The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study

Abstract Background Aging societies are a public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mastery, achievement motives, self-esteem, isolation and depression effectively. Methods This study aimed to explore the effects of a combi...

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Main Authors: Ching-Chih Fan, Cheuk-Sing Choy, Chiu-Mieh Huang, Po-Sheng Chih, Chia-Chiang Lee, Fen-He Lin, Jong-Long Guo
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03431-7
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author Ching-Chih Fan
Cheuk-Sing Choy
Chiu-Mieh Huang
Po-Sheng Chih
Chia-Chiang Lee
Fen-He Lin
Jong-Long Guo
author_facet Ching-Chih Fan
Cheuk-Sing Choy
Chiu-Mieh Huang
Po-Sheng Chih
Chia-Chiang Lee
Fen-He Lin
Jong-Long Guo
author_sort Ching-Chih Fan
collection DOAJ
description Abstract Background Aging societies are a public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mastery, achievement motives, self-esteem, isolation and depression effectively. Methods This study aimed to explore the effects of a combination of three-dimensional virtual reality (VR) and hands-on horticultural activities on the psychological well-being of community-dwelling older adults. We used a quasi-experimental design. A total of 62 community-dwelling older adults were recruited and assigned to the experimental (n = 32) and comparison groups (n = 30). The members of the experimental group participated in an 8-week intervention program. Participants of both groups completed before-and-after intervention measurements for outcome variables that included perceived self-esteem, depression, isolation, and mastery and achievement motives, which were analyzed using the generalized estimating equation (GEE). A baseline score of depression was used as an adjustment for the GEE analyses to eliminate the effects of depression on outcomes. Results After controlling age and gender as confounders, GEE analyses indicated that the experimental group showed significant post-intervention improvements in scores for self-esteem (β = 2.18, P = .005) and mastery (β = 1.23, P = .039), compared to the control group. Conclusions This study supported a combination of three-dimensional VR and hands-on horticultural activities on community-dwelling older adults to improve self-esteem and mastery. The findings suggest that the future implementation of a similar program would be feasible and beneficial to community-dwelling older adults. Trial registration The study was posted on www.clinicaltrials.gov (NCT05087654) on 21/10/2021. It was approved by the Institutional Review Board of En Chu Kong Hospital and performed in accordance with the Declaration of Helsinki.
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spelling doaj.art-84770bd7864d4e7ebfc34575760cb9952022-12-22T04:26:21ZengBMCBMC Geriatrics1471-23182022-09-0122111010.1186/s12877-022-03431-7The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental studyChing-Chih Fan0Cheuk-Sing Choy1Chiu-Mieh Huang2Po-Sheng Chih3Chia-Chiang Lee4Fen-He Lin5Jong-Long Guo6Department of Community Medicine, En Chu Kong HospitalDepartment of Community Medicine, En Chu Kong HospitalInstitute of Clinical Nursing, College of Nursing, National Yang Ming Chiao Tung UniversityDepartment of Community Medicine, En Chu Kong HospitalDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal UniversityDepartment of Nursing, College of Nursing, National Yang Ming Chiao Tung UniversityDepartment of Health Promotion and Health Education, College of Education, National Taiwan Normal UniversityAbstract Background Aging societies are a public health concern worldwide. It is critical to develop strategies that harness technology to enhance older adults’ mastery, achievement motives, self-esteem, isolation and depression effectively. Methods This study aimed to explore the effects of a combination of three-dimensional virtual reality (VR) and hands-on horticultural activities on the psychological well-being of community-dwelling older adults. We used a quasi-experimental design. A total of 62 community-dwelling older adults were recruited and assigned to the experimental (n = 32) and comparison groups (n = 30). The members of the experimental group participated in an 8-week intervention program. Participants of both groups completed before-and-after intervention measurements for outcome variables that included perceived self-esteem, depression, isolation, and mastery and achievement motives, which were analyzed using the generalized estimating equation (GEE). A baseline score of depression was used as an adjustment for the GEE analyses to eliminate the effects of depression on outcomes. Results After controlling age and gender as confounders, GEE analyses indicated that the experimental group showed significant post-intervention improvements in scores for self-esteem (β = 2.18, P = .005) and mastery (β = 1.23, P = .039), compared to the control group. Conclusions This study supported a combination of three-dimensional VR and hands-on horticultural activities on community-dwelling older adults to improve self-esteem and mastery. The findings suggest that the future implementation of a similar program would be feasible and beneficial to community-dwelling older adults. Trial registration The study was posted on www.clinicaltrials.gov (NCT05087654) on 21/10/2021. It was approved by the Institutional Review Board of En Chu Kong Hospital and performed in accordance with the Declaration of Helsinki.https://doi.org/10.1186/s12877-022-03431-73D virtual realityHorticultural therapyCommunity-dwellingOlder adultsPsychological well-being
spellingShingle Ching-Chih Fan
Cheuk-Sing Choy
Chiu-Mieh Huang
Po-Sheng Chih
Chia-Chiang Lee
Fen-He Lin
Jong-Long Guo
The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
BMC Geriatrics
3D virtual reality
Horticultural therapy
Community-dwelling
Older adults
Psychological well-being
title The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
title_full The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
title_fullStr The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
title_full_unstemmed The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
title_short The effects of a combination of 3D virtual reality and hands-on horticultural activities on mastery, achievement motives, self-esteem, isolation and depression: a quasi-experimental study
title_sort effects of a combination of 3d virtual reality and hands on horticultural activities on mastery achievement motives self esteem isolation and depression a quasi experimental study
topic 3D virtual reality
Horticultural therapy
Community-dwelling
Older adults
Psychological well-being
url https://doi.org/10.1186/s12877-022-03431-7
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