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Physical HealthNCT04324203

The Effectiveness of 3DVR Horticultural Therapy on Older Adults

A study testing Three-dimensional Virtual Reality and Horticultural Therapy in people with Physical Health and Mental Health, run by National Taiwan Normal University at 1 site in Taiwan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study intends to develop a 3DVR-based horticultural therapy intervention to explore the health effectiveness among older adults Read more about this study

Who is it for?
Any ageHealthy volunteers can take part
Conditions the study is for
Physical Health, Mental Health
What is being tested?
Three-dimensional Virtual Reality and Horticultural Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
106 participants
Where
1 siteTaiwan
Study dates
1 Jan 2018to 30 Jun 2019
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 Any age
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult, Older adult

Who may be able to join

  • over 65 years old.
  • being a long-term resident of the selected LTCF
  • possessing the ability to understand verbal meanings
  • being able to freely operate a joystick.

Who cannot join

  • a history of severe psychiatric conditions, dementia, significant visual or hearing impairment, and/or current severe illnesses such as stroke or Parkinson's disease.

Trial locations and contacts

1 site in 1 country.

Taiwan1 site

  • National Taiwan Normal University,

    Taipei, 10610

Other trials in Taiwan

About this study

Official title: The Effectiveness of 3DVR Horticultural Therapy on Older Adults' Physical and Mental Health

This study intends to develop a 3DVR-based horticultural therapy intervention to explore the health effectiveness among older adults

Read the detailed description

Background: Institutionalized older adults have limited ability to engage in horticultural activities that can promote their physical and mental health.

Objective: This study explored the effects of a combination of three-dimensional (3D) virtual reality (VR) and horticultural therapy (HT) on institutionalized older adults' physical and mental health.

Methods: The study applied a quasi-experimental design. A total of 106 older adults from two long-term care facilities were recruited and assigned to the experimental (n = 59) or control (n = 47) group. The experimental participants received a nine-week intervention. Both groups completed three assessments: at baseline, after the intervention, and two months later. The outcome variables included health status, meaning in life, perceived mattering, loneliness, and depression.

Being tested
Three-dimensional Virtual Reality and Horticultural Therapy
Keywords
Horticultural therapy, 3D VR, Older adults, long-term care facility, mental health
Medical subject headings
Psychological Well-Being

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Three-dimensional Virtual Reality and Horticultural TherapyOther

    VR is a realistic, three-dimensional, and virtual environment formed by a combination of computer software and hardware

Study groups in NCT04324203
Study groupRoleWhat they receive
Experimental groupExperimentalThree-dimensional Virtual Reality and Horticultural Therapy
Receives: Other: Three-dimensional Virtual Reality and Horticultural Therapy
Control groupNo interventionNo intervention

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Health Status

    To assess the health status of the elderly participants, we used the Chinese Health Scale (CHQ-12). This scale consists of 12 Likert-type items that are scored from 3 (not at all) to 0 (more than usual). The higher the score, the higher the level of general health.

    Measured: Two months

  2. Meaning in life.

    The meaning in life questionnaire was adapted from the purpose in life (PIL) survey, and it consists of 9 Likert-type items. Each item is scored on a Likert-type scale from 1-5, with higher scores indicating a higher level of perceived meaning in life.

    Measured: Two months

  3. Perceived mattering

    Perceived mattering was adapted from the General mattering Scale (GMS), and consisted of five items. Each item was scored on a Likert-type scale of 1(not at all) to 4(very much) with higher scores indicating a higher level of perceived mattering.

    Measured: Two months

  4. Loneliness

    The short-form UCLA Loneliness Scale (ULS-6), which consists of six items, was used to measure loneliness. Each item was reversely scored on a Likert-type scale from 4 (never) to 1 (often), with higher scores indicating a lower level of perceived loneliness.

    Measured: Two months

  5. Depression

    Using a Chinese version of the short-form of the Geriatric Depression Scale (GDS-15). The total raw score ranged from 0-15, with a higher score indicating a lower level of depression.

    Measured: Two months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Mar 2020
  2. Study start1 Jan 2018
  3. Primary completion25 Feb 2019
  4. Study completion30 Jun 2019

Resources

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
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
106 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04324203
Sponsor's protocol ID
201710HM006
Status last verified
Mar 2020
First submitted
24 Mar 2020
Last updated
27 Mar 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Bossen A. The importance of getting back to nature for people with dementia. J Gerontol Nurs. 2010 Feb;36(2):17-22. doi: 10.3928/00989134-20100111-01. Epub 2010 Feb 5.

    PubMed 20128524

  • Cheng TA, Williams P. The design and development of a screening questionnaire (CHQ) for use in community studies of mental disorders in Taiwan. Psychol Med. 1986 May;16(2):415-22. doi: 10.1017/s0033291700009247.

    PubMed 3726013

  • Lee IM, Paffenbarger RS Jr, Hennekens CH. Physical activity, physical fitness and longevity. Aging (Milano). 1997 Feb-Apr;9(1-2):2-11. doi: 10.1007/BF03340123.

    PubMed 9177581

  • 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.

    PubMed 15513768

  • Grazuleviciene R, Vencloviene J, Kubilius R, Grizas V, Danileviciute A, Dedele A, Andrusaityte S, Vitkauskiene A, Steponaviciute R, Nieuwenhuijsen MJ. Tracking Restoration of Park and Urban Street Settings in Coronary Artery Disease Patients. Int J Environ Res Public Health. 2016 May 31;13(6):550. doi: 10.3390/ijerph13060550.

    PubMed 27258294

  • Chan 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 28851276

  • Han AR, Park SA, Ahn BE. Reduced stress and improved physical functional ability in elderly with mental health problems following a horticultural therapy program. Complement Ther Med. 2018 Jun;38:19-23. doi: 10.1016/j.ctim.2018.03.011. Epub 2018 Mar 28.

    PubMed 29857876

  • Yao YF, Chen KM. Effects of horticulture therapy on nursing home older adults in southern Taiwan. Qual Life Res. 2017 Apr;26(4):1007-1014. doi: 10.1007/s11136-016-1425-0. Epub 2016 Oct 1.

    PubMed 27696109

  • Stern C, Konno R. Physical Leisure Activities and their Role in Preventing Dementia: A Systematic Review. JBI Libr Syst Rev. 2009;7(8):260-308. doi: 10.11124/01938924-200907080-00001.

    PubMed 27820066

  • Chen YM, Ji JY. Effects of Horticultural Therapy on Psychosocial Health in Older Nursing Home Residents: A Preliminary Study. J Nurs Res. 2015 Sep;23(3):167-71. doi: 10.1097/jnr.0000000000000063.

    PubMed 25534575

  • Liu Y, Bo L, Sampson S, Roberts S, Zhang G, Wu W. Horticultural therapy for schizophrenia. Cochrane Database Syst Rev. 2014 May 19;2014(5):CD009413. doi: 10.1002/14651858.CD009413.pub2.

    PubMed 24842458

  • Heinrich LM, Gullone E. The clinical significance of loneliness: a literature review. Clin Psychol Rev. 2006 Oct;26(6):695-718. doi: 10.1016/j.cpr.2006.04.002. Epub 2006 Jun 19.

    PubMed 16952717

Questions about this trial

What is this clinical trial studying?

A study testing Three-dimensional Virtual Reality and Horticultural Therapy in people with Physical Health and Mental Health, run by National Taiwan Normal University at 1 site in Taiwan.

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: finished, as of the sponsor's last update on 27 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 Taiwan. 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?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Health Status (time frame: Two months). The study lists 5 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 NCT04324203, which also lists 12 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 27 Mar 2020.

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