Does Engagement With Heritage Sites Have the Potential to Improve Sub-clinical Levels of Low Wellbeing in NHS Staff: A Feasibility Study. The HerWellNHS Study

Study Overview
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Brief Summary
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This feasibility study will focus on assessing and identifying the wellbeing effects of self-directed (unmediated) visits to heritage sites for a high-risk population, specifically NHS staff at PHU self-reporting sub-clinical levels of low wellbeing. In particular, it seeks to understand whether wellbeing effects can be derived from unmediated visits to heritage sites, how much exposure to heritage is necessary to experience wellbeing effects, whether and how benefits may be accumulated, how long wellbeing effects may last following visits, and the nature of these wellbeing effects. In addition, it will establish appropriate psychological measures (qualitative and quantitative), test a web-based data collection interface, examine participant choices and their characteristics, and assess participant adherence and response rates prior to developing a clinical trial.

Detailed Description
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This feasibility study will use quantitative and qualitative psychological measures to examine participant choices of heritage sites and their characteristics, as well as assessing participant adherence and response rates prior to development of a future clinical trial. It will act as proof of concept, generating a case for the promise of unmediated heritage visits as an effective mental health intervention. The project will focus on assessing and identifying the wellbeing effects of unmediated visits to heritage sites for NHS staff, and seeks to understand how much exposure to heritage is necessary to experience wellbeing effects, how benefits may be accumulated, how long wellbeing effects may last following a visit, and what the nature of these wellbeing effects may be. The study also seeks to capture the staff experience of engaging with heritage sites, what are the aspects which might result in positive change as a result of the interactions as well if there are any potential risks associated with such interventions. This project is funded by Historic England. The project partners are as follows: Portsmouth University NHS Hospitals, The Royal Navy National Museum, The Mary Rose Museum, Wessex Archaeology, Portsmouth City Council, Art as Media and the University of Southampton.

Official Title
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Does Engagement With Heritage Sites Have the Potential to Improve Sub-clinical Levels of Low Wellbeing in NHS Staff: A Feasibility Study. The HerWellNHS Study

Conditions
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Mental Health Wellness 1

Intervention / Treatment
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* Other: Access to heritage


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The participant must meet ALL of the following criteria to be considered eligible for the study: Male or Female, aged 18 years or above. Self-reported subclinical levels of low wellbeing Participant is willing and able to give informed consent for participation in the study. NHS Staff at Portsmouth Hospitals University NHS Trust Exclusion Criteria: The participant may not enter the study if ANY of the following apply: Having been diagnosed with and/or received treatment for any mental health issues in the past 12 months Under 18 Unable to give informed consent for participation in the study

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Access to heritage|Unmediated access to heritage sites for wellbeing|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| improve sub-clinical levels of low wellbeing for staff | As a primary objective, this feasibility study aims to determine whether engagement with heritage sites has the potential to improve sub-clinical levels of low wellbeing for staff at Portsmouth Hospitals University NHS Trust. | Through study completion, an average of 6 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| What intensity of exposure to heritage is necessary to experience wellbeing effects, and whether and how benefits may be accumulated? | What intensity of exposure to heritage is necessary to experience wellbeing effects, and whether and how benefits may be accumulated? | Through study completion, an average of 6 months | 
| What kinds of wellbeing benefits do staff experience? | What kinds of wellbeing benefits do staff experience? | Through study completion, an average of 6 months | 
| What other 'spin-off' effects might be obtained through improved staff wellbeing via visits to heritage sites? | What other 'spin-off' effects might be obtained through improved staff wellbeing via visits to heritage sites? | Through study completion, an average of 6 months | 
| What factors are related to the wellbeing effects of heritage visits (e.g. exercise, being with other people, duration of visit, type of heritage visit)? | What factors are related to the wellbeing effects of heritage visits (e.g. exercise, being with other people, duration of visit, type of heritage visit)? | Through study completion, an average of 6 months | 
| What is the duration of post-visits effectiveness on wellbeing? | What is the duration of post-visits effectiveness on wellbeing? | Through study completion, an average of 6 months |