Horticultural TherapyNCT04291183
Elderly Who Received Horticulturel Therapy
A study testing horticultural therapy in people with Horticultural Therapy and Elderly, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
Trial 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. Read more about this study
- Who is it for?
- Ages 65 years and olderHealthy volunteers can take part
- Conditions the study is for
- Horticultural Therapy, Elderly, Happiness
- What is being tested?
- horticultural therapy
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 11 Mar 2020to 30 Jul 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 65 years and older
- All sexes
- Healthy volunteers accepted
- Older adult
Who may be able to join
- Being 65 or older
- Ability to understand and respond to research guidelines
- Ability to act independently
- No known allergic disease.
Who cannot join
- Having a diagnosed psychiatric disease
Trial locations and contacts
1 site in 1 country.
Turkey (Türkiye)1 site
Istanbul Unıversıty- Cerrahpaşa
Istanbul, Istanbul/ Şişli, 34381
About this study
Official title: The Effect Of Horticultural Therapy On The Level Of Happiness And Loneliness Of Elderly Living In 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.
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.
Read the 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.
- Conditions
- Horticultural Therapy, Elderly, Happiness, Loneliness
- Being tested
- horticultural therapy
- Keywords
- horticultural therapy, elderly, nursing home, happiness, loneliness
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
horticultural therapyBehavioural
Flowers and vegetables will be planted with the elderly. Growth of plants planted with the elderly will be observed and maintained
| Study group | Role | What they receive |
|---|---|---|
| elderly people to undergo hortic culture therapy | Experimental | Horticultural Therapy will be applied to the elderly in the experimental group in the form of two days a week visit for eight weeks. Flower and vegetable seedlings suitable for the season will be planted in the garden with the elderly. The elderly will be asked to take care of the plants they planted every day (irrigation and collecting extra herbs) and the elderly people will be observed by doing these processes twice a week Receives: Behavioral: horticultural therapy |
| elderly people who will not receive horticultural therapy | No intervention | pre-test data forms will be applied to the control group. Post-test data forms will be reapplied after 8 weeks |
What is being measured
The primary outcome is the main question the study is designed to answer.
The Loneliness Scale for the Elderly.
Applying garden culture treatment for the elderly who stay in the nursing home. It has been developed for use in determining the loneliness level of the elderly. The scale, which has 11 items in total, consists of two sub-dimensions: six items (2, 3, 5, 6, 9, 10) of the scale, negative items that measure emotional loneliness; five items (1, 4, 7, 8, 11) are positive items that measure social loneliness.
Total loneliness can be divided into four levels: Level 1; not alone / feeling lonely (score 0-4); Level 2; acceptable loneliness (score 5-14); Level 3; very lonely (points 15-18); Level 4; Very intense loneliness (score 19-22). The lowest score to be taken from the scale is 0, the highest score is 22. The Cronbach's alpha of the scale is α = .85.
Measured: 6 months
The Subjective Happiness Scale.
Applying radicultural therapy for the elderly who stay in the nursing home. Subjective Happiness Scale consists of 4 descriptive items. Item 4 of the scale is reversed. Although there are no sub-dimensions of the scale, minimum 4 and maximum 28 points are obtained from the scale. High scores to be obtained from the scale indicate that the subjective happiness of the individual is high.Cronbach α reliability coefficient was found as .86
Measured: 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Mar 2020
- Study start11 Mar 2020 (estimated)
- Primary completion30 May 2020 (estimated)
- Study completion30 Jul 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Horticultural TherapyStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istanbul University - Cerrahpasa
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Seda CEVHEROĞLU, Istanbul University - Cerrahpasa
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04291183
- Sponsor's protocol ID
- IstanbulUC2
- Status last verified
- Mar 2020
- First submitted
- 28 Feb 2020
- Last updated
- 3 Mar 2020
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
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.
PubMed 25440385Kim 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.
PubMed 30012387Ng KST, Sia A, Ng MKW, Tan CTY, Chan HY, Tan CH, Rawtaer I, Feng L, Mahendran R, Larbi A, Kua EH, Ho RCM. Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2018 Aug 9;15(8):1705. doi: 10.3390/ijerph15081705.
PubMed 30096932Chan HY, Ho RC, Mahendran R, Ng KS, Tam WW, Rawtaer I, Tan CH, Larbi A, Feng L, Sia A, Ng MK, Gan GL, Kua EH. Effects of horticultural therapy on elderly' health: protocol of a randomized controlled trial. BMC Geriatr. 2017 Aug 29;17(1):192. doi: 10.1186/s12877-017-0588-z.
PubMed 28851276Nicholas SO, Giang AT, Yap PLK. The Effectiveness of Horticultural Therapy on Older Adults: A Systematic Review. J Am Med Dir Assoc. 2019 Oct;20(10):1351.e1-1351.e11. doi: 10.1016/j.jamda.2019.06.021. Epub 2019 Aug 8.
PubMed 31402135Lo 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.
PubMed 31367449Soderback 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.
PubMed 15513768
Study at a glance
From the registry record, last updated by the sponsor on 3 Mar 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- The Effect Of Horticultural Therapy On The Level Of Happiness And Loneliness Of Elderly Living In Nursing Home
- ClinicalTrials.gov ID
- NCT04291183
- Acronym / sponsor ID
- IstanbulUC2
- Conditions
- Horticultural Therapy, Elderly, Happiness, Loneliness
- Keywords
- horticultural therapy, elderly, nursing home, happiness, loneliness
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Istanbul University - CerrahpasaUniversity, hospital or other
- Study start
- 11 Mar 2020 (estimated)
- Primary completion
- 30 May 2020 (estimated)
- Study completion
- 30 Jul 2020 (estimated)
- First posted
- 2 Mar 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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.
Study design
- Primary purpose
- Supportive care
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| elderly people to undergo hortic culture therapy | Experimental | Behavioral: horticultural therapyHorticultural Therapy will be applied to the elderly in the experimental group in the form of two days a week visit for eight weeks. Flower and vegetable seedlings suitable for the season will be planted in the garden with the elderly. The elderly will be asked to take care of the plants they planted every day (irrigation and collecting extra herbs) and the elderly people will be observed by doing these processes twice a week |
| elderly people who will not receive horticultural therapy | No intervention | –pre-test data forms will be applied to the control group. Post-test data forms will be reapplied after 8 weeks |
Who may qualify
- Ages
- 65 years and older
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Older adult
Key inclusion criteria (4 listed)
- Being 65 or older
- Ability to understand and respond to research guidelines
- Ability to act independently
- No known allergic disease.
Key exclusion criteria (1 listed)
- Having a diagnosed psychiatric disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| horticultural therapyFlowers and vegetables will be planted with the elderly. Growth of plants planted with the elderly will be observed and maintained | Behavioural | elderly people to undergo hortic culture therapy |
Primary outcome
The Loneliness Scale for the Elderly.
Time frame: 6 months
Applying garden culture treatment for the elderly who stay in the nursing home. It has been developed for use in determining the loneliness level of the elderly. The scale, which has 11 items in total, consists of two sub-dimensions: six items (2, 3, 5, 6, 9, 10) of the scale, negative items that measure emotional loneliness; five items (1, 4, 7, 8, 11) are positive items that measure social loneliness. Total loneliness can be divided into four levels: Level 1; not alone / feeling lonely (score 0-4); Level 2; acceptable loneliness (score 5-14); Level 3; very lonely (points 15-18); Level 4; Very intense loneliness (score 19-22). The lowest score to be taken from the scale is 0, the highest score is 22. The Cronbach's alpha of the scale is α = .85.
The Subjective Happiness Scale.
Time frame: 6 months
Applying radicultural therapy for the elderly who stay in the nursing home. Subjective Happiness Scale consists of 4 descriptive items. Item 4 of the scale is reversed. Although there are no sub-dimensions of the scale, minimum 4 and maximum 28 points are obtained from the scale. High scores to be obtained from the scale indicate that the subjective happiness of the individual is high.Cronbach α reliability coefficient was found as .86
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Mar 2020.
- Results publication: PubMed 25440385Kamioka 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.
- Results publication: PubMed 30012387Kim 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.
- Results publication: PubMed 30096932Ng KST, Sia A, Ng MKW, Tan CTY, Chan HY, Tan CH, Rawtaer I, Feng L, Mahendran R, Larbi A, Kua EH, Ho RCM. Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2018 Aug 9;15(8):1705. doi: 10.3390/ijerph15081705.
- Results publication: PubMed 28851276Chan HY, Ho RC, Mahendran R, Ng KS, Tam WW, Rawtaer I, Tan CH, Larbi A, Feng L, Sia A, Ng MK, Gan GL, Kua EH. Effects of horticultural therapy on elderly' health: protocol of a randomized controlled trial. BMC Geriatr. 2017 Aug 29;17(1):192. doi: 10.1186/s12877-017-0588-z.
- Results publication: PubMed 31402135Nicholas SO, Giang AT, Yap PLK. The Effectiveness of Horticultural Therapy on Older Adults: A Systematic Review. J Am Med Dir Assoc. 2019 Oct;20(10):1351.e1-1351.e11. doi: 10.1016/j.jamda.2019.06.021. Epub 2019 Aug 8.
- Results publication: PubMed 31367449Lo 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.
- Results publication: PubMed 15513768Soderback 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.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing horticultural therapy in people with Horticultural Therapy and Elderly, run by Istanbul University - Cerrahpasa at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 3 Mar 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact seda cevheroğlu, 1 (+9005338201260, seda.cevheroglu@emu.edu.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
The Loneliness Scale for the Elderly. (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04291183, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 Mar 2020.