If your doctor was competent this would have been provided years ago! Why the fuck are you seeing and paying an incompetent doctor?
Nature-based interventions and nature interaction for people with acquired brain injury: A systematic scoping review
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Under a Creative Commons license
Open access
Highlights
- •Nature is important in all stages of recovery and rehabilitation
- •Incidental hospital interaction reduced psychological distress, increased wellbeing
- •Intentional interaction in hospital was usually through gardening/gardens
- •Community interaction can be more intense/challenging
- •Inaccessible nature is frustrating, virtual approaches may provide a solution
Abstract
Substantial
evidence demonstrates natural environments benefit human health, but
lesser known is specific knowledge on benefits for people with acquired
brain injury (ABI), including impacts across the continuum of recovery
or the breadth of nature interaction. This systematic scoping review
aimed to report on research exploring nature-based interventions and
nature interaction for people with ABI, and to identify gaps in the
research. Six databases were searched. Eligibility criteria were 1)
majority of participants (more than 50%) are adults (18 years and above)
with ABI, or therapists/health professionals' perspectives on nature or
nature-based interventions for people with ABI, 2) nature-based
intervention or nature interaction, 3) all contexts including hospital,
rehabilitation, community and home environments, 4) primary research
studies and metanalysis reporting on nature-based intervention or nature
exposure/immersion and, 5) in English or translated to English. Out of
the 16,490 articles screened 38 relevant articles were identified. Most
studies were completed during inpatient (n = 13) and outpatient
rehabilitation (n = 10), with less research occurring post
rehabilitation (n = 12) and during acute care (n = 2); one was
longitudinal across these phases, and one was unable to be determined.
The interaction, or exposure, to nature was incidental in fourteen of
the studies, and intentional for the remaining (n = 24). Most of the
studies explored nature in outdoor environments, with gardens and green
space being most common (n = 28) and nature in indoor environments
explored in only seven studies. Quantitative research most often
evaluated depression and anxiety outcomes (n=12), followed by well-being
and quality of life (n = 5); and independence, activity performance and
participation (n = 5). Quantitative results indicated that nature
positively impacts depression, anxiety and mood, along with well-being
and quality of life. But there were mixed results for sleep and fatigue,
stress, self-efficacy, and independence/activity participation. Common
qualitative study outcomes were well-being and quality of life (n=7),
restoration (n=7), self-efficacy and motivation (n=6), depression,
anxiety and mood (n=5), and benefits to the rehabilitation process
(n=5). Overall, nature interactions offer significant benefits for
people with ABI, and wherever possible healthcare professionals are
encouraged to incorporate nature into the rehabilitation process.
Research is needed to provide robust further evidence and understand the
best methods of intentionally using nature in rehabilitation, with
stage of recovery an important consideration. Two areas for future
research with very little exploration to date were nature exposure in
the acute care stage of recovery and incidental nature exposure. The
need and value of involving people with ABI in the development of
intentional nature interactions, healthcare building design, and
research design, was highlighted as critical to ensure nature is
incorporated to its full potential.
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