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Effects of Horticulture Therapy on Engagement and Affect*

Published online by Cambridge University Press:  31 March 2010

Christina M. Gigliotti  and
Shannon E. Jarrott
Christina M. Gigliotti
Affiliation:
Virginia Polytechnic Institute and State University
Shannon E. Jarrott*
Affiliation:
Virginia Polytechnic Institute and State University
*
Requests for offprints should be sent to: / Les demandes de tirés-à-part doivent être addressées à : Shannon E. Jarrott, Virginia Polytechnic Institute and State University, Associate Professor, Dept. Human Development, 307 Wallace Hall, Virginia Polytechnic Institute and State University, Blacksburg, VA 24061–0416. ([email protected])
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Abstract

Implementing generationally appropriate activities for persons with dementia is a challenging task. Horticulture therapy (HT) addresses this challenge through the use of plants to facilitate holistic outcomes. Utilizing the model of environmental press, the current study sought to analyse adult day service (ADS) participants' responses to HT as compared to traditional activities.

HT activities were conducted once a week for a half an hour at four different ADS programs over the course of 9 weeks. Observational data were collected during HT and traditional ADS activities using a modified dementia care mapping (DCM) technique. Observers coded predominant behavioural and affectual responses for each participant.

HT activities facilitated higher levels of productive engagement and positive affect and lower levels of non-engagement than did traditional ADS activities. Therefore, HT offers dementia-care staff a viable activity alternative that is well received by clients and inclusive of all interested persons, despite cognitive limitations.

Résumé

Devoir mettre en oeuvre des activités appropriées pour des personnes âgées atteintes de démence constitue une tâche difficile. La thérapie horticole (TH) permet de relever ce défi par l'utilisation de plantes afin de faciliter l'obtention de résultats globaux. À l'aide du modèle de l'évaluation du milieu, la présente étude cherche à analyser les réactions des participants des soins de jour pour adultes à l'égard de la TH par comparaison avec des activités traditionnelles.

Des activités de TH ont été menées une fois par semaine pendant une demi-heure dans le cadre de quatre programmes différents de soins de jour pour adultes sur une période de neuf semaines. Des données d'observation ont été recueillies pendant la TH ainsi que pendant les activités traditionnelles des soins de jour pour adultes, au moyen d'une version modifiée de la technique DCM (Dementia Care Mapping). Les observateurs ont utilisé des codes pour consigner les principales réactions de chaque participant d'un point de vue comportemental et affectif.

Les activités de TH ont suscité des niveaux plus élevés de participation productive, des conséquences positives ainsi que des niveaux moins élevés de non-engagement que les activités traditionnelles des soins de jour pour adultes. Par conséquent, la TH offre au personnel soignant des personnes atteintes de démence une activité de rechange valable qui est bien accueillie par les clients et qui intègre toutes les personnes intéressées, quelles que soient leurs limitations cognitives.

Keywords

agingAlzheimer's diseasedementiaenvironmental pressholistic approacheshorticulture therapytherapeutic activitiesvieillissementmaladie d'Alzheimerdémenceévaluation du milieuapproches globalesthérapie horticoleactivités thérapeutiques
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 24 , Issue 4 , Winter/Hiver 2005 , pp. 367 - 377
Copyright
Copyright © Canadian Association on Gerontology 2005

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Footnotes

*

This project was supported in part by a grant from the centre for Gerontology and the Department of Human Development, Virginia Polytechnic Institute and State University. The authors would like to thank Drs. Diane Relf and Karen A. Roberto for their revisions and feedback on earlier versions of this manuscript. The authors would also like to thank Casey Cook, Melissa Gladwell, Jeremy Yorgason, and Jennifer Lambert-Shute for their contributions to facilitation and data collection. All names in this article have been changed to protect the identity of the study participants.

References

Alzheimer's Disease and Related Disorders Association (2002). Statistics about Alzheimer's disease. Retrieved 7 February 2003 from http://www.alz.org/Google Scholar
Bond, J. (2003). Statistics software for power calculator [Computer software and manual]. Retrieved 13 April 2003 from http://calculators.stat.ucla.edu/powercalcGoogle Scholar
Bowlby Sifton, C. (2000). Maximizing the functional ability of persons with Alzheimer's disease and related dementias. In Lawton, M.P. & Rubinstein, R.L. (Eds.), Interventions in dementia care toward improving quality of life (pp. 11–38). New York: Springer.Google Scholar
Bradford Dementia Group (1997). Evaluating dementia care: The DCM method. Bradford, UK: University of Bradford, Bradford Dementia Group.Google Scholar
Buettner, L.L. (2001). Therapeutic recreation in the nursing home: Reinventing a good thing. Journal of Gerontological Nursing, 27, 8–13.CrossRefGoogle ScholarPubMed
Burgess, C.W. (1990). Horticulture and its application to the institutionalized elderly. Activities, Adaptation and Aging, 14, 51–61.Google Scholar
Camp, C.J. (Ed.). (1999). Montessori-based activities for persons with dementia (Vol. 1). Beachwood, OH: Menorah Park Centre for the Aging.Google Scholar
Camp, C.J., & Orsulic-Jeras, S. (1999). Montessori-based activity programming for dementia. In Camp, C.J. & Orsulic-Jeras, S. (Eds.), Activities as intervention: Use of Montessori-based activities for persons with dementia. Beachwood, OH: Myers Research Institute.Google Scholar
Feinberg, L.F., & Whitlatch, C.J. (2001). Are persons with cognitive impairment able to state consistent choices? Gerontologist, 41, 374–382.CrossRefGoogle ScholarPubMed
Folstein, M.F., Folstein, S.E., & McHugh, P.R. (1975). “Mini-Mental State”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189–198.CrossRefGoogle ScholarPubMed
Gigliotti, C.M., Jarrott, S.E., & Yorgason, J. (2004). Harvesting health: Effects of different horticultural therapy activities for persons with dementia. Dementia, 3, 161–180.CrossRefGoogle Scholar
Hill, C.O., & Relf, P.D. (1982). Gardening as an outdoor activity in geriatric institutions. Activities, Adaptation and Aging, 3, 47–53.Google Scholar
Jarrott, S.E., Kwack, H.R., & Relf, P.D. (2002). An observational assessment of a dementia-specific horticultural therapy program. HortTechnology, 12(3), 403–410.CrossRefGoogle Scholar
Kim, H., Cho, M., Han, I., & Kim, J. (2002, August) Effect of horticultural therapy on the community consciousness and life satisfaction of the elderly living alone. Paper presented at the meeting of the International Horticulture Congress, Toronto.Google Scholar
Kitwood, R., & Bredin, K. (1992). Towards a theory of dementia care: Personhood and well-being. Ageing and Society, 12, 269–287.CrossRefGoogle ScholarPubMed
Lawton, M.P., & Nahemow, L. (1973). Ecology and the aging process. In Eisdorder, C. & Lawton, M.P. (Eds.), Psychology of adult development and aging (pp. 619–667). Washington, DC: American Psychological Association.CrossRefGoogle Scholar
Midden, K., & Barnicle, T. (2002, August) Evaluating the effects of a horticulture program on the psychological well-being of older persons in a long-term care facility. Paper presented at the meeting of the International Horticulture Congress, Toronto.Google Scholar
Mooney, P., & Milstein, S. (1994). Assessing the benefits of a therapeutic horticulture program for seniors in intermediate care. In Francis, M., Lindsey, P., & Rice, J.S. (Eds.), Healing dimensions of people-plant relations: A research symposium (pp. 173–194). Davis, CA: UC-Davis, Center for Design Research.Google Scholar
National Institute on Aging (2000). 2000 progress report on Alzheimer's disease: Taking the next steps. Washington, DC: National Institutes of Health.Google Scholar
Nolan, M., Grant, G., & Nolan, J. (1995). Busy doing nothing: Activity and interaction levels among differing populations of elderly patients. Journal of Advanced Nursing, 22, 528–538.CrossRefGoogle ScholarPubMed
Powell, L., Felce, D., Jenkins, J., & Lunt, B. (1979). Increasing engagement in a home for the elderly by providing an indoor gardening activity. Behavioral Research and Therapy, 17, 127–135.CrossRefGoogle Scholar
Relf, D. (1981). Dynamics of horticulture therapy. Rehabilitation Literature, 42, 147–150.Google Scholar
Relf, D., & Dorn, S. (1995). Horticulture: Meeting the needs of special populations. HortTechnology, 5, 94–103.CrossRefGoogle Scholar
Salari, S., & Rich, M. (2001). Social and environmental infantilization of aged persons: Observations in two adult day care centers. International Journal of Aging and Human Development, 52, 115–134.CrossRefGoogle ScholarPubMed
Sarno, M.R., & Chambers, N. (1997). A horticultural therapy program for individuals with acquired aphasia. Activities, Adaptation and Aging, 22, 81–91.Google Scholar
Taira, E.D. (Ed.). (1986). Therapeutic interventions for the person with dementia. New York: Haworth Press.Google Scholar
Teri, L., & Logsdon, R.G. (1991). Identifying pleasant activities for Alzheimer's disease patients: The pleasant events schedule-AD. The Gerontologist, 31, 124–127.CrossRefGoogle Scholar
U.S. Department of Health Human Services, Heath Care Financing Administration (1989). Rules and regulations. Federal Register, 54(21), 5316–5373.Google Scholar