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“PLANTING A SEED OF WELLNESS”: A HANDS-ON APPROACH IN REDUCING STRESS AMONG STANISLAUS STATE STUDENTS A Project Presented to the Faculty of California State University, Stanislaus In Partial Fulfillment of the Requirements for the Degree of Master of Social Work By Mai Ka Yang May 2017

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Page 1: “PLANTING A SEED OF WELLNESS”: A HANDS-ON …

“PLANTING A SEED OF WELLNESS”: A HANDS-ON APPROACH

IN REDUCING STRESS AMONG STANISLAUS

STATE STUDENTS

A Project Presented to the Faculty

of

California State University, Stanislaus

In Partial Fulfillment

of the Requirements for the Degree

of Master of Social Work

By

Mai Ka Yang

May 2017

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CERTIFICATION OF APPROVAL

“PLANTING A SEED OF WELLNESS”: A HANDS-ON APPROACH

IN REDUCING STRESS AMONG STANISLAUS

STATE STUDENTS

by

Mai Ka Yang

Dr. Jane Rousseau

Assistant Professor of Social Work

Dr. John A. Garcia

Professor of Social Work

Date

Date

Signed Certification of Approval page

is on file with the University Library

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© 2017

Mai Ka Yang

ALL RIGHTS RESERVED

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DEDICATION

This Graduate Project is dedicated to all college students. When you feel

stressed out and you’ve lost hope remember that you made it this far already. Keep

striving for any goals you set forth. Make time for yourself and practice self care.

Know that you are important and you need to care for yourself in order to achieve

your dreams. There is a light waiting at the end of the tunnel.

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ACKNOWLEDGEMENTS

First of all, I would like to take this moment to express my profound gratitude

to my fiancé, Xie Moua. Thank you for the support and encouragement during my

journey in the MSW Program. Xie, you stood by me at my worst and till this day

you’re still standing by me, I cannot express how grateful I am of it. To my parents,

Chong Koua Yang (Ntxoov Kuam Yaj) and Youa Vang (Ntsuab Vaj), thank you for

believing in me, the lessons in life you’ve taught me, and for letting me live my life to

the fullest. Kuv niam thiab kuv txiv ua tsaug rau neb ob leeg txoj kev hlub thiab kev

qhuab qhia, tiam neej no kuv yuav pauj tsis tau dab tsis rau neb ob leeg tsuas muab

txoj kev hlub ntawm ib leeg ntxhais xwb.

To my sister, Nancy Yang, MSW, alumni of Stanislaus State MSW Program;

for every question I had, every challenge I faced, every moment of struggle; you were

always there for me. I will be forever grateful for your guidance and words of

wisdom, encouragements, and motivation you instill in me since day one of starting

this journey. My dearest family and wonderful friends no words can express how I

felt through this journey for the abundance of support and being there for me when

needed, thank you.

A special thank you to my Graduate Project chair, Dr. Jane Rousseau, for your

patience, guidance and gracefulness. Jane, you stood by me and continued to push me

when I lost hope in myself. To my dear cohort, without you guys the program would

not have been a thrill experience; I will continue to treasure every moment. I wish

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vi

you all the best on your endeavors and continue doing what you do best. Thank you

to Stanislaus State Student Health Center and Stanislaus State PEER Project; this

graduate project would have not been completed without your collaboration.

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TABLE OF CONTENTS

PAGE

Dedication ............................................................................................................... iv

Acknowledgements ................................................................................................. v

Abstract ................................................................................................................... viii

Description of the Project ....................................................................................... 1

Objective of the Project .......................................................................................... 4

Significance of the Project ...................................................................................... 5

Review of Related Literature .................................................................................. 7

Stress and the College Student Experience ................................................. 7

The Human Plant Relationship ................................................................... 9

Gardens and the Therapeutic Interventions and Settings ............................ 9

Summary ..................................................................................................... 11

Methodology ........................................................................................................... 13

Conclusions and Recommendations ....................................................................... 17

References ............................................................................................................... 22

Appendices

A. Survey Questionnaire .................................................................................. 26

B. Poster Board Gardening Facts .................................................................... 27

C. Motivational Quotes on Avery Labels ........................................................ 28

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ABSTRACT

This project was focused on developing and implementing a hands-on gardening

activity for Stanislaus State students that would assist students in stress reduction and

lead to the idea of self-care, well-being and having a healthy lifestyle. The objectives

of this project were accomplished through the collaboration between campus

organizations and students. A tabling planting activity was provided for students

along with information regarding student stress and how gardening could help

students with stress relief and ultimately the idea of self-care. Students are able to

walk away with therapeutic benefits without the clinical aspect. Planting a Seed of

Wellness would be influential in the overall wellness of college students if applied to

different universities in the near future.

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DESCRIPTION OF THE PROJECT

The Planting a Seed of Wellness is a Master of Social Work graduate project

that explores a non-traditional practice approach for individuals, in this case

Stanislaus State students, to manage stress. The project aims to inform students about

the effects of stress among college students as well as the importance of finding self-

care strategies to develop more positive physical and mental wellbeing. This outdoor

event seeks to connect students with nature and the environment. Planting a Seed of

Wellness is intended to be a collaboration between students, faculty, staff, and

administrators to achieve better stress management and self-care among students

through a non-traditional approach.

According to Segal, Smith, Segal, and Robinson (2016) stress is the body’s

way of responding to any kind of demand or threat. Stress centers on a negative

impact that one is feeling or experiencing. Stress among human beings is common.

As human beings, we have all experienced stress at one time or another in life. There

are no concrete guidelines for how an individual can address or overcome stress

completely. The human body and mind handle stress differently and approach stress

in various ways.

Students who enter a university setting experience many challenges and

significant life changes. Many college students leave their homes, make decisions

based on career ambitions, establish a social life, find romantic partners, and with the

stress of paying for their college education often need to work part or full time to

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support themselves. Dealing with financial, environmental, and social factors

accounts for some of the underlying stress that college students experience.

According to the 2015 National College Health Assessment, 30% of students reported

that stress had negatively affected their academic performance within the past year,

and over 85% had felt overwhelmed by everything they had to do at some point

within the past year (Reed, 2015). There are many ways that university students can

reduce stress. Students can attempt to practice stress reduction techniques provided in

articles and pamphlets they see on campus, visit on site campus counselors, or web

search basic topics such as coping with stress. Though information and advice are

available, not everyone handles stress the same way, and everyone copes with it

differently.

Gardens and gardening can represent an intimate connection with life itself

through concepts of caring and being a steward for living organisms that also

reciprocate with nourishment, aesthetics, and existential meaning in the context of

senescence (Wright & Wadsworth, 2014). When someone invests time in caring for a

living entity, he or she becomes connected to it. Gardeners take care of their plants,

and how the plants grow and respond allows them to determine how they will further

care for the plants. A sense of responsibility becomes abundant as they continue to

care and nurture their plants. This allows the gardener to see plants as a living system

reflecting the idea of nurturing oneself. Plant life cycles and ecosystems coincide and

interweave with the human life cycle (Simson & Straus, 1998). Other factors may or

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may not cause the plant to sprout or grow, but allowing care and nourishment is

essential for the plant surviving.

Historically, farming and gardening have been a means of food production as

well as creating aesthetic beauty through landscapes. Francis (2016) suggests

gardening as a non-traditional approach to relieving stress. A drop in cortisol levels,

the hormone produced by stress, is found to result after thirty minutes of gardening.

Quite surroundings and constant repetitive motions while gardening sometimes act as

a form of meditation. Horticulture therapy is a recent field of study that focuses on the

effects of the process of gardening on rehabilitation, providing both a sense of control

and a distraction from worries, pain, and stresses (Perry, 2005). Other research has

found that gardening has an influence on physical and mental health wellbeing.

Horticulture therapy can be a major component of gardening programs. According to

Moore (1989) “correctional centers use horticulture to provide a more normal, relaxed

environment for group interaction for mental health inmates” (p. vii). Community

gardens are beginning to expand to school, hospital and even penitentiary settings.

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OBJECTIVE OF THE PROJECT

This project was focused on accomplishing the following objectives:

(1) Develop a practical stress management activity for students at Stanislaus State.

According to Sincero (2012), “Ecological Systems theory states that human

development is influenced by the different types of environmental systems…it helps

us understand why we may behave differently when we compare our behavior in the

presence of our family and our behavior when we are in school or at work.” When

these sub systems cross paths, the student may or may not be able to balance nor

manage their stress. (2) Inform students about the issue of and factors that contribute

to student stress. (3) Provide Stanislaus State students an alternative approach to

manage their stress through gardening. Saleebey states, the wellness perspective

recognizes the extremely strong and important relationship between “body, mind and

environmental and health and wellness” (pg.300). (4) Provide students with the idea

of self-care through gardening.

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SIGNIFICANCE OF THE PROJECT

It is important for populations that social workers work with to practice stress

reduction and self-care. As stated by the National Association of Social Workers

(NASW), social workers promote the general welfare of society, from individual, to

local, to global levels through the development of people, their communities, and

their environments (National Association of Social Workers, 2016). Social workers

advocate for living conditions conducive to the fulfillment of basic human needs and

promote social, economic, political, and cultural values and institutions that are

compatible with the realization of social justice. Planting a Seed of Wellness

contributes to promoting an individual’s self-care, management of stress and

appreciation and mindfulness for living things.

This graduate project provides social work practitioners with a better

understanding of how the dynamics of stress management and self-care affects

college students through a non-traditional, alternative and tactile approach. This

project provides an example for how college campuses can provide non-traditional

services and outreach to college students. It attempts to bridge the gap in students

who may be reluctant to engage or access more formal services, by providing an

alternative approach that offers strategies to help college students struggling with

stress management in a less clinical, non-threatening and more accessible way.

The relevance of the project to social justice is acknowledging the

environment, which so many people are sadly disconnected from, with the general

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welfare of individuals, groups and communities. College students at Stanislaus State

experience multiple pressures, with many as first generation learners from

marginalized and oppressed communities, and this approach provides an alternative

way of strengthening their current and ongoing resilience through self-care and stress

management. Social workers aim to promote equal access and opportunity for

everyone. They provide service, advocating for the well-being of the community,

addressing societal problems within the community as part of the social work

profession. Being an advocate for college students, many who are first generation

learners, and assisting them with their needs with a beneficial resource may lead them

to a healthier and more productive lifestyle.

The Planting a Seed of Wellness event also had the effect of potentially

creating an interest among other students on campus for a continued event in future

years. There is potential within Stanislaus State PEER Project to continue to offer

Planting a Seed of Wellness event in future years to be led by other student

volunteers. The event is systematically outlined through this report so that it can be

available to the Stanislaus State PEER Project. The detailed outline will help future

interns or volunteers with developing another Planting a Seed of Wellness event in

the future. Having this method available will allow Planting a Seed of Wellness to

continue without the current project leader’s presence.

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REVIEW OF RELATED LITERATURE

This chapter is broken up into three sections in a context to help understand

how gardening and Planting a Seed of Wellness is essential in helping college

students with stress relief as well as achieving the idea self-care. These sections

include traditional or modern approaches to stress relief, the connection between

humans and plants, and gardens and their therapeutic interventions and settings.

Stress and the College Student Experience

In 2016, using the National College Health Assessment (NCHA), Stanislaus

State Health Education & Promotion found that 29.4% of student stress affected their

individual academic performance (Stanislaus State, 2017). College administrators are

increasingly becoming aware of the high levels of stress students are experiencing

through challenging academic programs. College students are increasingly facing

stressors that normally would not affect college students a few decades ago: high

tuition cost, cost of living, and personal stressors.

Stress has become common among college students and is related to issues

such as financial concerns, academic success, and time management. In a study done

by Britta, Mendiola, Schink, and Jones (2016), a double ABC-X stress model was

used to identify how resources and perceptions modify the amount of financial stress

felt by college students and how it affects academic achievement. The study

concludes that students with more financial and life stressors reported greater stress.

The study suggests that financial counseling and psychological counseling could be

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beneficial to student awareness, to address financial, and other potential life stressors

among them.

In 2015, Peer, Hillman, and Van Hoet did a study that focused on 20

emerging adult college students with regard to how stress affects their lives. In this

study, four stressor areas were identified: school, finances, family relationships, and

personal relationships. Participants described school as causing stress in multiple

ways. Grades and career concerns caused significant stress. Other aspects of the

academic experience noted as stressful included achieving a certain grade point

average, taking exams, and working to achieve deadlines. Several students stated that

debt and their inability to pay bills triggered significant stress. Parental expectations

for exceptional grades, and conflict with parents regarding career direction were also

reported to trigger stress for students. Finally, effectively maintaining romantic

emotional closeness in relationships and feeling supported by their partners were

reported as stressful for participants in the study.

The participants were asked a series of questions which then were regrouped

in regards to three categories: positive mental health affect, negative mental health

affect, and negative health affect (Peer et al., 2015). Under positive mental health

affect, some students were compelled to succeed when under stress as well as using it

as a form of motivation. Some students reported that for negative mental health, the

effect of stress affected their mood, anxiety, irritability, depression state, nervousness,

etc. Negative physical aspect of the stress causes students to experience issues such as

irregular sleep habits, appetite changes, increased heart rate, stomach and cramps.

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This often resulted in the need to address therapeutic intervention between counseling

professional and students to assist in helping students adapt with their stress.

The Human Plant Relationship

The relationship between humans and plants has emerged with civilization.

Humans depend on plants to live. Through time, plants and vegetation were our

source of food. Manufactured materials such as wood for housing, cotton for clothing,

grapes for wine, all derived from different plants. Medicinal use of plants and their

roots cultivated society and the ways in which humans use them to heal. Plants as an

environmental component play an important role in our Ecosystem.

As we have become less involved with the physical nature of plants, we forget

that plants are obliviously interlinked into human life. The usage of the natural

environment has varied through the centuries and reflected each culture’s beliefs and

values (Soderback, Soderstrom, & Schalander, 2004). Our everyday environment

affects the way we behave and feel as individuals. Gardens, and gardening itself, have

the ability to help people grow and heal. The people-plant relationship presently is

referred as Horticultural therapy. Horticultural therapy involves interventions

mediated by nature-oriented views and spaces such as gardens to aide in the health

and rehabilitation of people.

Gardens and the Therapeutic Interventions and Settings

Horticultural therapy is the engagement of a client in horticultural activities

facilitated by a trained therapist to achieve specific and documented treatment goals

such as increase cognitive, physical, psychological, social functioning and overall

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wellness (American Horticultural Therapy Association, 2017). Hospitals, clinics,

psychiatric hospitals and mental-health programs, hospice programs, cancer centers,

correctional facilities, community gardens, and schools are some of the settings where

horticultural therapy is being used to address mental wellness (AHTA, 2017).

A study by Retzlaff-Fürst (2016), focuses on gardening and its influence of

student self-esteem and blood pressure. The test subjects were university students

studying to become primary, middle and high school teachers. The research

concluded that all groups benefited from gardening but primary teacher students

benefited more particularly due the audience and their needs. Retzlaff-Fürst (2016)

states, “The results of the study “blood pressure” showed that stress-induced blood

pressure changes after light and heavy physical labor in the garden. The study

suggests that gardening in situations of stress increases self-esteem more, which will

eventually lead to an improved well-being in general” (p.1856).

A study was conducted at Danderyd Hospital Rehabilitation Clinic focusing

on the use of horticultural therapy and gardening among patients with neurological

and musculoskeletal diseases from 1983 to the 2004 (Soderback et al., 2004). The

therapeutic garden at Danderyd Hospital not only focused on rehabilitation but on

improved mental health. The study found that using horticultural therapy as a

rehabilitation interventions resulted in improvement in emotional, cognitive, and

sensory motor function. There was an increase in social participation as well as health

and well-being.

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Summary

The start of adulthood for many signifies independence and self-

responsibility, but if not managed well it may lead some individuals into stressful

situations and negative decision-making. Almost one-third of Stanislaus State

students are feeling some type of stress from a survey conducted in 2016 by the

Stanislaus State Health Education & Promotion (Stanislaus State, 2017). It is

important that the needs of university students are being met both physically and

mentally. Providing students with freelance projects or activities that can benefit on

the behalf of students is an essential aspect that any university can offer.

This chapter addresses the impact stress can have on student mental health,

academic achievement, and psychical nature. Without some type of stress reduction

intervention or prevention methods negative mental or physical symptoms may rise

from stressors. Though universities are able to offer counseling services for students

to meet their psychological needs they may still be hesitant to the idea. Students may

also be reluctant to seek mental health prevention and interventions services due to

the impact of stigma and negative beliefs about seeking treatment (Eustis, Williston,

Morgan, Graham, Hayes-Skelton, & Roemer, 2016).

This chapter also summarized relevant literature regarding the therapeutic

benefits of exploring the human and plant relationship. The main purpose of this

project was to develop an activity for Stanislaus State students to help with the

reduction of stress and introduce the idea of self-care. We may often forget that

gardening itself one of the oldest methods of healing, and in many ways, plant life acts

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as a metaphor for human life. The research reviewed in this section suggests that

gardening promotes well-being and helps reduces stress. By approaching stress-reduction

in a non-clinical way, the project may be able to provide students with a therapeutic

intervention free of the stigma and barrier of having to reach out for formal intervention.

Horticultural therapists say gardens produce the most positive effect on mental health by

providing a sense of control – a psychological counter response to stress and anxiety. The

integration of this small-scale project could influence how students perceive how to care

for themselves as well as take charge of their lifestyle.

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METHODOLOGY

The focus of this project was to develop and implement a gardening activity

(intervention) designed to provide an analogous experience for Stanislaus State

students to focus on their own health and wellness. The project involved collaboration

with Stanislaus State PEER Project and Stanislaus State Student Health Center.

Stanislaus State PEER Project provides many mental health and wellness seminars

and educational workshops for students and the community. PEER Project’s mission

is to reduce the stigma surrounding mental health issue and to promote wellness. As a

former PEER Project intern, I have had past experience developing a similar event on

campus. The experience with those previous events helped me with the process of my

graduate project Planting a Seed of Wellness.

To ensure the success of this project a meeting was scheduled between PEER

Project coordinator Jennifer Johnson and Stanislaus State Student Health Center

Megan Rowe on November 28, 2016. I presented my graduate project proposal and

outlined any topics or items that needed to be change in order to meet both PEER

Project’s and Stanislaus State Health Center’s requirements. After the agreement and

finalization of both parties support and their involvement was obtained, I contacted

the current PEER Project intern via email to see if she would be interested in

volunteering for my event.

The location of the graduate project was determined to be at the Stanislaus

State Quad, as there would be more students in the area. It was best to conduct the

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project during early March as that was also planting time for seeds. March 8, 2016

from 11 a.m. to 1 p.m. was the initial time period since students would be out of

classes during that time. The date, time, and location for the graduate project was

requested by the Health Education Coordinator. I emailed a short description of my

event for the request as it was needed to reserve space on university grounds. The

request was made via Stanislaus State’s website by using 25Live Calendar a campus

event scheduler. Included in the request was equipment that included a canopy tent,

two tables, and two chairs. The PEER Project intern was unable to assist me for my

event due to her scheduling; I was able to get two student volunteers. I trained and

provided information to both of them about student stress and the concept of

gardening and self-care. I prepared the volunteers by informing them about the

outline of Planting a Seed of Wellness day’s systematic details with respect to what to

expect regarding engagement from the student participants.

Before the Planting a Seed of Wellness event, I scheduled a meeting with the

Health Education Coordinator in February 2017 to shop for gardening items for the

event at Orchard Supply Hardware. Items that were purchased for Planting a Seed of

Wellness were biodegradable gardening pots. Due to previous similar events, there

were still leftover potting soil and flower seeds located in the PEER Project office.

Non-monetary items included motivational quotes printed onto Avery sticker labels, a

sign in list for the event, a five question survey, and a handmade poster board that

informed students about the purpose of my graduate project.

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The day of the event consisted of setting up a table at the quad area. The

gardening pots were filled with soil and lined up ready to be used by students who

came up to the tabling area. The student volunteers were instructed by me to talk and

get students attention as they walk by the tabling event. Before students began with the

planting activity, I referred them to the poster board and informed them of some statistics

about the amount of stress were felt by college students nationwide. To engage the students, I

asked them what they do to reduce their stress when they feel stressed out. I explained to the

students the purpose of my graduate project and also gave them some facts regarding

gardening and stress relief and reduction. I wanted to introduce gardening as a stress reliever

and reintroduce the potential of gardening, that at times gets overlooked, into the life of a

busy college student lives.

After this engagement and introduction to the purpose of the activity, the

students chose their gardening pots then picked a motivational quote out of the six

different options available. They then placed the label onto their pot. Students then

chose from the different packets of flower seeds. After the planting process,

instructions were also given to students to water the seedlings and provide it with sun

light. The final step was completing a quick five questions survey to be entered into a

drawing. Before completing the survey, I refreshed students about the relationship

between gardening and stress reduction, in hopes that the students would walk away

with the connection of the plant care to self-care.

On April 2017, a name was drawn out of the completed surveys. The student

was contacted via email and informed that a twenty-dollar gift card to Jamba Juice

will be with the Stanislaus State Health Education Coordinator. The winning student

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presented proper identification in order to receive the gift card. The requested student

feedback form consisted of questions regarding (1) if students can provide themselves

with self-care, (2) whether they would reach out to someone else in need of help, (3)

whether they would consider participating in a similar activity in the future, (4)

whether they think gardening is an approach to self-care that they can see themselves

engaging in the future, and (5) will the student continue to take care of the seedling in

reference to taking care of themselves. The feedback helped established whether the

project was successful in increasing student awareness of stress and wellness.

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CONCLUSIONS AND RECOMMENDATIONS

Planting a Seed of Wellness provided Stanislaus State students with a hands-

on gardening activity to aid in stress relief. The idea behind this project was to help

students to focus on the idea of self-care by means of being a care taker of the plant in

reference to their own lifestyle. This project met its objective to: (1) Develop a

practical stress management activity for students at Stanislaus State. (2) Inform

students about the issue of and factors that contribute to student stress. (3) Provide

Stanislaus State students an alternative approach to manage their stress through

gardening. (4) Provide students with the idea of self-care through gardening.

The first objective was achieved by working and collaborating with both

PEER Project and the Student Health Center of Stanislaus State. This was achieved

by getting in contact and working with the PEER Project Coordinator and Health

Education Coordinator. This effort was based on working with the existing student

organization PEER Project to meet the needs of Stanislaus State students who

experience college related stress.

Objective two was accomplished by providing information on stress factors

for college students through the development and use of a poster board the day of the

event. Through direct interaction the project facilitator, and student volunteers,

provided information and education regarding the relationship between college

students and stress at the tabling event. The intent of objective two was to make

students aware that college students nationwide are experiencing the same stressors.

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As well as to emphasize that it is normal to experience stress and that they are not

alone.

Objective three was accomplished by setting up a gardening station at

Stanislaus State quad area for students. At the end of the activity, we informed

students about how to care for the plant and that is when we add that for a plant to

thrive and be healthy it must be taken care well. At that point, we posed the idea that

for the student to grow and thrive they must become less stress and provide

themselves with a healthy positive lifestyle. We hope that this Planting a Seed of

Wellness activity allowed the students to foster the idea of caring for the plant:

needing water, sunlight, and a healthy environment. As to self-care: making the

connection that they, themselves need to care for them and to be in a well-being state

of mind and relieve some stress in their daily life.

Lastly, by providing students with a hands-on activity, there is hope that

students would make healthier choices on stress reduction. My goal was to instill

students with the idea that being connected to environment and some form of nature

would have a positive impact on one’s life. Being able to care for their own plant and

seeing it grow and blossom metaphorically implies to the health and well-being of

their life as well.

The Planting a Seed of Wellness offered student participants a gift card if they

completed a survey at the end of the event. The survey consisted of five-questions

with three response option: No, Maybe, and Yes. The result of the thirty-one students

who surveyed stated that if Question (1) they can provide themselves with self-care:

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(0) 0% stated no, (6) 19.4% stated maybe, and (25) 80.6% stated yes. Question 2, if

they would nourish themselves differently than before the event: (2) 6.5% stated no,

(14) 45.2% stated maybe and (15) 48.2% stated yes. Question 3, if they would be able

to assist others about living a healthy lifestyle: (1) 3.2% stated no, (5) 16.1% stated

maybe and (25) 80.6% stated yes. Question 4, will the students continue to take care

of this seedling in reference of taking care of themselves: (0) 0% stated no, (3) 9.7%

stated maybe, and (28) 90.3% stated yes. Question 5, asked if gardening would be an

approach to self-care students could see themselves engaging in the future: (0) 0%

stated no, (7) 22.6% stated maybe, and (25) 77.4% stated yes.

In conclusion, the Planting a Seed of Wellness Graduate project was a success

with the collaboration of both PEER Project and the Stanislaus State Student health

center. The strengths of the project were that students were able to enjoy non-

complex hands-on activity on campus. Stanislaus State students were exposed to a

different style of stress reduction. The weakness of the project mainly focuses on the

follow through of the students and their plant. It would have been useful to perhaps

follow-up with students as their plants began to grow to see if there were any ongoing

therapeutic benefits in terms of their ability to feel inter-connected. Another, more

practical observation is that the bio-degradable pots did not work well with students

that lived on campus dormitory; they were left to wonder where to plant the flowers

when it grows bigger. A useful recommendation may be to collaborate with other

organizations or university administration to determine if there is a way to plant on

university grounds and to then organize a way to follow up with students on a regular

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basis where the discussion and links to stress reduction may continue. Another

recommendation would be to target faculty and school administration personnel who

may also be interested in taking part in the event as well. With broad support from

students, faculty, administration and related campus organization; Planting a Seed of

Wellness the event could become campus wide and be continued not only at

Stanislaus State but also serve as a model for other universities.

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REFERENCES

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REFERENCES

American College Health Association’s National College Health Assessment II

(ACHA-NCHA II). (2016) Retrieved from California State University,

Stanislaus, Health Education & Promotion website:

https://www.csustan.edu/health-ed/about-us/acha-ncha-ii

Britt, S. L., Mendiola, M. R., Schink, G. H., Tibbetts, R. H., & Jonese, S. H. (2016).

Financial Stress, Coping Strategy, and Academic Achievement of College

Students. Journal of Financial Counseling and Planning, 27(2), 172-183. doi:

http://dx.doi.org/10.1891/1052-3073.27.2.172

Code of Ethics of the National Association of Social Workers. (2016). Retrieved from

National Association of Social Workers website:

http://www.socialworkers.rog/pubs/code/code.asp.

Eustis, E. H., Williston, S.K., Morgan, L.P. Graham, J.R., Hayes-Skelton, S.A &,

Roemer, L. (2016) Development, Acceptability, and Effectiveness of an

Acceptance-Based Behavioral Stress/Anxiety Management Workshop for

University Students. Cognitive and Behavioral Practice,

http://dx.doi.org/10.1016/j.cbpra.2016.03.011

Francis, M. (2016) Get Growing and Get Happy. Retrieved from

http://http://webcache.googleusercontent.com/search?q=cache:qnmNks10rbkJ

:www.hgtv.com/outdoors/gardens/get-growing-and-get-

happy+&cd=4&hl=en&ct=clnk&gl=us

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Horticultural Therapy: History and Practice (2017) Retrieved from American

Horticultural Therapy Association website: http://www.ahta.org/horticultural-

therapy

Moore, B. (1989) Growing with Gardening: A Twelve-Month Guide for Therapy,

Recreation, and Education. Chapel Hill, NC: University of North Carolina

Press.

Peer, J. W., Hillman, S. B., & Van Hoet, E. (2015). The Effects of Stress on the Lives

of Emerging Adult College Students: An Exploratory Analysis

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Perry, L. (2005). Garden Designs to Reduce Stress. Retrieved from

http://http://pss.uvm.edu/ppp/pubs/oh82stress.htm

Reed, M. (2015). Stress in College: Experts Provide Tips to Cope. Retrieved from

http://college.usatoday.com/contact-usa-today-college/

Retzlaff-Furst, C. (2016). Biology Education & Health Education: A School Garden

as a Location of Learning & Well-being. University Journal of Educational

Research, 4(8), 1848-1857. doi: 10.13189/ujer.2016.040814

Saleebey, D. (1996). The Strengths Perspective in Social Work Practice: Extensions

and Caution. Social Work, 41(3): 296-305. In Schriver J. M. Human Behavior

and the Social Environment: Shifting Paradigms in Essential Knowledge for

Social Work Practice. Boston, MA: Allyn & Bacon. 122.

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Segal, J., Smith, M., Segal, R., & Robinson, L. (2016). Stress, Symptoms, Signs and

Causes. Retrieved from http://www.helpguide.org/articles/stress/stress-

symptoms-causes-and-effects.htm

Simson, S. P., & Straus, M.C. (1998) Horticulture as Therapy: Principles & Practice.

Binghamton, NY: The Food Products Press.

Sincero, S. M. (2012). Ecological Systems Theory. Retrieved from

https://explorable.com/ecological-systems-theory

Söderback, I., Söderström, M., & Schälander, E. (2009). Horticultural Therapy: The

'Healing Garden' and Gardening in Rehabilitation Measures at Danderyd

Hospital Rehabilitation Clinic, Sweden. Pediatric Rehabilitation,7(4), 245-

260. doi:10.1080/13638490410001711416

Wright, S. D., & Wadsworth, A. M. (2014). Gray and Green Revisited: A

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APPENDICES

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APPENDIX A

SURVEY QUESTIONNAIRE

1. Can you provide yourself with a self-care?

No Maybe Yes

2. Will you nourish yourself differently than before this event?

No Maybe Yes

3. Will be able to assist others about living a healthy lifestyle?

No Maybe Yes

4. Will you continue to take care of this seedling in reference of taking care of yourself?

No Maybe Yes

5. Would gardening be an approach to self-care you can see yourself engaging in the

future?

No Maybe Yes

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APPENDIX B

POSTER BOARD GARDENING FACTS

Gardening With Your Mind, Body, and Soul

Five Facts:

Gardening is known to help improve memory,

critical thinking, socialization and language skills.

Horticultural therapists say gardens produce the most positive

effects on mental health. They do this by providing a sense of

control - the psychological counter to stress and anxiety.

Much of the science behind just how gardening affects the mind and

brain still remains a mystery. What scientists do know is that

gardening reduces stress and calms the nerves. It decreases cortisol, a hormone that plays a role in stress response.

Studies show that gardening promotes physical health, mental

health through relaxation and satisfaction, and better

nutrition.

Gardening has also emerged in recent years as a scientifically

proven stress reliever. Stress can cause irritability, headaches, stomach aches, heart attacks and worsen pre-

existing conditions in the body.

The American Horticultural Therapy Association

http://www.dailymail.co.uk/health/article-193859/Proof-gardening-healthy.html#ixzz3Gp3ZJTog http://www.npr.org/blogs/thesalt/2012/02/17/147050691/can-gardening-help-troubled-minds-heal

http://permaculturenews.org/2013/06/05/wellbeing-gardening-gardening-for-the-body-mind-spirit/ http://msue.anr.msu.edu/news/what_are_the_physical_and_mental_benefits_of_gardening

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APPENDIX C

MOTIVATIONAL QUOTES ON AVERY LABELS

“Always do your best. What you

plant now, you will harvest later.”

-Og Mandino

“Even the smallest steps move you

forward.”

-Oprah Winfrey

“A person who never made a

mistake, never tried anything new.”

-Albert Einstein

“We may encounter many defeats

but we must not be defeated.”

-Maya Angelou

“Don’t quit. Suffer now and live the

rest of your life as a champion.”

-Muhammad Ali

“All our dreams can come true if we

have the courage to pursue them.”

-Walt Disney