Concurrent Trials on Nature-Based Therapy for Inpatients in Dementia and Rehabilitation Medicine Wards
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-100
SponsorChangi General Hospital
About this trial
Nature-based Therapy, such as forest bathing and horticultural therapy, has been shown to have physical, psychological and emotional health benefits. We posit that personalised and guided Nature-based Therapy, which leverages the benefits of therapeutic gardens in an urban hospital setting, improves the overall wellbeing of elderly inpatients with dementia (aged \>65 years old) and their caregivers, as well as patients undergoing inpatient rehabilitation. To determine the effectiveness of Nature-based Therapy for these two inpatient populations, we designed a pilot study, TGIF, to be conducted at the dementia and rehabilitation medicine wards at Changi General Hospital in Singapore.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 65-100 years old
Have a diagnosis of delirium/ dementia or both.
Have diagnosis of dementia with and without behavioural symptoms of dementia (BPSD)
Ability to communicate with the Nature-based Therapist (in languages such as English, Mandarin Chinese, Chinese dialects or Malay)
Disqualifiers
In isolation due to contact, droplet or airborne precautions
Unable to provide consent and lack of surrogate decision maker to provide consent
Poorly managed psychiatric or behaviour symptoms with threats to others surrounding them.
Age < 21 years
Trial design
Design model
Parallel
Treatments tested in this trial
Nature Immersion Therapy
BehavioralDuring the length of inpatient stay at Changi General Hospital (CGH), which ranges from 5 to 10 days, the patients and caregivers will be enrolled for a set of 3 nature-based sessions. Each session will be conducted in groups of 4 to 6 patients incorporating a relational multi-sensory experience as well as mind-body connectedness while spending time in nature. Each of the 3 sessions will be 45 minutes each. The nature-based therapy/green social prescription plan will be conducted in groups guided by a trained CGH staff (Allied Health Professionals/Nurse). This Green social prescribing plan (Playbook) will be integrated into inpatient's care plan. Caregivers of the enrolled patients will also be part of the therapy group following the necessary consent.
Treatment groups
1,600 Participants
are divided into 4 treatment groupsGroup A: Dementia Patients - InterventionExperimental treatment 1 intervention
Group B: Dementia Patients - ControlNo intervention 0 interventions
Group C: Rehabilitation Patients - InterventionExperimental treatment 1 intervention
Group D: Rehabilitation Patients - ControlNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Pittsburg Agitation Scale
The Pittsburgh Agitation Scale (PAS) is a quick, observational tool used to assess the severity of agitation in dementia patients, focusing on four behavioral dimensions: aberrant vocalizations, motor agitation, aggressiveness, and resistance to care
Time frame
Baseline and at the end of intervention, an average 7 days2
DASS-21
The DASS-21 (Depression, Anxiety, and Stress Scale - 21 Items) is a self-report questionnaire designed to measure the severity of symptoms related to depression, anxiety, and stress in adults. It consists of 21 questions, with seven questions for each of the three scales: depression, anxiety, and stress.
Time frame
Baseline and at the end of intervention, an average of 7 daysSecondary outcomes
1
EQ-5D-5L
The EQ-5D-5L is a generic, self-completed questionnaire that assesses health-related quality of life (HRQoL) across five dimensions (mobility, self-care, usual activities, pain/discomfort, and anxiety/depression) with five levels of severity for each dimension, and includes a visual analogue scale (EQ VAS).
Time frame
Baseline and at the end of intervention, an average of 7 days2
Zarit Burden Interview
The Zarit Burden Interview (ZBI) is a widely used tool to assess the level of caregiver burden experienced by individuals who care for people with chronic illnesses. It is a self-report questionnaire that evaluates the physical, emotional, and social impact of caregiving on the caregiver's well-being.
Time frame
Baseline and at the end of intervention, an average of 7 daysSponsors and contacts
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Source ClinicalTrials.gov
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