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    RESEARCH

    Effectiveness of Horticultural Therapy in People with Dementia: A Quantitative Systematic Review

    This systematic review evaluates the effectiveness of horticultural therapy (HT) for individuals with dementia, assessing its impact on cognitive function, agitation, positive emotion, and engagement.
    Program Types: Therapeutic
    Population Groups: Dementia/Traumatic & Acquired Brain Injuries
    Setting or Context: Assisted Living/Long-Term Care Homes
    Health and Wellness Outcomes: Increased Social Engagement & Skills, Enhanced Emotional Well-being, Improved Cognitive Function, Sensory Stimulation
    Allied Profession Intersections: Recreational Therapy, Occupational Therapy, Behavioral Therapy
    Type of Activity: Sensory Stimulation, Outdoor Gardening
    Evidence Type: Meta-Analyses/Systematic Reviews, Quantitative Research
    Measurement and Evaluation: Metrics for Mental Health, Program Effectiveness
    Access: Paid
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    Summary

    The study synthesizes findings from 14 studies (4 RCTs and 10 quasi-experimental studies) involving 411 individuals with dementia, confirming that participatory horticultural therapy (e.g., planting, weeding, and floriculture) significantly improves cognitive function, reduces agitation, and enhances positive emotions and engagement. In contrast, ornamental horticultural activities (e.g., viewing gardens, looking at nature images) did not show significant improvements in agitation and emotional well-being.

    Meta-analysis results suggest that horticultural therapy should be prioritized as a non-pharmacological intervention for dementia care, particularly participatory approaches that stimulate sensory and cognitive functions. The study highlights the need for more high-quality research to further validate these findings and refine clinical guidelines for integrating horticultural therapy into dementia care settings.

    Link

    Zhao, Y., Liu, Y., & Wang, Z. (2020). Effectiveness of horticultural therapy in people with dementia: A quantitative systematic review. J Clin Nurs Special Issue.

     

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