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Benefits of sensory garden and horticultural activities in dementia care: a modified scoping review

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  • Marianne T Gonzalez
  • Marit Kirkevold

Abstract

Aims and objectives To provide a review on the benefits associated with the use of sensory gardens and horticultural activities in dementia care. Background Maintaining quality of life is important in dementia care. Sensory gardens and horticultural activities are increasingly used in dementia care, yet their benefits are uncertain. Design A modified scoping review with descriptive analysis of selected empirical studies. Methods Systematic searches in Amed, CINAHL, MEDLINE, ISI Web of Science, Embase and Scopus were used. Search terms were the free‐text concepts ‘healing garden’, ‘horticultural therapy’, ‘restorative garden’ and ‘wander garden’ which were combined with dementia and Alzheimer. Results Sixteen studies were included with included participants ranging from eight to 129 participants. Research designs were case studies (n = 2), survey (n = 1), intervention studies with pretest/post‐test design (n = 11) and randomised controlled studies (n = 2). Of these 16 studies, eight examined the benefits of sensory gardens, seven examined horticultural therapy or therapeutic horticulture and one examined the use of plants indoors. This study offers a review of the research addressing benefits of sensory gardens, therapeutic horticulture, horticultural therapy and other purposeful use of plants in dementia care. The reported findings are mainly on issues related to behaviour, affect and well‐being. The findings are in general mutually supportive, however, with some contradictory findings. In addition, sleep pattern, well‐being and functional level seem to improve. Conclusions These types of nonpharmacological interventions may improve well‐being and affect and reduce the occurrence of disruptive behaviour. Additionally, the use of psychotropic drugs, incidents of serious falls, sleep and sleep pattern also seem to improve. Relevance to clinical practice To further improve the use of the existing or planned gardens, an educational programme for staff that also includes skill training is recommended.

Suggested Citation

  • Marianne T Gonzalez & Marit Kirkevold, 2014. "Benefits of sensory garden and horticultural activities in dementia care: a modified scoping review," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(19-20), pages 2698-2715, October.
    • Handle: RePEc:wly:jocnur:v:23:y:2014:i:19-20:p:2698-2715
    DOI: 10.1111/jocn.12388
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    References listed on IDEAS

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    1. Milligan, Christine & Gatrell, Anthony & Bingley, Amanda, 2004. "'Cultivating health': therapeutic landscapes and older people in northern England," Social Science & Medicine, Elsevier, vol. 58(9), pages 1781-1793, May.
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    1. Xinxin Wang & Susan Rodiek, 2019. "Older Adults’ Preference for Landscape Features Along Urban Park Walkways in Nanjing, China," IJERPH, MDPI, vol. 16(20), pages 1-22, October.
    2. Theresa L. Scott & Ying-Ling Jao & Kristen Tulloch & Eloise Yates & Oliver Kenward & Nancy A. Pachana, 2022. "Well-Being Benefits of Horticulture-Based Activities for Community Dwelling People with Dementia: A Systematic Review," IJERPH, MDPI, vol. 19(17), pages 1-20, August.
    3. Marina García-Llorente & Radha Rubio-Olivar & Inés Gutierrez-Briceño, 2018. "Farming for Life Quality and Sustainability: A Literature Review of Green Care Research Trends in Europe," IJERPH, MDPI, vol. 15(6), pages 1-18, June.

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