Research Article
Green Care as Alternative Therapy: The Situation in Ghana
Evans Paul Kwame Ameade ,
1,2
Linda Ama Owusuaa Amoah,
2
and Benjamin Yeboah Ofori
2
1
Department of Pharmacy, School of Medicine and Health Sciences, University for Development Studies, Tamale, Ghana
2
Department of Animal Biology and Conservation Science, University of Ghana, Legon, Accra, Ghana
Correspondence should be addressed to Evans Paul Kwame Ameade; sokpesh@yahoo.com
Received 29 September 2020; Revised 20 March 2021; Accepted 27 March 2021; Published 7 April 2021
Academic Editor: Jose C Adsuar
Copyright © 2021 Evans Paul Kwame Ameade et al. is is an open access article distributed under the Creative Commons
Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Green care, an alternative healthcare system that involves the use of nature, is proven to be useful in the management of organic
and psychological disorders worldwide. ere are various forms of Green care including Animal-Assisted erapy (AAT), a type
where animals play pivotal roles in the healing process and is widely used in many developed countries. We assessed the level of
awareness and attitude towards Green care among medical students of Ghana. Using a cross-sectional study design and a
semistructured questionnaire designed on Google Forms, data were collected from randomly selected 4
th
-, 5
th
-, and 6
th
-year
medical students of the University for Development Studies, Tamale, Ghana. e data submitted by 206 of the students were
analyzed using Statistical Package for the Social Sciences, Version 25, and the results were presented as frequencies, percentages,
and charts. e association between sociodemographic characteristics of respondents and awareness about Animal-Assisted
erapy (AAT) was considered significant at p < 0.05.estudyfoundthatonly7(3.4%)ofthemedicalstudentshadeverheardof
Green care while a higher number of 36 (17.5%) were aware of AATmostly through movies and television. However, the majority,
122 (59.3%), had a positive attitude towards the introduction of AAT, into their medical training curriculum. Up to 146 (70.9%) of
the respondents suggested lectures and practical sessions as their preferred way of acquiring knowledge and skills on AAT. Only
the sex of the respondents was significantly associated with awareness of AAT, with females having a better awareness of AAT
(28.6% vs. 11.0%, p � 0.003). We conclude that awareness of Green care practices among medical students in Ghana was highly
inadequate, but the desire of the majority of them to acquire knowledge and skills in this proven alternative therapy makes its
future use in Ghana promising.
1.Introduction
e use of nature for the promotion of human health, which
is collectively known as Green care, is becoming a promising
alternative healthcare practice, especially in developed
countries [1, 2]. Green care is defined as an alternative
therapy that uses the biotic (living) and abiotic (nonliving)
components of nature to promote human health and
wellbeing [1, 3]. Although Green care may be linked to the
natural environment, it can also occur in designated facilities
such as hospitals, nursing homes, and prisons [4, 5]. Green
care intervention processes can be classified into social and
therapeutic horticulture, care farming, ecotherapy, and
animal-assisted therapy among others [1]. Social and
therapeutic horticulture involves the use of plants and
horticulture to promote human wellbeing [6]. Care farming
processes, on the other hand, encompass the use of com-
mercial farms and agricultural landscape to promote mental
and physical health, while ecotherapies are techniques and
practices which encourage clients to work with plants and
animals and are supported to establish a green space to
conserve local habitats [7–10]. Animal-assisted therapy in-
volves the use of trained animals such as dogs, cats, horses,
and donkeys to promote mental and physical health
[1, 11, 12].
Animal-assisted therapy (AAT) is the most thoroughly
studied Green care method [1, 4]. Physiological benefits
derived from Green care have been proven to be effective as
Hindawi
Evidence-Based Complementary and Alternative Medicine
Volume 2021, Article ID 8812379, 7 pages
https://doi.org/10.1155/2021/8812379