Effects of a Zentangle-textile-art-based intervention on self-esteem and quality of life of older adults in Hong Kong

Abstract

In recent years, numerous studies have explored the effects of art and craft activities on health and well-being in various social contexts. In this pilot study, the beneficial effects of a structured Zentangle-textile-art-based (ZTAB) intervention on the self-esteem and quality of life of older Hong Kong adults in community settings were investigated. The ZTAB program framework involved Zentangle drawing practice and used Borba's five-stage self-esteem model to facilitate an evidence-based evaluation. A pre-experimental and one-group pretest-posttest design was employed. Twenty-one participants completed the protocol in three steps: 1) A demographic data survey; evaluating self-esteem using the Rosenberg Self-Esteem Scale (RSES) and assessing the quality of life using the brief form of the World Health Organization's Quality of Life instrument (WHOQOL-BREF) before the intervention; 2) Participation in three ZTAB workshops; and 3) RSES and WHOQOL-BREF evaluations and a close-ended questionnaire after the intervention. The study findings revealed that the ZTAB intervention was associated with significant improvements in the participants' self-esteem and quality of life, particularly in the psychological and social relationship domains of the WHOQOL-BREF. These findings suggest that future investigations into empowering community activities that promote improved self-esteem, spiritual health, and holistic wellness among older Hong Kong adults are warranted.