Effectiveness of Information Technology-Assisted Horticultural Therapy Program on Heart Rate Variability, Stress, Depression and Happiness Among Older Adults Resident in Long-Term Care Facilities

Обзор

This study aims to address existing research gaps by investigating the effects of technology-assisted horticultural therapy on stress, depression, and happiness among older adults residing in long-term care facilities. By examining the modulation of the autonomic nervous system, the findings will provide a foundation for developing comprehensive health promotion programs that integrate traditional therapeutic practices with modern technology to enhance the well-being of the aging population.

Подробное описание

The mental health needs of older adults are a growing concern, and as technology advances, integrating health information with technology can improve healthcare quality and dissemination efficiency. Integrating health information with technology holds promise for enhancing healthcare quality and dissemination efficiency in practical applications, thereby equipping more individuals with accurate health maintenance knowledge. Particularly notable is the increasing trend in internet usage among modern seniors, which contributes to achieving United Nations Sustainable Development Goals. Horticultural therapy has been widely acknowledged for its positive impact on human well-being in various settings. However, its integration with information technology remains relatively unexplored. Additionally, studies on its effectiveness in relieving stress have demonstrated inconsistent effects on heart rate variability. Therefore, this study aims to examine how technology-assisted horticultural therapy influences stress, depression, and happiness among older adult residents in long-term care facilities, with a specific focus on regulating the autonomic nervous system. The study will employ both subjective questionnaire surveys and objective measurements of heart rate. This study proposes a cluster randomized controlled trial. Using G-Power 3.1, a minimum sample size of 76 participants is calculated, accounting for an estimated 20% attrition rate. To ensure equitable distribution between intervention and control groups, each group will consist of at least 38 participants. The intervention involves technology-assisted horticultural therapy sessions conducted once a week, lasting 120 minutes per session, over a total period of 8 weeks. The research will employ several tools: (1) a basic demographic questionnaire, (2) the Mini-Mental State Examination (MMSE), (3) the 'Taiwan Scientific' Noninvasive Blood Pressure Meter (TS 0411), (4) the Perceived Stress Scale (PSS), (5) the Geriatric Depression Scale (GDS-15), and (6) the 5-item World Health Organization Well-Being Index (WHO-5). Data collection will span pre-, mid-, and post-intervention periods over 8 weeks for both experimental and control groups. The Efficacy of Horticultural Therapy Evaluation Form (EHTE) will also be used to conduct pre-test and post-test evaluations on the experimental group. Data will be analyzed using SPSS 27.0. Descriptive statistics will be applied to the demographic questionnaire data, while generalized estimating equations (GEE) will analyze pre-, mid-, and post-test questionnaire responses and objective measurements. Empirical evidence from this study will elucidate the impact of technology-assisted horticultural therapy on heart rate variability, stress, depression, and happiness among older adult residents in long-term care facilities. These findings will serve as a basis for developing health pro-motion programs aimed at enhancing the physical and mental well-being of aging populations.

Вмешательства

• Другое Information Technology-Assisted Horticultural Therapy Program
  The intervention involves technology-assisted horticultural therapy sessions conducted once a week, lasting 120 minutes per session, over a total period of 8 weeks

Первичные конечные точки

• Heart Rate Variability, HRV [Срок оценки: Baseline, pre-intervention (T0)]
• Perceived Stress Scale, PSS [Срок оценки: Baseline, pre-intervention (T0)]
• Geriatric Depression Scale, GDS-15 [Срок оценки: Baseline, pre-intervention (T0)]
• The 5-item World Health Organization Well-Being Index, WHO-5 [Срок оценки: Baseline, pre-intervention (T0)]
• The efficacy of horticultural therapy evaluation form; EHTE [Срок оценки: Baseline, pre-intervention (T0)]
• Heart Rate Variability, HRV [Срок оценки: 4 weeks after intervention (T1)]
• Perceived Stress Scale, PSS [Срок оценки: 4 weeks after intervention (T1)]
• Geriatric Depression Scale, GDS-15 [Срок оценки: 4 weeks after intervention (T1)]
• The 5-item World Health Organization Well-Being Index, WHO-5 [Срок оценки: 4 weeks after intervention (T1)]
• Heart Rate Variability, HRV [Срок оценки: 8 weeks after intervention (T2)]

Критерии участия

Критерии включения

• Agree to participate in this study
• Elderly persons aged 65 and above living in long-term care facilities
• Live in long-term care facilities for at least three months
• No gender restrictions
• Be aware, able to communicate in Mandarin and Taiwanese, and be able to express opinions
• The upper limbs can move freely and there is no disease that causes tremors in the hands (such as Parkinson's disease, hepatic encephalopathy, etc.)

Критерии исключения

• Has participated in gardening-related activities within one month of receiving the case
• Those diagnosed with terminal illness or whose health condition is rapidly deteriorating
• Those suffering from Parkinson's disease, serious heart disease, dementia, mental illness (e.g. schizophrenia, bipolar disorder, etc.)
• Mini-Mental State Examination (MMSE) with cognitive impairment (MMSE scores below 16 points for individuals with no formal education, below 21 points for those with elementary education, and below 24 points for those with junior high school education or higher.)
• Those who are unable to participate in the event due to severe speech, vision or hearing impairment

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Тайвань · 1 центр

• National Taipei University of Nursing and Health Sciences — Taipei

Публикации

• Marioni RE, Chatfield M, Brayne C, Matthews FE; Medical Research Council Cognitive Function and Ageing Study Group. The reliability of assigning individuals to cognitive states using the Mini Mental-State Examination: a population-based prospective cohort study. BMC Med Res Methodol. 2011 Sep 6;11:127. doi: 10.1186/1471-2288-11-127. PMID 21896187
• Ng KST, Sia A, Ng MKW, Tan CTY, Chan HY, Tan CH, Rawtaer I, Feng L, Mahendran R, Larbi A, Kua EH, Ho RCM. Effects of Horticultural Therapy on Asian Older Adults: A Randomized Controlled Trial. Int J Environ Res Public Health. 2018 Aug 9;15(8):1705. doi: 10.3390/ijerph15081705. PMID 30096932
• Park, S., Lee, A., Son, K., Lee, W., & Kim, D. (2016). Gardening Intervention for Physical and Psychological Health Benefits in Elderly Women at Community Centers. HortTechnology hortte, 26(4), 474-483. https://doi.org/10.21273/HORTTECH.26.4.474
• Sheikh, J.I. and Yesavage, J.A. (1986) Geriatric Depression Scale (GDS): Recent Evidence and Development of a Shorter Version. Clinical Gerontologist: The Journal of Aging and Mental Health, 5, 165-173. https://doi.org/10.1300/J018v05n01_09
• Todd RM, Miskovic V, Chikazoe J, Anderson AK. Emotional Objectivity: Neural Representations of Emotions and Their Interaction with Cognition. Annu Rev Psychol. 2020 Jan 4;71:25-48. doi: 10.1146/annurev-psych-010419-051044. Epub 2019 Oct 14. PMID 31610131
• Topp CW, Ostergaard SD, Sondergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167-76. doi: 10.1159/000376585. Epub 2015 Mar 28. PMID 25831962
• Tsai YI, Beh J, Ganderton C, Pranata A. Digital interventions for healthy ageing and cognitive health in older adults: a systematic review of mixed method studies and meta-analysis. BMC Geriatr. 2024 Mar 4;24(1):217. doi: 10.1186/s12877-023-04617-3. PMID 38438870
• Tu PC, Cheng WC, Hou PC, Chang YS. Effects of Types of Horticultural Activity on the Physical and Mental State of Elderly Individuals. Int J Environ Res Public Health. 2020 Jul 20;17(14):5225. doi: 10.3390/ijerph17145225. PMID 32698351

Идентификаторы

NCT: NCT06797804 · SKH-IRB-20240809R

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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