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CTRI Number  CTRI/2025/09/094017 [Registered on: 01/09/2025] Trial Registered Prospectively
Last Modified On: 30/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Other 
Public Title of Study   Using gardening as a treatment for people with psychiatric illness  
Scientific Title of Study   Gardening as an Occupational Therapy Intervention for Individuals with Mental Illness: A pilot study in an Indian Long-Term Residential Setting 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  MITHRA M 
Designation  Post Graduate Student 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Occupational Therapy, 3rd Floor, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  09677440574  
Fax    
Email  mithra.mchpmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Mrs Shalini Quadros  
Designation  Assistant Professor - Selection Grade 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Occupational Therapy, 3rd Floor, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  8197579700  
Fax    
Email  shalini.quadros@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Dr Vinita A Acharya 
Designation  Associate Professor 
Affiliation  Manipal College of Health Professions, Manipal Academy of Higher Education 
Address  Department of Occupational Therapy, 3rd Floor, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal

Udupi
KARNATAKA
576104
India 
Phone  9986071111  
Fax    
Email  vinita.acharaya@manipal.edu  
 
Source of Monetary or Material Support  
Department of Occupational Therapy, Manipal College of Health Professions , Manipal Academy of Higher Education, Manipal, Karnataka 576104  
 
Primary Sponsor  
Name  Manipal college of Health Professions Manipal Academy of Higher Education 
Address  Manipal college of Health Professions, Manipal Academy of Higher Education, Manipal, Udupi Karnataka - 576104 
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mithra M  Department of Occupational Therapy  Room Number : 311, Department of Occupational Therapy, 3rd Floor, Manipal College of Health Professions, Manipal Academy of Higher Education , Manipal, Karnataka 576104
Udupi
KARNATAKA 
9677440574

mithra.mchpmpl2024@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F01-F09||Mental disorders due to known physiological conditions, (2) ICD-10 Condition: F10-F19||Mental and behavioral disorders due to psychoactive substance use, (3) ICD-10 Condition: F20-F29||Schizophrenia, schizotypal, delusional, and other non-mood psychotic disorders, (4) ICD-10 Condition: F30-F39||Mood [affective] disorders, (5) ICD-10 Condition: F40-F48||Anxiety, dissociative, stress-related, somatoform and other nonpsychotic mental disorders, (6) ICD-10 Condition: F50-F59||Behavioral syndromes associated with physiological disturbances and physical factors, (7) ICD-10 Condition: F60-F69||Disorders of adult personality and behavior, (8) ICD-10 Condition: F80-F89||Pervasive and specific developmental disorders, (9) ICD-10 Condition: F99||Mental disorder, not otherwise specified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Outdoor Gardening will be provided as an Occupational Therapy intervention.  A gardening intervention program will be developed based on existing literature and validated by an expert panel consisting of a Psychiatrist or Clinical Psychologist or Psychiatric Social , along with three Mental Health Occupational Therapists. The finalized protocol will be submitted to the IEC for review and implemented after receiving IEC approval. Eligible participants will be identified based on the Participants interest at Hombelaku Psychiatric Rehabilitation Centre following consultation with the treating team. Individuals meeting the inclusion criteria will be informed about the studys objectives, procedures, potential benefits, and risks. Written informed consent will be obtained prior to participation. Baseline data, including demographic details, will be collected using the scales World Health Organization Quality-of-Life Scale (WHOQOL-BREF), Ottawa–Georgia Mood Scale (OMS), Vellore Occupational Therapy Evaluation Scale (VOTES), Montreal Cognitive Assessment (MoCA). The validated gardening intervention will then be implemented, with data collection scheduled at baseline, mid-intervention (week 4), and post-intervention (week 8). The OMS will be administered after each session to assess changes in participants’ emotional states. Qualitative feedback on participants’ experiences will be gathered at weeks 4 and 8.  
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  60.00 Year(s)
Gender  Both 
Details  Individuals diagnosed with mental illness currently residing in Hombelaku, for at least a month
at the time of recruitment
Individuals scoring within the range of 4 to 5 in Clinical Global Impression Scale – Severity
(CGI-S).
Individuals aged 18 years and above.
 
 
ExclusionCriteria 
Details  Individuals with any observed physical disabilities interfering with the gardening activity
Individuals exhibiting suicidal ideation and aggressive behavior as per the decision of the
treating team.
Individuals in their acute phase of recovery 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Functioning,
Quality of Life,
Mood and
Cognition 
End of fourth week after the implementation of the intervention and End of eighth week after the implementation of the intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Nil  Not Applicable 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 1 
Date of First Enrollment (India)   01/11/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This pilot interventional study aims to evaluate the feasibility and preliminary effectiveness of gardening as an occupational therapy intervention for individuals with mental illness residing in a long-term residential care facility in India. The primary outcomes include changes in quality of life, mood, cognition, and occupational functioning.

Gardening has been widely recognized internationally as a therapeutic modality with benefits for mental health and psychosocial well-being. However, there is a lack of interventional research conducted within Indian residential rehabilitation settings, despite the cultural relevance of gardening and its potential to promote meaningful engagement and recovery. This study therefore seeks to address this gap by generating locally applicable evidence to inform occupational therapy practice and mental health rehabilitation in India.

 
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