The effect of garden use on quality of life and behavioral and psychological symptoms of dementia in people living with dementia in nursing homes: a systematic review

Buuringen, Melanie van der Velde-van; Sar, Rosalie Hendriks-van der; Verbeek, Hilde; Achterberg, Wilco P.; Caljouw, Monique A. A.

doi:10.3389/fpsyt.2023.1044271

Cited by 3 publications

(2 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Having a garden that allows visitors to be able to orient themselves through visual cues and a path that brings them back to where they started provides increased feelings of control, self-confidence, and reinforcement to go outdoors [46]. The ability to go outdoors, especially alone (when assessed by a clinician or caregiver based on current weather conditions and the affect/ability of the individual), has been shown to alleviate the agitation and depression symptoms of dementia [53]. Just being around plants can help enhance that effect, offering a soothing, quieting quality [6,48,54].…”

Section: Memory Gardens-setting Up For Being In the Gardenmentioning

confidence: 99%

See 1 more Smart Citation

Horticultural Therapy for Individuals Coping with Dementia: Practice Recommendations Informed by Related Non-Pharmacological Interventions

Wichrowski,

Moscovici

2024

Healthcare

View full text Add to dashboard Cite

Dementia care currently presents a challenge to healthcare providers on many levels. The rapid increase in the number of people with dementia and the costs of care certainly contribute to these challenges. However, managing the behavioral and psychological symptoms of dementia (BPSDs) has become one of the most significant tasks in providing care and can lead to poor health and well-being outcomes, not only for the people living with dementia (PLWD) but also for those providing their care. Cost-effective, easily implemented, highly adaptable, empirically based alternatives are needed. Interventions such as Horticultural Therapy (HT), which is naturally informed by Montessori-Based Methods for Dementia and sensory reminiscence therapies, meets these qualifying factors. This article, based on a review of current best practices and clinical experience, hopes to provide recommendations for such an intervention along with special considerations for PLWD and adaptations for different acuity levels. With additional safe and effective, person-centered, non-pharmacological interventions available for the complex cognitive and neuropsychiatric manifestations of this disease, a better care milieu can be provided, improving the quality of life for both patients and caregivers. This article also identifies the need for continued research into the synergistic effects of person-centered behavioral and psychosocial interventions combined with environmental approaches to provide the optimal healing environment for those coping with dementia.

show abstract

Section: Memory Gardens-setting Up For Being In the Gardenmentioning

confidence: 99%

“…Memory gardens are the perfect example of this. On average, more than 90% of residents stay inside their unit in a lying down or sitting position throughout the day [53]. Offering enticing, supportive, and restoring environments can offer important interventions for such common issues.…”

Section: Memory Gardens-being In the Gardenmentioning

confidence: 99%

Horticultural Therapy for Individuals Coping with Dementia: Practice Recommendations Informed by Related Non-Pharmacological Interventions

Wichrowski,

Moscovici

2024

Healthcare

View full text Add to dashboard Cite

show abstract

Effectiveness of Horticultural Therapy in Older Patients With Dementia: A Meta‐Analysis Systemic Review

Wang,

Qian,

et al. 2024

Journal of Clinical Nursing

View full text Add to dashboard Cite

AimOur study aims to assess the effectiveness of horticultural therapy in improving outcomes in older patients with dementia.DesignA systematic review and meta‐analysis.MethodsThe included studies comprised randomised controlled trials (RCTs) that aimed to assess the effectiveness of horticultural therapy on cognitive function in older patients with dementia. The study design and data extraction were independently conducted by two investigators, who also evaluated the risk of bias using RoB 2.0. The meta‐analysis was carried out using Stata 15.1 software.Data SourcesOn November 2023, we searched relevant English and Chinese publications in PubMed, Web of Science, Cochrane Library, Embase, CNKI and Wanfang databases.ResultsThe meta‐analysis included a total of 9 RCTs, involving 655 older patients diagnosed with dementia. The findings from these studies demonstrated that horticultural therapy had a significant positive impact on various aspects of the patients' well‐being when compared to conventional care. Specifically, it was found to improve cognitive function scores, alleviate symptoms of depression, enhance daily activities and enhance overall quality of life. When conducting a subgroup analysis, it was observed that horticultural therapy had a statistically significant effect on cognitive function in older patients with dementia when the intervention frequency was at least two times per week. Furthermore, interventions with a duration of less than 6 months were found to be more effective than those lasting 6 months or longer. Additionally, outdoor horticultural therapy was found to be superior to indoor interventions. Moreover, structured interventions were observed to yield better outcomes compared to non‐structured interventions.ConclusionMore high‐quality studies are needed to further corroborate these findings due to the low quality of the included studies. Horticultural therapy has been found to have a significantly positive impact on the cognitive function, depression status, ADL, and quality of life of older patients with dementia.Implications for the Profession and/or Patient CareWe provide references for non‐pharmacologic treatment of older patients with dementia.What Problem Did the Study Address?This study aimed to measure the efficacy of horticultural therapy in older patients with dementia across four dimensions: cognitive function, depression levels, daily living activities and overall quality of life.What Were the Main Findings?In older patients with dementia, horticultural therapy has been proven to have a significant positive impact on cognitive function, depressive status, activities of daily living and quality of life.Where and on Whom Will the Research Have an Impact?This study will inform non‐pharmacological interventions for older patients with dementia worldwide.Patient or Public ContributionNo Patient or Public Contribution.

show abstract

Effect of horticultural therapy on static, dynamic balance and gait speed among institutionalized older adults with cognitive impairment

Farkas,

Simon,

Sztruhár

et al. 2024

Journal of Complementary and Integrative Medicine

View full text Add to dashboard Cite

Objectives Although horticultural therapy has been used successfully to reduce neuropsychiatric symptoms in elderly people with cognitive impairment, we do not yet know how it affects balance. The aim of our study was to determine the acceptability and effect of a 12-week horticultural therapy on balance and walking speed among institutionalized older adults with cognitive impairment. Methods This mixed-methods controlled trial included 23 participants. Subjects in the experimental group (n=13) participated in a 60 min horticultural therapy programme twice a week for 12 weeks in addition to the institution’s usual social activities. Subjects in the control group (n=10) participated in the institution’s usual social activities. Static and dynamic balance were measured with the Performance Oriented Mobility Assessment scale. In addition, gait speed was measured. Qualitative data were collected through a semi-structured interview with participants of the experimental group. Results At the end of the intervention period, the experimental maintained their baseline performance on the static balance, while the control group showed a decline. The gait speed of the experimental improved, while that of the control group did not change. In dynamic balance, no changes were demonstrated. The results of our qualitative data analysis indicate that horticultural therapy increases the possibility of social interactions, encourages older people to engage in conversation. Conclusions As a conclusion, horticultural therapy should be more widely included in programmes for older people with cognitive impairment.

show abstract

The effect of garden use on quality of life and behavioral and psychological symptoms of dementia in people living with dementia in nursing homes: a systematic review

Cited by 3 publications

References 45 publications

Horticultural Therapy for Individuals Coping with Dementia: Practice Recommendations Informed by Related Non-Pharmacological Interventions

Horticultural Therapy for Individuals Coping with Dementia: Practice Recommendations Informed by Related Non-Pharmacological Interventions

Effectiveness of Horticultural Therapy in Older Patients With Dementia: A Meta‐Analysis Systemic Review

Effect of horticultural therapy on static, dynamic balance and gait speed among institutionalized older adults with cognitive impairment

Contact Info

Product

Resources

About