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Completed

NCT Number: NCT06899256

The Effect of Horticultural Activities on Physical and Cognitive Status, Mental Well-Being, Social Participation and Quality of Life in Individuals Diagnosed with Dementia

This study aims to examine the effects of horticultural activities on the physical and cognitive status, mental well-being, social participation, and quality of life of individuals diagnosed with dementia living in nursing homes. Forty individuals participated in the study. The intervention group received a 10-week horticultural activity program, conducted two days a week (one activity day and one visit day), while the control group underwent evaluations without participating in the horticultural activities. Various standardized assessment tools were used to evaluate mental status, functional mobility, cognitive performance, mental well-being, social participation, and quality of life.

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Key information

Conditions

Dementia Brain Diseases Central Nervous System Diseases Elderly People Horticultural Therapy Mental Disorders Nervous System Diseases Neurocognitive Disorders Occupational Therapy Quality of Life

Age range

65 year–90 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Betül Üstün

Merkez, Isparta, Turkey (Türkiye)

About this study

The objective of this study is to investigate the impact of a structured horticultural activity program on individuals diagnosed with dementia who reside in nursing homes. The study was conducted with a total of 40 participants. The intervention group participated in a 10-week horticultural activity program, held twice weekly, which included one activity session and one visit session per week. The control group did not participate in the activity program but underwent the same evaluation procedures.

The assessment tools used in this study included:

Mini Mental State Examination to evaluate mental status, Timed Up and Go Test to assess functional mobility, balance, and performance, Rapid Mild Cognitive Impairment Test for cognitive assessment, Warwick-Edinburgh Mental Well-Being Scale to measure mental well-being, Social and Emotional Loneliness Scale for Adults to assess social and emotional loneliness, World Health Organization Quality of Life Scale Elderly Module to evaluate quality of life.

The study is designed to explore whether horticultural activities can be beneficial as part of occupational therapy interventions for individuals with dementia living in nursing homes.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

Residents of a nursing home Age 65 years or older Diagnosed with dementia Mini Mental State Examination (MMSE) score of 18 or higher

Exclusion criteria

Orthopedic dependency requiring the use of a wheelchair Diagnosed with any neurological or psychological disorder other than dementia

Treatment and study plan

Horticultural Activity Program

Other

Prior to the commencement of the horticultural intervention program, the nursing home was visited to assess its physical environment and to inform staff about the program's objectives. Participants were recruited, and baseline data was collected. The program was structured around weekly activities and visits, with a three-day interval between each session. Activities included plant identification, gardening tasks, and nature-based art projects. The program was designed to foster social interaction, cognitive stimulation, and physical activity, while promoting a sense of accomplishment and well-being among participants. Throughout the program, regular assessments were conducted to monitor participants' progress and satisfaction.

Primary outcomes

  1. Mini Mental State Examination Score

    Time frame: Baseline and Week 10

    Assessment of participants' cognitive status using the Mini Mental State Examination (MMSE). Scores will be recorded at baseline and after the 10-week intervention period.

  2. Timed Up and Go Test Performance

    Time frame: Baseline and Week 10

    Evaluation of participants' functional mobility, balance, and performance using the Timed Up and Go Test. Results will be recorded at baseline and after the 10-week intervention period.

  3. Rapid Mild Cognitive Impairment Test Score

    Time frame: Baseline and Week 10

    Assessment of cognitive status using the Rapid Mild Cognitive Impairment Test. Scores will be recorded at baseline and after the 10-week intervention period.

  4. Warwick-Edinburgh Mental Well-Being Scale Score

    Time frame: Baseline and Week 10

    Measurement of mental well-being using the Warwick-Edinburgh Mental Well-Being Scale. Scores will be recorded at baseline and after the 10-week intervention period.

  5. Social and Emotional Loneliness Scale for Adults Score

    Time frame: Baseline and Week 10

    Assessment of social and emotional loneliness using the Social and Emotional Loneliness Scale for Adults. Scores will be recorded at baseline and after the 10-week intervention period.

  6. World Health Organization Quality of Life Scale Elderly Module Score

    Time frame: Baseline and Week 10

    Evaluation of participants' quality of life using the WHOQOL-OLD scale. Scores will be recorded at baseline and after the 10-week intervention period.

Sponsors and collaborators

Lead sponsor

Hacettepe University

Other

Registry information

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Mar 27, 2025
Registry last updated
Mar 27, 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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