The Effect of Gardening Activities on Anxiety and Psychosocial Symptoms of Hospitalized Children

NCT ID: NCT06655961

Last Updated: 2024-10-24

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

36 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-31

Study Completion Date

2025-09-30

Brief Summary

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The experience of hospitalization in childhood can often lead to traumatic consequences. Various practices (play, art therapy, music therapy, etc.) are used to help children cope with this process. In recent years, attention has been drawn to nature-based approaches in addition to existing practices. Within the scope of this approach, this study was planned in a parallel group (experimental-control) randomized controlled experimental design to determine the effect of garden activities on anxiety levels and psychosocial symptoms of hospitalized children aged 6-12 years. Hypotheses of the study H1: The gardening activities program applied to hospitalized children; H1a: There is an effect on children's anxiety. H1b: There is an effect on psychosocial symptoms of children. In this direction, the population of the study will consist of children between the ages of 6-12 in the children's ward of University Research and Application Hospital. The sample size determined as a result of G\*power analysis was found as control (18) and intervention (18). The research will be conducted between September 2024 and June 2025. 'Child Descriptive Information Form', "Child Follow-up Form", "Child Anxiety Scale-Conditioning" and "Psychosocial Symptoms Diagnostic Scale for Hospitalized Children" will be used for data collection. The data collection process consists of three stages: pre-intervention period, intervention period and post-intervention period. Children in the intervention group will have three sessions of gardening activities within the scope of the 'Gardening Activities Program' during their hospitalization. Children in the control group will receive services within the scope of the routine treatment and nursing care protocol of the clinic during hospitalization.

Detailed Description

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Conditions

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Gardening Pediatric Nursing Activity Psychosocial Symptoms Anxiety Hospital Child Investigation of Anxiety Levels and Psychosocial Symptoms of Children Hospitalized for Acute Diseases During Their Hospital Stay

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel group (experimental-control) randomised controlled experimental design
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Control Group

Children in this group will receive services within the scope of the routine treatment and nursing care protocol of the clinic during hospitalisation. No intervention will be applied to the control group of this study until the discharge process takes place. However, on the day of discharge, the children in the control group and their parents will be informed about the garden activities by the researcher. A single session gardening activity will be planned according to the request of the child and parent. During this session, children will be given the opportunity to choose a plant and a pot, and then planting, watering and creating a name card will be carried out.

Group Type ACTIVE_COMPARATOR

Clinical routine treatment and nursing care protocol

Intervention Type OTHER

Within the scope of the clinic routine treatment and nursing protocol; the decision to hospitalize the child, orientation to the clinic, execution of hospitalization paperwork, room placement, invasive intervention and treatment procedures are carried out. Treatment and care hours are revised according to individual order characteristics; 08.00-20.00, 08.00-16.00-00.00, 06.00-12.00-18.00-00.00 are planned considering the time order. 13.00-15.00 are the visiting hours. The child is not allowed to leave the clinic except for any medical purpose. No intervention will be applied to the control group of this study until the discharge process takes place.

Intervention Group

Children in this group will have three sessions of gardening activities within the scope of the 'Gardening Activities Programme' during their hospitalisation. The sessions will take place only with the active participation of the child participant and the researcher (EB); there will be one child participant in each session. The duration of the sessions will be between 30-45 minutes. The sessions in the 'Garden Activities Programme' regarding the session planning of the activities to be carried out with children are as follows.

Session 1: Pot Preparation and Plant Selection Session 2: Creating a Plant Arrangement Session 3: Care and Illustration

Group Type EXPERIMENTAL

Garden Activities Program

Intervention Type OTHER

When we look at the studies evaluating the effect of gardening activities on hospitalized children; it is seen that mostly children's opinions about therapeutic gardens are included and studies involving active gardening activities are limited. Shao et al. (2020) gave hospitalized children a task about garden plants and made them full this task through active participation and mobile games. However, it is seen that the gardening activity applied in this study was limited to a 5-minute task. The most important difference of our study from these studies is that a standardized gardening activity program will be applied to hospitalized children during their hospitalization and the active participation of the child will be ensured.

Interventions

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Garden Activities Program

When we look at the studies evaluating the effect of gardening activities on hospitalized children; it is seen that mostly children's opinions about therapeutic gardens are included and studies involving active gardening activities are limited. Shao et al. (2020) gave hospitalized children a task about garden plants and made them full this task through active participation and mobile games. However, it is seen that the gardening activity applied in this study was limited to a 5-minute task. The most important difference of our study from these studies is that a standardized gardening activity program will be applied to hospitalized children during their hospitalization and the active participation of the child will be ensured.

Intervention Type OTHER

Clinical routine treatment and nursing care protocol

Within the scope of the clinic routine treatment and nursing protocol; the decision to hospitalize the child, orientation to the clinic, execution of hospitalization paperwork, room placement, invasive intervention and treatment procedures are carried out. Treatment and care hours are revised according to individual order characteristics; 08.00-20.00, 08.00-16.00-00.00, 06.00-12.00-18.00-00.00 are planned considering the time order. 13.00-15.00 are the visiting hours. The child is not allowed to leave the clinic except for any medical purpose. No intervention will be applied to the control group of this study until the discharge process takes place.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* The age of the children is between 6-12 years old
* Hospitalization due to an acute medical diagnosis
* Hospitalization for at least 3 days
* Approval of the child's participation in the session by the responsible doctor
* The child is conscious and fully orientated
* Voluntariness of the child and parent to participate in the study

Exclusion Criteria

* Hospitalization for more than 7 days
* No previous hospitalization experience
* High-risk drug use
* Having a chronic disease that suppresses the immune system
* Having a special condition that prevents him/her from participating in garden activities (physical, mental disability)
* Having skin conditions that prevent them from participating in garden activities
* Plant allergy
Minimum Eligible Age

6 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tokat Gaziosmanpasa University

OTHER

Sponsor Role lead

Responsible Party

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Elif BULUT

Research Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Tokat Gaziosmanpasa University

Tokat Province, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Elif BULUT

Role: CONTACT

+905466681993

Facility Contacts

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Elif BULUT

Role: primary

+905466681993

Other Identifiers

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TOGU_HEM_EB_001

Identifier Type: -

Identifier Source: org_study_id

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