Mental health Mental and Behavioural Disorders
Conditions
Interventions
The participation process for individuals will be:
1. Reading the project PIS.
2. Opportunity to discuss the project with the research team.
3. Initial suitability for location and timing of nature-ba
Mental health and wellbeing measures
Health service use questionnaire).
7. Random allocation to either the intervention group (nature-based activities) or the control group (usual care, wait list).
8. Those allocated to the intervention
Loneliness measure
Health service use questionnaire).
10. Participation in a focus group discussion about their experience of the pilot trial (optional).
11. Those allocated to the control group will be offered the oppo
Sponsors
University of Exeter
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. People aged 18 years and over 2. People with mild to moderate depression and/or anxiety assessed by scores of 10-19 on the Patient Health Questionnaire (PHQ-9) and/or 5-14 on the Generalised Anxiety Disorder assessment (GAD-7) 3. Ability to give informed consent to written information sheets and consent forms 4. Participants may be on any current treatment for mild to moderate depression and/or anxiety, or none
Exclusion criteria
Exclusion criteria: 1. People with severe depression and/or anxiety (as assessed by scores of 20 or more on the PHQ-9 and/or 15 or more on GAD-7) 2. People unable to understand written and verbal instructions in English 3. Those with serious physical impairment that would prevent participation in even adapted nature-based activities (such as walking, gardening, pond dipping) 4. Actively suicidal or psychotic (as assessed by the mood screener – see later details) Participants will need to have a good understanding of English to participate given that the intervention instructions, including safety instructions related to specific activities or tool use, will be given in English by the nature-based providers on the day. As these are small VCSE groups, it is not possible for staff to accommodate other languages.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Anxiety is measured using the Generalised Anxiety Score scale (GAD-7) at T0 (baseline), T1 (end of intervention), and T2 (6-week follow-up). 2. Depressive symptoms are measured using the Patient Health Questionnaire scale (PHQ-9) at T0 (baseline), T1 (end of intervention), and T2 (6-week follow-up). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mental wellbeing is measured using the short Warwick-Edinburgh Mental Wellbeing Scale (sWEMWBS) at T0 (baseline), T1 (end of intervention), T2 (6-week follow-up) 2. Wellbeing is measured using the ONS4 scale at T0 (baseline), T1 (end of intervention), and T2 (6-week follow-up) 3. Loneliness is measured using both: 3.1. The UCLA Three-Item Loneliness Scale 3.2. A single-item direct measure, asking "How often do you feel lonely?" both at T0 (baseline), T1 (end of intervention), and T2 (6-week follow-up) 4. Health services use/economics is a bespoke measure at T0 (baseline), T1 (end of intervention), and T2 (6-week follow-up) Process measures: 1. Decliner data measured using bespoke questionnaire at identified point of decline to participate/drop out at any time post randomisation 2. Intervention Group participant experience assessed using Focus Groups at Post-intervention (T1) 3. Waitlist control group participant experience assessed using Focus Groups before they participated in the waitlist intervention 4. Nature-Based Provider experience assessed using Focus Groups after the wait list intervention has taken place. | — |
Countries
England, United Kingdom
Outcome results
None listed