Nature’s Role in Outdoor Therapies: An Umbrella Review

<i>Objective:</i> To report on the role of nature in outdoor therapies through review and summary of existing systematic and meta-analytic reviews in an effort to articulate a theoretical framework for practice. <i>Materials and methods:</i> An umbrella review was conducted f...

Full description

Bibliographic Details
Main Authors: Nevin J. Harper, Carina R. Fernee, Leiv E. Gabrielsen
Format: Article
Language:English
Published: MDPI AG 2021-05-01
Series:International Journal of Environmental Research and Public Health
Subjects:
Online Access:https://www.mdpi.com/1660-4601/18/10/5117
Description
Summary:<i>Objective:</i> To report on the role of nature in outdoor therapies through review and summary of existing systematic and meta-analytic reviews in an effort to articulate a theoretical framework for practice. <i>Materials and methods:</i> An umbrella review was conducted following systematic protocols PRISMA guidelines. <i>Results:</i> Fourteen studies met the inclusion criteria and represented five self-identified approaches: nature-based therapies, forest therapy, horticultural therapy, wilderness therapy, and adventure therapy. Clear and comprehensive descriptions of theory, program structure, and activity details with causal links to outcomes were mostly absent. <i>Conclusions:</i> A rigorous and determined program of research is required in order to explicit in-depth theories of change in outdoor therapies. Conversely, or maybe concurrently, a holistic theory of integrated relatedness may be developed as a parallel expression of support for nature in therapy while the explanatory science catches up.
ISSN:1661-7827
1660-4601