Moore Heather, Boisvert Keelan, Bryan Maria, Hoare Lisa, Gates Michelle, Garnett Bernice, Kennedy Amanda G, Latreille Michael
Director, Shelburne Craft School, Shelburne, USA.
College of Arts and Sciences, University of Vermont, Burlington, USA.
Cureus. 2023 Jul 11;15(7):e41695. doi: 10.7759/cureus.41695. eCollection 2023 Jul.
Introduction Gardening is a healthy activity that promotes nutrition and satisfaction, with positive impacts on patients with chronic diseases, including patients with obesity, diabetes, and cardiovascular disease. Hospital-based gardening programs may provide opportunities to introduce patients to gardening. However, few studies have included participant experience as a metric of evaluation. The objective of this study was to explore participant experience in a hospital-based gardening intervention designed for individuals with metabolic syndrome. Methods This study was a qualitative evaluation of free text responses from four questions included in post-participation questionnaires from 59 community-dwelling adults who participated in a hospital-based garden program located at the University of Vermont Medical Center in 2020 and 2021. Eligible participants included a convenience sample of novice gardeners with self-reported hypertension, diabetes, pre-diabetes, or overweight/obesity. We used an interpretative phenomenological approach to analyze the questionnaire data. The phenomenological cycle for each of the questions included: 1) reading and re-reading participant responses, 2) exploratory noting, 3) constructing experimental statements, 4) searching for connections across statements, and 5) naming the themes. This process also involved working with individual question-level themes to develop group themes across questions. Results This dataset was one of positivity about gardening, new information gleaned, and the quality of instruction. Several themes and codes emerged: program implementation (new knowledge, new skills, new connections, instructor ability, climate), self-efficacy (confidence, vicarious experience, mastery experience, verbal persuasion), and future change (behavior change, future issues/problem-solving, passing it on). Conclusion This study supports analyzing participant experience as part of hospital-based gardening interventions. We found positivity around program implementation, increased self-efficacy, and intentions to change behavior in ways that support healthy lifestyles.
引言 园艺是一项促进营养摄入和满足感的健康活动，对包括肥胖症、糖尿病和心血管疾病患者在内的慢性病患者具有积极影响。基于医院的园艺项目可能为患者提供接触园艺的机会。然而，很少有研究将参与者的体验作为评估指标。本研究的目的是探索参与一项为代谢综合征患者设计的基于医院的园艺干预项目的参与者体验。方法 本研究是对59名社区居住成年人参与后问卷中四个问题的自由文本回复进行的定性评估，这些成年人于2020年和2021年参加了佛蒙特大学医学中心开展的一项基于医院的园艺项目。符合条件的参与者包括一个方便样本，即自我报告患有高血压、糖尿病、糖尿病前期或超重/肥胖的新手园艺爱好者。我们采用解释现象学方法分析问卷数据。每个问题的现象学循环包括：1）阅读和反复阅读参与者的回复，2）探索性记录，3）构建实验性陈述，4）寻找陈述之间的联系，5）命名主题。这个过程还包括处理单个问题层面的主题，以形成跨问题的组主题。结果 该数据集体现了对园艺的积极态度、新获得的信息以及教学质量。出现了几个主题和编码：项目实施（新知识、新技能、新联系、指导者能力、气候）、自我效能感（信心、替代性经验、掌握经验、言语劝说）以及未来改变（行为改变、未来问题/解决问题、传承下去）。结论 本研究支持将参与者体验分析作为基于医院的园艺干预的一部分。我们发现参与者对项目实施持积极态度，自我效能感增强，并且有以支持健康生活方式的方式改变行为的意愿。
