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Application of horticulture therapy as a health intervention for elderly people in nursing homes: a scoping review† Cover

Application of horticulture therapy as a health intervention for elderly people in nursing homes: a scoping review†

Open Access
|Sep 2024

Figures & Tables

Figure 1.

Flow chart of the literature screening.
Flow chart of the literature screening.

Search strategies_

#1 (Care Facility[MeSH Terms]) OR (Skilled Nursing Facility[MeSH Terms]) OR (Institutional Care[MeSH Terms]) OR (Homes for the Aged[MeSH Terms]) OR (Nursing Home[MeSH Terms]) OR (Old age home[MeSH Terms]) OR (Nursing Care[MeSH Terms]) OR (elderly care facility[MeSH Terms]) OR (long-term care facility[MeSH Terms]) OR (Nursing Care Management[MeSH Terms]) OR (Residential Facility[MeSH Terms])
#2 (Elderly[MeSH Terms]) OR (Older people[MeSH Terms]) OR (aged[MeSH Terms]) OR (Older adults[MeSH Terms])
#3 (horticulture therapy[MeSH Terms]) OR (horticultural therapy[MeSH Terms]) OR (gardening therapy[MeSH Terms]) OR (garden therapy[MeSH Terms]) OR (therapeutic horticulture[MeSH Terms]) OR (Horticulture Therapy[MeSH Terms])
#1 AND #2 AND #3

Summarised characteristics of eligible articles_

AuthorYearsLocationStudy designParticipantInterventionMain findingsOutcome measures
Age (year)Sample size (observation group/control group)MeasureDuration and frequency
Chu et al.132019ChinaRCT≥6575/75Intervention group performed planting and handicraft activities, and the rest were the same as the control group1–1.5 h per time/8 weekA reduction in depressive symptoms and improvement of the level of mental health(21) (22)
Yao and Chen172017China (Taiwan)Quasi-experimental study≥6544/41Intervention group performed indoor planting activities, and the rest were the same as the control group1 h per week/8 weeksSignificant improvement in the activities of daily life, the sense of happiness, and interpersonal intimacy(19)(25)(26)(27)
Mochizuki-Kawai et al.182021JapanQuasi-experimental study90.3 ± 6.88/8Intervention group performed bedside structured floral arrangement program, and the rest were the same as the control group4 min/5 daysHT had a greater effect on QOL, and the depressive symptoms have reduced greatly(3)(4)(5)
Yang et al.142021ChinaRCT≥608/8The intervention group performed outdoor planting, handicraft activities, and derivative activities, and the rest were the same as the control group1 h per week/10 weeksA reduction of the apathy in dementia elderly and improvement in cognitive function(6)(7)(8)
Jueng and Chen.192022ChinaQuasi-experimental study60–8537/49Intervention group conducted indoor desktop gardening, and other measures were the same as the control group40 min per week/12 weeksSignificant benefits on SOC level of older LTCF residents(9)
Park et al.202020KoreaQuasi-experimental study≥6520/20Intervention groups were cultivated with low-intensity to moderate-intensity gardening activities, and the others were the same as the control group1 h per time/ twice per week/12 weeksThe ability of cognitive and BDNF levels in the gardening group was significantly improved(10)(11)(12)(13)
Chen and Ji292015ChinaMixed methods research60–855/5The intervention group performed indoor planting, handicraft, and cooking activities, and the rest were the same as the control group1.5 h per week/10 weeksSignificant improvement in the sense of achievement, happiness, and reduced loneliness(14) (15)
Lai et al.152018China (Hong Kong)RCT≥7046/50The intervention group performed indoor and outdoor planting activities, and the rest were the same as the control group1 h per week/8 weeksHT enhanced the sense of happiness greatly(2)(15)(16)(17) (18)(24)
Lo et al.272019China (Hong Kong)Qualitative research≥7022Intervention group conducted horticultural courses, and the rest were the same as the control group1 h per week/8 weeksA significant improvement was observed in well-being and quality of life
Bourdon and Belmin212021FranceQuasi-experimental study81.0 + 3.53/3/3Group A were encouraged to invite enriched garden, group B were reminded to visit to invite conventional sensory garden, and ensure the elderly visited 4 times/ week10–20 min per time/4 times per week/24 weeksSignificant benefits on the level of cognition(6)(19)(20)
Bassi et al.222018ItalyQuasi-experimental study≥656/7The first group took part in plant cultivation and handicraft activities, then took part in routine nursing home activities; the second group took part in routine activities and then took part in gardening activities1 h per week/6 weeksHT had improved the quality of life, reduced stress, promoted happy mood, and enhanced mental health(6)
Luk et al.232011USAQuasi-experimental study≥657/7The intervention group performed outdoor planting and handicraft activities, and the rest were the same as the control group30 min per time/ twice per week/6 weeksA reduction in the agitation in the elderly with dementia had been noticed(6)(23)
Dahlkvist et al.262016SwedenMixed methods research84.8290Encouraged to wander around in gardens and green spacesNot mentionedA significant improvement was observed in healthy self-perceived ability and level of health(27)(28)
Edwards et al.282013AustraliaQualitative research79–9012The intervention group visited the therapeutic garden, and the others were the same as the control group12 weeks, duration and frequency were not mentionedSignificant benefits in the quality of life and HT could reduce stress to a certain extent(4)(6)(29)
Hassan et al.162018ChinaRandomised controlled cross-over study79.5 + 8.020/20First day, the first group conducted a transplanting activity using soil with plants; the second group conducted a transplanting activity using soil without plants, the next day, 2 groups exchanged activities15 min per day/2 daysHT reduced blood pressure and anxiety, persuade the elderly to relax(1)(30)(31)(32)
Masuya et al.242014JapanQuasi-experimental study≥659/9Intervention group performed planting and cooking activities, and the rest were the same as the control group30–40 min per week/6 weeksA significant improvement was observed in short-term depression and life satisfaction(6)(19)(21)(33)
Tse252010China (Hong Kong)Quasi-experimental study≥6027/26The intervention group did indoor plant planting, discussion, and diary writing activities, then the rest were the same as the control group8 weeks, duration and frequency were not mentionedSignificant improvement in physical activity level, the ability of moving, life satisfaction, and social level, then HT reduced loneliness(34)(35)(36)(37)
Zushi302008JapanMixed methods research64–906/6/6Three groups of elderly people were conducted indoor and outdoor gardening activities.8 weeks, duration and frequency were not mentionedInterest, motivation, communication skills, self-confidence, and self-achievement improved significantly(38)
DOI: https://doi.org/10.2478/fon-2024-0021 | Journal eISSN: 2544-8994 | Journal ISSN: 2097-5368
Language: English
Page range: 231 - 241
Submitted on: Jun 3, 2024
Accepted on: Jul 20, 2024
Published on: Sep 16, 2024
Published by: Shanxi Medical Periodical Press
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2024 Jing-Jing Wang, Xiao-Yu Niu, Ming-Li Zhao, published by Shanxi Medical Periodical Press
This work is licensed under the Creative Commons Attribution 4.0 License.