Effects of Horticulture on Frail and Prefrail Nursing Home Residents: A Randomized Controlled Trial

Lai, Claudia Kam Yuk; Kwan, Rick Yiu Cho; Lo, S. K.; Fung, Connie Yuen Yee; Lau, Jordan K. H.; Tse, Mun Yee Mimi

doi:10.1016/j.jamda.2018.04.002

Cited by 31 publications

(64 citation statements)

References 31 publications

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“…Regarding validated psychometric measures, the GDS was the most used one in the studies included in the current review in its 30-item version (25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37), but even more in its short (15-item) version (22,23,.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…Regarding treatment duration, although data were missing in some studies, interventions lasted mostly for 4-8 weeks. With more detail, 13 studies (21,22,27,39,44,45,52,54,55,63,68,71,77) described 8 weeks interventions. Exceptions were the Llewellyn-Jones et al (26) and the Leontjevas et al (66) studies, which included an assessment after 9.5 and 20 months, respectively.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…As far as treatment delivery is concerned, interventions were administrated by external experts (23, 26-30, 33, 34, 36, 37, 39, 41, 43-47, 50-52, 54, 55, 57, 59, 60, 62-65, 68, 70-74) or trained staff (31), and in many cases by experts, together with the involvement of staff members (21,22,32,38,40,48,49,53,56,66,67,69,77). Apparently, the cooperation/involvement of an external expert had no impact on treatment effectiveness.…”

Section: Study Selection and Characteristicsmentioning

confidence: 99%

“…One study (21) described a significant decrease (i.e., an improvement) in the mean scores for depression in the experimental group, and the opposite in the control group (SMD −15.21; CI 95% −16.98 to −13.44). The randomized controlled trial by Lai et al (22) highlighted a significant effect of the intervention from a subjective perspective (increased subjective happiness), but not from an objective one (GDS score). Last, the study by Park et al (23) failed to observe any change in depression scores in elderly women living in Korean nursing homes, and a worsening of depression scores (from normal scores to moderate depression) in the control group during the observation period.…”

Section: Horticulture and Gardeningmentioning

confidence: 99%

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Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature

Gramaglia

Gattoni²,

Marangon³

et al. 2021

Front. Public Health

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Introduction: Compared to old people who live at home, depressive symptoms are more prevalent in those who live in long-term care facilities (LTCFs). Different kinds of non-pharmacological treatment approaches in LTCFs have been studied, including behavioral and cognitive-behavioral therapy, cognitive bibliotherapy, problem-solving therapy, brief psychodynamic therapy and life review/reminiscence. The aim of the current review was to systematically review non-pharmacological treatments used to treat depressed older adults with no or mild cognitive impairment (as described by a Mini Mental State Examination score > 20) living in LTCFs.Methods: A research was performed on PubMed and Scopus databases. Following the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA) flowchart, studies selection was made. The quality of each Randomized Controlled Trial was scored using the Jadad scale, Quasi-Experimental Design studies and Non-Experimental studies were scored based on the Newcastle-Ottawa Scale (NOS)Results: The review included 56 full text articles; according to the type of intervention, studies were grouped in the following areas: horticulture/gardening (n = 3), pet therapy (n = 4), physical exercise (n = 9), psychoeducation/rehabilitation (n = 15), psychotherapy (n = 3), reminiscence and story sharing (n = 14), miscellaneous (n = 8).Discussion and Conclusion: Despite mixed or negative findings in some cases, most studies included in this systematic review reported that the non-pharmacological interventions assessed were effective in the management of depressed elderly in the LTCFs context. Regrettably, the limitations and heterogeneity of the studies described above hinder the possibility to generalize and replicate results.

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Section: Study Selection and Characteristicsmentioning

confidence: 99%

Section: Study Selection and Characteristicsmentioning

confidence: 99%

Section: Study Selection and Characteristicsmentioning

confidence: 99%

Section: Horticulture and Gardeningmentioning

confidence: 99%

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Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature

Gramaglia

Gattoni²,

Marangon³

et al. 2021

Front. Public Health

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“…The independent variable was the frequency of participation in the types of horticultural activities. The horticultural activities can be generalized into four types based on previous studies [5,[10][11][12] and horticultural therapy [1,2,[6][7][8][9][19][20][21][22][23][24][25][26][27][28]. These include indoor plant activities, outdoor plant activities, arts/crafts activities, and excursions.…”

Section: Independent Variablementioning

confidence: 99%

Horticultural Activity Type, Psychological Well-Being, and Fruit and Vegetable Intake

Zhong

2020

Nutrients

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The purpose of this study was to explore the effect of the frequency of participation in horticultural activity types on psychological well-being and fruit and vegetable intake. The study sought to understand the mediating effect of psychological well-being between the frequency of types of horticultural activities and the frequency of fruit and vegetable intake. Convenience sampling was used to collect 400 valid data through a self-administered questionnaire that inquired about the frequency of four horticultural activity types (indoor plant activities, outdoor plant activities, arts/crafts activities, and excursions), the measure of psychological well-being, and the frequency of fruit and vegetable intake. The results showed that a higher frequency of indoor and outdoor plant activity positively affected psychological well-being. Psychological well-being played a partial mediation role between indoor plant activity and vegetable and fruit intake and a full mediation role between outdoor plant activity and vegetable and fruit intake. The plant-related arts/crafts activities and excursions were not associated with psychological well-being or vegetable and fruit intake.

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Effects of horticultural therapy: Perspectives of frail and pre‐frail older nursing home residents

Lam

Kwan

et al. 2019

Nursing Open

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Aim The aim of the study was to explore the perceptions and experiences of a group of frail and/or pre‐frail older nursing home residents in relation to horticultural therapy. Method A total of 22 frail/pre‐frail residents were interviewed. A qualitative content analysis approach was adopted to interpret the data from four nursing homes. Results Four main themes were identified: (a) “Horticultural therapy is an enjoyable activity and a good pastime in nursing home life”; (b) “Joining the programme made me happier”; (c) “Horticultural activities facilitated socialization among the residents”; and (4) “Not much mention was made of the programme by the staff outside the sessions.” Conclusion and implication for practice The findings provide evidence of the positive effects of horticultural therapy on perceived well‐being among frail nursing home residents and expand the existing state of knowledge on the use of horticultural therapy in long‐term residential care. Among others nursing implications, they are also important to develop appropriate and meaningful nursing practice to improve frail residents' perceived quality of life in the institution they now call “home.”

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Effects of Horticulture on Frail and Prefrail Nursing Home Residents: A Randomized Controlled Trial

Cited by 31 publications

References 31 publications

Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature

Non-pharmacological Approaches to Depressed Elderly With No or Mild Cognitive Impairment in Long-Term Care Facilities. A Systematic Review of the Literature

Horticultural Activity Type, Psychological Well-Being, and Fruit and Vegetable Intake

Effects of horticultural therapy: Perspectives of frail and pre‐frail older nursing home residents

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