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A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting

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  • Dorthe Djernis

    (Department of Geoscience and Natural Resource Management, University of Copenhagen, C 1958 Frederiksberg, Denmark)

  • Inger Lerstrup

    (Department of Landscape Architecture and Management, Swedish University of Agricultural Sciences, 230 53 Alnarp, Sweden)

  • Dorthe Poulsen

    (Department of Geoscience and Natural Resource Management, University of Copenhagen, C 1958 Frederiksberg, Denmark)

  • Ulrika Stigsdotter

    (Department of Geoscience and Natural Resource Management, University of Copenhagen, C 1958 Frederiksberg, Denmark)

  • Jesper Dahlgaard

    (Department of Clinical Medicine, Aarhus University, N 8200 Aarhus, Denmark
    Research Center for Health and Welfare Technology, VIA University College, N 8200 Aarhus, Denmark)

  • Mia O’Toole

    (Department of Psychology and Behavioural Sciences, Aarhus University, C 8000 Aarhus, Denmark)

Abstract

Research has proven that both mindfulness training and exposure to nature have positive health effects. The purpose of this study was to systematically review quantitative studies of mindfulness interventions conducted in nature (nature-based mindfulness), and to analyze the effects through meta-analyses. Electronic searches revealed a total of 25 studies to be included, examining 2990 participants. Three analyses were conducted: Nature-based mindfulness interventions evaluated as open trials (k = 13), nature-based mindfulness compared with groups in non-active control conditions (k = 5), and nature-based mindfulness compared with similar interventions but without contact with nature (k = 7). The overall combined psychological, physiological, and interpersonal effects from pre- to post-intervention were statistically significant and of medium size ( g = 0.54, p < 0.001). Moderation analyses showed that natural environments characterized as forests/wild nature obtained larger numerical effects than environments characterized as gardens/parks, as did informal mindfulness compared with formal mindfulness. The small number of studies included, as well as the heterogeneity and generally low quality of the studies, must be taken into consideration when the results are interpreted. PROSPERO registration number: CRD42017065639.

Suggested Citation

  • Dorthe Djernis & Inger Lerstrup & Dorthe Poulsen & Ulrika Stigsdotter & Jesper Dahlgaard & Mia O’Toole, 2019. "A Systematic Review and Meta-Analysis of Nature-Based Mindfulness: Effects of Moving Mindfulness Training into an Outdoor Natural Setting," IJERPH, MDPI, vol. 16(17), pages 1-19, September.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:17:p:3202-:d:263344
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    References listed on IDEAS

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    1. Kirsten M. M. Beyer & Andrea Kaltenbach & Aniko Szabo & Sandra Bogar & F. Javier Nieto & Kristen M. Malecki, 2014. "Exposure to Neighborhood Green Space and Mental Health: Evidence from the Survey of the Health of Wisconsin," IJERPH, MDPI, vol. 11(3), pages 1-20, March.
    2. Sue Duval & Richard Tweedie, 2000. "Trim and Fill: A Simple Funnel-Plot–Based Method of Testing and Adjusting for Publication Bias in Meta-Analysis," Biometrics, The International Biometric Society, vol. 56(2), pages 455-463, June.
    3. Bowen, Daniel J. & Neill, James T. & Crisp, Simon J.R., 2016. "Wilderness adventure therapy effects on the mental health of youth participants," Evaluation and Program Planning, Elsevier, vol. 58(C), pages 49-59.
    4. de Vries, Sjerp & van Dillen, Sonja M.E. & Groenewegen, Peter P. & Spreeuwenberg, Peter, 2013. "Streetscape greenery and health: Stress, social cohesion and physical activity as mediators," Social Science & Medicine, Elsevier, vol. 94(C), pages 26-33.
    5. Eva Sahlin & Gunnar Ahlborg & Josefa Vega Matuszczyk & Patrik Grahn, 2014. "Nature-Based Stress Management Course for Individuals at Risk of Adverse Health Effects from Work-Related Stress—Effects on Stress Related Symptoms, Workability and Sick Leave," IJERPH, MDPI, vol. 11(6), pages 1-26, June.
    6. Jin-Woo Han & Han Choi & Yo-Han Jeon & Chong-Hyeon Yoon & Jong-Min Woo & Won Kim, 2016. "The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group," IJERPH, MDPI, vol. 13(3), pages 1-13, February.
    7. Sus Sola Corazon & Patrik Karlsson Nyed & Ulrik Sidenius & Dorthe Varning Poulsen & Ulrika Karlsson Stigsdotter, 2018. "A Long-Term Follow-Up of the Efficacy of Nature-Based Therapy for Adults Suffering from Stress-Related Illnesses on Levels of Healthcare Consumption and Sick-Leave Absence: A Randomized Controlled Tri," IJERPH, MDPI, vol. 15(1), pages 1-10, January.
    8. Margaret M. Hansen & Reo Jones & Kirsten Tocchini, 2017. "Shinrin-Yoku (Forest Bathing) and Nature Therapy: A State-of-the-Art Review," IJERPH, MDPI, vol. 14(8), pages 1-48, July.
    9. Chia-Pin Yu & Chia-Min Lin & Ming-Jer Tsai & Yu-Chieh Tsai & Chun-Yu Chen, 2017. "Effects of Short Forest Bathing Program on Autonomic Nervous System Activity and Mood States in Middle-Aged and Elderly Individuals," IJERPH, MDPI, vol. 14(8), pages 1-12, August.
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    Cited by:

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    3. Luke A. Vitagliano & Kelly L. Wester & Connie T. Jones & David L. Wyrick & Amber L. Vermeesch, 2023. "Group Nature-Based Mindfulness Interventions: Nature-Based Mindfulness Training for College Students with Anxiety," IJERPH, MDPI, vol. 20(2), pages 1-18, January.
    4. Jennifer Keller & Jean Kayira & Louise Chawla & Jason L. Rhoades, 2023. "Forest Bathing Increases Adolescents’ Mental Well-Being: A Mixed-Methods Study," IJERPH, MDPI, vol. 21(1), pages 1-24, December.
    5. Elisa Menardo & Donatella Di Marco & Sara Ramos & Margherita Brondino & Alicia Arenas & Patricia Costa & Carlos Vaz de Carvalho & Margherita Pasini, 2022. "Nature and Mindfulness to Cope with Work-Related Stress: A Narrative Review," IJERPH, MDPI, vol. 19(10), pages 1-16, May.
    6. Nevin J. Harper & Carina R. Fernee & Leiv E. Gabrielsen, 2021. "Nature’s Role in Outdoor Therapies: An Umbrella Review," IJERPH, MDPI, vol. 18(10), pages 1-13, May.
    7. Giulia Catissi & Gabriela Gouveia & Roberta Maria Savieto & Cristiane Pavanello Rodrigues Silva & Raquel Simões de Almeida & Gustavo Benvenutti Borba & Kaue Alves Rosario & Eliseth Ribeiro Leão, 2024. "Nature-Based Interventions Targeting Elderly People’s Health and Well-Being: An Evidence Map," IJERPH, MDPI, vol. 21(1), pages 1-20, January.
    8. Megan Rowley & Raluca Topciu & Matthew Owens, 2022. "A Systematic Review of Mechanisms Underpinning Psychological Change Following Nature Exposure in an Adolescent Population," IJERPH, MDPI, vol. 19(19), pages 1-22, October.
    9. Reo Jones & Robin Tarter & Amy Miner Ross, 2021. "Greenspace Interventions, Stress and Cortisol: A Scoping Review," IJERPH, MDPI, vol. 18(6), pages 1-21, March.
    10. Matthew Owens & Hannah L. I. Bunce, 2022. "Nature-Based Meditation, Rumination and Mental Wellbeing," IJERPH, MDPI, vol. 19(15), pages 1-19, July.

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