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Outcomes on health, recovery and activity level for mental health service users attending a novel nature-based intervention: a prospective study

Gudmundsson, Marie LU orcid ; Palsdottir, Anna Maria LU orcid ; Bejerholm, Ulrika LU and Argentzell, Elisabeth LU (2025) In Nordic Journal of Psychiatry 79(3). p.240-248
Abstract
Purpose: Mental illness due to longstanding stress is increasing. It has been shown that service users with mental illness may benefit from nature-based interventions (NBI), including equine-assisted therapy, to support their health, recovery, and activity level of daily life. However, the evidence base to support this is still weak. The aim was thus to evaluate and provide knowledge of the possible effects on health, recovery and activity level from participating in a novel nature-based intervention among mental health service users with mental illness due to longstanding stress.

Materials and methods: Forty participants took part in the study, which had a single group pretest-post-test design. The program was delivered in groups... (More)
Purpose: Mental illness due to longstanding stress is increasing. It has been shown that service users with mental illness may benefit from nature-based interventions (NBI), including equine-assisted therapy, to support their health, recovery, and activity level of daily life. However, the evidence base to support this is still weak. The aim was thus to evaluate and provide knowledge of the possible effects on health, recovery and activity level from participating in a novel nature-based intervention among mental health service users with mental illness due to longstanding stress.

Materials and methods: Forty participants took part in the study, which had a single group pretest-post-test design. The program was delivered in groups at a farm-based rehabilitation centre in a southern part of Sweden. It consisted of 24 weeks in two 12-week phases. Data were collected using well-tested questionnaires reflecting health, clinical and personal recovery, and activity level.

Results: The analysis showed an improvement with medium to large effect sizes over time according to outcomes on aspects of health, recovery and activity level with exception for self-mastery. All outcomes were statistically significant with p-values ≤.005.

Conclusions: This novel nature-based program has the potential to be a recovery-oriented intervention that could enhance health, both clinical and personal recovery, as well as activity level for mental health service users. The intervention could thus also be a beneficial complement to current psychiatric care services. (Less)
Please use this url to cite or link to this publication:
author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Nordic Journal of Psychiatry
volume
79
issue
3
pages
240 - 248
publisher
Informa Healthcare
external identifiers
  • pmid:40163034
  • scopus:105002031772
ISSN
1502-4725
DOI
10.1080/08039488.2025.2483736
language
English
LU publication?
yes
id
3d1c2ab5-78d1-42f6-84a0-07ce7704602d
date added to LUP
2025-04-14 08:13:09
date last changed
2025-04-15 04:01:21
@article{3d1c2ab5-78d1-42f6-84a0-07ce7704602d,
  abstract     = {{Purpose: Mental illness due to longstanding stress is increasing. It has been shown that service users with mental illness may benefit from nature-based interventions (NBI), including equine-assisted therapy, to support their health, recovery, and activity level of daily life. However, the evidence base to support this is still weak. The aim was thus to evaluate and provide knowledge of the possible effects on health, recovery and activity level from participating in a novel nature-based intervention among mental health service users with mental illness due to longstanding stress.<br/><br/>Materials and methods: Forty participants took part in the study, which had a single group pretest-post-test design. The program was delivered in groups at a farm-based rehabilitation centre in a southern part of Sweden. It consisted of 24 weeks in two 12-week phases. Data were collected using well-tested questionnaires reflecting health, clinical and personal recovery, and activity level.<br/><br/>Results: The analysis showed an improvement with medium to large effect sizes over time according to outcomes on aspects of health, recovery and activity level with exception for self-mastery. All outcomes were statistically significant with p-values ≤.005.<br/><br/>Conclusions: This novel nature-based program has the potential to be a recovery-oriented intervention that could enhance health, both clinical and personal recovery, as well as activity level for mental health service users. The intervention could thus also be a beneficial complement to current psychiatric care services.}},
  author       = {{Gudmundsson, Marie and Palsdottir, Anna Maria and Bejerholm, Ulrika and Argentzell, Elisabeth}},
  issn         = {{1502-4725}},
  language     = {{eng}},
  month        = {{03}},
  number       = {{3}},
  pages        = {{240--248}},
  publisher    = {{Informa Healthcare}},
  series       = {{Nordic Journal of Psychiatry}},
  title        = {{Outcomes on health, recovery and activity level for mental health service users attending a novel nature-based intervention: a prospective study}},
  url          = {{http://dx.doi.org/10.1080/08039488.2025.2483736}},
  doi          = {{10.1080/08039488.2025.2483736}},
  volume       = {{79}},
  year         = {{2025}},
}