 19, 2025
• Study Completion: August 9, 2025
• Last Updated: July 3, 2025

Record last verified: 2025-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: After finishing the research
• Access Criteria: Data are available upon written request, in accordance with the General Data Protection Regulation (GDPR)

Locations

CN (3)