Biopsychosocial Effects of Gardening Activities

NCT ID: NCT06844084

Last Updated: 2025-02-25

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

42 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-03

Study Completion Date

2025-08-01

Brief Summary

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Due to the increasing number of elderly population worldwide, elderly care is becoming increasingly important and the number of elderly in institutional care is increasing. In this context, the implementation of easily applicable, cost-effective and accessible physical activity programmes for the elderly in nursing homes is important for the physical, mental and social health of the elderly. Gardening activities are a non-pharmacological intervention that has recently increased in popularity in the elderly and can be easily applied. It is known that gardening activities in the elderly affect some biochemical parameters along with mental health effects and reduce stress, especially by reducing cortisol levels. By providing physical mobility in the elderly with gardening activities, there may be an increase in irisin level and BDNF level, which is an indicator of improvement in cognitive functions, and a decrease in cortisol level, which is an indicator of stress. With the project, the effects of gardening activities on the elderly will be examined comprehensively in a biopsychosocial manner. In this project, the effects of gardening activities on anxiety, depression, life satisfaction, psychological well-being and biochemical parameters will be examined in the elderly living in a nursing home. In the project, gardening activities will be applied to the elderly in the experimental group once a week for 60 minutes for 16 weeks (4 months). With the project, it is aimed to strengthen the elderly biopsychosocially by making them do gardening activities.

Detailed Description

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Improvement of living conditions, development of health services and technology lead to prolonged life expectancy and accordingly, the number of elderly population is gradually increasing. For this reason, elderly care is becoming increasingly important and the number of elderly in institutional care is increasing. The elderly in nursing homes may experience many physical, mental and social problems. The elderly in nursing homes may experience problems such as decreased self-esteem, increased dependency in daily living activities, chronic diseases, fear of death, lack of social support, cognitive deficiencies, anxiety due to environmental and lifestyle changes, depression and lack of life satisfaction. In this context, the implementation of easily applicable, cost-effective and accessible physical activity programmes for the elderly in nursing homes is important for the physical, mental and social health of the elderly. Gardening activities are a non-pharmacological intervention that has recently increased in popularity in the elderly and can be easily applied. Gardening activities positively affect the sense of commitment and success, self-expression, social interaction, sense of responsibility, self-esteem, cognitive skills and creativity in the elderly. It is known that gardening activities in the elderly affect some biochemical parameters along with mental health effects and reduce stress, especially by reducing cortisol levels. By providing physical mobility in the elderly with gardening activities, there may be an increase in irisin level and BDNF level, which is an indicator of improvement in cognitive functions, and a decrease in cortisol level, which is an indicator of stress. In the literature, it is seen that studies examining the effects of gardening activities on the health of the elderly have been carried out, but the studies on this subject in our country are very limited. With the project, for the first time in our country, the effects of gardening activities on the elderly will be examined comprehensively in a biopsychosocial manner. In this project, the effects of gardening activities on anxiety, depression, life satisfaction, psychological well-being and biochemical parameters will be examined in the elderly living in a nursing home. In the project, gardening activities will be applied to the elderly in the experimental group once a week for 60 minutes for 16 weeks (4 months). With the project, it is aimed to strengthen the elderly biopsychosocially by making them do gardening activities.

Conditions

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Cognition Anxiety Depression Life Satisfaction Psychological Well Being

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This study was planned as a single-blind randomized controlled experimental study. Randomized controlled experimental studies are the research design that is the source of evidence-based information on the applicability of a particular intervention, determines causality and is the basic source for systematic reviews and meta-analyses that are evaluated as first-level evidence. In this project, a randomized controlled study design was chosen to examine the biopsychosocial effects of gardening activities applied to elderly people in nursing homes and to obtain high-level evidence results. Blinding is performed to prevent bias in randomized controlled studies (Akın and Koçoğlu, 2017). In this project, participants and analyzers can be blinded to prevent bias, therefore, the study was planned to be conducted in a single-blind randomized controlled experimental design.
Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Experimental Group

In the project, gardening activities will be applied to the participants in the experimental group once a week for 60 minutes for 16 weeks (4 months) in a nursing home and greenhouse. In the project, the elderly will be informed about gardening activities in the nursing home. The applications will be carried out in the greenhouse.

Group Type EXPERIMENTAL

Gardening Activity

Intervention Type OTHER

In the project, gardening activities will be applied to the participants in the experimental group in the nursing home and greenhouse for 16 weeks (4 months), once a week for 60 minutes. During the implementation phase of horticulture activities, information meetings will be held in the meeting room of the nursing home in one group. In addition, 20 minutes break will be given during the activity in terms of the tolerance of the elderly to gardening activities.

Control Group

Participants in the control group will not receive any intervention during the study. They will participate in routine activities in the nursing home (crafts such as philography, relief, knitting, and folk dances and bocce games in the atelier). After the final tests are administered in the study, participants in the control group will be engaged in gardening activities for 60 minutes once a week for 4 weeks (1 month) (this period was determined by taking the project duration into account).

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Gardening Activity

In the project, gardening activities will be applied to the participants in the experimental group in the nursing home and greenhouse for 16 weeks (4 months), once a week for 60 minutes. During the implementation phase of horticulture activities, information meetings will be held in the meeting room of the nursing home in one group. In addition, 20 minutes break will be given during the activity in terms of the tolerance of the elderly to gardening activities.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Elderly people who have been living in a nursing home for at least 6 months,
* Elderly people with a mini mental test score of 24 and above,
* Elderly people who do not have vision or hearing loss that may prevent gardening activities,
* Elderly people who are open to communication and cooperation and who volunteer to participate in the study will be included in the study.

Exclusion Criteria

* Elderly people with physical (such as stroke, Parkinson's) and psychiatric diseases (such as mental retardation) that may prevent gardening activities,
* Elderly people with chronic diseases in the exacerbation process (heart failure, chronic renal failure, etc.) will be excluded from the study.
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ordu University

OTHER

Sponsor Role lead

Responsible Party

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Hacer Gok Ugur

Asos.Prof.

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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Hacer Gök Uğur, Asos. Prof.

Role: CONTACT

+90 452 2265200 ext. 6432

Other Identifiers

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OrduBAP

Identifier Type: -

Identifier Source: org_study_id

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