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临床试验/NCT06813196
NCT06813196已完成不适用

Forest Bathing Intervention for Persons Living with Dementia and Family Carers: a Feasibility Study

The University of Hong Kong1 个研究点 分布在 1 个国家目标入组 107 人开始时间: 2024年4月22日最近更新:
适应症
干预措施

试验速览

阶段
不适用
状态
已完成
入组人数
107
试验地点
1
主要终点
Change in Caregiver's Depressive Symptoms measured by the Depression subscale of Hospital Anxiety and Depression Scale (HADS-D)

研究概览

简要总结

This study assessed the feasibility and acceptability of a forest bathing intervention for people living with dementia and their family carers, and examined its effectivness on care burden and quality of life by comparing to an art activty programme as control group.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
主要目的
Supportive Care
盲法
Single (Outcomes Assessor)

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者
否

入选标准

  • •For family careivers:
  • •taking care of a family member living with dementia in the community,
  • •For people living with dementia:
  • •Clinical diagnosis of mild to moderate dementia

排除标准

  • •For both:
  • •Unable to communicate in Chinese or Cantonese
  • •Unable to participate meaningfully in group activities due to intellectual disability, visual impairment, hearing impairment, or other health conditions, were excluded.

研究组 & 干预措施

Forest bathing

Experimental

The modified forest bathing intervention was designed by a qualified forest therapist certified by the Association of Nature and Forest Therapy. The intervention protocol was developed based on existing forest bathing protocol and modified after field-testing with family caregivers. The intervention consisted of 3 sessions, delivered every two weeks, with approximately two hours per session. Each session took place at a suitable park in the participant's community. During the session, a group of 6 to 8 dyads of people living with dementia and their caregivers were guided by a trained forest therapy guide to engage in nature-based activities, such as walking in the woods, listening to the nature, and interacting with objects in the nature through different sensations. In between sessions, caregivers were encouraged to guide the PLwD and practice similar nature-based activities at times and locations at their convenience.

干预措施: Forest Bathing (Behavioral)

Art activity

Active Comparator

The art activity intervention was modified from usual art activity session organised by the social service providers for family caregivers and PLwD. It consisted of 3 sessions, delivered every two weeks, with approximately two hours per session. Each session took place in an elderly community centre in the participant's neighbourhood. During the session, participants were guided to engage in individual or collaborative art activities of different forms, such as photo frame of dried flowers, plushball painting, and paper quilling. All the sessions were delivered by a social worker or program worker with experience in art-based activities.

干预措施: Art activity (Behavioral)

结局指标

主要结局

Change in Caregiver's Depressive Symptoms measured by the Depression subscale of Hospital Anxiety and Depression Scale (HADS-D)

时间窗: Baseline and 6 weeks

Possible range: 0-21, with higher scores indicate a worse outcome

Change in Caregiver's Care Burden measured by 12-item version of Zarit Burden Interview (ZBI-12)

时间窗: Baseline and 6 weeks

Possible range: 0-48, with higher scores indicate a worse outcome

Change in Caregiver's Anxiety Symptoms measured by the Anxiety subscale of Hospital Anxiety and Depression Scale (HADS-A)

时间窗: Baseline and 6 weeks

Possible range: 0-21, with higher scores indicate a worse outcome

次要结局

  • Change in Caregiver's Positive Aspect of Caregiving measured by the Positive Aspect of Caregiving Scale (PACS)(Baseline and 6 weeks)
  • Change in Caregiver's Health-related Quality of Life measured by the Visual Analogue Scale of EuroQol 5-dimension 5-level (EQ5D5L VAS)(Baseline and 6 weeks)
  • Change in Neuropsychiatric Symptoms of Person Living with Dementia measured by the Neuropsychiatric Inventory - Questionnaire (NPI-Q)(Baseline and 6 weeks)
  • Change in Health-related Quality of Life of Person Living with Dementia measured by the Visual Analogue Scale of EuroQol 5-dimension 5-level (EQ5D5L VAS)(Baseline and 6 weeks)
  • Change in Caregiver's Caregiving Self-Efficacy measured by the Revised Scale for Caregiving Self-Efficacy (CSE-R)(Baseline and 6 weeks)

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Choy Chak Pui Jacky

Research Assistant Professor

The University of Hong Kong

研究点 (1)

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