AI Article Synopsis
- - The study investigated the effects of horticultural therapy (HA) on individuals with dementia (PwD), assessing its impact compared to standard indoor activities, and examined if combining HA with cognitive stimulation provides additional benefits.
- - Involving 24 participants, the results showed that those who engaged in HA experienced fewer behavioral and psychological symptoms, improved mood, and enhanced quality of life compared to a control group, especially in those with mild-to-moderate dementia.
- - The findings highlight that participating in HA not only benefits PwD by reducing symptoms but also alleviates caregiver distress, emphasizing the significance of considering dementia severity when evaluating treatment efficacy.
Article Abstract
Introduction: One of various non-pharmacological treatments for people with dementia (PwD) is horticultural therapy. The aim of this double-blind, pre- and post-test, pilot study was to examine the effects of horticultural activities (HA) for PwD at a residential and daytime care facility. Whether combining HA with elements drawn from other psychosocial interventions (cognitive stimulation) would maximize any benefits was also newly examined.
Materials And Methods: Twenty-four PwD were involved either in HA, alone (TG1, = 7) or combined with some cognitive stimulation (TG2, = 8), or in indoor treatment-as-usual activities (CG, = 9). Benefits were assessed in terms of general cognitive functioning (for participants with mild-to-moderate dementia), mood, behavioral and psychological symptoms, and quality of life.
Results: No differences emerged between TG1 and TG2 in any outcome measure, so the two groups were combined ( = 15). Compared with the CG, the TG involved in HA exhibited less frequent and severe behavioral and psychological symptoms and an improved mood after the intervention. Caregivers also reported less distress in the TG after the intervention than in the CG. Considering only PwD with mild-to-moderate dementia, the TG also showed benefits in a measure of general cognitive functioning, and self-reported quality of life, compared with the CG.
Discussion: Our results further confirm that engaging PwD in participatory HA in contact with natural elements can decrease their dementia symptoms and their caregivers' distress, but also increase PwD's quality of life. Our findings also suggest the need to consider dementia severity when assessing the benefits of horticultural therapy.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10390226 | PMC |
| http://dx.doi.org/10.3389/fpsyg.2023.1182136 | DOI Listing |
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