Dementia Clinical Trial
Official title:
Effects of Horticultural Therapy on Elderly at Risk of Cognitive Decline
The objective of this study is to determine whether horticultural therapy would improve the
psychological well-being older adults who are at risk of memory (cognitive) decline. 100
elderly subjects who are at risk of cognitive decline will be randomized into the active
horticultural therapy or to the waitlist control group. Sessions will be conducted weekly
for 9 months, and participants will be assessed at 3 time-points: at the start of the study,
at 3 months and at 9 months.
It is hypothesized that participants who undergo horticultural therapy will perform better
on neuropsychological tests when compared to control, and that they will have improved
psychological well-being and functional outcomes.
Study participants comprise of community-dwelling elderly who are at risk of developing
dementia, and will be selected from consenting participants from an existing community
cognitive screening program.
This is an intervention study where 100 subjects will be randomized into an active
horticultural therapy group, or a waitlist control group. Baseline demographic data will be
collected at the start of the study. Assessments will be done at the start, at 3 months and
at 6 months, which will include neuropsychological tests of cognitive functioning,
psychological tests for depression and anxiety, assessment of psychosocial well-being, and
tests of functional status.
The Horticultural Therapy intervention will be delivered by trained facilitators at the
Therapeutic Garden at Hort Park, and consists of 1 hour sessions weekly for 9 months. The
Horticultural Therapy program is designed to stimulate the senses through interaction with
the tasks and the environment, promote social interaction and also to promote a sense of
self-worth through completion of projects. It encompasses a range of activities including
general gardening and also project-based craft activities.
The control group will be placed on a waiting list and only be contacted for assessments.
They will receive intervention after the active treatment group at a later date.
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