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Objectives <p>This randomised pilot trial evaluated the feasibility and acceptability of a brief mindfulness-based Zentangle intervention for parents reporting mild-to-severe depression or anxiety symptoms.</p> Method <p>Parents (<i>n</i> = 61; aged 43.7&#xa0;years on average, 93.4% female) of primary or secondary school children were randomised to two weekly 2-h mindfulness-based Zentangle sessions (<i>n</i> = 30) or waitlist control (<i>n</i> = 31). Feasibility outcomes included recruitment rate, consent rate, retention, session attendance, home practice (self-reported Zentangle drawings over 3&#xa0;months), and acceptability (usefulness, satisfaction ratings). Exploratory outcomes assessed anxiety, depression, stress, mindful parenting, mental well-being, and quality of life at baseline, post-intervention, and 3-month follow-up.</p> Results <p>Feasibility outcomes showed acceptable recruitment rate (39.2%), consent rate (63.5%), retention rate (&gt; 90%), session attendance (77.5%), and modest home practice (<i>M</i> = 3.86 drawings in 3&#xa0;months, <i>SD</i> = 2.1). Intervention acceptability was high (scores 7.71 to 8.64 out of 10). Compared to controls, the intervention group showed non-significant reductions in anxiety (<i>d</i> =  −0.27), depression (<i>d</i> = −0.38), and stress (<i>d</i> = −0.22) at follow-ups.</p> Conclusions <p>The mindfulness-based Zentangle intervention demonstrated feasibility and acceptability for parents. As for a brief two-session intervention, outcome changes were not expected, and the observed changes were exploratory signals only. A fully powered trial is required to evaluate effectiveness.</p> Preregistration <p>ClinicalTrials.gov identifier is NCT06094803, registered on 10/31/2023</p>

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Mindfulness-Based Zentangle for Parental Depression and Anxiety: A Feasibility Randomised Controlled Trial

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月6日

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  • Yuying Sun,
  • Yudian Xu,
  • Tyrone Tai-On Kwok,
  • Shirley Man-man Sit,
  • Agnes Yuen Kwan Lai

摘要

Objectives

This randomised pilot trial evaluated the feasibility and acceptability of a brief mindfulness-based Zentangle intervention for parents reporting mild-to-severe depression or anxiety symptoms.

Method

Parents (n = 61; aged 43.7 years on average, 93.4% female) of primary or secondary school children were randomised to two weekly 2-h mindfulness-based Zentangle sessions (n = 30) or waitlist control (n = 31). Feasibility outcomes included recruitment rate, consent rate, retention, session attendance, home practice (self-reported Zentangle drawings over 3 months), and acceptability (usefulness, satisfaction ratings). Exploratory outcomes assessed anxiety, depression, stress, mindful parenting, mental well-being, and quality of life at baseline, post-intervention, and 3-month follow-up.

Results

Feasibility outcomes showed acceptable recruitment rate (39.2%), consent rate (63.5%), retention rate (> 90%), session attendance (77.5%), and modest home practice (M = 3.86 drawings in 3 months, SD = 2.1). Intervention acceptability was high (scores 7.71 to 8.64 out of 10). Compared to controls, the intervention group showed non-significant reductions in anxiety (d =  −0.27), depression (d = −0.38), and stress (d = −0.22) at follow-ups.

Conclusions

The mindfulness-based Zentangle intervention demonstrated feasibility and acceptability for parents. As for a brief two-session intervention, outcome changes were not expected, and the observed changes were exploratory signals only. A fully powered trial is required to evaluate effectiveness.

Preregistration

ClinicalTrials.gov identifier is NCT06094803, registered on 10/31/2023