Reduction in stress in those with self-reported moderate-to-high perceived stress levels Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
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
| Measure | Time 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
| Measure | Time 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