Title : It gives us life: Perspectives of frail older residents on horticultural therapy in Lebanese nursing homes.
Abstract:
Background: Horticultural therapy (HT) has been shown to enhance physical and psychological wellbeing, reduce anxiety and depression, promote social interaction, and support functional competence in older adults—key determinants of quality of life in nursing home settings. HT-based activities have also been recognized as effective components of dementia care programs. However, the use of horticultural interventions in nursing homes in Lebanon has not yet been explored. This study aimed to explore the perspectives of frail nursing home residents on horticultural activities following their participation in these interventions.
Methods: A qualitative descriptive approach was employed. Semi-structured interviews were conducted with 15 older residents from two purposively selected nursing homes. HT-based activities were implemented twice weekly for eight weeks at both sites. Participant observation during the sessions was also employed as data collection method. Data were analyzed using qualitative content analysis, and participant observation notes were incorporated to enhance interpretation.
Results: Analysis revealed four major themes with subthemes: 1) Engaging the senses and emotions 2) Building confidence and purpose 3) Happiness through connection 4) Reminiscence, storytelling, reflection, and meaningful moments. Participants reported that HT provided meaningful engagement, emotional stimulation, and opportunities for social connection.
Conclusions: This study contributes to the limited evidence from the Middle East on nature-based, non-pharmacological interventions in elder care. Findings suggest that horticultural activities are accessible, low-cost strategies that can enhance emotional well-being and meaningful daily participation among nursing home residents. Integrating HT into nursing home programming may inform culturally appropriate, person-cantered nursing practice and support quality of life for frail older adults in Lebanon.
