Clinical trial NCT06205940: Building Individual and Community Resilience Through Nature-based Therapies - Case Study 8 Nature for All
Official title: Building Individual and Community Resilience Through Nature-based Therapies - Case Study 8
Study type: INTERVENTIONAL
Overall status: NOT_YET_RECRUITING
Phase: NA
Conditions: Mobility Disability
Keywords: nature app
nature connection
forest walks
mobility disability
resilience
eyetracking
Lead sponsor: University of Copenhagen
Sponsor class: OTHER
First posted: 2024-01-16
Enrollment: 124
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: randomized controlled trial
Primary purpose: PREVENTION

Brief summary: The aim of this randomized controlled trial is to test if digital engagement instructions (a nature guide APP) can enhance the nature connection and provide positive health outcomes for individuals with mobility disabilities.

The study has an active control group, that will have the same nature exposure without the guidance of the APP. 124 participants will be randomized to either the intervention group or the control group.

The intervention consists of two parts:

Intervention day 1: The intervention starts for both the 'intervention group' and the 'control group' in the Hoersholm arboretum, which contain Denmark's largest collection of different trees and shrubs. The intervention group will listen to the 'intervention APP' during a tour with three stops along a trail in the arboretum. The active control group will take the same tour but does not have access to the 'intervention APP'.

4 week intervention: During the following 4 weeks the participants will be encouraged to visit nature for 120 minutes in total per week on their own. The intervention group will still be encouraged to use the APP during the nature visits.

Detailed description: See protocol

Eligibility criteria: Inclusion Criteria:

* Not being able to walk at all or be able to walk short distances (ICF 2017: d4500, walking short distances; walking for less than a kilometer, such as walking around rooms or hallways, within a building or for short distances outside)
* All types of assistive devices, including e.g. scooters, walkers, and canes. Also service dogs and personal carers are included.
* Adults (+18 years)
* All genders
* All educational levels
* All religious affiliations
* All types of marital status
* All types of households
* All types of employment and income

Exclusion Criteria:

* - Do not understand Danish (APP, questionnaires and interviews in Danish)
* Physically not able to use a smartphone with touch screen, by themselves or with the help of a personal carer
* Participating in mindfulness program during intervention (intervention day 1 and 4-week intervention period)
* Cognitive limitations (difficulties in understanding and using information from APP, understanding and responding to questionnaires and interviews.)
* Known drug or alcohol abuse
* Diagnosed epilepsy

Primary outcomes:
measure: The Nature Connection Index
timeFrame: Baseline 0 (1 week before intervention), After intervention day 1, End of intervention (after 4 months), 1 month follow-up, 3 month-follow up, 6-months follow-up
Secondary outcomes:
measure: the State Mindfulness Scale
timeFrame: Baseline 1 (just before intervention), After tour on intervention day 1, End of intervention (after 4 months)
measure: The Restorative Outcome Scale
timeFrame: After tour on intervention day 1, End of intervention (after 4 months)
measure: The Subjective Vitality Scale
timeFrame: Baseline 0 (1 week before intervention), After intervention day 1, End of intervention (after 4 months), 1 month follow-up, 3 month-follow up, 6-months follow-up
measure: The State-Trait Assessment of Resilience Scale
timeFrame: Baseline 0 (1 week before intervention), After intervention day 1, End of intervention (after 4 months), 1 month follow-up, 3 month-follow up, 6-months follow-up
measure: Heart Rate Variability
timeFrame: During tour on intervention day 1
measure: The Health-related Quality of Life Short Form Survey
timeFrame: Baseline 0 (1 week before intervention), End of intervention (after 4 months), 1 month follow-up, 3 month-follow up, 6-months follow-up
Other outcomes:
measure: Eye-tracking
timeFrame: During tour on intervention day 1
measure: System Usability Scale
timeFrame: After tour on intervention day 1
Locations:
Study officials:
affiliation: University of Copenhagen - IGN
name: Ulrika K Stigsdotter, PHD
role: PRINCIPAL_INVESTIGATOR
References: