Articles

PDCA cycle treatment as a dynamic framework in horticultural therapy

Article number
1356_47
Pages
383 – 390
Language
English
Abstract
The effects of horticultural therapy (HT) programs are slow-acting and require long-term intervention.
Generally, HT programs are developed based on group work and are used for improving sociality and rehabilitation.
In previous studies, a static framework was created to support program development, and the functional recovery effect of HT programs has been verified.
However, it is known that the speed of recovery of human mental and physical functions depends on the individual’s self-efficacy (SE) for treatment.
This suggests that when using a HT program for functional recovery, it is necessary to improve the content of the program according to the speed of individual functional recovery.
In the manufacturing, service, and education fields, the PDCA cycle is a method for improving the quality of services appropriately and over time.
P means plan, D means do, C means check, and A means act.
This is a project management method devised by William Edwards Deming.
In the medical field as well, the PDCA cycle is used as a methodology for improving the quality of services such as treatment and nursing.
We apply the PDCA cycle to HT and plan the HT program (P), provide it to clients (D), evaluate the effect of the program (C), and improve the program (A) to provide high quality treatment support for clients.
In this study, we devised a dynamic framework for circulating the PDCA cycle over time for the treatment of HT. We also summarized the criteria for the therapist to make rational decisions when circulating the PDCA cycle.
This is because if the therapist makes an inappropriate change to the program, there is a risk that the effect will be reduced.
Here, we propose PDCA cycle treatment as a new treatment methodology for HT and discuss its usefulness.

Publication
Authors
S. Mita, T. Hayashi
Keywords
treatment methodology, program planning, program improvement, rational decision making, therapist support
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