A Randomized Trial of Nature Scenery and Sounds Versus Urban Scenery and Sounds to Reduce Pain in Adults Undergoing Bone Marrow Aspirate and Biopsy

Lechtzin, Noah; Busse, Anne M.; Smith, Michael T.; Grossman, Stuart A.; Nesbit, Suzanne; Diette, Gregory B.

doi:10.1089/acm.2009.0531

Cited by 78 publications

(70 citation statements)

References 26 publications

(29 reference statements)

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“…These are precisely the features that characterise natural surroundings. Earlier studies have shown a link between natural surroundings and the reduction of stress (Ulrich et al, 1991), recovery from surgical interventions (Ulrich, 1984), pain relief (Lechtzin et al, 2010) and enhanced neural connections in the medial prefrontal cortex of the brain (Hunter et al, 2010). This study has shown the percentage stating they are more relaxed after visiting the green space is closely associated with perceived tranquillity.…”

Section: Predicted Ratings and Adjustmentsmentioning

confidence: 61%

Tranquillity and Soundscapes in Urban Green Spaces—Predicted and Actual Assessments from a Questionnaire Survey

Watts

Miah

Pheasant

2013

Environ Plann B Plann Des

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A previous pilot study demonstrated the utility of a tranquillity prediction tool TRAPT for use in three green open spaces in a densely populated area. This allows the calculation of perceived levels of tranquillity in open spaces. The current study expands the range of sites to eight and, importantly, considers the views of visitors to these spaces. In total 252 face-to-face interviews were conducted in these spaces. An important aim of the survey was to determine the extent to which reported tranquillity obtained from the questionnaire survey could be predicted by a previously developed prediction tool TRAPT. A further aim was to determine what other factors may need to be considered in addition to the purely physical descriptors in TRAPT. The questions included the sounds and sights that were noticed, factors affecting tranquillity, as well as questions related to the benefits of visiting these areas. Predictions were considered satisfactory and could be improved further by taking account of issues surrounding personal safety. Examining the trends in these data, it was also shown that the percentage of people feeling more relaxed after visiting the spaces was closely related to overall assessments of perceived tranquillity. Further trends and their implications are presented and discussed.

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Section: Predicted Ratings and Adjustmentsmentioning

confidence: 61%

Tranquillity and Soundscapes in Urban Green Spaces—Predicted and Actual Assessments from a Questionnaire Survey

Watts

Miah

Pheasant

2013

Environ Plann B Plann Des

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“…However, our green spaces and watersides can be a refuge from the din of town life and these environments provide shelter for wildlife and bird song and water sounds may be heard. Numerous studies have shown a link between such tranquil environments and stress reduction, well-being, longevity, pain relief and how the brain processes auditory signals [2][3][4][5][6][7]. It is therefore important to consider its protection, enhancement and promotion in a variety of urban landscapes and especially where visitors are likely to seek relief from the stresses and strains of everyday life.…”

mentioning

confidence: 99%

The effects of “greening” urban areas on the perceptions of tranquillity

Watts

2017

Urban Forestry & Urban Greening

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Tranquil environments can provide relief from stresses of everyday of life and can be considered restorative environments. This paper considers the effects of "greening" urban environments to enhance tranqui llity and ultimately well-being and health benefits. A number of studies have been conducted at the Bradford Centre for Sustainable Environments at the University of Bradford which have examined the effects of natural features on ratings of tranquillity. These include quantifying the effects of the percentage of natural and contextual features and soundscape quality on rated tranquillity. Recently the resulting prediction equation TRAPT (Tranquillity Rating Prediction Tool) has been used to examine a number of scenarios including city parks and square s, country parks and moorland areas and validated using tranquillity ratings made by visitors to these green spaces and their reported levels of relaxation. In this paper TRAPT is used for predicting tranquillity in city squares of different sizes, to examine rated tranquillity behind natural (green) and manufactured noise barriers and to predict changes in urban streets of introducing avenues of trees, hedges and grass verges. Using such scenarios this paper demonstrates how the application of TRAPT can enable changes in tranquillity to be estimated. This can provide planners, environmentalists, civic leaders and concerned citizens with a further tool to guide improvements in the urban environment by "greening" measures and noise reduction of various kinds and to help counter threats such as over development, tree removal or traffic densification that might threaten existing benefits. 242 words

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“…Park and Mattson 15 demonstrated that surgical patients exposed to indoor plants in their hospital room showed more positive physiologic responses, reported significantly lower levels of anxiety and fatigue, and higher satisfaction about their room, compared to a control condition. Recently, Lechtzin and colleagues 16 showed that patients undergoing bone marrow aspiration and biopsy experienced reduced pain when watching a nature scene (but only after controlling for different operators). Despite these positive findings, a recent literature review concluded that the effects of exposure to indoor plants on psychologic benefits are at best mixed.…”

mentioning

confidence: 99%

Stress-Reducing Effects of Real and Artificial Nature in a Hospital Waiting Room

Beukeboom¹,

Langeveld²,

Tanja-Dijkstra³

2012

The Journal of Alternative and Complementary Medicine

138

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Objectives: This field study investigated the potential stress-reducing effects of exposure to real or artificial nature on patients in a hospital waiting room. Additionally, it was investigated whether perceived attractiveness of the room could explain these effects. Design: In this between-patients experimental design, patients were exposed to one of the following: real plants, posters of plants, or no nature (control). These conditions were alternately applied to two waiting rooms. Location: The location of this study was two waiting rooms at the Radiology Department of a Dutch hospital. Subjects: The subjects comprised 457 patients (60% female and 40% male) who were mostly scheduled for echocardiogram, dual-energy x-ray absorptiometry, magnetic resonance imaging, computed tomography scans, or nuclear research. Results: Patients exposed to real plants, as well as patients exposed to posters of plants, report lower levels of experienced stress compared to the control condition. Further analyses show that these small but significant effects of exposure to nature are partially mediated by the perceived attractiveness of the waiting room. Conclusions: Natural elements in hospital environments have the potential to reduce patients' feelings of stress. By increasing the attractiveness of the waiting room by adding either real plants or posters of plants, hospitals can create a pleasant atmosphere that positively influences patients' well-being.

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A Randomized Trial of Nature Scenery and Sounds Versus Urban Scenery and Sounds to Reduce Pain in Adults Undergoing Bone Marrow Aspirate and Biopsy

Cited by 78 publications

References 26 publications

Tranquillity and Soundscapes in Urban Green Spaces—Predicted and Actual Assessments from a Questionnaire Survey

Tranquillity and Soundscapes in Urban Green Spaces—Predicted and Actual Assessments from a Questionnaire Survey

The effects of “greening” urban areas on the perceptions of tranquillity

Stress-Reducing Effects of Real and Artificial Nature in a Hospital Waiting Room

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