Nurtured in Nature: a Pilot Randomized Controlled Trial to Increase Time in Greenspace among Urban-Dwelling Postpartum Women

South, Eugenia C.; Lee, Kathleen; Oyekanmi, Kehinde; Buckler, David G; Tiako, Max Jordan Nguemeni; Martin, Tyler; Kornfield, Sara L.; Srinivas, Sindhu K.

doi:10.1007/s11524-021-00544-z

Cited by 15 publications

(17 citation statements)

References 30 publications

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“…Nature prescriptions are therefore complex interventions, and their delivery is likely to involve multiple components. This is reflected in recent trials testing mixtures of components including coaching, personalised goal feedback, digital nudges via a smartphone app [34], exercise counselling, information on nearby parks, SMS messaging, and a one-hour weekly physical activity program in a park for 6 months [35]. Such complexity raises another challenge: how to disentangle the behavioural mechanisms operating in serial and parallel by which a prescription may lead to a person spending more time in nature, and thereby estimate the relative contribution of each component to the effectiveness of the intervention?…”

Section: Discussionmentioning

confidence: 99%

Need and Interest in Nature Prescriptions to Protect Cardiovascular and Mental Health: A Nationally-Representative Study With Insights for Future Randomised Trials

Astell–Burt¹,

Hipp²,

Gatersleben³

et al. 2023

Heart, Lung and Circulation

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Section: Discussionmentioning

confidence: 99%

Need and Interest in Nature Prescriptions to Protect Cardiovascular and Mental Health: A Nationally-Representative Study With Insights for Future Randomised Trials

Astell–Burt¹,

Hipp²,

Gatersleben³

et al. 2023

Heart, Lung and Circulation

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“…The comparison condition (independent park prescription group) had a statistically significant increase of in park visits per week compared to the supported park prescription group 3-7. No significant group difference over time O South et al 56 1. Time in greenspace (total minutes and number of visits measured using smartphone GPS data) 56…”

Section: Park-based Classesmentioning

confidence: 95%

“…No significant group difference over time O South et al 56 1. Time in greenspace (total minutes and number of visits measured using smartphone GPS data) 56…”

Section: Park-based Classesmentioning

confidence: 95%

“…Three studies identified a statistically significant increase in number of nature or park visits post intervention [55][56][57] with greater benefits for participants who received a supported rather than unsupported park-prescription intervention. 55 There was also evidence that participants who received a parkprescription intervention reported higher rate of visits to nature than controls 56 and that intervention parks, which offered free exercise classes, had a greater number of park users than control parks. 50 in contrast, Cohen et al 45 reported no significant differences in park use for participants who engaged in park-based fitness classes compared with controls and identified an association between participants' perception of park safety and visits to the park, length of stay and engagement with the exercise classes.…”

Section: Park Visits and Time In Naturementioning

confidence: 99%

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Exploring the benefits of nature-based interventions in socio-economically deprived communities: a narrative review of the evidence to date

Harrison

Burns

Darko

et al. 2023

Perspect Public Health

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Aim: Socio-economic deprivation encompasses the relative disadvantage experienced by individuals or communities in relation to financial, material or social resources. Nature-based interventions (NBIs) are a public health approach that promote sustainable, healthy communities through engagement with nature and show potential to address inequalities experienced by socio-economically deprived communities. This narrative review aims to identify and evaluate the benefits of NBIs in socio-economically deprived communities. Method: A systematic literature search of six electronic publication databases (APA PsycInfo, CENTRAL, CDSR, CINAHL, Medline and Web of Science) was conducted on 5 February 2021 and repeated on 30 August 2022. In total, 3852 records were identified and 18 experimental studies (published between 2015 and 2022) were included in this review. Results: Interventions including therapeutic horticulture, care farming, green exercise and wilderness arts and craft were evaluated in the literature. Key benefits were observed for cost savings, diet diversity, food security, anthropometric outcomes, mental health outcomes, nature visits, physical activity and physical health. Age, gender, ethnicity, level of engagement and perception of environment safety influenced the effectiveness of the interventions. Conclusion: Results demonstrate there are clear benefits of NBIs on economic, environmental, health and social outcomes. Further research including qualitative analyses, more stringent experimental designs and use of standardised outcome measures is recommended.

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“…art and craft, group sports, reading or listening to music, etc.). Seven studies (8%) allowed participants to freely choose their activities [20][21][22][23][24][25][26] . Participants were commonly introduced to the trials by their health providers (n=23, 24%) or community service providers (n=24, 26%).…”

Section: Intervention Characteristicsmentioning

confidence: 99%

Nature prescriptions: a scoping review with a nested meta-analysis

Nguyen

Astell–Burt

Rahimi-Ardabili

et al. 2022

Preprint

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Background "Nature prescriptions" are gaining popularity as a form of social prescribing and in response to calls for sustainable healthcare. Our review and meta-analysis appraised evidence of effectiveness of nature prescriptions on various health outcomes. In doing so, we sought to determine the factors that are critical for the success of nature prescriptions, based on Social Cognitive Theory. Methods This is a scoping review with a nested meta-analysis for a subset of outcomes. Five databases were searched up to July 25, 2021. Randomised and non-randomised controlled studies featuring a nature prescription (i.e. an instruction or organised programme, by a health or social provider, to promote spending time in nature) are included. All health outcomes are eligible, but only key pre-specified outcomes are qualified for meta-analysis. Two reviewers independently conducted all steps of study selection; one reviewer conducted data collection and risk of bias assessment. Summary data was extracted from published reports for analysis. Random-effect models for meta-analysis were conducted using Review Manager 5.4.1. Findings We identified 86 unique studies (116 reports), of which 26 studies contributed data to meta-analysis. Compared to control, nature prescription programmes resulted in a greater reduction in systolic blood pressure (MD = -4.9mmHg [-9.6 to -0.1], I2=65%) and diastolic blood pressure (MD = -3.6mmHg [-7.4 to 0.1], I2=67%). They also had a moderate-to-large effect on depression scores (SMD=0.5 [0.2 to 0.8], I2=79%) and anxiety score (SMD=0.6 [0.1 to 1.2], I2=90%). Lastly, they resulted in a greater increase in daily step counts (MD = 900 steps [790-1010], I2=0%), but did not improve weekly time of moderate physical activities (MD = 25.9 minutes [-10.3 to 62.1], I2=53%). Most studies have moderate to high risk of bias, principally due to non-blinding nature of the interventions, small sample size and lack of analysis plan to rule out risks of bias. Interpretation Nature prescription programmes may provide cardiometabolic and mental health benefits and increase physical activity. Effective nature prescription programmes can select from a range of natural settings, activities and might be implemented via social and community channels, besides health providers. The Social Cognition Theory is useful in designing future nature prescription programmes.

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Nurtured in Nature: a Pilot Randomized Controlled Trial to Increase Time in Greenspace among Urban-Dwelling Postpartum Women

Cited by 15 publications

References 30 publications

Need and Interest in Nature Prescriptions to Protect Cardiovascular and Mental Health: A Nationally-Representative Study With Insights for Future Randomised Trials

Need and Interest in Nature Prescriptions to Protect Cardiovascular and Mental Health: A Nationally-Representative Study With Insights for Future Randomised Trials

Exploring the benefits of nature-based interventions in socio-economically deprived communities: a narrative review of the evidence to date

Nature prescriptions: a scoping review with a nested meta-analysis

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