American Journal of Health Promotion, Год журнала: 2023, Номер 38(1), С. 124 - 148
Опубликована: Дек. 21, 2023
Язык: Английский
The Lancet Planetary Health, Год журнала: 2023, Номер 7(4), С. e313 - e328
Опубликована: Апрель 1, 2023
Nature prescriptions are gaining popularity as a form of social prescribing in support sustainable health care. This systematic review and meta-analysis aims to synthesise evidence on the effectiveness nature determine factors important for their success. We searched five databases from inception up July 25, 2021. Randomised non-randomised controlled studies featuring prescription (ie, referral or an organised programme, by professional, encourage spending time nature) were included. Two reviewers independently conducted all steps study selection; one reviewer collected summary data published reports risk bias assessment. Random-effect DerSimonian-Laird meta-analyses key outcomes. identified 92 unique (122 reports), which 28 contributed meta-analyses. Compared with control conditions, programmes resulted greater reduction systolic blood pressure (mean difference -4·82 mm Hg [-8·92 -0·72]) diastolic -3·82 [-6·47 -1·16). also had moderate large effect depression scores (post-intervention standardised mean -0·50 [-0·84 -0·16]; change baseline -0·42 [-0·82 -0·03]) anxiety -0·57 [-1·12 -0·03]; -1·27 [-2·20 -0·33]). increase daily step counts than conditions 900 [790 1010]) but did not improve weekly physical activity 25·90 min [-10·26 62·06]). A subgroup analysis restricted referring institution showed stronger effects scores, counts, general analysis. Beneficial mainly provided interventions involving professionals whereas beneficial pressures professionals. Most have high bias. cardiometabolic mental benefits increases walking. Effective can involve range natural settings activities be implemented via community channels, addition
Язык: Английский
Процитировано
113
Landscape and Urban Planning, Год журнала: 2024, Номер 248, С. 105071 - 105071
Опубликована: Апрель 11, 2024
Loneliness is increasingly recognized as an urgent public health issue due to its impact on mental and physical health, well-being. Yet, we lack comprehensive, proven strategies for confronting this global problem. There evidence that contact with nature greenspace reduces loneliness by facilitating belonging, social connections, cohesion. This review aimed explore whether such positive outcomes can be enhanced via group-based interventions in nature. We used a mixed-methods systematic approach evaluate characterize literature nature-based their effectiveness reducing loneliness. included all age groups, populations or without reported problems. Using the Mixed Methods Appraisal Tool, assessed quality of qualitative, quantitative mixed methods studies. The 38 studies identified describe wide variety target groups. mostly small sample sizes moderate effects. qualitative studies, however, showed more clearly these reduce Group-based activities including natural elements cultivated connectedness which are key mechanisms Specifically, longer greater promise. Policy practice recommendations include screening, need precisely, intervention over time. provides perspectives inform policymakers, urban planners, researchers how alleviate feelings By linking landscapes concerns, municipalities further promote amplify value public.
Язык: Английский
Процитировано
16
Urban forestry & urban greening, Год журнала: 2024, Номер 95, С. 128324 - 128324
Опубликована: Апрель 7, 2024
Язык: Английский
Процитировано
11
Cities & Health, Год журнала: 2024, Номер 8(3), С. 418 - 431
Опубликована: Янв. 12, 2024
Loneliness is a major social concern with health consequences worldwide for populations across different demographic, cultural, social, economic, geographic, and environmental contexts. In March 2021, we launched Horizon 2020 European Commission-funded project, 'Reimagining Environments Connection Engagement: Testing Actions Social Prescribing in Natural Spaces (RECETAS)' to reduce loneliness promote health-related quality of life. this paper, present the project logic model, informed by stakeholder input, that aims guide initiative from its design implementation evaluation six cities three continents, including Europe (Barcelona, Helsinki, Marseille, Prague), Australia (Melbourne), South America (Cuenca). This model being used nature-based prescribing interventions. Process outcome measures will be compare outcomes settings population The use input ensures interventions are responsive local needs, sustainable, transferable other cultural Knowledge translation central maximising impacts on health, civil society, systems urban areas.
Язык: Английский
Процитировано
8
The Lancet Planetary Health, Год журнала: 2023, Номер 7(7), С. e542 - e543
Опубликована: Июль 1, 2023
Equitable, effective, and durable solutions to address social determinants of health remain elusive ever more urgent in the context climate change.1Sherman JD McGain F Lem M Mortimer Jonas WB MacNeill AJ Net zero healthcare: a call for clinician action.BMJ. 2021; 374n1323 Google Scholar Contact with natural environments, such as parks forests, is associated better health.2Astell-Burt T Hartig Putra IGNE Walsan R Dendup Feng X Green space loneliness: systematic review theoretical methodological guidance future research.Sci Total Environ. 2022; 847157521 Crossref PubMed Scopus (9) Enabling people increasingly interact nature recognised by some professionals an option addressing unmet needs (eg, physical activity connections others).3Astell-Burt Pappas E Redfern J Nature prescriptions community planetary health: unrealised potential improve compliance outcomes physiotherapy.J Physiother. 68: 151-152Crossref (4) Seeking contact environments restoration not new, but many receive limited benefits they spend minimal time nature. One way are being encouraged have nature—and which interest high countries, Australia—is via so-called prescriptions.4Astell-Burt Hipp JA Gatersleben B et al.Need protect cardiovascular mental nationally-representative study insights randomised trials.Heart Lung Circ. 2023; 32: 114-123Summary Full Text PDF (0) prescribing accessible low-cost adjunct routine medical care, comprising written directives visits settings either individually or groups recreation, relaxation, reconnection.5Kondo MC Oyekanmi KO Gibson A South EC Bocarro evidence research opportunities.Int Environ Res Public Health. 2020; 174213 (34) Although robust experimental, health-economic, implementation-science-focused evaluations co-designed nascent period development implementation,5Kondo early results promising. Nature-prescription activities can lead increase (especially walking) reductions depression, anxiety, blood pressure.6Nguyen P-Y Astell-Burt Rahimi-Ardabili H Effect on cardiometabolic health, activity: review.Lancet Planet 7: e313-e328Summary However, other behavioural interventions, exclusive focus educating about scientific without supporting access might be somewhat ineffective. Delivery interventions that preferentially benefit privileged societal positions could ultimately widen inequities. We propose equitable, sustainable, should who use them from using them, health-care providers, experienced specialise facilitating accredited therapists gardeners). This co-design key stakeholder necessary ensure acceptable intended beneficiaries, credible those expected recommend achievable deliver them. Co-design attend differences personal capacities enable—and external barriers inhibit—time spent ways intersect variations autonomous motivations contact. Attending these factors crucial maximise uptake adherence.3Astell-Burt Accordingly, we four-quadrant, multilevel framework inform nature-prescription (figure). For example, person receptive prescription experience substantial interacting environments. Access only influenced availability, also scarcity, inclement weather, transportation, even financial access—for entry vehicle fees charged national Australia Canada. Cultural gender norms alone) disability influence access;7Wojnowska-Heciak Suchocka Błaszczyk Muszyńska Urban perceived city residents mobility difficulties: qualitative in-depth interviews.Int 192018 planners roles designing redesigning inclusive everyone engage Furthermore, individual green blue nearby few accessing little motivation several reasons risk injury concerns related safety). Differences types change long been recognised8Deci EL Ryan RM The "what" "why" goal pursuits: human self-determination behavior.Psychol Inq. 2000; 11: 227-268Crossref under-researched specifically. Unfortunately, will find idea rewarding (ie, intrinsic motivation) value it part their identity integrated motivation). Some recognise attractive alternative indoor gym improvement identified Low levels potentially due loss direct, lifelong, community-oriented result negligent planning obliterates spaces resident wildlife favour commercial interests, cars, motorways. These conditions, lonelygenic environment, likely disproportionately affect living socioeconomic disadvantage.9Feng Lonelygenic environments: loneliness.Lancet 6: e933-e934Summary Finding methods remove strengthen crucial. Interventions focused introjected controlled) involving guilt pressure useful sustained after undermine contact.8Deci Potential include testing group-based person-based incorporating intrinsically motivating commitment devices temptation bundling)10Rogers Milkman KL Volpp KG Commitment devices: initiatives behavior.JAMA. 2014; 311: 2065-2066Crossref (110) indirectly familiarise refamiliarise individuals feel disconnected more-than-human world. Our proposed emphasises need segment trial populations supports application avant-garde designs, factorial experiment, capable defining what intervention components positive population while considering challenges mentioned. Identifying size each quadrant representative surveys help define scope benefit. declare no competing interests.
Язык: Английский
Процитировано
14
Journal of Environmental Psychology, Год журнала: 2023, Номер 90, С. 102109 - 102109
Опубликована: Авг. 14, 2023
Язык: Английский
Процитировано
13
People and Nature, Год журнала: 2024, Номер 6(3), С. 1155 - 1170
Опубликована: Май 8, 2024
Abstract Increasing evidence indicates contact with nature supports mental, physical and social health. However, beyond a widely reported number of barriers to contact, the constellation motivations for human is under‐theorised under‐studied. We begin develop indicators autonomous controlled informed by self‐determination theory. These include intrinsic motivation (i.e. enjoyment), integrated regulation (alignment identify life goals), identified (a means an end), introjected (emotional reasons like guilt avoidance) external (such as peer pressure). compare these indices in nationally representative sample 5082 adults Australia 2022 Nature Relatedness Scale (NR6), also test associations between them five outcomes: time spent nature, smartphone use interest prescriptions, activity self‐rated Statistical analyses were adjusted potential confounding. Results demonstrate people have complex mixtures varying potency visiting natural settings extent which those motives are or matters what they do, benefits accrued. For example, our show that more direct considerations intrinsic, forms superior explanatory power than NR6 adherence recommendations External regulations emphasising approval associated not only no additional but distractive activities when environments, defined media while there. While avoidance increased similarly on smartphones has been shown undermine restoration. Synthesis applications: need formally measure better understand both why some visit whether mindfully maximising health experiences. This will help inform robust nature‐based interventions acceptable, effective sustainable everyone. Read free Plain Language Summary this article Journal blog.
Язык: Английский
Процитировано
5
Urban forestry & urban greening, Год журнала: 2023, Номер 84, С. 127903 - 127903
Опубликована: Март 21, 2023
Язык: Английский
Процитировано
11
Health & Social Care in the Community, Год журнала: 2025, Номер 2025(1)
Опубликована: Янв. 1, 2025
Background: With growing interest in nature‐based interventions for health, establishing implementation frameworks prescribing nature diverse settings is crucial. This study aims to develop and validate a framework tailored the Australian healthcare context, employing Delphi methodology harness expert consensus. Methods: The utilised two‐round technique gather insights from experts across various health environmental sectors. Participants included providers, managers policymakers engaged or knowledgeable about prescribing. initial framework, which was informed by earlier interviews with parties who prescribe provide interventions, refined through process, aiming consensus on criteria associated practices. Results: Sixteen participated first round, 13 completing second round. reached five essential domains of Community: consultation customisation, Systems: building partnerships networks, Prescribers: cultivating awareness capacity, Providing prescriptions: psychosocial foundations External settings: interfacing social natural environments. Perceived barriers enablers application were considered within including contextual factors, capacity among prescribers public, role infrastructure support. Conclusion: offers structured approach integrating activities into practices, addressing both individual community needs. It adaptable settings, promoting broader prescriptions. Future research should focus implementing evaluating feasibility effectiveness demographic geographic contexts.
Язык: Английский
Процитировано
0
Health & Social Care in the Community, Год журнала: 2025, Номер 2025(1)
Опубликована: Янв. 1, 2025
Cities, states, and countries across the globe are recognizing interconnections of human planetary health, investing in greening. Nevertheless, environmental improvements may not bring adequate changes exposure needed to reduce chronic disease improve mental health. Nature prescription, which a health provider refers patient spend time outdoors, is potential behavioral intervention that could connect people accessible green spaces. However, formidable barriers scale‐up implementation equitable sustained ways. We surveyed 2625 adult respondents within Australia, India, Singapore, United States, States about their perceptions set seven participation nature prescriptions. Analyses revealed India although most aware experienced with prescriptions, reported facing greater than other countries. Weather was commonly barrier, followed by lack distance. A interest barrier among young, urban college degree. The company for residents those experiencing financial difficulty. In addition, contrary many prior studies, we observed overall perceived higher education levels. Many covered our survey structurally modifiable, programs developing each these locations draw from findings tailor outreach strategies.
Язык: Английский
Процитировано
0