Frailty Clinical Trial
Official title:
Pilot Pragmatic Randomized Controlled Trial: The Effects of Horticultural Therapy (HT) vs Existing Care on Engagement, Mood and Mobility of Inpatient Older Adults in an Acute Care Hospital
Verified date | August 2023 |
Source | Khoo Teck Puat Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study aims to investigate the feasibility and effectiveness of Horticultural Therapy (HT) on engagement, mood, and quality of life (QoL) of older adults in geriatric acute care in Singapore. Investigators will also assess the effectiveness of HT on mobility and hospitalisation experience. This pilot study could inform how HT can be implemented in geriatric acute care and its effect on hospitalisation experience and recovery of function.
Status | Completed |
Enrollment | 80 |
Est. completion date | September 5, 2022 |
Est. primary completion date | September 5, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 70 Years and older |
Eligibility | Inclusion Criteria: - 70 years old and above - an inpatient in Khoo Teck Puat Hospital - able to understand simple instructions (with abbreviated mental test's score of 6 and above) - have stable vital signs - blood pressure, heart rate and peripheral capillary oxygen saturation - to take part in horticultural therapy activities Exclusion Criteria: - on contact or droplet precaution - diagnosed with severe auditory-visual impairments - have major depressive disorder - have endocrine disorders - on steroid-based medications such as asthma and allergies that might affect the salivary cortisol level - on the Dangerously Ill List |
Country | Name | City | State |
---|---|---|---|
Singapore | Khoo Teck Puat Hospital | Singapore |
Lead Sponsor | Collaborator |
---|---|
Khoo Teck Puat Hospital |
Singapore,
Nicholas SO, Giang AT, Yap PLK. The Effectiveness of Horticultural Therapy on Older Adults: A Systematic Review. J Am Med Dir Assoc. 2019 Oct;20(10):1351.e1-1351.e11. doi: 10.1016/j.jamda.2019.06.021. Epub 2019 Aug 8. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Average Score of Engagement Assessed by Menorah Park Engagement Scale (MPES) | MPES consists of four different types of engagement: "constructive", "passive", "self" and "none" (Judge, Camp & Orsulic-Jeras, 2000).
Each type of engagement is recorded on five-minutes intervals during the 30-minutes sessions for both intervention and control group. The score of 0, 1 and 2 represent engagement "not observed", "observed for less than two and a half minutes" and "observed for more than two and a half minutes" respectively. The average score of each type of engagement for all sessions during assessment period is compared between the two groups. The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days | |
Primary | Average Score of Mood Assessed by Apparent Affect Rating Scale (AARS) | AARS consists of five different domains of mood: pleasure, general alertness, anxiety/ fear, anger and sadness (Lawton, Haitsma & Klapper, 1996).
Each domain of mood is recorded on five-minutes intervals during the 30-minutes sessions for both intervention and control group. The score of 0, 1 and 2 represent engagement "not observed", "observed for less than two and a half minutes" and "observed for more than two and a half minutes" respectively. The average score of each domain of mood for all sessions during assessment period is compared between the two groups. The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days | |
Primary | Change in Mobility Performance Assessed by Modified Perme ICU scale | Change in mobility performance from baseline (before randomization) to last session during the assessment period is measured by the modified Perme ICU scale (Perme, Nawa, Winkelman & Masud, 2014).
The mobility domains of "bed mobility", "transfers" and "gait" are recorded with the score of 0 to 7, indicates for "total assistance", "maximum assistance", "moderate assistance", "minimal assistance", "contact guard", "standby assistance", "supervision" and "independent" respectively. The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days | |
Primary | Change in Quality of Life Assessed by the EQ-5D | Change in quality of life is measured by the change in the score of the EuroQol EQ-5D from baseline (before randomization) to last session during the assessment period (Brooks & Charro, 1996). The EQ-5D covers five dimensions on health status - mobility, self-care, usual activities and anxiety/depression using 5 response levels - no problem, slight problem, moderate problem, severe problem and extreme problem.
The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days | |
Secondary | Number of Transitions in the Mobility Status | Participants' mobility state at the start of the session, the highest mobility state during session and the number of transitions in the mobility are captured using the mobilisation scale. The average score of highest mobility status and number of transitions in the mobility are compared between intervention and control group. The higher the score indicates better outcome.
The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days | |
Secondary | Change in Emotion Assessed by Emoticon Scale | The Emoticon Scale consists of seven simple emotion icons with smiling faces (A/1-C/3), a neutral face (D/4), and frowning faces (E/5-G/7) on a Likert scale (Tan et al., 2018). Participants are asked to rate their mood at point of assessment at baseline (before randomisation) and at the last session of the assessment period.
The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
5 days | |
Secondary | Hospitalisation Experience Questionnaire | It is a 10-self administered questionnaire modified from the Person-centered care assessment tool (PCAT) (Edvardsson et al., 2010) which aims to evaluate the quality of health care settings as perceived by patients.
The score is Likert scale from 0 to 5, with 0 indicating "No, I disagree completely" and 5 indicating "Yes, I agree completely". Hospitalisation Experience Questionnaire is administered at the last session of the assessment period. The assessment period is five days, or from recruitment date to participants' discharge date from the acute care hospital. |
Five days |
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