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Stott D, Sharma C, Deutsch JM, Milliron BJ. The Connections among Interacting with Nature, Nature Relatedness and Dietary Choices: A Pilot Mixed Methods Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:899. [PMID: 39063476 PMCID: PMC11276622 DOI: 10.3390/ijerph21070899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/01/2024] [Revised: 06/19/2024] [Accepted: 07/05/2024] [Indexed: 07/28/2024]
Abstract
Interacting with nature and a connection to nature (Nature Relatedness [NR]) have been associated with better mental and physical health as well as higher levels of physical activity. However, limited research has explored how interacting with nature and NR may promote healthful dietary behaviors. The purpose of this pilot convergent mixed methods study was to explore the connections between interacting with nature, NR, and dietary choices. For descriptive purposes, we measured participants' (n = 25) interactions with nature, NR (total, experience, perspective, and self) scores, physical activity, and Healthy Eating Index-2020 scores. In-depth interviews (n = 13) explored the factors that influence interacting with nature and food choices. Quantitative and qualitative data were analyzed separately, and later integrated to yield a more complete understanding of the research inquiry than either form of data would have provided alone. The results from this pilot mixed methods study indicate that there are connections between the variables of interest and that NR may play a pivotal role in how interacting with nature may promote sustainable dietary behaviors. These findings could promote the potential for utilizing nature-based experiences to improve dietary intake.
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Affiliation(s)
- Dahlia Stott
- Department of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19104, USA; (D.S.); (C.S.); (J.M.D.)
| | - Chetan Sharma
- Department of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19104, USA; (D.S.); (C.S.); (J.M.D.)
- Department of Food and Animal Sciences, Tennessee State University, Nashville, TN 37209, USA
| | - Jonathan M Deutsch
- Department of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19104, USA; (D.S.); (C.S.); (J.M.D.)
| | - Brandy-Joe Milliron
- Department of Health Sciences, College of Nursing and Health Professions, Drexel University, Philadelphia, PA 19104, USA; (D.S.); (C.S.); (J.M.D.)
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Irvine KN, Fisher D, Currie M, Colley K, Warber SL. A Nature-Based Intervention for Promoting Physical Activity in Older Adults: A Qualitative Study Using the COM-B Model. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:843. [PMID: 39063420 PMCID: PMC11276442 DOI: 10.3390/ijerph21070843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/11/2024] [Revised: 06/12/2024] [Accepted: 06/17/2024] [Indexed: 07/28/2024]
Abstract
Physical inactivity contributes to over 800,000 deaths annually. Numerous non-pharmacological interventions provide a route to address this behavioural risk factor linked to the growth of non-communicable diseases. Here, we consider a nature-based intervention, specifically group outdoor health walks (GOHW), as a non-pharmacological intervention to increase physical activity and contribute to health and quality of life amongst older adults. We used the theoretically grounded Capability, Opportunity, Motivation, and Behaviour (COM-B) model as a lens to examine interviews with participants in a GOHW with an activity tracker and signposted by health clinics in Scotland, UK. Analysis identified capabilities, opportunities, and motivations, their impact on behaviour, and perceived physical and mental health. The application of the COM-B model to intervention evaluation allowed us to examine two separate behaviours, that of (i) engaging with the intervention itself, and (ii) incorporating the behaviour into one's life that the intervention targets. Analysis identified emerging capabilities, opportunities, and motivations that supported additional health-promoting behaviours, including increased time outdoors in nature and leadership to self-organise continued group walks. We offer insight into the design of nature-based interventions to effectively engage older adults with chronic health conditions and foster personal behaviour change for health and well-being.
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Affiliation(s)
- Katherine N. Irvine
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Daniel Fisher
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
- Centre for Public Policy, University of Glasgow, Glasgow G11 6EW, UK
| | - Margaret Currie
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Kathryn Colley
- Social, Economic, Geographical Sciences Department, James Hutton Institute, Aberdeen AB15 8QH, UK; (D.F.); (M.C.); (K.C.)
| | - Sara L. Warber
- Department of Family Medicine, University of Michigan, Ann Arbor, MI 48104, USA;
- NOVA Institute for Health, Baltimore, MD 21231, USA
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Menhas R, Yang L, Saqib ZA, Younas M, Saeed MM. Does nature-based social prescription improve mental health outcomes? A systematic review and meta-analysis. Front Public Health 2024; 12:1228271. [PMID: 38590811 PMCID: PMC10999630 DOI: 10.3389/fpubh.2024.1228271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2023] [Accepted: 02/29/2024] [Indexed: 04/10/2024] Open
Abstract
Background A nature-based social prescription (NBSP) is an approach to improving mental health outcomes that involves prescribing nature-based interventions as complementary or alternative therapy to traditional ones. A variety of advantages are available from NBSP for people looking to enhance their mental well-being. The effect size of the nature-based social prescriptions (NBSPs) has not been thoroughly evaluated by systematic reviews and meta-analyses. Objectives The current study aimed to analyze existing studies and conduct a meta-analysis to determine the overall effect size of the nature-based social prescriptions (NBSP's) outcomes on mental health. Methods By choosing the relevant papers from among those that were available, a meta-analysis was carried out in the current study. A systematic search of electronic databases (Pub Med, Web of Science, Scopus, Cochrane Library, Embase, CINAHL, and PsychINFO) was conducted to identify relevant studies. Studies were included if they evaluated the effects of NBSP on mental health outcomes. Effect sizes were calculated using the random effects model. Results Meta-analysis of interventions statistics shows that CBT (SMD -0.0035; 95% CI: [-0.5090; 0.5020]; Tau^2: 0.1011; Tau: 0.318), digital intervention (SMD -0.3654; 95% CI: [-0.5258; 1.2566]; Tau^2: 0.2976, Tau: 0.5455), music intervention (SMD -2.1281; 95% CI: [-0.4659; 4.7221]; Tau^2: 3.4046; Tau:1.8452), and psychological interventions (SMD -0.8529; 95% CI: [0.3051; 1.4007]; Tau^2: 0.1224; Tau: 0.3499) do not significantly impact. The other interventions [social belongingness, communication training, blue intervention, nature-based education, cognitive behavior group therapy (CBGT), social prescribing coordinator, self-help intervention, participatory, organizational intervention, inpatient services, brief diet, internet-based intervention, prenatal intervention, yoga and meditation, ergonomics training program, yoga nidra intervention, and storytelling] highlighted above are significant. Conclusion The conclusion of the meta-analysis supports the idea that incorporating nature-based social prescription interventions into mental healthcare plans can effectively complement traditional therapies and improve mental health outcomes. Systematic review registration https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42023412458, CRD42023412458.
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Affiliation(s)
- Rashid Menhas
- Department of Nursing, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China
| | - Lili Yang
- Department of Nursing, The Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China
| | - Zulkaif Ahmed Saqib
- College of Urban Transportation and Logistics, Shenzhen Technology University, Shenzhen, China
| | - Muhammad Younas
- School of Educational Technology, Beijing Normal University, Beijing, China
| | - Muhammad Muddasar Saeed
- International Education College Chinese and Western Medicine Clinic, Dalian Medical University, Dalian, Liaoning, China
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Vidal-Sánchez MI, Cantero-Garlito PA, Gasch-Gallén Á. Professional Perspectives on Children's Health Assets: A Delphi Study. Healthcare (Basel) 2024; 12:506. [PMID: 38470616 PMCID: PMC10930817 DOI: 10.3390/healthcare12050506] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Revised: 02/08/2024] [Accepted: 02/16/2024] [Indexed: 03/14/2024] Open
Abstract
This study aims to describe a local community expert's perspective on the identification of and access to children's health assets and to gather proposals to promote children's health and well-being within their community. The health asset approach is essential for health promotion, and there is evidence of its benefits to individuals' or communities' health when this approach is observed. Children's health assets are gaining increasing interest, but the literature that captures the perception of professionals working with children is scarce. Qualitative research designed with Delphi methodology was carried out with the participation of 25 professionals working in a neighbourhood with children and families. The participants stated that this neighbourhood was a good environment for the healthy and happy growth of children but pointed out that there were inequities. They emphasised the importance of economic and physical security and feeling loved. The absolute best aspects of the neighbourhood according to these experts were its support networks, mutual help, educational and health services, and green spaces, and the most deficient aspects were the possibility of a hopeful future and emotional support within the family unit. Poverty and/or the scarcity of economic resources were identified as the main barriers to accessing health assets. Special difficulties in access to health for migrant and Roma children were also identified. The panel of experts made concrete action proposals. It was recommended to support resources and services that already exist in their community. The experts prioritised work with families, education, working in conjunction with vulnerable groups, community participation, and networking.
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Affiliation(s)
- María Isabel Vidal-Sánchez
- Physiatrist and Nursing Department, Health Science Faculty, Zaragoza University, 50009 Zaragoza, Spain; (M.I.V.-S.); (Á.G.-G.)
- GIIS104-Wellbeing, Occupation, Participation and Health Research Group (IBiOPS), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
| | - Pablo A. Cantero-Garlito
- Nursing, Physiotherapy and Occupational Therapy Department, Health Science Faculty, Castilla La Mancha University, 45600 Talavera de la Reina, Spain
| | - Ángel Gasch-Gallén
- Physiatrist and Nursing Department, Health Science Faculty, Zaragoza University, 50009 Zaragoza, Spain; (M.I.V.-S.); (Á.G.-G.)
- GIIS094-Research Group Nursing Research in Primary Care in Aragón (GENIAPA), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
- GIIS011-Aragonese Research Group in Primary Care (GAIAP), Institute for Health Research Aragón, Zaragoza University, 50009 Zaragoza, Spain
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Volunteering in nature: a win–win strategy for healthy people and healthy nature. LANDSCAPE AND ECOLOGICAL ENGINEERING 2023. [DOI: 10.1007/s11355-023-00542-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
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Abstract
PURPOSE OF REVIEW Mental illness is a global challenge, exacerbated by the coronavirus pandemic. Research suggests access to local green spaces is associated with better mental health, yet access is not always equitable. Evaluation of how nature-based interventions protect and support mental health is therefore required. RECENT FINDINGS Accessible local green spaces are associated with better mental health. They encourage active behaviours and social interaction, reduce loneliness and stress. Green views from the home are associated with increased self-esteem, life satisfaction and happiness and reduced depression, anxiety and loneliness. Nature-based interventions and green social prescriptions effectively target vulnerable groups, resulting in significant reductions in depression, anxiety and anger alongside positive mental health outcomes. SUMMARY Although existing evidence is encouraging, robust, high-quality research that strengthens the evidence base and informs future clinical practice and policy decision making is needed. Evidence of the long-term effectiveness in individuals with diagnosed mental illness is also required to ascertain the potential social and wider returns on investment. Barriers to use of green social prescriptions like mental health symptoms and geographical accessibility need to be overcome to increase accessibility and uptake of green social prescriptions for the prevention and treatment of mental illness.
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Thomas T, Aggar C, Baker J, Massey D, Thomas M, D’Appio D, Brymer E. Social prescribing of nature therapy for adults with mental illness living in the community: A scoping review of peer-reviewed international evidence. Front Psychol 2022; 13:1041675. [PMID: 36562055 PMCID: PMC9765656 DOI: 10.3389/fpsyg.2022.1041675] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Accepted: 11/16/2022] [Indexed: 12/12/2022] Open
Abstract
Social prescribing of nature therapy "green social prescribing" facilitates access to local nature-based activities that improve biopsychosocial wellbeing outcomes, are affordable, accessible, and can be adapted to context. These are becoming increasingly popular and gray literature is emerging, however, peer-reviewed scientific evidence is exiguous. This scoping review aimed to identify and critique peer-reviewed evidence for green social prescribing interventions and develop recommendations for research and clinical practice. Included studies were published in peer-reviewed journals in English on/after 1 January 2000. Participants were community-living adults with mental illness; Intervention was any green social prescribing program; Comparator was not restricted/required; Outcomes were any biopsychosocial measures; and any/all Study Designs were included. Twelve databases were searched on 15 October 2022; these were Academic Search Premier, APA PsycArticles, APA PsycINFO, CINAHL, Cochrane Library, Google Scholar, JSTOR, ProQuest, PubMed, Science Direct, Scopus, and Web of Science. The Mixed Methods Appraisal Tool was used to assess quality. Seven publications describing 6 unique studies (5 UK, 1 Australia) were identified including 3 mixed-methods, 2 qualitative, and 1 RCT. Participants included 334 adults (45% female, aged 35-70 years); sample sizes ranged from 9 to 164. All studies showed improvements in biopsychosocial wellbeing, and participants from most studies (n = 5) reported increased connection to the earth and intention to further access nature. Participant demographics and diagnoses were poorly reported, and intervention activities and assessments varied considerably. However, MMAT scores were good overall suggesting these studies may reliably demonstrate intervention outcomes. We conclude that socially prescribed nature therapy can improve biopsychosocial wellbeing and is a potentially important intervention for mental illness. Recommendations for research and clinical practice are provided.
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Affiliation(s)
- Tamsin Thomas
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
| | - Christina Aggar
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
- Northern NSW Local Health District, Lismore, NSW, Australia
| | - James Baker
- Primary and Community Care Services, Thornleigh, NSW, Australia
| | - Debbie Massey
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
| | - Megan Thomas
- Graduate School of Medicine, University of Wollongong, Keiraville, NSW, Australia
| | - Daniel D’Appio
- Primary and Community Care Services, Thornleigh, NSW, Australia
| | - Eric Brymer
- Faculty of Health, Southern Cross University, Bilinga, QLD, Australia
- Manna Institute, University of New England, Armidale, NSW, Australia
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Wood CJ, Barton JL, Wicks CL. The Impact of Therapeutic Community Gardening on the Wellbeing, Loneliness, and Life Satisfaction of Individuals with Mental Illness. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:13166. [PMID: 36293750 PMCID: PMC9602650 DOI: 10.3390/ijerph192013166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 10/07/2022] [Accepted: 10/10/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND literature on the mental health benefits of therapeutic community gardening is not specific to individuals with mental illness and reports short-term outcomes. The impact of the coronavirus pandemic on intervention effectiveness is also unknown. This study examined the impact of therapeutic community gardening prior to and across the pandemic on the wellbeing of individuals referred for support with their mental illness. METHODS garden members (n = 53; male = 36, female = 17) aged 47.38 ± 13.09 years reported their wellbeing at baseline and four follow-up points (FU1-FU4) across the pandemic. RESULTS there was significant quadratic growth in wellbeing (-1.248; p < 0.001) that varied between genders (p = 0.021). At baseline, male wellbeing scores were significantly lower (p = 0.020) than the UK population norm, but there were no significant differences at any other follow-up point. Female wellbeing was significantly lower than the UK population norm at baseline (p < 0.001), FU1 (p = 0.012) and FU2 (p < 0.001), but not FU3 and FU4. CONCLUSION therapeutic community gardening can improve and maintain the wellbeing of individuals with mental illness, even when wellbeing is deteriorating nationally. Future research should further demonstrate the long-term and cost-effectiveness of interventions.
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Affiliation(s)
- Carly J. Wood
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester CO4 3SQ, UK
| | - Jo L. Barton
- School of Sport, Rehabilitation and Exercise Sciences, University of Essex, Colchester CO4 3SQ, UK
| | - Claire L. Wicks
- School of Health and Social Care, University of Essex, Colchester CO4 3SQ, UK
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Joung D, Park BJ, Kang S. Quality of Life and Mental Health Benefits of Public Participation in Forest Conservation Activities in Urban Areas. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:9768. [PMID: 35955130 PMCID: PMC9368371 DOI: 10.3390/ijerph19159768] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/11/2022] [Revised: 08/05/2022] [Accepted: 08/06/2022] [Indexed: 06/15/2023]
Abstract
The purpose of this study is to investigate the effect of forest conservation activities on the physical and psychological wellbeing of participants. The experiment was conducted in a forest near an urban area and involved 61 participants (average age: 22.5 ± 1.8). The participants selected one of three activities (pruning, stacking cut branches, and removing vines) in the forest conservation program. The effects of these activities on the musculoskeletal system were assessed using the Ovako Working Posture Assessment System (OWAS); the physical intensity of the activities was evaluated using heart rate data. The psychological evaluation measurement indexes used the Positive and Negative Affect Schedule, Rosenberg Self-Esteem scale, World Health Organization Quality of Life assessment instrument, and the Perceived Restorativeness Scale. As a result of the OWAS assessment, forest conservation activities were found to be action categories 1 and 2, which were less burdensome to the musculoskeletal system. All forestry activities were found to be light levels of physical intensity. Psychological evaluation of the participants revealed that positive emotions such as self-esteem, quality of life, and perceived restorativeness increased significantly, whereas negative emotions decreased significantly. This forest conservation program, that involved low-intensity activities which were less burdensome to the musculoskeletal system, had positive physical and psychological effects on the local residents who participated.
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Affiliation(s)
- Dawou Joung
- Institute of Agricultural Science, Chungnam National University, Deajeon 34134, Korea
| | - Bum-Jin Park
- Department of Environment and Forest Resources, Chungnam National University, Deajeon 34134, Korea
| | - Shinkwang Kang
- Department of Thoracic and Cardiovascular Surgery, Chungnam National University Hospital, School of Medicine, Chungnam National University, Deajeon 35015, Korea
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Wong JL, Powell RA. Untapped potential of nature-based activities for mental health: need for further research. Int Rev Psychiatry 2022; 34:537-540. [PMID: 36165752 DOI: 10.1080/09540261.2022.2125289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
In April 2022, the Intergovernmental Panel on Climate Change stated clearly that without immediate and deep reductions in greenhouse gas emissions, it would be impossible to limit global temperature rise to 1.5 °C above pre-industrial levels. A growing body of research shows an increasing reaction to witnessing or experiencing current climate impacts and concern regarding apparent inaction in response, manifests as negative cognitive, emotional, and behavioural responses, including eco-anxiety. This commentary contends that nature-based activities (NBAs) have a potentially important, but currently neglected, role to play in supporting those experiencing eco-anxiety. However, existing research limitations hinder their adoption in the United Kingdom's social prescribing agenda and they remain a largely untapped therapeutic resource that need to be mainstreamed into clinical and social care provision. The paper calls for investment in research that advances our understanding of the individual and community benefits of NBAs, the longevity of their impact, and their associated, comparative and opportunity costs.
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Affiliation(s)
| | - Richard A Powell
- Department of Primary Care and Public Health, Faculty of Medicine, Imperial College London, London, UK.,Ethnicity and Health Unit, NIHR Applied Research Collaboration Northwest London, London, UK
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Mellor C, Botchway S, Barnes N, Gandy S. Seeding hope: restoring nature to restore ourselves. Nature restoration as an essential mental health intervention. Int Rev Psychiatry 2022; 34:541-545. [PMID: 36165760 DOI: 10.1080/09540261.2022.2092391] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
This commentary offers stories of hope and regeneration in the face of the interconnected crises we face. Those of us in the health sector have the opportunity to undo the false separation that has arisen between the care we offer ourselves and the care we offer our natural spaces. Access to a healthy environment offers myriad health benefits and has been declared a human right. Beyond this, cultivating a sense of kinship with the natural world unlocks further mental health benefits and promotes a deep sense of meaning and vitality. Widespread restoration of nature, combined with the equitable reconnection of people to these restored environments, must become one of the most important aspects of public health in this century. This paper, written from a UK perspective, describes examples where people are already weaving these strands together and offers practical suggestions for healthcare professionals who want to know how this relates to their role and their everyday practice.
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Affiliation(s)
- Catriona Mellor
- Oxford Health NHS Foundation Trust, Littlemore Mental Health Centre, Oxford, United Kingdom of Great Britain and Northern Ireland
| | - Stella Botchway
- Department of Psychiatry, Warneford Hospital, University of Oxford, OX3 7JX and Oxford Health NHS Foundation Trust, Oxford, United Kingdom of Great Britain and Northern Ireland
| | - Nicholas Barnes
- Clinical, Educational and Health Psychology, University College London, London, United Kingdom of Great Britain and Northern Ireland
| | - Sam Gandy
- Independent Researcher, United Kingdom of Great Britain and Northern Ireland
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