Elderly Who Received Horticulturel Therapy

March 2, 2020 updated by: Seda CEVHEROĞLU, Istanbul University - Cerrahpasa (IUC)

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.

Study Overview

Status

Unknown

Conditions

Intervention / Treatment

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 Type

Interventional

Enrollment (Anticipated)

50

Phase

  • 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 Locations

  • Turkey
    • Istanbul/ Şişli
      • Istanbul, Istanbul/ Şişli, Turkey, 34381
        • Istanbul Unıversıty- Cerrahpaşa

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

Ages Eligible for Study

65 years and older (Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

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

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: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: elderly people to undergo hortic culture therapy
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
Behavioral: horticultural therapy
Flowers and vegetables will be planted with the elderly. Growth of plants planted with the elderly will be observed and maintained
No Intervention: elderly people who will not receive horticultural therapy
pre-test data forms will be applied to the control group. Post-test data forms will be reapplied after 8 weeks

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
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.
6 months
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
6 months

Collaborators and Investigators

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

Sponsor

Istanbul University - Cerrahpasa (IUC)

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Anticipated)

March 11, 2020

Primary Completion (Anticipated)

May 30, 2020

Study Completion (Anticipated)

July 30, 2020

Study Registration Dates

First Submitted

February 28, 2020

First Submitted That Met QC Criteria

February 28, 2020

First Posted (Actual)

March 2, 2020

Study Record Updates

Last Update Posted (Actual)

March 3, 2020

Last Update Submitted That Met QC Criteria

March 2, 2020

Last Verified

March 1, 2020

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • IstanbulUC2

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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