A culturally tailored Zhuang embroidery intervention for psychological well-being among Zhuang adults in the retirement transition in Guangxi: a waitlist-controlled quasi-experimental study.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος:	A culturally tailored Zhuang embroidery intervention for psychological well-being among Zhuang adults in the retirement transition in Guangxi: a waitlist-controlled quasi-experimental study.
Συγγραφείς:	Li J; School of Fine Arts and Design, Yulin Normal University, Yulin, Guangxi, China., Xiang J; School of Fine Arts and Design, Yulin Normal University, Yulin, Guangxi, China.
Πηγή:	Frontiers in public health [Front Public Health] 2026 Sep 17; Vol. 14, pp. 1945265. Date of Electronic Publication: 2026 Sep 17 (Print Publication: 2026).
Τύπος έκδοσης:	Journal Article
Γλώσσα:	English
Στοιχεία περιοδικού:	Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
Imprint Name(s):	Original Publication: Lausanne : Frontiers Editorial Office
Ιατρικοί όροι (MeSH):	Retirement/psychology , Ethnicity/psychology , Psychological Well-Being*, Loneliness/psychology ; Humans ; Middle Aged ; China ; Female ; Male ; Aged
Περίληψη:	Background: Arts- and craft-based community programs may support psychological well-being in later life, yet few studies have examined culturally tailored ethnic heritage crafts as public health interventions in their communities of origin. Methods: This waitlist-controlled quasi-experimental study evaluated an eight-week intervention integrating Zhuang embroidery practice, cultural storytelling, and group exchange among community-dwelling Zhuang adults aged 55-65 years in Guangxi, China. Eighty participants were allocated by community cluster to intervention or waitlist control groups and assessed at baseline, immediately post-intervention, and 12-week follow-up. Psychological well-being was the primary outcome; loneliness, social connectedness, general well-being, ethnic identity, process perception, and qualitative interview findings were secondary or exploratory materials. Results: The intervention group showed greater immediate improvement in Ryff psychological well-being than waitlist controls. Baseline-adjusted sensitivity analysis supported the immediate Ryff signal, whereas the follow-up difference was attenuated. Secondary outcomes were less consistent: WEMWBS and loneliness showed short-term favorable movement, whereas social connectedness, WHO-5, and ethnic identity findings were weaker or exploratory. Process ratings and interviews suggested that participants recognized the cultural storytelling, needlework, and group exchange components. Conclusion: The integrated Zhuang embroidery intervention appears feasible and shows preliminary promise for psychological well-being among retirement-transition Zhuang adults. Because allocation occurred at the cluster level and the intervention combined embroidery practice, cultural storytelling, and group exchange, the findings cannot separate intervention-related signals from community differences, expectancy effects, or component-specific effects. Larger multi-community and component-separated studies with longer follow-up are needed before drawing confirmatory efficacy or mechanism conclusions. (Copyright © 2026 Li and Xiang.)
Competing Interests:	The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
References:	Arch Gen Psychiatry. 2004 Mar;61(3):310-7. (PMID: 14993119) PLoS One. 2025 Nov 12;20(11):e0336120. (PMID: 41223240) J Pers Assess. 1987 Spring;51(1):69-81. (PMID: 3572711) Psychother Psychosom. 2015;84(3):167-76. (PMID: 25831962) J Epidemiol Community Health. 2024 Aug 25;78(10):602-608. (PMID: 38834231) Front Psychol. 2023 Nov 15;14:1276539. (PMID: 38034287) Front Public Health. 2024 Feb 07;12:1242798. (PMID: 38384874) Geriatr Nurs. 2021 Jan-Feb;42(1):129-136. (PMID: 33385772) Health Qual Life Outcomes. 2007 Nov 27;5:63. (PMID: 18042300) J Alzheimers Dis. 2023;91(2):815-831. (PMID: 36502317) Int Psychogeriatr. 2023 Aug;35(8):411-420. (PMID: 35575053) Eur J Ageing. 2022 May 26;19(4):931-944. (PMID: 36506665) Front Public Health. 2024 Jul 09;12:1412306. (PMID: 39045154) J Psychiatr Res. 1975 Nov;12(3):189-98. (PMID: 1202204) Nat Ment Health. 2025;3(3):374-386. (PMID: 40084230) Front Public Health. 2024 Jul 18;12:1427605. (PMID: 39091527) Lancet Public Health. 2020 Jan;5(1):e62-e70. (PMID: 31910981) Arts Health. 2021 Jun;13(2):134-157. (PMID: 32809907) Obstet Gynecol. 2010 May;115(5):1063-1070. (PMID: 20410783) Front Public Health. 2024 Jan 26;12:1257411. (PMID: 38344232) BMJ Open. 2019 Nov 21;9(11):e029555. (PMID: 31753869) Am J Public Health. 2004 Mar;94(3):361-6. (PMID: 14998794) JAMA Netw Open. 2022 Oct 3;5(10):e2236676. (PMID: 36251294) BMC Public Health. 2021 Sep 14;21(1):1670. (PMID: 34521363) Lancet Reg Health West Pac. 2026 Jan 15;67:101789. (PMID: 41789400) Front Psychol. 2021 Sep 06;12:730709. (PMID: 34552538) Sci Rep. 2024 Nov 14;14(1):26971. (PMID: 39528537) BMC Public Health. 2020 Feb 14;20(1):129. (PMID: 32054474) Front Public Health. 2024 Jul 10;12:1369066. (PMID: 39050607) Int J Environ Res Public Health. 2021 Sep 19;18(18):. (PMID: 34574798) J Appl Gerontol. 2020 Dec;39(12):1292-1302. (PMID: 31711350) BMC Public Health. 2025 Nov 3;25(1):3733. (PMID: 41184890) Annu Rev Public Health. 2022 Apr 5;43:193-213. (PMID: 35021021) Front Psychol. 2013 Nov 26;4:863. (PMID: 24324449) Am J Geriatr Psychiatry. 2020 Dec;28(12):1233-1244. (PMID: 32919873) Age Ageing. 2022 Jul 1;51(7):. (PMID: 35871420) JAMA Netw Open. 2024 Sep 3;7(9):e2428709. (PMID: 39264631) J Adv Nurs. 2020 Aug;76(8):1892-1910. (PMID: 32201968)
Contributed Indexing:	Keywords: Zhuang embroidery; cultural adaptation; healthy aging; minority arts; psychological well-being; retirement transition; waitlist-controlled quasi-experiment
Entry Date(s):	Date Created: 20261002 Date Completed: 20261002 Latest Revision: 20261005
Update Code:	20261005
PubMed Central ID:	PMC13626903
DOI:	10.3389/fpubh.2026.1945265
PMID:	42823976
Βάση Δεδομένων:	MEDLINE

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ISSN:	2296-2565
DOI:	10.3389/fpubh.2026.1945265