{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T05:03:39Z","timestamp":1789621419341,"version":"build-2803163510"},"reference-count":50,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T00:00:00Z","timestamp":1789603200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>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\u201365\u202fyears 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>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.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1945265","type":"journal-article","created":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T04:29:18Z","timestamp":1789619358000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["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"],"prefix":"10.3389","volume":"14","author":[{"given":"Junfeng","family":"Li","sequence":"first","affiliation":[{"name":"School of Fine Arts and Design, Yulin Normal University","place":["Yulin, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junzi","family":"Xiang","sequence":"additional","affiliation":[{"name":"School of Fine Arts and Design, Yulin Normal University","place":["Yulin, Guangxi, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"1069","DOI":"10.1037\/0022-3514.57.6.1069","article-title":"Happiness is everything, or is it? 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