The Effect of Horticultural Therapy on Mental Health and Burnout Levels of Nursing Home Workers

July 1, 2024 updated by: Suheyla YARALI, Ataturk University

The Effect of Horticultural Therapy Applied to Nursing Home Workers on Depression, Anxiety, Stress and Burnout Levels

The incidence of people with disabilities in need of care services is increasing all over the world. This situation significantly increases the need for nursing homes and caregivers. In many countries, it is seen that "Horticultural Therapy" programs have started to be implemented to improve mental health. In this context, our aim in the project is to determine the effect of the "Horticultural therapy" program applied to nursing home employees in terms of mental health and burnout in nursing home employees. It is thought that the positive effect of this practice on nursing home employees will be able to better maintain their care-oriented practices. It is envisaged that the gardens to be built within the scope of the therapy program can be planned as areas where both caregivers and caregivers can be used, and the application can be integrated into other areas within the scope of public health over time

Study Overview

Status

Status

Indicates the current recruitment status or the expanded access status.
Not yet recruiting

Conditions

Conditions

The disease, disorder, syndrome, illness, or injury that is being studied. On ClinicalTrials.gov, conditions may also include other health-related issues, such as lifespan, quality of life, and health risks.

Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.

Detailed Description

Caregivers working in a nursing home will be in the experimental group, and caregivers working in a different care center in the same region will be in the control group. A total of 8 sessions of horticultural therapy activities will be explained to the nursing home employees in the experimental group 1 time a week for 2 months. These trainings, which will be given to the people in the experimental group, will be held in the service building in the nursing home building and in the garden (practical) trainings. 4 different groups of 8/9 people will be formed from 30 people in each garden experiment group and the gardens will be allocated to the users. The purpose of these groups is not to make different applications, but to use the area comfortably. These garden users will be given different vegetables, fruits, seasonal flowers, fruit and ornamental tree seedlings and will be asked to design and implement their own gardens. The preliminary preparation of the gardens will be done through the procurement of services within the scope of the project.Horticultural therapy training will be carried out by the landscape architect who is a researcher in the project. In our project, all activities will be carried out under the supervision of nurse researchers and landscape architect researchers involved in the project. This therapy program is expected to reduce depression, anxiety, stress levels and burnout levels that affect mental health. It is thought that the positive effect of this practice on nursing home employees will be able to better maintain their care-oriented practices. It is envisaged that the gardens to be built within the scope of the therapy program can be planned as areas where both caregivers and caregivers can be used, and the application can be integrated into other areas within the scope of public health over time.

Study Type

Study Type

Describes the nature of a clinical study. Study types include interventional studies (also called clinical trials), observational studies (including patient registries), and expanded access.
Interventional

Enrollment (Estimated)

Enrollment

The number of participants in a clinical study. The "anticipated" enrollment is the target number of participants that the researchers need for the study.
60

Phase

Phase

The stage of a clinical trial studying a drug or biological product, based on definitions developed by the U.S. Food and Drug Administration (FDA). The phase is based on the study's objective, the number of participants, and other characteristics. There are five phases: Early Phase 1 (formerly listed as Phase 0), Phase 1, Phase 2, Phase 3, and Phase 4. Not Applicable is used to describe trials without FDA-defined phases, including trials of devices or behavioral interventions.
  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact

The name and contact information for the person who can answer enrollment questions for a clinical study. Each location where the study is being conducted may also have a specific contact, who may be better able to answer those questions.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Eligibility Criteria

The key requirements that people who want to participate in a clinical study must meet or the characteristics they must have. Eligibility criteria consist of both inclusion criteria (which are required for a person to participate in the study) and exclusion criteria (which prevent a person from participating). Types of eligibility criteria include whether a study accepts healthy volunteers, has age or age group requirements, or is limited by sex.

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Description

Inclusion Criteria:

  • Working in a nursing home
  • Not being allergic to flowers and plants
  • Willingness to work
  • To be open to communication and cooperation,
  • Scoring 8 points or more on the stress sub-dimension of the DASS measurement tool

Exclusion Criteria:

  • Those with musculoskeletal disorders
  • Those who use antipsychotic drugs

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm

Participant Group / Arm

A group or subgroup of participants in a clinical trial that receives a specific intervention/treatment, or no intervention, according to the trial's protocol.
Intervention / Treatment

Intervention / Treatment

A process or action that is the focus of a clinical study. Interventions include drugs, medical devices, procedures, vaccines, and other products that are either investigational or already available. Interventions can also include noninvasive approaches, such as education or modifying diet and exercise.
Other: Horticultural therapy 1st session
What is horticultural therapy?: the scope of horticultural therapy, information will be given in the nursing home conference room. The training will be done with a power point presentation.In terms of the suitability of the caregivers, the training will be carried out by dividing into 3 groups of 10 people. Training will last 40 minutes. This training will be on Monday
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 2st session
Horticultural therapy garden design and principles?: Within the scope of horticultural therapy, information will be given in the nursing home conference room. The training will be done with a power point presentation.In terms of the suitability of the caregivers, the training will be carried out by dividing into 3 groups of 10 people. Training will last 40 minutes. This process will take place with the soil sample sent to agricultural engineering.This training will be on Tuesday
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 3st session
The relationship between soil, plants and water: information will be provided by the landscape architect involved in the research. The scope of horticultural therapy, information will be given in the nursing home conference room. The training will be done with a power point presentation.In terms of the suitability of the caregivers, the training will be carried out by dividing into 3 groups of 10 people. Training will last 30 minutes.This process will take place with the soil sample sent to agricultural engineering.This training will be on Wednesday
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 4st session
Introduction and characteristics of plants: This information will be provided by the landscape architect involved in the research. The scope of horticultural therapy, information will be given in the nursing home conference room. The training will be done with a power point presentation.In terms of the suitability of the caregivers, the training will be carried out by dividing into 3 groups of 10 people. Training will last 30 minutes. This training will be on Thursday
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 5st session
Care and watering techniques: This information will be provided by the landscape architect involved in the research. The scope of horticultural therapy, information will be given in the nursing home conference room. The training will be done with a power point presentation.In terms of the suitability of the caregivers, the training will be carried out by dividing into 3 groups of 10 people. Training will last 30 minutes. This training will be on Friday.
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 6st session
Survey analysis in gardens: Samples will be taken from the soil, analyzed, soil examination will be made, and the substances to be fertilized will be determined. This process will take place with the soil sample sent to agricultural engineering.This was done when the caregivers were informed.
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 7st session
Preparing the area in the garden for planting was done when the caregivers were informed. The garden created with the drawings made within the scope of the work plan was prepared. Soil is prepared for planting by hoeing and fertilizing.
Other: Assigned Interventions
Assigned Interventions
Other: Horticultural therapy 8st session
Planting seedlings and seeds in gardens: The information about horticultural therapy, the plants were planted by the caregivers. This process has been achieved by implementing the training and information provided by the researchers.
Other: Assigned Interventions
Assigned Interventions

What is the study measuring?

Primary Outcome Measures

Primary Outcome Measures

In a clinical study's protocol, the planned outcome measure that is the most important for evaluating the effect of an intervention/treatment. Most clinical studies have one primary outcome measure, but some have more than one.
Outcome Measure
Measure Description
Time Frame
Introductory Information Form
Time Frame: [Time Frame: up to 1 day]
The form consists of 10 questions containing information about caregivers affected by the earthquake created by the researcher within the scope of the literature. The form includes questions including age, gender, education, marital status, number of children, occupation, duration of work in a nursing home, chronic disease status, medication used continuously, social activity with continuous participation, previous psychiatric / psychological help.
[Time Frame: up to 1 day]

Secondary Outcome Measures

Secondary Outcome Measures

In a clinical study's protocol, a planned outcome measure that is not as important as the primary outcome measure for evaluating the effect of an intervention but is still of interest. Most clinical studies have more than one secondary outcome measure.
Outcome Measure
Measure Description
Time Frame
Depression Anxiety Stress Scale
Time Frame: [Time Frame: up to 10 week ]
The four-point Likert type scale developed by Lovibond and Lovibond (1995) consists of 14 depression, 14 anxiety and 14 stress dimensions; In order to provide faster, more effective access to resources and more qualified use of time, the short form of the scale, which consists of seven items, consists of 21 items. It is presented in a four-point Likert form as "Not Suitable at All (0) Somewhat Suitable (1) Generally Suitable (2) Completely Suitable (4)" and shows that as the scores obtained from the scale increase, the symptoms of depression, anxiety and stress increase.
[Time Frame: up to 10 week ]
The Maslach Burnout Scale
Time Frame: [Time Frame: up to 10 week ]
developed by Christina Maslach and Susan Jackson (Maslach et al., 1997) and adapted to Turkish and conducted by Ergin (Ergin, 1992), was created to measure the perceived level of burnout. The 7-point Likert type scale, which consists of a total of 22 items and consists of the options 'Never - A few times a year - Several times a month - Once a month - Once a week - Every day" in its original form, was reduced to five options in the adaptation study made by Ergin (1992) on the grounds that it was not suitable for Turkish culture. These options are listed according to their weight as follows: 1-) Never, 2-) Very rare, 3-) Sometimes, 4-) Most of the time, 5-) Always. The Maslach Burnout scale has three sub-dimensions. These; Emotional exhaustion consisting of nine items, depersonalization consisting of five items, and low sense of personal achievement consisting of eight items are subscales.
[Time Frame: up to 10 week ]

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Sponsor

The organization or person who initiates the study and who has authority and control over the study.
Ataturk University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

Study Start

The actual date on which the first participant was enrolled in a clinical study. The "anticipated" study start date is the date that the researchers think will be the study start date.
July 15, 2024

Primary Completion (Estimated)

Primary Completion

The date on which the last participant in a clinical study was examined or received an intervention to collect final data for the primary outcome measure. Whether the clinical study ended according to the protocol or was terminated does not affect this date. For clinical studies with more than one primary outcome measure with different completion dates, this term refers to the date on which data collection is completed for all the primary outcome measures. The "anticipated" primary completion date is the date that the researchers think will be the primary completion date for the study.
October 25, 2024

Study Completion (Estimated)

Study Completion

The date on which the last participant in a clinical study was examined or received an intervention/treatment to collect final data for the primary outcome measures, secondary outcome measures, and adverse events (that is, the last participant's last visit). The "anticipated" study completion date is the date that the researchers think will be the study completion date.
November 30, 2024

Study Registration Dates

First Submitted

First Submitted

The date on which the study sponsor or investigator first submitted a study record to ClinicalTrials.gov. There is typically a delay of a few days between the first submitted date and the record's availability on ClinicalTrials.gov (the first posted date).
June 12, 2024

First Submitted That Met QC Criteria

First Submitted That Met QC Criteria

The date on which the study sponsor or investigator first submits a study record that is consistent with National Library of Medicine (NLM) quality control (QC) review criteria. The sponsor or investigator may need to revise and submit a study record one or more times before NLM's QC review criteria are met. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 1, 2024

First Posted (Actual)

First Posted

The date on which the study record was first available on ClinicalTrials.gov after National Library of Medicine (NLM) quality control (QC) review has concluded. There is typically a delay of a few days between the date the study sponsor or investigator submitted the study record and the first posted date.
July 3, 2024

Study Record Updates

Last Update Posted (Actual)

Last Update Posted

The most recent date on which changes to a study record were made available on ClinicalTrials.gov. There may be a delay between when the changes were submitted to ClinicalTrials.gov by the study's sponsor or investigator (the last update submitted date) and the last update posted date.
July 3, 2024

Last Update Submitted That Met QC Criteria

Last Update Submitted That Met QC Criteria

The most recent date on which the study sponsor or investigator submitted changes to a study record that are consistent with National Library of Medicine (NLM) quality control (QC) review criteria. It is the responsibility of the sponsor or investigator to ensure that the study record is consistent with the NLM QC review criteria.
July 1, 2024

Last Verified

Last Verified

The most recent date on which the study sponsor or investigator confirmed the information about a clinical study on ClinicalTrials.gov as accurate and current. If a study with a recruitment status of recruiting; not yet recruiting; or active, not recruiting has not been confirmed within the past 2 years, the study's recruitment status is shown as unknown.
July 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

Other Study ID Numbers

Identifiers or ID numbers other than the NCT number that are assigned to a clinical study by the study's sponsor, funders, or others. These numbers may include unique identifiers from other trial registries and National Institutes of Health grant numbers.
  • suheylayaralı-3

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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