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The effect of a therapeutic nature-based intervention on stress in people with mental ill-health

The effect of therapeutic nature-based interventions on stress reduction in people with mental ill-health: a randomised controlled trial versus treatment as usual

Status
Recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN71485431
Enrollment
156
Registered
2025-06-06
Start date
2025-05-28
Completion date
Unknown
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Reduction in stress in those with self-reported moderate-to-high perceived stress levels Mental and Behavioural Disorders

Interventions

Adults experiencing significant stress in their daily life and have been referred, or have self-referred, due to poor mental health, will be randomised to either receive a nature-based intervention st

Sponsors

University of Salford
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Between the ages of 18 – 75 years 2. Comply with eligibility criteria to access and take part in the evaluated intervention 3. Stress interference in daily life is significantly or very significantly elevated 4. Either: often or very often experiences of discrimination or prejudices in daily life OR Yes-experiencing persistent poor sleep quality/poor mood/low energy levels/sadness/fatigue/anxiety (as assessed by the screening questionnaire) 5. No previous (last year) or current participation in the same type of nature-based therapy

Exclusion criteria

Exclusion criteria: 1. Intellectual disability (ICD-11 6A00) 2. Phobias that can highly impact the capacity to benefit from the evaluated interventions, such as social and insect-related phobias (ICD-11 6B02, 6B03, 6B04) 3. Dissociative behaviours (ICD-11 6B60, 6B61, 6B62, 6B63, &b64, 6B65, 6B66, 6E65, 6B6Y, 6B6Z) 4. Mental or behavioural symptoms, signs or clinical findings that can highly impact the capacity of the intervention group to benefit from the evaluated interventions or that increase the potential to become difficult cases to handle by project staff (ICD-11 MB23.0, MB23.R, MB23.S)

Design outcomes

Primary

MeasureTime frame
Psychological stress measured using the Perceived Stress Scale (PSS-10) at: For exposure group: Baseline, Follow up 1 (week 10); Follow up 2 (week 14); Follow up 3 (week 22) For waitlist group: Baseline, Follow up 1 (week 10); Follow up 2 (week 20); Follow up 3 (week 24)

Secondary

MeasureTime frame
Measured at: For exposure group: Baseline, Follow up 1 (week 10); Follow up 2 (week 14); Follow up 3 (week 22) For waitlist group: Baseline, Follow up 1 (week 10); Follow up 2 (week 20); Follow up 3 (week 24) 1. Quality of Life measured using the EuroQol 5 Dimensions 5 levels (EQ-5D-5L) 2. Wellbeing measured using four measures of the Office for National Statistics version 4 (ONS-4) 3. Nature connectedness measured using the Nature Connection Index (NCI)

Countries

England, United Kingdom, Wales

Contacts

Public ContactSarah Knight
s.j.knight1@salford.ac.uk+44 (0)161 295 5000

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Jul 31, 2026