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This pilot study evaluates a structured Zentangle-textile-art-based (ZTAB) intervention for older adults in Hong Kong community settings, focusing on self-esteem and quality of life. Using Borba’s five-stage self-esteem model, a pre-experimental one-group pretest–posttest design tested 21 participants across demographics, Rosenberg Self-Esteem Scale (RSES), and WHOQOL-BREF before and after three ZTAB workshops. Results indicate significant improvements in self-esteem and quality of life, especially psychological and social relationship domains, supporting further community empowerment research.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/effects-of-a-zentangle-textile-art-based-intervention-on-self-esteem-and-quality-of-life-of-older-adults-in-hong-kong/156731/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/effects-of-a-zentangle-textile-art-based-intervention-on-self-esteem-and-quality-of-life-of-older-adults-in-hong-kong/156731.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-22","2026-08-29",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of the ZTAB intervention studied in this paper?","Question",{"text":112,"@type":113},"To investigate whether a structured Zentangle-textile-art-based intervention improves self-esteem and quality of life for older adults in Hong Kong community settings.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was self-esteem and quality of life measured?",{"text":117,"@type":113},"Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and quality of life was assessed using the WHOQOL-BREF instrument.",{"name":119,"@type":110,"acceptedAnswer":120},"What study design and participant steps were used?",{"text":121,"@type":113},"A pre-experimental one-group pretest–posttest design with three steps: demographic survey and baseline RSES/WHOQOL-BREF, participation in three ZTAB workshops, then post-intervention RSES/WHOQOL-BREF plus a close-ended questionnaire.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},156731,1787965508,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":56,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":129,"read_time":143},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","Journal of Arts & Humanities  \nVolume 11, Issue 11, 2022: 01-18  \nArticle Received: 26-10-2022  \nAccepted: 01-12-2022  \nAvailable Online: 05-12-2022  \nISSN: 2167-9045 (Print), 2167-9053 (Online)  \n DOI: [https://doi.org/10.18533/jah.v11i11.2307](https://doi.org/10.18533/jah.v11i11.2307)   \nEffects of A Zentangle-Textile-Art-Based Intervention On SelfEsteem and Quality of Life of Older Adults in Hong Kong  \nChi Hin Lam1  \nABSTRACT  \nIn recent years, numerous studies have explored the effects of art and craft activities on health and wellbeing in various social contexts. In this pilot study, the beneficial effects of a structured Zentangle-textile-artbased (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 onegroup 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) RSESand 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' selfesteem and quality of life, particularly in the psychological and social relationship domains of the WHOQOLBREF. 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.  \nKeywords: Textile art–based intervention; older adults; Zentangle; self-esteem; quality of life.  \nThis is an open access article under Creative Commons Attribution 4.0 License.   \n1. Introduction  \nHealthy ageing is a global issue, and therefore, further investigations are required to enhance physical and psychosocial well-being, quality of life, and holistic wellness in the older adult population. According to Hong Kong’s Census and Statistics Department (2017), the population of those aged over 65 years in Hong Kong is projected to increase to 1.2 million by 2036, and older adults are expected to account for 25 per cent of Hong Kong’s population by 2033. Ageing leads to physiological, mental, and social changes (Shahbazzadeghan et al., 2009). Older adults typically suffer from multiple physical and psychological problems. Age-related decline and impairment in health can easily lead to a reduction in  \n1 The hong Kong Polytechnic University, [Email:](Email: jin.lam@polyu.edu.hk)[ jin.lam@polyu.edu.hk](Email: jin.lam@polyu.edu.hk)  \nphysical activity, interpersonal communication, social engagement, self-esteem, and well-being (Roswiyani et al., 2017). An ageing population is associated with significantly higher healthcare expenditure. The Hong Kong Hospital Authority has been facing increasing pressure to provide specialist healthcare services to older adults. Thus, a growing interest in developing additional primary support, health promotion, and wellness interventions for older adults is being fostered.  \nThis pilot study aims to investigate the benefits of ZTAB intervention on the self-esteem and quality of life of older Hong Kong adults in community settings. The unique study design with a preexperimental and one-group pretest–posttest evaulation, structured ZTAB intervention program framework provides empirical evidence regarding the efficacy of the intervention program. Statistical analysis of the data obtained through RSES and WHOQOL-BREF instruments, and qualitative interviews revealed the significant improvements in the participants' self-est","cbCaicyEGCSRBHoW","https://ap.wps.com/l/cbCaicyEGCSRBHoW","pdf",1330321,"English","# Introduction\n# Literature review\n## Efficacy of art-based intervention","[{\"question\":\"What is the purpose of the ZTAB intervention studied in this paper?\",\"answer\":\"To investigate whether a structured Zentangle-textile-art-based intervention improves self-esteem and quality of life for older adults in Hong Kong community settings.\"},{\"question\":\"How was self-esteem and quality of life measured?\",\"answer\":\"Self-esteem was measured using the Rosenberg Self-Esteem Scale (RSES), and quality of life was assessed using the WHOQOL-BREF instrument.\"},{\"question\":\"What study design and participant steps were used?\",\"answer\":\"A pre-experimental one-group pretest–posttest design with three steps: demographic survey and baseline RSES/WHOQOL-BREF, participation in three ZTAB workshops, then post-intervention RSES/WHOQOL-BREF plus a close-ended questionnaire.\"}]","Effects of A Zentangle-Textile-Art-Based Intervention On Self-Esteem and Quality of Life of Older Adults in Hong Kong | PDF",48]