Study aim: Determining the effect of visual art on daily activities of life and self-efficacy in the elderly Design: Sampling will be done in a convenient manner so that after selecting the centers, eligible elderly people from each center will be identified and after obtaining informed consent, they will be assigned to two intervention and control groups using a four-way random block method. In this way, we will have an intervention and control group in each center. Settings and conduct: The study population will be the elderly in day care centers or health centers in Mashhad. A list of all day care centers or health centers in Mashhad will be prepared and then the centers will be selected based on the level of cooperation. Participants/Inclusion and exclusion criteria: Criteria for inclusion in the study: Age over 65 Achieving a score of 7 or higher on the AMT cognitive test Having visual, auditory, and upper motor abilities Having the ability to read and write Intervention groups: Intervention group: The intervention group in this study includes elderly residents of two selected elderly day care centers in Mashhad who were randomly selected to receive the visual art therapy intervention. This group will participate in visual art therapy group sessions twice a week for 8 weeks. The sessions will last 60 to 150 minutes and include various artistic activities such as painting, coloring, drawing, decorating, and craft making. The aim of this intervention is to stimulate and improve the physical functioning, quality of life, and interpersonal communication of the elderly. Also, the sessions are designed in such a way that the elderly share their artwork and express their feelings at the end of each session. Main outcome variables: Level of daily living activities and self efficacy