Evidence
The NHS Forest’s database of evidence and resources covers all aspects of green space and health. We have compiled the most relevant academic research, policy briefings, tools and reports covering a whole spectrum of issues, from biodiversity and climate change to green social prescribing and connection to nature.
Use the filters on the left to search for specific resource types or topics of interest. If you think we’ve missed something, do let us know at info@nhsforest.org.
Not what you're looking for? Take a look at our Useful Links page, which includes national and regional organisations, projects, books, publications and other helpful resources.
Filter by
Year
Theme
Content type
Health impact of urban green spaces: a systematic review of heat-related morbidity and mortality
BMJ Open, 2024
Urban green spaces play a vital role in mitigating heat-related health risks, offering a potential strategy for urban planning to address climate change and enhance public health. Additional research is required to thoroughly comprehend the magnitude of urban greenery’s impact on heat-related morbidity and mortality, as well as its interplay with other variables, including air pollution, socioeconomic status, among others.
Why might urban tree canopy reduce dementia risk? A causal mediation analysis of 109,688 adults with 11 years of hospital and mortality records
Health & Place, 2023
Urban tree canopy is associated with lower dementia risk, but no mediation analysis has been attempted to reveal potential mechanisms. We examined 3,639 dementia diagnoses in 109,688 participants of the Sax Institute’s 45 and Up Study. Adjusted models indicated ≥20% tree canopy lowered the odds of developing dementia by 14% over 11 years (Odds Ratio = 0.86, 95%CI = 0.79-0.93). Association between tree canopy and dementia was partially mediated by physical activity (4.5%) and absences of psychological distress (5.7%), social support (2.9%), sleep duration (2.3%) and diabetes (1.8%). Social loneliness and absence of heart disease or hypertension did not mediate the tree canopy-dementia association.
“Put on Your Walking Shoes”: A Phenomenological Study of Clients’ Experience of Walk and Talk Therapy
Journal of Creativity in Mental Health, 2023
Amid the COVID-19 pandemic, many therapists and their clients found it uncomfortable being indoors with others for extended periods. As a result, some mental health counselors pivoted to having their sessions outdoors, referred to as “Walk and talk therapy”. This qualitative phenomenological study aimed to understand adult clients’ (n = 7) lived experiences of walk and talk therapy.
A qualitative evaluation of an outdoor arts therapies group
International Journal of Art Therapy, 2023
There is a lack of systematic research on the effectiveness of outdoor arts therapies. This article presents a systematic, qualitative evaluation of an outdoors arts therapies intervention for adults with mental health problems in the United Kingdom.
“The world is a beautiful place – I want to explore that a bit”: the experience of taking part in an adventure therapy sailing project by a group of individuals who have experienced psychosis
(Psychosis) Psychological, Social and Integrative Approaches, 2022
This paper aims to provide an overview of the lived experience of a group of individuals who participated in an adventure therapy project, as an adjunct to their routine clinical care with an Early Intervention Service (EIS) for psychosis.
Negotiating Complexity: Challenges to Implementing Community-Led Nature-Based Solutions in England Pre- and Post-COVID-19
International Journal of Environmental Research and Public Health, 2022
Nature-based solutions (NbS), including green social prescribing (GSP), are sustainable ways to address health and wellbeing, especially since the COVID-19 pandemic exacerbated the strain on healthcare. NbS require national and local cross-sector coordination across complex, interrelated systems, but little is known about the specific challenges this poses for community-led NbS.
Biodiversity intervention enhances immune regulation and health-associated commensal microbiota among daycare children
SCIENCE ADVANCES, 2020
As the incidence of immune-mediated diseases has increased rapidly in developed societies, there is an unmet need for novel prophylactic practices to fight against these maladies. This study is the first human intervention trial in which urban environmental biodiversity was manipulated to examine its effects on the commensal microbiome and immunoregulation in children.
Residential green space and child intelligence and behavior across urban, suburban, and rural areas in Belgium: A longitudinal birth cohort study of twins
PLOS Medicine, 2020
Exposure to green space has beneficial effects on several cognitive and behavioral aspects. However, to our knowledge, no study addressed intelligence as outcome. We investigated whether the level of urbanicity can modify the association of residential green space with intelligence and behavior in children.
Green spaces and cognitive development in primary schoolchildren
PNAS, 2015
Green spaces have a range of health benefits, but little is known in relation to cognitive development in children. This study, based on comprehensive characterization of outdoor surrounding greenness (at home, school, and during commuting) and repeated computerized cognitive tests in schoolchildren, found an improvement in cognitive development associated with surrounding greenness, particularly with greenness at schools. This association was partly mediated by reductions in air pollution. Our findings provide policymakers with evidence for feasible and achievable targeted interventions such as improving green spaces at schools to attain improvements in mental capital at population level.
Associations of residential greenness with bone mineral density and osteoporosis: the modifying effect of genetic susceptibility.
Annals of the Rheumatic Diseases, 2024
An increasing number of studies are focusing on the role of environmental factors in the development of osteoporosis. Previous studies have indicated that ambient air pollution exposure was linked to an elevated risk of osteoporosis. These findings provide inspiration for how enhancing environmental conditions can potentially mitigate the adverse effects of these hazards, thereby aiding in the prevention of osteoporosis. Meanwhile, the presence of green spaces, a significant factor in promoting health in urban environments, has been linked to decreased risk of negative outcomes, such as overall mortality, cardiorespiratory diseases and mental illness.