Effects of Horticultural Therapy on Asian Elderly' Mental Health

NCT ID: NCT02495194

Last Updated: 2016-05-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

69 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-04-30

Study Completion Date

2016-10-31

Brief Summary

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The objective of this study is to determine whether horticultural therapy would improve the psychological well-being of the older adults. 70 healthy elderly were randomized into the active horticultural therapy or the waitlist control group. Sessions will be conducted weekly for 12 weeks, and monthly for 3 months. Participants would be assessed at 3 time-points: at the start, at 3-months and at 6-months.

It was hypothesized that as compared to the waitlist control group, participants in the active horticultural therapy will have (1) lower depression and anxiety symptomatology; (2) higher life satisfaction; (3) feel more socially connected; and (4) improved cognitive functioning.

Detailed Description

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Participants Study participants are community-dwelling elderly.

Assessments Demographic data will be collected at the start. Psychological tests for depression, anxiety and psychological well-being as well as neuropsychological tests of cognitive functioning will be done at the start, at 3-months and at 6-months. Blood samples will also be collected at all three time points.

Intervention Sessions This is an intervention study with a waitlist control group design. The strength of this design is its experimental nature with randomization.

The Horticultural Therapy intervention is delivered by a trained practitioner at various locations and consists of 1 hour sessions weekly for first 3 months, followed by monthly session for the next 3 months. The extension of monthly sessions for 3 months is to determine sustainability and longer-term changes. The intervention is designed to cultivate an interest in gardening and promote relaxation. This will be achieved in stages, facilitated by trained volunteers and practitioners. The plant would be selected based on subjects' profiles e.g. familiarity, preference, safety and its maintenance would be followed up every fortnight. Park venues were selected based on patients profiles and park features e.g. familiarity, comfort under weather, safety.

The control group will be placed on a waiting list and only be contacted for assessments. They will receive intervention after the active treatment group at a later date.

The horticultural therapy is conducted solely for the purpose of this research.

Conditions

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Mood (Psychological Function)

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Active Horticultural Therapy

15 sessions of Horticultural Therapy program teaching the elderly about gardening techniques and for them to benefit from the therapeutic effects of the parks

Group Type EXPERIMENTAL

Horticultural Therapy

Intervention Type BEHAVIORAL

The Horticultural Therapy intervention consists of 1 hour sessions weekly for first 3 months, followed by monthly session for the next 3 months. They will be taught on the basic gardening techniques such as sowing, weeding and fertilization during the hands-on sessions. They will also be taken on walks to the various parks to enjoy the therapeutic effect of the park greenery

Waitlist Control Group

Participants will receive the same horticultural therapy program at the end of the assessments

Group Type OTHER

Horticultural Therapy

Intervention Type BEHAVIORAL

The Horticultural Therapy intervention consists of 1 hour sessions weekly for first 3 months, followed by monthly session for the next 3 months. They will be taught on the basic gardening techniques such as sowing, weeding and fertilization during the hands-on sessions. They will also be taken on walks to the various parks to enjoy the therapeutic effect of the park greenery

Interventions

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Horticultural Therapy

The Horticultural Therapy intervention consists of 1 hour sessions weekly for first 3 months, followed by monthly session for the next 3 months. They will be taught on the basic gardening techniques such as sowing, weeding and fertilization during the hands-on sessions. They will also be taken on walks to the various parks to enjoy the therapeutic effect of the park greenery

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

1. Community-living elderly aged between 60 to 85 years AND
2. able to provide informed consent AND
3. function independently AND
4. With a minimum score of 22 and above on the Montreal Cognitive Assessment.

2. Does not have a minimum score of 22 and above on the Montreal Cognitive Assessment OR
3. Currently suffering from or have history of severe medical conditions e.g. cancer, stroke, Parkinson disease OR
4. History of severe psychiatric conditions e.g. schizophrenia, bipolar disorder OR
5. Dementia OR
6. Undergoing another therapy at the same time OR
7. Significant visual or hearing impairment OR
8. Marked upper and lower limb motor difficulties, which may affect their ability to participate in the study.
Minimum Eligible Age

60 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Parks Board, Singapore

OTHER

Sponsor Role collaborator

National University of Singapore

OTHER

Sponsor Role lead

Responsible Party

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Roger Ho Chun Man

Consultant Psychiatrist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Roger CM Ho, FRCP

Role: PRINCIPAL_INVESTIGATOR

National University of Hospital

Locations

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Training and Research Academy; Jurong Point Shopping Centre

Singapore, Singapore, Singapore

Site Status

Countries

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Singapore

References

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Other Identifiers

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B-15-016

Identifier Type: -

Identifier Source: org_study_id

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