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Does More Time in a Therapeutic Garden Lead to a Faster Return to Work? A Prospective Cohort Study of Nature-Based Therapy, Exploring the Relationship between Dose and Response in the Rehabilitation of Long-Term Patients Suffering from Stress

Grahn, Patrik and Palsdottir, Anna Maria (2021). Does More Time in a Therapeutic Garden Lead to a Faster Return to Work? A Prospective Cohort Study of Nature-Based Therapy, Exploring the Relationship between Dose and Response in the Rehabilitation of Long-Term Patients Suffering from Stress. International Journal of Physical Medicine & Rehabilitation. 9 :6 , 614
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Abstract

Background: Stress-related mental illness is increasing worldwide and leading to long-term illness. Most of those affected are aged 30-50, so the need for rehabilitation and return to work for these patients is great. Research indicates that staying in nature can lead to stress recovery. The question is whether nature-based therapy can rehabilitate people who suffer from long-term stress-related mental illness, and how long a period of rehabilitation is necessary.

Methods and findings: The research was carried out at Alnarp Rehabilitation Garden, which is a specially designed health garden on the Swedish University of Agricultural Sciences’ campus area, where the participants in the study were treated by a licensed rehabilitation team. The intention was to examine three cohorts of participants prospectively. These were offered different lengths of a nature-based rehabilitation program through a natural experiment. Participants were referred to Alnarp Rehabilitation Garden from three local social insurance agencies that granted different lengths of rehabilitation programs: 8 weeks, 12 weeks and 24 weeks. The length of the program was determined by which local social insurance agencies they belonged to, not the participants' level of illness. Primary outcome was return to work. Other outcomes were occupational function, personal control and sense of coherence. The results showed that all three rehabilitation interventions gave significantly good results, but that longer nature-based rehabilitation led to significantly better results for all outcomes. The 12-week program provided 75% greater return to paid work and the 24-week program 120% greater return to paid work than the 8-week program.

Conclusion: There is a significant positive relationship between treatment time in the rehabilitation garden and return to work. The study also indicates that the effects may level off after twelve weeks. More studies are needed to further investigate the relationships.

Authors/Creators:Grahn, Patrik and Palsdottir, Anna Maria
Title:Does More Time in a Therapeutic Garden Lead to a Faster Return to Work? A Prospective Cohort Study of Nature-Based Therapy, Exploring the Relationship between Dose and Response in the Rehabilitation of Long-Term Patients Suffering from Stress
Series Name/Journal:International Journal of Physical Medicine & Rehabilitation
Year of publishing :2021
Volume:9
Number:6
Article number:614
Number of Pages:4
Associated Programs and Other Stakeholders:SLU - Environmental assessment > Programme Built Environment
SLU - Research Areas for the Future > SLU Urban Futures
SLU - Research Areas for the Future > SLU Future Animals, Nature and Health
Language:English
Publication Type:Article Review/Survey
Article category:Scientific peer reviewed
Version:Published version
Copyright:Creative Commons: Attribution 4.0
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 5 Social Sciences > 501 Psychology > Applied Psychology
(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Occupational Therapy
Keywords:supportive environments, perceived sensory dimensions, Alnarp rehabilitation garden, green care, horticultural therapy
URN:NBN:urn:nbn:se:slu:epsilon-p-115903
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-115903
Additional ID:
Type of IDID
Otherhttps://www.longdom.org/open-access/does-more-time-in-a-therapeutic-garden-lead-to-a-faster-return-to-work-a-prospective-cohort-study-of-naturebased-therapy-exploring-89118.html
Alternative URL:https://www.longdom.org/open-access/does-more-time-in-a-therapeutic-garden-lead-to-a-faster-return-to-work-a-prospective-cohort-study-of-naturebased-therapy-exploring-89118.html
ID Code:27008
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of People and Society (from 2021)
Deposited By: SLUpub Connector
Deposited On:11 Feb 2022 10:39
Metadata Last Modified:30 May 2022 08:13

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