Clinical trial NCT04291183: Elderly Who Received Horticulturel Therapy
Official title: The Effect Of Horticultural Therapy On The Level Of Happiness And Loneliness Of Elderly Living In Nursing Home
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Horticultural Therapy
Elderly
Happiness
Loneliness
Keywords: horticultural therapy
elderly
nursing home
happiness
loneliness
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2020-03-02
Enrollment: 50
Sex: ALL
Minimum age (years): 65
Standard ages: OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: Horticultural Therapy (HT) method refers to the process of using gardening as a method to maintain and improve the existing health status of the individual, which can be applied by healthcare professionals. Horticultural therapy method is an application that positively contributes to the cognitive, physical, social, emotional processes and entertainment processes of the elderly. Collins and O 'Callaghan (2008 ) and Yao and Chen (2016) showed that older individuals with serious illness and weakness had improved health outcomes when they were busy with plants. In a study by Yao and Chen (2016); Individuals aged 65 years and older were treated with HT once a week for eight weeks, and an increase in daily life activities, happiness and interpersonal affinity was observed. In another semi-experimental study by Tse (2010), elderly individuals were given HT for eight weeks, after which an increase in life satisfaction and social communication of the elderly and a significant decrease in loneliness were found. These results showed that HT can be used for therapeutic purposes in the elderly.

While horticultural therapy is used as a therapeutic approach for the elderly in nursing homes, there is still no such study in the geography we live in. The research was planned to determine the effect of hortic culture therapy on the loneliness and happiness levels of the elderly living in the nursing home.

Detailed description: In recent years, the elderly population is increasing due to the decrease in the fertility rate in our country, the lifetime due to the improvement in health conditions, the prevention of diseases before they occur as a result of the developments in medicine and technology and that they can be treated successfully even if they occur.

In our country, due to rapid population growth, industrialization and urbanization, transformation into a nuclear family due to internal and external migration, the presence of economic problems, women's participation in working life, young people's perspective on old age, intergenerational communication disorders and addiction make the home care of the elderly difficult and the elderly are placed in different institutions from the family environment. The opportunities of the elderly who go to the institution to get to know and adapt to the environment are lost, and the elderly individual may have feelings such as isolation, loneliness and feeling worthless.

The phenomenon of loneliness is seen in all age groups, but it is a problem specific to the elderly. Loneliness is a common and disturbing problem for many elderly people. The emotional support of elderly individuals is not sufficient, and their friendship relationships are limited, which increases their loneliness. Social support systems, elderly caregivers and healthcare professionals play an important role in coping with loneliness problems and high levels of happiness in the nursing home.

Horticultural Therapy (HT) method refers to the process of using gardening as a method to maintain and improve the existing health status of the individual, which can be applied by healthcare professionals. Horticultural therapy method is an application that positively contributes to the cognitive, physical, social, emotional processes and entertainment processes of the elderly. Collins and O 'Callaghan (2008 ) and Yao and Chen (2016) showed that older individuals with serious illness and weakness had improved health outcomes when they were busy with plants. In a study by Yao and Chen (2016); Individuals aged 65 years and older were treated with HT once a week for eight weeks, and an increase in daily life activities, happiness and interpersonal affinity was observed. In another semi-experimental study by Tse (2010), elderly individuals were given HT for eight weeks, after which an increase in life satisfaction and social communication of the elderly and a significant decrease in loneliness were found. These results showed that HT can be used for therapeutic purposes in the elderly.

Eligibility criteria: Inclusion Criteria:

* Being 65 or older
* Ability to understand and respond to research guidelines
* Ability to act independently
* No known allergic disease.

Exclusion Criteria:

* Having a diagnosed psychiatric disease

Primary outcomes:
measure: The Loneliness Scale for the Elderly.
timeFrame: 6 months
measure: The Subjective Happiness Scale.
timeFrame: 6 months
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Unıversıty- Cerrahpaşa
state: Istanbul/ Şişli
Study officials:
References:
citation: Kamioka H, Tsutani K, Yamada M, Park H, Okuizumi H, Honda T, Okada S, Park SJ, Kitayuguchi J, Abe T, Handa S, Mutoh Y. Effectiveness of horticultural therapy: a systematic review of randomized controlled trials. Complement Ther Med. 2014 Oct;22(5):930-43. doi: 10.1016/j.ctim.2014.08.009. Epub 2014 Sep 1.
citation: Kim KH, Park SA. Horticultural therapy program for middle-aged women's depression, anxiety, and self-identify. Complement Ther Med. 2018 Aug;39:154-159. doi: 10.1016/j.ctim.2018.06.008. Epub 2018 Jun 26.
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citation: Lo SKL, Lam WYY, Kwan RYC, Tse MMY, Lau JKH, Lai CKY. Effects of horticultural therapy: Perspectives of frail and pre-frail older nursing home residents. Nurs Open. 2019 Jul 3;6(3):1230-1236. doi: 10.1002/nop2.323. eCollection 2019 Jul.
citation: Soderback I, Soderstrom M, Schalander E. Horticultural therapy: the 'healing garden'and gardening in rehabilitation measures at Danderyd Hospital Rehabilitation Clinic, Sweden. Pediatr Rehabil. 2004 Oct-Dec;7(4):245-60. doi: 10.1080/13638490410001711416.