The Effect of Gardening Activities on Anxiety and Psychosocial Symptoms of Hospitalized Children

Not Applicable

Not yet recruiting

• Conditions: Gardening; Pediatric Nursing; Activity; Psychosocial Symptoms; Anxiety; Hospital; Child; Investigation of Anxiety Levels and Psychosocial Symptoms of Children Hospitalized for Acute Diseases During Their Hospital Stay

• Registration Number: NCT06655961
• Lead Sponsor: Tokat Gaziosmanpasa University

Brief Summary

The experience of hospitalization in childhood can often lead to traumatic consequences. Various practices (play, art therapy, music therapy, etc.) are used to help children cope with this process. In recent years, attention has been drawn to nature-based approaches in addition to existing practices. Within the scope of this approach, this study was planned in a parallel group (experimental-control) randomized controlled experimental design to determine the effect of garden activities on anxiety levels and psychosocial symptoms of hospitalized children aged 6-12 years. Hypotheses of the study H1: The gardening activities program applied to hospitalized children; H1a: There is an effect on children's anxiety. H1b: There is an effect on psychosocial symptoms of children. In this direction, the population of the study will consist of children between the ages of 6-12 in the children's ward of University Research and Application Hospital. The sample size determined as a result of G\*power analysis was found as control (18) and intervention (18). The research will be conducted between September 2024 and June 2025. 'Child Descriptive Information Form', "Child Follow-up Form", "Child Anxiety Scale-Conditioning" and "Psychosocial Symptoms Diagnostic Scale for Hospitalized Children" will be used for data collection. The data collection process consists of three stages: pre-intervention period, intervention period and post-intervention period. Children in the intervention group will have three sessions of gardening activities within the scope of the 'Gardening Activities Program' during their hospitalization. Children in the control group will receive services within the scope of the routine treatment and nursing care protocol of the clinic during hospitalization.

Detailed Description

Not available

Study Timeline

• Status Verified: 2024-10
• Study First Submitted: 2024-10-18
• Study First Submitted QC: 2024-10-22
• Last Update Submitted: 2024-10-22
• Study First Posted: 2024-10-24
• Last Update Posted: 2024-10-24
• Study Start: 2024-12
• Primary Completion: 2025-08
• Study Completion: 2025-09

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 36

Inclusion Criteria

• The age of the children is between 6-12 years old
• Hospitalization due to an acute medical diagnosis
• Hospitalization for at least 3 days
• Approval of the child's participation in the session by the responsible doctor
• The child is conscious and fully orientated
• Voluntariness of the child and parent to participate in the study

Exclusion Criteria

• Hospitalization for more than 7 days
• No previous hospitalization experience
• High-risk drug use
• Having a chronic disease that suppresses the immune system
• Having a special condition that prevents him/her from participating in garden activities (physical, mental disability)
• Having skin conditions that prevent them from participating in garden activities
• Plant allergy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Changes in children's anxiety as a result of the implementation of the Garden Activity Programme	Will be assessed every day from the day of admission (day 1) to the 7th day of hospitalization.	Child Anxiety Scale-Dispositional (CAS-D): The Child Anxiety Scale-State (CAS-D) is shaped like a thermometer with a bulb at the bottom and horizontal lines with intervals going upwards. To measure the child's state anxiety, the child is asked to tick 'what he/she is feeling at the moment'. The score can range from 0-10. A high scale score indicates that the child's anxiety is increasing.
Changes in children's psychosocial symptoms as a result of the implementation of the Garden Activity Program	It will be assessed pre-intervention (1st day of hospitalization) and post-intervention (7th day of hospitalization).	Psychosocial Symptoms Diagnostic Scale for Hospitalized Children: The scale consists of 24 items and five sub-dimensions (anxiety, hopelessness, communication difficulties, anger and aggression, regression). The scale has a 3-point likert-type scale, 'never: 0, sometimes: 1, often: 2'. The score obtained from the scale varies between 0-48. A high scale score indicates that the child hospitalized in the clinic has psychosocial problems.

Trial Locations

Locations (1)

Tokat Gaziosmanpasa University; 🇹🇷 Tokat, Turkey