title: The effects of gardening on quality of life in people with stroke.
abstract: BACKGROUND
  Compared with traditional rehabilitation, gardening has been viewed as a more occupation-based intervention to help patients improve functional performance. However, there is still a need for evidence-based research into what factors interact to create the beneficial effects of gardening for people who have sustained a cerebral vascular accident (CVA).
  
  
  OBJECTIVE
  To explore how plant, gender, and the time after stroke onset influenced improvements in the quality of life of patients in a gardening program.
  
  
  METHODS
  One treatment of tending short-term plants, and another treatment of tending long-term plants were compared. Quality of life improvement was evaluated according to three factors: plant, gender, and the time after stroke onset. The data were analyzed with 2k replicated factorial designs.
  
  
  RESULTS
  The 2k factorial design with replication indicated significant effects on both the social role and the family role. For the social role, the interaction of plant and gender difference was significant. For the family role, the significant effects were found on interaction of plant with both gender and the time after stroke onset.
  
  
  CONCLUSIONS
  Tending plants with different life cycles has varied effects on the quality of life of people who have sustained a CVA. Factors related to gender and the time after stroke onset influenced role competency in this sample.
authors.affiliation: Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.|Department of Industrial Management, National Taiwan University of Science and Technology, Taipei, Taiwan.
authors.forename: Sui-Hua
authors.initials: SH
authors.lastname: Ho
authors.affiliation: Department of Industrial Management, National Taiwan University of Science and Technology, Taipei, Taiwan.
authors.forename: Chiuhsiang Joe
authors.initials: CJ
authors.lastname: Lin
authors.affiliation: Division of Occupational Therapy, Department of Physical Medicine and Rehabilitation, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
authors.forename: Fen-Ling
authors.initials: FL
authors.lastname: Kuo
mesh_terms: D000203:Activities of Daily Living; D005260:Female; D051639:Gardening / Q000379:methods*; D006801:Humans; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D011788:Quality of Life / Q000523:psychology*; D020521:Stroke / Q000523:psychology*
keywords: 2k factorial design; Occupational therapy; cerebrovascular accident; horticultural activity; occupation