Effects of horticulture therapy on nursing home older adults in southern Taiwan

Yao, Ya-Fang; Chen, Kuei‐Min

doi:10.1007/s11136-016-1425-0

Cited by 39 publications

(46 citation statements)

References 21 publications

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“…Active interventions were associated with significant improvements across weak (Masuya et al, 2014;Moyle et al, 2018;Yao & Chen, 2017) and moderate (Barnicle & Midden, 2003;Tse, 2010) studies measuring depression (Masuya et al, 2014), happiness (Yao & Chen, 2017), affect (Barnicle & Midden, 2003), and loneliness (Tse, 2010). Significant improvements occurred more frequently where the control group was 'usual care'.…”

Section: Psychological Wellbeing Outcomesmentioning

confidence: 95%

“…Social engagement and interpersonal intimacy significantly improved in weak (Yao & Chen, 2017) and moderate (Tse, 2010) studies that compared gardening/horticulture programmes against 'usual care'. However, there were no significant improvements over alternative types of interventions including 20-minute social visits (Brown et al, 2004) or a 'reminiscence' installation (Scott et al, 2014) in weak-and moderatequality studies respectively.…”

Section: Social Outcomesmentioning

confidence: 99%

“…Nine out of the ten active nature programmes involved interaction with real forms of nature through 'indoor gardening' (Brown, Allen, Dwozan, Mercer, & Warren, 2004;Lee & Kim, 2008;Powell, Felce, Jenkins, & Lunt, 1979;Tse, 2010); 'horticulture activities' (Barnicle & Midden, 2003;Collins & O'Callaghan, 2008;Masuya, Ota, & Mashida, 2014);or 'Horticulture Therapy' (D'Andrea et al, 2008;Yao & Chen, 2017) programmes. The distinction between these subtypes was unclear; all involved instructor-led activities related to cultivating plants, and most included group discussion.…”

Section: Active Nature Studiesmentioning

confidence: 99%

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Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

et al. 2019

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Background and Objectives Having contact with nature can be beneficial for health and wellbeing, but many older adults face barriers with getting outdoors. We conducted a systematic review of quantitative studies on health and wellbeing impacts of indoor forms of nature (both real and simulated/artificial), for older adults in residential settings. Research Design and Methods Search terms relating to older adults and indoor nature were run in 13 scientific databases (MEDLINE, CINAHL, AgeLine, Environment Complete, AMED, PsychINFO, EMBASE, HMIC, PsychARTICLES, Global Health, Web of Knowledge, Dissertations and Theses Global, and ASSIA). We also pursued grey literature, global clinical trials registries, and a range of supplementary methods. Results Of 6,131 articles screened against eligibility criteria, 26 studies were accepted into the review, and were quality-appraised using the Effective Public Health Practice Project (EPHPP) tool. The participants were 930 adults aged over 60. Nature interventions and health/wellbeing outcomes were heterogeneous, which necessitated a narrative synthesis. The evidence base was generally weak, with 18 of 26 studies having a high risk of bias. However, several higher-quality studies found indoor gardening and horticulture programs were effective for cognition, psychological wellbeing, social outcomes, and life satisfaction. Discussion and Implications There is inconsistent evidence that indoor nature exposures are beneficial for older care residents. We expect that successful interventions were, at least partly, facilitating social interaction, supporting feelings of autonomy/control, and promoting skill development, that is, factors not necessarily associated with nature per se. Higher-quality studies with improved reporting standards are needed to further elucidate these mechanisms.

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Section: Psychological Wellbeing Outcomesmentioning

confidence: 95%

Section: Social Outcomesmentioning

confidence: 99%

Section: Active Nature Studiesmentioning

confidence: 99%

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Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

et al. 2019

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“…During the process of normal aging, there are neurobiological changes such as the loss of neurons [1], and psychosocial changes that negatively affect cognition and social connectedness [2]. Correspondingly, horticultural therapy (HT) is becoming an increasingly popular non-pharmacological method to improve the well-being of older adults [3].…”

Section: Introductionmentioning

confidence: 99%

“…From a medical perspective, the positive effects of garden settings on patients with mental disorders [4] and hospitalized war veterans have been shown [5]. The therapeutic effects of HT include social engagement [2,3] and preventing cognitive decline [3] and depression [6]. HT was found to improve the physical and mental well-being of patients with chronic musculoskeletal pain [7], as well as patients in a cardiac rehabilitation ward [8].…”

Section: Introductionmentioning

confidence: 99%

Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial

Kst

Sia

Mkw

et al. 2018

IJERPH

116

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The effect of horticultural therapy (HT) on immune and endocrine biomarkers remains largely unknown. We designed a waitlist-control randomized controlled trial to investigate the effectiveness of HT in improving mental well-being and modulating biomarker levels. A total of 59 older adults was recruited, with 29 randomly assigned to the HT intervention and 30 to the waitlist control group. The participants attended weekly intervention sessions for the first 3 months and monthly sessions for the subsequent 3 months. Biological and psychosocial data were collected. Biomarkers included IL-1β, IL-6, sgp-130, CXCL12/SDF-1α, CCL-5/RANTES, BDNF (brain-derived neurotrophic factor), hs-CRP, cortisol and DHEA (dehydroepiandrosterone). Psychosocial measures examined cognitive functions, depression, anxiety, psychological well-being, social connectedness and satisfaction with life. A significant reduction in plasma IL-6 level (p = 0.02) was observed in the HT intervention group. For the waitlist control group, significant reductions in plasma CXCL12 (SDF-1α) (p = 0.003), CXCL5 (RANTES) (p = 0.05) and BDNF (p = 0.003) were observed. A significant improvement in social connectedness was also observed in the HT group (p = 0.01). Conclusion: HT, in reducing plasma IL-6, may prevent inflammatory disorders and through maintaining plasma CXCL12 (SDF-1α), may maintain hematopoietic support to the brain. HT may be applied in communal gardening to enhance the well-being of older adults.

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Effects of horticultural therapy on health in the elderly: A review and meta-analysis

Yun

Yao

Meng

et al. 2023

J Public Health (Berl.)

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Aim Given the current aging population, the demand on medical facilities, facilities for elderly care, and even their high prevalence, it is crucial to investigate the advantages of older people. The purpose of our study was to systematically review the existing literature on the health effects of horticultural therapy as a treatment option for the elderly. Subject and methods Article searches were conducted through five databases: Web of science, Science Direct, PubMed, EBSCO, and Google Scholar, according to the standard method of systematic evaluation and meta-analysis. Thirty-two published articles were included, and 27 relevant variables were meta-analyzed to assess the benefits of horticultural therapy in terms of physical and psychological functioning in the elderly. Results Results show that horticultural therapy may be helpful in helping seniors lose weight -0.195 (95% CI -0.507,0.117), reduce their waist circumference -0.327 (95% CI -0.637, -0.017), lower their stress -0.339 (95% CI -0.610, -0.069) and cortisol -0.902 (95% CI -0.728, -0.002) levels, improve their physical flexibility 0.302 (95% CI 0.036, 0.569), social interaction 0.370, (95% CI 0.115, 0.624), and daily vegetables and fruit consumption 0.688 (95% CI: 0.287, 1.089). Conclusion Horticultural therapy may be a useful tool for enhancing the physical, mental and social aspects of the elderly. However, there is substantial heterogeneity and wide variation in the quality of the included studies. Further high-quality studies, rigorous controls and adjustments for significant confounding variables, and larger populations are needed in the future to further our understanding of the link between horticultural therapy and elder health. Supplementary Information The online version contains supplementary material available at 10.1007/s10389-023-01938-w.

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Effects of horticulture therapy on nursing home older adults in southern Taiwan

Cited by 39 publications

References 21 publications

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

Indoor Nature Interventions for Health and Wellbeing of Older Adults in Residential Settings: A Systematic Review

Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial

Effects of horticultural therapy on health in the elderly: A review and meta-analysis

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