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Completed

NCT Number: NCT06813196

Forest Bathing Intervention for Persons Living with Dementia and Family Carers

This study assessed the feasibility and acceptability of a forest bathing intervention for people living with dementia and their family carers, and examined its effectivness on care burden and quality of life by comparing to an art activty programme as control group.

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Key information

Conditions

Dementia Brain Diseases Caregiver Mental Health Central Nervous System Diseases Mental Disorders Nervous System Diseases Neurocognitive Disorders

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The University of Hong Kong

Hong Kong

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • For family careivers:
  • taking care of a family member living with dementia in the community,
  • For people living with dementia:
  • Clinical diagnosis of mild to moderate dementia

Exclusion criteria

  • For both:
  • Unable to communicate in Chinese or Cantonese
  • Unable to participate meaningfully in group activities due to intellectual disability, visual impairment, hearing impairment, or other health conditions, were excluded.

Treatment and study plan

Forest bathing

Behavioral

Forest bathing intervention is a group structured psychosocial intervention. Its core therapeutic element is its nature-based activities that took place in an outdoor green space. During the session, participants would be guided by a trained forest therapy guide to engage in nature-based activities, such as walking in the woods, listening to the nature, and interacting with objects in the nature through different sensations.

Art activity

Behavioral

Art activity intervention is a group semi-structured psychosocial intervention. Its main therapeutic element is its engagement in art-based activites. During the session, participants would be guided in individual or collaborative art activities of different forms, such as painting, paper arts, and dried flower art, by an experienced interventionist in an activity room.

Primary outcomes

  1. Change in Caregiver's Care Burden measured by 12-item version of Zarit Burden Interview (ZBI-12)

    Time frame: Baseline and 6 weeks

    Possible range: 0-48, with higher scores indicate a worse outcome

  2. Change in Caregiver's Depressive Symptoms measured by the Depression subscale of Hospital Anxiety and Depression Scale (HADS-D)

    Time frame: Baseline and 6 weeks

    Possible range: 0-21, with higher scores indicate a worse outcome

  3. Change in Caregiver's Anxiety Symptoms measured by the Anxiety subscale of Hospital Anxiety and Depression Scale (HADS-A)

    Time frame: Baseline and 6 weeks

    Possible range: 0-21, with higher scores indicate a worse outcome

Secondary outcomes

  1. Change in Caregiver's Positive Aspect of Caregiving measured by the Positive Aspect of Caregiving Scale (PACS)

    Time frame: Baseline and 6 weeks

    Possible range: 11-55, with higher scores indicate a better outcome

  2. Change in Caregiver's Caregiving Self-Efficacy measured by the Revised Scale for Caregiving Self-Efficacy (CSE-R)

    Time frame: Baseline and 6 weeks

    Possible range: 0-100, with higher scores indicate a better outcome

  3. Change in Caregiver's Health-related Quality of Life measured by the Visual Analogue Scale of EuroQol 5-dimension 5-level (EQ5D5L VAS)

    Time frame: Baseline and 6 weeks

    Possible range: 0-100, with higher scores indicate a better outcome

  4. Change in Neuropsychiatric Symptoms of Person Living with Dementia measured by the Neuropsychiatric Inventory - Questionnaire (NPI-Q)

    Time frame: Baseline and 6 weeks

    Possible range: 0-12, with higher scores indicate a worse outcome

  5. Change in Health-related Quality of Life of Person Living with Dementia measured by the Visual Analogue Scale of EuroQol 5-dimension 5-level (EQ5D5L VAS)

    Time frame: Baseline and 6 weeks

    Possible range: 0-100, with higher scores indicate a better outcome

Sponsors and collaborators

Lead sponsor

The University of Hong Kong

Other

Collaborators

  • Hong Kong Young Women's Christian Association

Registry information

Official study title

Forest Bathing Intervention for Persons Living with Dementia and Family Carers: a Feasibility Study

Important dates

Study start
2024
Primary completion
2024
Study completion
2024
First posted
Feb 6, 2025
Registry last updated
Feb 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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