A Feasibility Study to Determine Whether the Botanical Garden Become a Region of Forest Therapy for Cancer Survivors
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neoplasms
- Sponsor
- Taipei City Hospital
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- questionnaire: BDI-II (urban region)
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
The forest healing system is an important topic of alternative therapy in recent years. To investigates forest therapy's effectiveness in alleviating negative emotions among post-cancer patients. It compares therapy outcomes at Taipei Botanical Garden and Fushan Botanical Garden. Utilizing a pretest-posttest experimental design, a two-hour guided forest healing activity serves as the intervention method. Data collection involves instrumental tests and saliva samples.
Detailed Description
Introduction: Cancer's global impact persists, ranking among the top three causes of death in Taiwan. Despite improved survival rates after cancer surgery, negative emotions among patients remain a challenge. Post-cancer depression adversely affects treatment outcomes and overall quality of life. Forest therapy, a natural healing approach, has gained attention for its potential to reduce stress, mitigate negative emotions, and enhance well-being. Objectives: This study investigates forest therapy's effectiveness in alleviating negative emotions among post-cancer patients. It compares therapy outcomes at Taipei Botanical Garden and Fushan Botanical Garden. Additionally, the study explores the lasting emotional benefits of forest therapy. Methods: Utilizing a pretest-posttest experimental design, this study is conducted at the Botanical Garden in Fushan, Taipei. Participants are cancer patients who are six months post-treatment. A two-hour guided forest healing activity serves as the intervention method. Data collection involves instrumental tests and saliva samples. A comparable location adjacent to Taipei Botanical Garden, excluding urban areas, is selected for comparison activities. Portable heart rhythm monitors track data, and saliva samples are analyzed for salivary α-amylase enzyme kinetics and cortisol concentrations. The study employs questionnaires including the Profile of Mood States 2nd Edition-Adult short (POMS2-A short), Beck Depression Inventory-Second edition (BDI-II), Beck Anxiety Inventory (BAI), and the abbreviated Taiwan version of the World Health Organization Quality of Life-Brief (WHOQOL-BREF).
Investigators
Chung-Hua Hsu
director of the hospital
Taipei City Hospital
Eligibility Criteria
Inclusion Criteria
- •Over 20 year-old
- •Cancer patients finished cancer treatments more than 6 months (regardless hormone therapy)
- •Voluntary attendance
Exclusion Criteria
- •People who unable to walk for at least 120 minutes
- •People who still smoking, chewing betel nut or drinking alcohol (over five standard cups in any situation)
- •People who addicted to medicine
- •People who attend another clinical trial at the same time or in the follow-up period of an interventional trial
- •Pregnant women or breast feeding
- •Other conditions that participants unable to cooperate with
Outcomes
Primary Outcomes
questionnaire: BDI-II (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of baseline The Beck Depression Inventory II at urban region
questionnaire: WHOQOL-BREF (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of World Health Organization Quality of Life-Brief (Taiwan version) at Fushan botanical garden
physiological indicator: alpha-amylase activity in salivary (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of alpha-amylase activity in salivary by using commercial kits (Salimetrics®) at Taipei botanical garden
physiological indicator: HRV (Heart Rate Variability) (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of HRV by using wrist monitors (ANSWatch®) to measure heart rate, heart rate variability (related to activities of the autonomic nervous system ANS), irregular heartbeats (IRRHB), and 5-minute continuous pulse wave at Taipei botanical garden
physiological indicator: HRV (Heart Rate Variability) (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of HRV by using wrist monitors (ANSWatch®) to measure heart rate, heart rate variability (related to activities of the autonomic nervous system ANS), irregular heartbeats (IRRHB), and 5-minute continuous pulse wave at urban region
questionnaire: POMS2-A short (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of the Profile of Mood States 2nd Edition-Adult short at urban region
questionnaire: BAI (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of The Beck Anxiety Inventory at Fushan botanical garden
questionnaire: BDI-II (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of baseline The Beck Depression Inventory II at Taipei botanical garden
questionnaire: WHOQOL-BREF (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of World Health Organization Quality of Life-Brief (Taiwan version) at urban region
physiological indicator: cortisol concentration in salivary (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of cortisol concentration in salivary by using commercial kits (Salimetrics®) at Taipei botanical garden
physiological indicator: cortisol concentration in salivary (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of cortisol concentration in salivary by using commercial kits (Salimetrics®) at urban region
questionnaire: POMS2-A short (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of the Profile of Mood States 2nd Edition-Adult short at Fushan botanical garden
questionnaire: BAI (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of The Beck Anxiety Inventory at Taipei botanical garden
questionnaire: WHOQOL-BREF (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of World Health Organization Quality of Life-Brief (Taiwan version) at Taipei botanical garden
physiological indicator: alpha-amylase activity in salivary (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of alpha-amylase activity in salivary by using commercial kits (Salimetrics®) at Fushan botanical garden
physiological indicator: blood pressures (systolic and diastolic) (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of blood pressures by using wrist monitors (ANSWatch®) to measure blood pressures (systolic and diastolic) at urban region
questionnaire: POMS2-A short (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of the Profile of Mood States 2nd Edition-Adult short at Taipei botanical garden
questionnaire: BAI (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of The Beck Anxiety Inventory at urban region
physiological indicator: alpha-amylase activity in salivary (urban region)
Time Frame: per-test → 2 hours intervention at urban region → post-test immediately after the intervention
Change of alpha-amylase activity in salivary by using commercial kits (Salimetrics®) at urban region
physiological indicator: cortisol concentration in salivary (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of cortisol concentration in salivary by using commercial kits (Salimetrics®) at Fushan botanical garden
physiological indicator: blood pressures (systolic and diastolic) (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of blood pressures by using wrist monitors (ANSWatch®) to measure blood pressures (systolic and diastolic) at Fushan botanical garden
physiological indicator: blood pressures (systolic and diastolic) (Taipei botanical garden)
Time Frame: per-test → 2 hours intervention at Taipei botanical garden → post-test immediately after the intervention
Change of blood pressures by using wrist monitors (ANSWatch®) to measure blood pressures (systolic and diastolic) at Taipei botanical garden
questionnaire: BDI-II (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of The Beck Depression Inventory II at Fushan botanical garden
physiological indicator: HRV (Heart Rate Variability) (Fushan botanical garden)
Time Frame: per-test → 2 hours intervention at Fushan botanical garden → post-test immediately after the intervention
Change of HRV by using wrist monitors (ANSWatch®) to measure heart rate, heart rate variability (related to activities of the autonomic nervous system ANS), irregular heartbeats (IRRHB), and 5-minute continuous pulse wave at Fushan botanical garden