Caregiver Mental Health, Dementia
Conditions
Keywords
Forest bathing
Brief summary
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.
Interventions
BEHAVIORALForest Bathing
Forest bathing intervention is a group structured psychosocial intervention. Its core therapeutic element is its nature-based activities that took place in an outdoor green space. During the session, participants would be 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.
BEHAVIORALArt activity
Art activity intervention is a group semi-structured psychosocial intervention. Its main therapeutic element is its engagement in art-based activites. During the session, participants would be guided in individual or collaborative art activities of different forms, such as painting, paper arts, and dried flower art, by an experienced interventionist in an activity room.
Sponsors
Hong Kong Young Women's Christian Association
The University of Hong Kong
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* 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
Exclusion criteria
* 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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Caregiver's Care Burden measured by 12-item version of Zarit Burden Interview (ZBI-12) | Baseline and 6 weeks | Possible range: 0-48, with higher scores indicate a worse outcome |
| Change in Caregiver's Depressive Symptoms measured by the Depression subscale of Hospital Anxiety and Depression Scale (HADS-D) | Baseline and 6 weeks | Possible range: 0-21, 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) | Baseline and 6 weeks | Possible range: 0-21, with higher scores indicate a worse outcome |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Neuropsychiatric Symptoms of Person Living with Dementia measured by the Neuropsychiatric Inventory - Questionnaire (NPI-Q) | Baseline and 6 weeks | Possible range: 0-12, with higher scores indicate a worse outcome |
| Change in Caregiver's Positive Aspect of Caregiving measured by the Positive Aspect of Caregiving Scale (PACS) | Baseline and 6 weeks | Possible range: 11-55, with higher scores indicate a better outcome |
| 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 | Possible range: 0-100, with higher scores indicate a better outcome |
| Change in Caregiver's Caregiving Self-Efficacy measured by the Revised Scale for Caregiving Self-Efficacy (CSE-R) | Baseline and 6 weeks | Possible range: 0-100, with higher scores indicate a better outcome |
| 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 | Possible range: 0-100, with higher scores indicate a better outcome |
Countries
Hong Kong
Outcome results
None listed