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Accepted for/Published in: Journal of Medical Internet Research

Date Submitted: Apr 7, 2020
Date Accepted: Aug 10, 2020

The final, peer-reviewed published version of this preprint can be found here:

Effects of a Combination of Three-Dimensional Virtual Reality and Hands-on Horticultural Therapy on Institutionalized Older Adults’ Physical and Mental Health: Quasi-Experimental Design

Lin TY, Huang CM, Hsu HP, Liao JY, Cheng YW, Wang SW, Guo JL

Effects of a Combination of Three-Dimensional Virtual Reality and Hands-on Horticultural Therapy on Institutionalized Older Adults’ Physical and Mental Health: Quasi-Experimental Design

J Med Internet Res 2020;22(11):e19002

DOI: 10.2196/19002

PMID: 33135666

PMCID: 7669444

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

The Effects of a Combination of Three-dimensional Virtual Reality and Horticultural Therapy on Institutionalized Older Adults’ Physical and Mental Health

  • Tsung-Yi Lin; 
  • Chiu-Mieh Huang; 
  • Hsiao-Pei Hsu; 
  • Jung-Yu Liao; 
  • Ya-Wen Cheng; 
  • Shih-Wen Wang; 
  • Jong-Long Guo

ABSTRACT

Background:

Institutionalized older adults have limited ability to engage in horticultural activities that can promote their physical and mental health.

Objective:

This study explored the effects of a combination of three-dimensional (3D) virtual reality (VR) and horticultural therapy (HT) on institutionalized older adults’ physical and mental health.

Methods:

The study applied a quasi-experimental design. A total of 106 older adults from two long-term care facilities were recruited and assigned to the experimental (n = 59) or control (n = 47) group. The experimental participants received a nine-week intervention. Both groups completed three assessments: at baseline, after the intervention, and two months later. The outcome variables included health status, meaning in life, perceived mattering, loneliness, and depression.

Results:

The experimental group improved significantly compared to the control group in terms of health status, meaning in life, perceived mattering, depression, and loneliness immediately after the intervention, and these effects persisted for up to two months (all outcome variables, p < 0.001).

Conclusions:

This study verified the beneficial effects of a combination of 3D VR and hands-on HT on older adults’ health. These results could support the future successful implementation of similar programs for institutionalized older adults on a larger scale. Clinical Trial: Clinicaltrials.gov NCT04324203, https://clinicaltrials.gov/ct2/show/NCT04324203


 Citation

Please cite as:

Lin TY, Huang CM, Hsu HP, Liao JY, Cheng YW, Wang SW, Guo JL

Effects of a Combination of Three-Dimensional Virtual Reality and Hands-on Horticultural Therapy on Institutionalized Older Adults’ Physical and Mental Health: Quasi-Experimental Design

J Med Internet Res 2020;22(11):e19002

DOI: 10.2196/19002

PMID: 33135666

PMCID: 7669444

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