Study on the Influence of Forest Therapy on Healing Experience in Botanical Gardens.

Study Overview
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Brief Summary
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The forest healing system is an important topic of alternative therapy in recent years. To study the influence of Forest therapy, the establishment of a pilot experimental model system in which both environmental factors and type of activity are necessary. Therefore, a system based on the Taipei Botanical Garden was introduced by this study.

Detailed Description
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The forest healing system is an important topic of alternative therapy in recent years. Forest therapy began in 1989 when the psychology professor Kaplan put forward the Attention Restoration Theory(ART). Awareness has a positive benefit. To study the influence of Forest therapy, the establishment of a pilot experimental model system in which both environmental factors and type of activity are controlled can greatly reduce the errors caused by the site and the content of the activity. Therefore, a randomized controlled crossover experiment based on the Taipei Botanical Garden was introduced by this study.

Official Title
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Study on the Influence of Forest Therapy on Healing Experience in Botanical Gardens.

Conditions
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Nature, Human

Intervention / Treatment
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* Behavioral: activities in the Botanical Garden or in urban


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: 20-35 years old youth (not limited to men and women) Those who have the ability and physical strength to walk for more than 120 minutes Subjects must voluntarily join the study Exclusion Criteria: People who smoke or chew betel nuts People who have the habit of drinking (drinking more than five standard glasses in any situation) Drug addiction (including narcotic drugs and non-narcotics) habitual Those who have taken psychosomatic drugs in the past 30 days Participating in another clinical trial at the same time, or in the follow-up period of an interventional trial Those diagnosed with major injuries Women who are currently pregnant or breastfeeding Conditions where other subjects cannot cooperate (for example: unable to participate after random assignment, and not signing the subject's consent form)

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 35 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: activities in the Botanical Garden or Urban<br>experiment group is activities in the Botanical Garden, and the control group is activities in urban | Behavioral: activities in the Botanical Garden or in urban<br>* activities in the Taipei Botanical Garden or in Urban<br>|
| Other: Cross-over design<br>The participants are randomized divided into in two groups following by the experiment which is designed by two consecutive times at one week intervals, and the experimental activities and the control activities are staggered. | Behavioral: activities in the Botanical Garden or in urban<br>* activities in the Taipei Botanical Garden or in Urban<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| questionnaire: BPOMS (1st) | Change from baseline Brief Profile of Mood States at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| questionnaire: BPOMS (2nd) | Change from Brief Profile of Mood States at second intervention after 7-day-washout period & cross-over | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| questionnaire: BAI (1st) | Change from baseline The Beck Anxiety Inventory at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| questionnaire: BAI (2nd) | Change from The Beck Anxiety Inventory at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| questionnaire: BDI-II (1st) | Change from baseline The Beck Depression Inventory II at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| questionnaire: BDI-II (2nd) | Change from The Beck Depression Inventory II at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| questionnaire: BSRS-V (1st) | Change from baseline Brief Symptom Rating Scale V at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| questionnaire: BSRS-V (2nd) | Change from Brief Symptom Rating Scale V at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| physiological indicator: alpha-amylase activity in salivary (1st) | Change from baseline alpha-amylase activity in salivary by using commercial kits (Salimetrics®) at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| physiological indicator: alpha-amylase activity in salivary (2nd) | Change from alpha-amylase activity in salivary by using commercial kits (Salimetrics®) at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| physiological indicator: HRV (Heart Rate Variability) (1st) | Change from baseline HRV by using wrist monitors (ANSWatch®) to measure heart rate, heart rate variability (related to activities of the autonomic nervous system ANS), irregular heartbeats (IRRHB), and 5-minute continuous pulse wave at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| physiological indicator: HRV (Heart Rate Variability) (2nd) | Change from HRV by using wrist monitors (ANSWatch®) to measure heart rate, heart rate variability (related to activities of the autonomic nervous system ANS), irregular heartbeats (IRRHB), and 5-minute continuous pulse wave at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 
| physiological indicator: blood pressures (systolic and diastolic) (1st) | Change from baseline blood pressures by using wrist monitors (ANSWatch®) to measure blood pressures (systolic and diastolic) at first intervention | baseline, pre-intervention(1st) → 2 hours intervention → immediately after the intervention(1st) | 
| physiological indicator: blood pressures (systolic and diastolic) (2nd) | Change from blood pressures by using wrist monitors (ANSWatch®) to measure blood pressures (systolic and diastolic) at second intervention after 7-day-washout | pre-intervention(2nd) → 2 hours intervention → immediately after the intervention(2nd) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Forest therapy