Evidence

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.

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.

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.

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.

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.

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 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.

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.

There is growing interest in outdoor therapy sessions, which appear to have physical and mental health benefits, but there is still a lack of research in this area. A service evaluation was undertaken in a community rehabilitation service to explore the perspectives of service users and staff on outdoor clinical sessions. The rehabilitation team members work with people with severe and enduring mental health issues towards community reintegration. All participants had positive views of outdoor sessions, which were described as supporting people to overcome anxiety, develop confidence and reconnect with the community. Suggestions on how to improve the sessions included staff training and allocating more time. Difficulties included the unpredictability of the environment, logistical barriers and maintaining confidentiality.

While public green spaces (PGS) are opined to be central in the pandemic recovery, higher accessibility to PGS also mean a higher risk of infection spread from the raised possibility of people encountering each other. This study explores the distributive effects of accessibility of PGS on the COVID-19 cases distribution using a geo-spatially varying network-based risk model at the borough level in London.