Mélisses Garden: Effect on Anxious State in Adult Patients Hospitalized in Psychiatry

NCT ID: NCT02666339

Last Updated: 2021-11-17

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

COMPLETED

Clinical Phase

NA

Total Enrollment

211 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-09-30

Study Completion Date

2021-08-27

Brief Summary

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Each hospitalization leads to stress and anxiety. This is particularly true in psychiatry, because of "decompensation". That is why therapeutic treatments are delivered quickly to treat these symptoms and to allow a better relationship with patients. This relationship patients-nursing staff called "therapeutic alliance" is needed in psychiatry. Moreover, other treatments added to the therapeutic ones are used, like mediation, to increase the patients' state of health.

These last years, numerous studies were based on hortitherapy or care-gardens. It consists in the use of plants with a medical staff (for example nurses). A lot demonstrated the efficacy of the care-gardens, but most of them showed methodological weaknesses.

That is why the investigators would like to perform a randomized study, controlled, and they aim to demonstrate the efficacy of hortitherapy on anxiety in patients allowed in adult psychiatry for at least 4 weeks.

Detailed Description

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Each hospitalization leads to stress and anxiety. This is particularly true in psychiatry, because of "decompensation" that increases anxiety and fear. That is why therapeutic treatments are delivered quickly to treat these symptoms and to allow a better relationship with patients. This relationship patients-nursing staff called "therapeutic alliance" is needed in psychiatry. Moreover, other treatments added to the therapeutic ones are used, like mediation, to increase the patients' state of health.

These last years, numerous studies were based on hortitherapy or care-gardens. It consists in the use of plants with a medical staff (for example nurses). A lot demonstrated the efficacy of the care-gardens, but most of them showed methodological weaknesses : no control group, no randomization, few patients. Furthermore, these studies were not performed with feared patients hospitalized in psychiatry.

That is why the investigators would like to perform a randomized study, controlled, and they aim to demonstrate the efficacy of hortitherapy on anxiety in patients allowed in adult psychiatry for at least 4 weeks. This study will be performed on 190 patients who will be included in one of these groups:

* Control group : only usual care
* Hortitherapy group : 2 hortitherapy sessions/week during 4 weeks, added at the usual care.

Anxiety will be evaluated with HAD-A scale that is a brief questionnaire (2 at 6 minutes). HAD-A is very sensitive at the modifications and allows to follow the evolution of the anxiety. This scale is easy to use by the nursing staff and shows an excellent reliability, by the way really adapted to this study. On another hand researchers will also focus on the effects on the therapeutic alliance and the persistence of the effects at week 8.

Conditions

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Psychiatric Decompensation

Keywords

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Hortitherapy Care-garden Anxiety Therapeutic alliance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Hortitherapy group

Hortitherapy + Usual care

Group Type EXPERIMENTAL

Hortitherapy

Intervention Type BEHAVIORAL

2 hortitherapy sessions/week during 4 weeks, added at the usual care.

Control group

Usual care

Group Type ACTIVE_COMPARATOR

Usual care

Intervention Type OTHER

Usual care : drug therapy, nurse and physician consultations.

Interventions

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Usual care

Usual care : drug therapy, nurse and physician consultations.

Intervention Type OTHER

Hortitherapy

2 hortitherapy sessions/week during 4 weeks, added at the usual care.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Minimum 18 years old
* Adult patient in complete hospitalization in psychiatry at CHU St-Etienne, with an anxiety score \> 8 at HAD-A (cut off)
* Patient with hospitalization programmed for at least 1 month
* Patient able to start a mediation
* Antitetanic cover up to date (quick test performed before the randomization)
* Patients who have given their informed consent before participation in the study or for patients under supervision , informed consent of the guardian
* Patient affiliated or entitled to a social security scheme

Exclusion Criteria

* Rejection of the randomization
* Inability to complete the scales whatever the cause of this failure (language other than French, mental retardation ...).
* Patient whose behavior evaluated by the psychiatrist does not allow the indication of a mediation.
* Patient who already participated in the mediation of horticultural therapy
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Centre Hospitalier Universitaire de Saint Etienne

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Catherine MASSOUBRE, MD

Role: PRINCIPAL_INVESTIGATOR

CHU SAINT-ETIENNE

Locations

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Chu Saint-Etienne

Saint-Etienne, , France

Site Status

Countries

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France

References

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Joubert A, Jankowski-Cherrier B, Rossi A, Teyssier L, Suraud V, Presle E, Pommier R, Massoubre C, Verot E. Impact of horticultural therapy on patients admitted to psychiatric wards, a randomised, controlled and open trial. Sci Rep. 2024 Jun 22;14(1):14378. doi: 10.1038/s41598-024-65168-0.

Reference Type DERIVED
PMID: 38909093 (View on PubMed)

Other Identifiers

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2016-A00057-44

Identifier Type: OTHER

Identifier Source: secondary_id

1508192

Identifier Type: -

Identifier Source: org_study_id