{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:58:45Z","timestamp":1791464325865,"version":"4.3.4"},"reference-count":57,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:00:00Z","timestamp":1791417600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"abstract":"<jats:sec>\n                    <jats:title>Importance<\/jats:title>\n                    <jats:p>Common cancer treatments can produce side effects that interfere with daily functioning. In contrast, nature-based therapies such as horticultural therapy may support physical function, psychosocial well-being, and lifestyle behaviors, thereby promoting occupational engagement and quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To determine the effectiveness of garden-based horticultural therapy among cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>\n                      Searches were conducted in Academic Search Complete, ProQuest, JSTOR, CINAHL Complete, PubMed, Psychology and Behavioral Sciences Collection,\n                      <jats:italic toggle=\"yes\">American Journal of Occupational Therapy<\/jats:italic>\n                      , and\n                      <jats:italic toggle=\"yes\">Journal of the American Medical Association<\/jats:italic>\n                      , as well as reference lists from relevant reviews and full-text articles.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Selection and Data Collection<\/jats:title>\n                    <jats:p>The review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and included primary intervention studies published within the past 10 years that examined soil-based garden interventions for adult cancer survivors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Eight studies involving 634 participants were included in the review and three in the meta-analysis. Intervention duration ranged from 6 weeks to 1 year. Seven studies reported increased fruit and vegetable intake, whereas pain remained unchanged in five studies. Findings for psychosocial well-being and physical functioning were mixed. Three randomized controlled trials demonstrated significant pooled effects for physical health outcomes (standardized mean difference [SMD]\u2009=\u2009\u22120.38, 95% confidence interval [CI]\u2009=\u2009[\u22120.62, \u22120.13],\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      \u2009=\u20093.02), physical performance (SMD\u2009=\u20090.19, 95% CI\u2009=\u2009[0.01 to 0.37],\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      \u2009=\u20092.10), and lifestyle behaviors (SMD\u2009=\u20090.67, 95% CI\u2009=\u2009[0.27 to 1.06],\n                      <jats:italic toggle=\"yes\">Z<\/jats:italic>\n                      \u2009=\u20093.32). No significant effect was found for psychosocial health outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance<\/jats:title>\n                    <jats:p>These preliminary findings suggest that garden-based horticultural therapy may support improvements in physical functioning and lifestyle behaviors among cancer survivors, though rigorous controlled trials are needed to confirm efficacy. Horticultural therapy warrants consideration as a complementary component of comprehensive occupation-based care to promote meaningful occupational engagement in this population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19437676261493016","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:22:59Z","timestamp":1791462179000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["A Systematic Review and Meta-Analysis on the Effectiveness of Horticultural Therapy in Cancer Survivors"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1282-304X","authenticated-orcid":false,"given":"Adebimpe","family":"Obembe","sequence":"first","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liliana","family":"Alfaro","sequence":"additional","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haylie","family":"Wong","sequence":"additional","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Shelite","sequence":"additional","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2547-9228","authenticated-orcid":false,"given":"Mary","family":"Smith","sequence":"additional","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"Chipy","sequence":"additional","affiliation":[{"name":"College of Saint Mary"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,8]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"American Horticultural Therapy Association. 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