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Mountain Hiking vs. Forest Therapy: A Study Protocol of Novel Types of Nature-Based Intervention

Author

Listed:
  • Christina Pichler

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria
    These authors contributed equally to this work.)

  • Johanna Freidl

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria
    These authors contributed equally to this work.)

  • Michael Bischof

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria)

  • Martin Kiem

    (Certified Nature and Forest Therapy Guide, 39010 Tisens, Italy)

  • Renate Weisböck-Erdheim

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria)

  • Daniela Huber

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria)

  • Gabriella Squarra

    (Certified Forest-Health-Trainer, 83435 Bad Reichenhall, Germany)

  • Paul Clemens Murschetz

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria)

  • Arnulf Hartl

    (Institute of Ecomedicine, Paracelsus Medical University, 5020 Salzburg, Austria)

Abstract

Introduction: The global rise of urbanization has much triggered scientific interest in how nature impacts on human health. Natural environments, such as alpine landscapes, forests, or urban green spaces, are potential high-impact health resources. While there is a growing body of evidence to reveal a positive influence of these natural environments on human health and well-being, further investigations guided by rigorous evidence-based medical research are very much needed. Objective: The present study protocol aims at testing research methodologies in the context of a prospective clinical trial on nature-based interventions. This shall improve the standards of medical research in human–nature interactions. Methods: The ANKER Study investigates the influence of two novel types of nature-based therapy—mountain hiking and forest therapy—on physiological, psychological, and immunological parameters of couples with a sedentary lifestyle. Two intervention groups were formed and spent a seven-day holiday in Algund, Italy. The “forest therapy group” participated in daily guided low-power nature connection activities. The “hiking group”, by contrast, joined in a daily moderate hiking program. Health-related quality of life and relationship quality are defined as primary outcomes. Secondary outcomes include nature connection, balance, cardio-respiratory fitness, fractional exhaled nitric oxide, body composition and skin hydration. Furthermore, a new approach to measure health-related quality of life is validated. The so-called “intercultural quality of life” comic assesses the health-related quality of life with a digitally animated comic-based tool.

Suggested Citation

  • Christina Pichler & Johanna Freidl & Michael Bischof & Martin Kiem & Renate Weisböck-Erdheim & Daniela Huber & Gabriella Squarra & Paul Clemens Murschetz & Arnulf Hartl, 2022. "Mountain Hiking vs. Forest Therapy: A Study Protocol of Novel Types of Nature-Based Intervention," IJERPH, MDPI, vol. 19(7), pages 1-17, March.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:7:p:3888-:d:778895
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    References listed on IDEAS

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    1. Kristina Ludwig & J.-Matthias Graf von der Schulenburg & Wolfgang Greiner, 2018. "German Value Set for the EQ-5D-5L," PharmacoEconomics, Springer, vol. 36(6), pages 663-674, June.
    2. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
    3. Marita Stier-Jarmer & Veronika Throner & Michaela Kirschneck & Gisela Immich & Dieter Frisch & Angela Schuh, 2021. "The Psychological and Physical Effects of Forests on Human Health: A Systematic Review of Systematic Reviews and Meta-Analyses," IJERPH, MDPI, vol. 18(4), pages 1-39, February.
    4. 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.
    5. Genxiang Mao & Yongbao Cao & Bozhong Wang & Sanying Wang & Zhuomei Chen & Jirong Wang & Wenmin Xing & Xiaoxu Ren & Xiaoling Lv & Jianhua Dong & Shasha Chen & Xiuyuan Chen & Guofu Wang & Jing Yan, 2017. "The Salutary Influence of Forest Bathing on Elderly Patients with Chronic Heart Failure," IJERPH, MDPI, vol. 14(4), pages 1-12, March.
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    Cited by:

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    2. Olga Papale & Emanuel Festino & Giancarlo Condello & Francesca Di Rocco & Marianna De Maio & Cristina Cortis & Andrea Fusco, 2023. "Psychophysiological Data Harmonization for the Sustainability of Outdoor Activities," Sustainability, MDPI, vol. 15(22), pages 1-14, November.

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