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A Horticultural Therapy Program Focusing on Gardening Activities to Promote Psychological, Emotional and Social Health of the Elderly Living in a Homeless Living Facility for a Long Time: A Pilot Study

  • Received : 2020.08.03
  • Accepted : 2020.09.18
  • Published : 2020.10.31

Abstract

Background and objective: The elderly living in homeless living facilities for a long time suffer from various mental health problems. This study aims to determine the psychological, emotional, and social effects of a horticultural therapy program composed of gardening activities, which was designed based on the semantic structures of life for the homeless elderly living in the facilities for a long time. Methods: A total of 12 subjects (6 in the control group and 6 in the experimental group) participated in the study. The horticultural therapy program consisted mainly of gardening activities, and a total of 16 sessions were conducted once a week for 16 weeks, 60-90 minutes per session. The subjects were tested to evaluate their self-esteem, depression, and horticultural activities. The data were analyzed using the Mann-Whitney U test, Wilcoxon rank test, and Friedman test, which were nonparametric tests, conducted at a 95% significance level. Results: First, in the case of self-esteem, a significant difference was found between the groups, 20.00 points (SD = 5.69) in the control group, and 25.50 points (SD = 3.73) in the experimental group (p = .034). Second, in the case of depression, no statistically significant difference was found in the posttest. Finally, in the case of the horticultural activity evaluation, the scores of most variables gradually and significantly increased during the program [Verbal interaction during activity (p = .006), Self-concept and identity (p = .006), Need-drive adaptation (p < .001), Interpersonal and social relations (p < .001)]. Conclusion: These results support that the horticultural therapy program could help the elderly improve psychological relaxation, emotional stability, and social relationships. In order to generalize the results, it is suggested to increase the number of subjects or conduct additional repetitive experiments in further research.

Keywords

References

  1. Bak, J.H. and M.H. Joung. 2019. The effects of simsang (imaginary-oriented)-poetry therapy on the psychology and emotion of the homeless. Asia-pacific J. Multimed. Serv. Converg. Art Humanit. Sociol. 19(12):603-613. http://doi.org/10.35873/ajmahs.2019.9.12.001
  2. Cameron, K. L. 2010. Older homeless women with depression. Doctor Dissertation, The University of Arizona, Arizona, USA.
  3. Chan, H.Y., R.C.M. Ho, R. Mahendran, K.S. Ng, W. Wai-San Tam, I. Rawtaer, and M.K.W. Ng. 2017. Effects of horticultural therapy on elderly'health: protocol of a randomized controlled trial. BMC Geriatr. 17(1):1-10. https://doi.org/10.1186/s12877-017-0588-z#Sec16
  4. Chen, Y. M. and J.Y. Ji. 2015. Effects of horticultural therapy on psychosocial health in older nursing home residents: A preliminary study. J. Nurs. Res. 23(3):167-171. https://doi.org/10.1097/jnr.0000000000000063
  5. Eum, E.Y. and H.S. Kim. 2016. Effects of a horticultural therapy program on self-efficacy, stress response, and psychiatric symptoms in patients with schizophrenia. J. Korean Acad. Psychiatr. Ment. Health Nurs. 25(1):48-57. https://doi.org/10.12934/jkpmhn.2016.25.1.48
  6. Grabbe, L., J. Ball, and A. Goldstein. 2013. Gardening for the mental well-being of homeless women. J. Holist. Nurs. 31(4):258-266. https://doi.org/10.1177/0898010113488244
  7. Han, K.H., S.M. Lee, and J.K. Suh. 2009. Effect of group horticultural therapy on the change of depression and self-esteem in older adult. J. Korean Soc. People Plants Environ. 12(4):1-12.
  8. Ha, Y.J. and E.A. Kim. 2019. Convergence effect of horticulture activity program on self-esteem and school life adaptation of multicultural adolescent. J. Digit. Converg. 17(6):409-416.https://doi.org/10.14400/JDC.2019.17.6.409
  9. Jeong, S.H., M.R. Huh, B.H. Lee, and J.C. Park. 2006. Effect of horticultural therapy on the self-esteem of geratric patients. J. Korean Soc. People Plants Environ. 9(4):79-87.
  10. Kee, B.S. 1996. A preliminary study for the standardization of geriatric depression scale short form-korea version. J. Korean Neuropsychiatr. Assoc. 35(2):298-307.
  11. Kim, K.B. and J.S. Won. 2000. A study on family support, self-esteem, and life satisfaction in homeless persons. J. East-West Nurs. Resear. Seoul 5(1):50-64.
  12. Kim, K.H. and S.A. Park. 2018. Horticultural therapy program for middle-aged women's depression, anxiety, and self-identify. Complement. Ther. Med. 39:154-159. https://doi.org/10.1016/j.ctim.2018.06.008
  13. Kim, Y.H., C.S. Park, H.O. Bae, E.J. Lim, K.H. Kang, E.S. Lee, S.H. Jo, and M.R. Huh. 2020. Horticultural therapy programs enhancing quality of life and reducing depression and burden for caregivers of elderly with dementia. J. People Plants Environ. 23(3):305-320. https://doi.org/10.11628/ksppe.2020.23.3.305
  14. Koh, E.H. 1999. Effect of horticultural therapy on the rehabilitation of mentally retarded and physical disorder persons. Master's thesis, Konkuk University, Seoul, Korea.
  15. Kong J.H., S.Y. Yun, and B.J. Choi. 2015. The effects of reminiscence-based horticultural therapy on institutionalized demented elders' self-esteem and quality of life. J. Korean Soc. People Plants Environ. 18(4):305-309. https://doi.org/10.11628/ksppe.2015.18.4.305
  16. La Gory, M., F.J. Ritchey, and J. Mullis. 1990. Depression among the homeless. J. Health Soc. Behav. 31(1):87-102. https://doi.org/10.2307/2137047
  17. Lee, J.H., H.S. Choi, S.Y. Yun, B.J. Choi, and E.J. Jang. 2017. Effects of horticultural activities and flower tea drinking based on reminiscent storytelling on demented elders' cognitive and emotional functions. J. Korean Soc. People Plants Environ. 20(4):351-360. https://doi.org/10.11628/ksppe.2017.20.4.351
  18. Lee, J.Y., S.K. Nam, M.K. Lee, J.H. Lee, and S.M. Lee. 2009. Rosenberg'self-esteem scale: analysis of item-level validity. Korean J. Couns. Psychother. 21(1):173-189.
  19. Lee, S. 2019. Effects of a horticultural activity program based on validation therapy on the mental functions of elderly patients in nursing homes. J. People Plants Environ. 22(6):611-619. https://doi.org/10.11628/ksppe.2019.22.6.611
  20. Leng, C. H., and J.D. Wang. 2016. Daily home gardening improved survival for older people with mobility limitations: An 11-year follow-up study in Taiwan. Clin. Interv. Aging 11:947-959. https://doi.org/10.2147/CIA.S107197
  21. Ministry of Health and Welfare. 2017. (2016) Survey on the status of homeless people, etc. Retrieved from https://www.mohw.go.kr/react/jb/sjb030301vw.jsp?PAR_MENU_ID=03&MENU_ID=032901&CONT_SEQ=342798
  22. Nicholas, S.O., A.T. Giang, and P.L. Yap. 2019. The effectiveness of horticultural therapy on older adults: A systematic review. J. Am. Med. Dir. Assoc. 20(10):1351-e1. https://doi.org/10.1016/j.jamda.2019.06.021
  23. Niklasson, J. 2007. Horticultural therapy for homeless people : What are the causes and conditions of homelessness, what needs do homeless people have and how can we best address these needs with a horticultural therapy program? Master's thesis. Swedish University of Agricultural Sciences, Uppsala, Sweden. Retrived from http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-s-8317
  24. Park, J.E. and S.G. Park. 2015. A study on the positive art therapy program on depression and self-efficacy of homeless alcohol addiction. J. Arts Psychother. 11(1):1-19.
  25. Sabra, C. 2016. Connecting to self and nature. J. Ther. Hortic. 26(1):31-38.
  26. Scott, T.L., B.M. Masser, and N.A. Pachana. 2020. Positive aging benefits of home and community gardening activities: Older adults report enhanced self-esteem, productive endeavours, social engagement and exercise. SAGE Open Med. 8:2050312120901732. https://doi.org/10.1177/2050312120901732
  27. Shin, J.S. and J.H. Baek. 2010. The effect of self-esteem and social support on depression for middle-aged and elderly male homeless. J. Korean Gerontol. Soc. 30(4):1393-1407.
  28. Shin, W.W. 2019. Development process and policy tasks of homeless assistance service in Seoul. Asia-pacific J. Multimed. Serv. Converg. Art Humanit. Sociol. 9(11):964-972. http://doi.org/10.35873/ajmahs.2019.9.11.086
  29. Sumalinog, R., K. Harrington, N. Dosani, and S.W. Hwang. 2017. Advance care planning, palliative care, and end-of-life care interventions for homeless people: A systematic review. Palliat. Med. 31(2):109-119. https://doi.org/10.5840/ncbq201717348
  30. Sung, J.T. 2016. Study on Korea's homeless problem-solving ideas. Law Rev. 57(2):61-88.
  31. Yoon, M.J. and K.M. Sung. 2017. The effects of a horticultural program based on cox's interaction model on ability for daily life and depression in older patients with mild dementia. Korean J. Rehabil. Nurs. 20(1):12-21. https://doi.org/10.7587/kjrehn.2017.12
  32. Won, J.S. 2003. The life experiences of the sheltered homeless. Korean J. Adult Nurs. 15(1):56-66