A comparison on effects of clay art therapy and mandala coloring on emotion regulation, hope and resilience in secondary school students
| ISRCTN | ISRCTN10574132 |
|---|---|
| DOI | https://doi.org/10.1186/ISRCTN10574132 |
| Secondary identifying numbers | FRG1/17-18/039 |
- Submission date
- 30/07/2020
- Registration date
- 04/08/2020
- Last edited
- 07/08/2020
- Recruitment status
- No longer recruiting
- Overall study status
- Completed
- Condition category
- Mental and Behavioural Disorders
Plain English summary of protocol
Background and study aims:
Serious emotional problems of teens have become a pressing issue in Hong Kong (HK). While causes of the problems are inconclusive, effective measures to combat stress and control teen suicide carry vital significance. As the literature shows that art therapy has positive impacts on mood and emotional control, this study aims to specifically investigate the efficacy of clay art therapy (CAT) and mandala coloring (COM) in regulating emotion of Hong Kong senior secondary school students.
Who can participate?
Hong Kong senior secondary students, aged between 15 and 18 with needs of psychological support.
What does the study involve?
Participants were randomly allocated to receive either the CAT or COM for six, two-hour weekly sessions, to engage with the specific art form and create artwork. The participants were required to complete a set of questionnaires and collect salivary cortisol at three different time-points (T0- baseline; T1- immediately after the intervention; T2- 6 weeks after the intervention) to allow comparison of the interventions’ effectiveness.
What are the possible benefits and risks of participating?
Participants will be able to receive 6 sessions of free clay art therapy/mandala coloring sessions that will be instructed by registered art therapists. During the session, participants can learn different skills and techniques of art making, freely express their own thoughts and emotions through art activities, which have possible effects of soothing emotions. The procedure has no known risks.
Where is the study run from?
Hong Kong Baptist University
When is the study starting and how long is it expected to run for?
January 2017 to February 2019
Who is funding the study?
The University of Hong Kong’s Seed Funding for Applied Research and the Hong Kong Baptist University’s Faculty Research Grant
Who is the main contact?
Dr Joshua Nan
joshuanan@hkbu.edu.hk
Contact information
Scientific
Hong Kong Baptist University
Room 1012A, 10/F AAB Building
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
-
Hong Kong
 ORCID ID |
0000-0003-4840-6539 |
|---|---|
| Phone | +852 34112009 |
| joshuanan@hkbu.edu.hk |
Scientific
Hong Kong Baptist University
Room 1012A, 10/F AAB Building
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
-
Hong Kong
| Phone | +852 34112483 |
|---|---|
| wendywwt@hkbu.edu.hk |
Study information
| Study design | Randomized controlled interventional trial |
|---|---|
| Primary study design | Interventional |
| Secondary study design | Randomised controlled trial |
| Study setting(s) | School |
| Study type | Treatment |
| Participant information sheet | Not available in web format, please use contact details to request a participant information sheet |
| Scientific title | A comparative study on the effects of clay art therapy and coloring of mandalas on positive-negative affective states, hope, and resilience for senior secondary school students — A randomized controlled trial |
| Study objectives | 1. Both the clay art therapy and the coloring of mandala groups would report improvements in symptoms of affective status, signs of anxiety and depression, hope, and resilience at post-intervention 2. The clay art therapy group would demonstrate a more significant and long-lasting effect on the symptoms at post-intervention than the coloring of mandala group |
| Ethics approval(s) | Approved 01/09/2018, Research Ethics Committee of Hong Kong Baptist University (Graduate School, AAB 904, Level 9, Academic and Administration Building, Baptist University Road Campus, Hong Kong Baptist University, Kowloon Tong, Hong Kong; +852 3411-5127; hkburc@hkbu.edu.hk), ref: FRG1/17-18/039 |
| Health condition(s) or problem(s) studied | Depression, anxiety and stress disorders |
| Intervention | Participants who fulfill the screening test will be randomly assigned to either the clay art intervention group or the mandala coloring group on a 1:1 basis with matched demographics. Each group will receive six weekly sessions of two-hour art therapy, adopting the different art approaches. The clay art therapy group was conducted by art therapists who were competent in clay art-making. The sessions includes introduction to the fundamental kneading and pinching techniques in forming basic shapes , surface treatment and integration of various pieces of clay products to produce a 3-dimensional clay structure. The coloring of mandala group was conducted by a group of expressive arts therapy student-therapists. The participants were guided by the student-therapists to color the pre-drawn mandala form in different shapes by using different art media and coloring techniques. Randomisation process: A reference number will be assigned to each participant to conceal any possible personal identification. Participants will be randomly assigned to either clay art group or waitlist control group on 1:1 basis. Allocation sequence will be generated by computer randomization program. |
| Intervention type | Behavioural |
| Primary outcome measure | Measured at T0 (baseline), T1 (right after intervention) and T2 (6 weeks after intervention): 1. Mood measured using The Positive and Negative Affectivity Schedule (PANAS) 2. Hope measured using the Adult Trait Hope Scale 3. Mental health measured using the Hospital Anxiety and Depression Scale (HADS) 4. Resilience measured using the Connor–Davidson Resilience Scale (CD-RISC) 5. Salivary cortisol measured using the “Salivette” kits (Starstedt, Ag & Co., Numbrecht, Germany) |
| Secondary outcome measures | Experiences of the intervention measured using focus groups at completion of the intervention |
| Overall study start date | 01/01/2017 |
| Completion date | 28/02/2019 |
Eligibility
| Participant type(s) | Healthy volunteer |
|---|---|
| Age group | Child |
| Lower age limit | 15 Years |
| Upper age limit | 18 Years |
| Sex | Both |
| Target number of participants | 96 |
| Total final enrolment | 100 |
| Key inclusion criteria | 1. Hong Kong senior secondary students, aged between 15 and 18 years 2. Ability to understand and communicate in Cantonese 3. Suitable and able to perform activities in groups during the course of the 6-week program |
| Key exclusion criteria | 1. Diagnosed with a mood disorder, an anxiety disorder, or any other psychiatric disorder that required medical treatment, or a professional intervention during the past 12 months (They were referred to professional services.) 2. Other medical conditions that are likely to limit group participation during the course of the 6-week program |
| Date of first enrolment | 01/02/2017 |
| Date of final enrolment | 31/12/2018 |
Locations
Countries of recruitment
- Hong Kong
Study participating centre
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
-
Hong Kong
Sponsor information
University/education
Hong Kong Baptist University Road
Kowloon Tong
Hong Kong
-
Hong Kong
| Phone | +852 3411 7400 |
|---|---|
| hkburc@hkbu.edu.hk | |
| Website | http://buwww.hkbu.edu.hk/eng/main/index.jsp |
"ROR" |
https://ror.org/0145fw131 |
Funders
Funder type
University/education
Government organisation / Universities (academic only)
- Alternative name(s)
- 香港浸會大學, 香港浸會大學, HKBU, BaptistU
- Location
- Hong Kong
Government organisation / Universities (academic only)
- Alternative name(s)
- The University of Hong Kong, 香港大學, Universitas Hongkongensis, HKU
- Location
- Hong Kong
Results and Publications
| Intention to publish date | 31/10/2020 |
|---|---|
| Individual participant data (IPD) Intention to share | Yes |
| IPD sharing plan summary | Other |
| Publication and dissemination plan | Planned publication of results in a high-impact peer-reviewed journal - Frontiers in Psychology. |
| IPD sharing plan | All data generated or analysed during this study will be included in the subsequent results publication |
Study outputs
| Output type | Details | Date created | Date added | Peer reviewed? | Patient-facing? |
|---|---|---|---|---|---|
| Protocol file | 07/08/2020 | No | No |
Additional files
- ISRCTN10574132_PROTOCOL.pdf
- uploaded 07/08/2020
Editorial Notes
07/08/2020: Uploaded protocol (not peer reviewed) Version n/a.
03/08/2020: Trial’s existence confirmed by Hong Kong Baptist University.
