Outdoor Therapy: Benefits, Mechanisms and Principles for Activating Health, Wellbeing, and Healing in Nature

Pryor, Anita; Harper, Nevin J.; Carpenter, Cathryn

doi:10.1007/978-3-030-75980-3_11

Cited by 3 publications

(2 citation statements)

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“…Nature-interacted interventions, where the natural environment is significantly interacting with the intervention, are therefore often used in mental health rehabilitation [ 19 , 20 ]. Interactions with nature elements can be fully or partially divided into indirect, incidental or intentional interactions [ 21 , 22 ]. The indirect use of nature elements is often used in exercise-based rehabilitation indoors, where video monitors or even virtual reality glasses, showing waterfalls, forests or mountain tracks, provide a visual nature stage for treadmill runners or stationary bicycles users [ 23–25 ].…”

Section: Introductionmentioning

confidence: 99%

Exercise-based rehabilitation in and with nature: a scoping review mapping available interventions

Busk,

Ahler,

Bricca

et al. 2023

Annals of Medicine

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Introduction Exercise is an effective component in rehabilitation of a range of chronic conditions. There is a growing interest in the use of exercise-based nature interacted rehabilitation (EBNIR), but an overview of current evidence is missing. The objective of this scoping review was to map existing exercise-based rehabilitation interventions conducted with incidental or intentional nature interaction focusing on its populations, types of outcomes, and theoretical rationale for people with physical and mental disabilities. Methods This scoping review identified peer-reviewed publications, registered upcoming trials and grey literature. To map all available knowledge, a comprehensive search of selected databases (MEDLINE; EMBASE; CINAHL; Cochrane; Web of Science; Pedro) from inception to October 2022. Data were synthesized in a thematic presentation guided by TIDieR, supplemented by a checklist developed for this study accounting nature incidental or intentional interaction. Results Twelve studies including 856 participants met the inclusion criteria. Eleven were completed trials and one was registered in clinicaltrials.gov to be run in 2023. A total of 856 patients were enrolled in the 12 studies (range 18–262, median 50). The included studies had great variation. The incidental or intentional interacted exercise-based interventions consisted of outdoor walks, neck exercises and surfing interventions in patients with physical or mental health conditions. Conclusions This scoping review presents an overview of limited and diverse evidence within the field of EBNIR, in patients with physical or mental health conditions. Our review provides an overview that will be helpful in the design of future EBNIR trials.

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Section: Introductionmentioning

confidence: 99%

Exercise-based rehabilitation in and with nature: a scoping review mapping available interventions

Busk,

Ahler,

Bricca

et al. 2023

Annals of Medicine

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“…Across the breadth of outdoor therapies, established modalities tend to combine four key evidence-informed practice elements or 'mechanisms of change' to improve health and wellbeing: biological (physical and experiential activities), psychological (mental and emotional care, and intentional conversations), social (equalised social relationships) and ecological (nature contact/time in nature). 4 A fifth important element is also increasingly included in outdoor therapies: culture (culturally appropriate facilitation). Initially embedded within eco/environment, being intrinsic to and connected with geographic place, 5 culture (including Aboriginal and Torres Strait Islander on-country knowledge, practices and wisdom; and also perspectives, practices and worldviews from other local and international communities and societies) has subsequently been identified as a discrete but interconnected practice element.…”

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confidence: 99%

Outdoor mental healthcare: What, who, why and where to?

Neil,

Pryor,

Kneebone

et al. 2023

Australas Psychiatry

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Objective: Outdoor mental healthcare can increase the breadth of multidisciplinary interventions available to people with a therapeutic need. The aim of this article is to educate readers about the field of outdoor mental healthcare through the exploration of a series of basic questions. Conclusions: Outdoor mental healthcare spans a range of therapies that apply a variety of theoretical approaches and treatments across a multiplicity of settings, patient groups and desired outcomes unified by key evidence-informed practice elements. Through use of a predominantly non-mainstream workforce working in non-conventional clinical settings outdoor mental healthcare may contribute to treatment accessibility and acceptability.

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Economic Evaluation of Nature-Based Therapy Interventions—A Scoping Review

et al. 2022

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Introduction: Nature-based therapy (NBT) has shown positive effects on different health-related outcomes and is becoming a more frequent approach in various rehabilitative interventions. Economic evaluations are widely used to inform decision makers of cost-effective interventions. However, economic evaluations of NBT have not yet been reviewed. The aim of this review was to uncover existing types and characteristics of economic evaluations in the field of nature-based therapeutic interventions. Methods: In this scoping review available knowledge about the topic was mapped. A comprehensive search of selected databases (MEDLINE; EMBASE; CINAHL; Scopus; Cochrane; PSYCinfo; Web of Science) and grey literature was conducted in November 2021. Data was synthesised in a thematic presentation. Results: Three papers met the inclusion criteria, containing differences in design, types and dose of nature-based therapeutic interventions, outcome measures and target groups (n = 648). The papers showed tendencies toward a good treatment effect and positive economic effect in favour of NBT. Conclusions: Three different cohort studies have tried calculating the economic impact of NBT indicating a good effect of the NBT. The evidence on the economic benefits of NBT is still sparse though promising, bearing the limitations of the studies in mind. Economic evaluation of NBT is a new area needing more research, including high-quality research studies where the economic evaluation model is included/incorporated from the beginning of the study design. This will enhance the credibility and usefulness to policy makers and clinicians.

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Outdoor Therapy: Benefits, Mechanisms and Principles for Activating Health, Wellbeing, and Healing in Nature

Cited by 3 publications

References 10 publications

Exercise-based rehabilitation in and with nature: a scoping review mapping available interventions

Exercise-based rehabilitation in and with nature: a scoping review mapping available interventions

Outdoor mental healthcare: What, who, why and where to?

Economic Evaluation of Nature-Based Therapy Interventions—A Scoping Review

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