Evidence map›Paper›PMID 30496300›Full record

ArticlePloS one2018

Measuring connectedness to nature in preschool children in an urban setting and its relation to psychological functioning.

Tanja Sobko, Zhenzhen Jia, Gavin Brown

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02715544 (Promoting Healthy Eating and Active Playtime by Connecting Preschool Children to Nature), which is not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02715544 naunknown statusnot on this map

Promoting Healthy Eating and Active Playtime by Connecting Preschool Children to Nature

TypeinterventionalSponsorThe University of Hong KongRan2015 to 2020Enrolled240ConditionsSedentary Lifestyle, Overweight, Eating DisordersArmsHealthy lifestyle, physical activity and dietary guidelines
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Interventions to prevent obesity in children aged 2 to 4 years old.The Cochrane database of systematic reviews · 2025
    Pooled it
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  4. Actual and Virtual Parks Benefit Quality of Life and Physical Activity: A Cluster Trial.Journal of urban health : bulletin of the New York Academy of Medicine · 2024
    Trial
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  12. Cohort Profile: The ORIGINS pregnancy and birth cohort.International journal of epidemiology · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Tanja SobkoSchool of Biological Sciences, Faculty of Science, The University of Hong Kong, Hong Kong.ORCID 0000-0003-1133-3655
Zhenzhen JiaThe University of Hong Kong, Hong Kong, Hong Kong.
Gavin BrownFaculty of Education & Social Work, The University of Auckland, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe urban environment has been criticized for promoting 'nature-deficit' and 'child-nature disconnectedness'. Keeping in mind the importance of nature exposure and its extensive health benefits, many environmental programs around the world hope to (re)connect children with nature. To evaluate the effectiveness of such efforts, valid tools to measure Connectedness to Nature (CN) are needed but do not exist today, especially for use with pre-schoolers.

methodsThe original CN Index was modified and tested among the Parents of Preschool Children (CNI-PPC) in an urban setting (Hong Kong) for its internal consistency (n = 299) and external validity (n = 194). The 'Strength and Difficulties Questionnaire' (SDQ) was chosen for divergent and convergent analysis. Conventional recommendations for test adaptation and translation were used.

resultsConfirmatory factor analysis (CFA) revealed that the 16-item scale adequately captured four major dimensions: enjoyment of nature, empathy for nature, responsibility toward nature, and awareness of nature (Cronbach's α were respectively .86, .87, .75 and .80). When tested against the SDQ, a validated measure for child psychological functioning, and identification of children's problem behaviours, three CNI-PPC factors influenced the SDQ outcomes: (1) the more enjoyment of nature children displayed the less overall distress and impairment they exhibited (β = -.64); (2) greater responsibility toward nature in children was associated with less hyperactivity (β = -.50), fewer behavioural and peer difficulties (β = -.62 and β = -.65 respectively) and improved prosocial behaviour (β = .77); (3) the more aware children were of nature, the less emotional difficulties they exhibited (β = -.51). The variance explained was large (range R2 = .42 to .80).

conclusionsThus, CNI-PPC factors have meaningful and substantive associations with the strengths and difficulties parents perceive in their children. This indicates that the CNI-PPC is a valid and reliable instrument to measure CN at an age when children cannot respond for themselves. Further, this simple tool can help researchers/practitioners to better understand how connectedness to nature affects child psychological functioning and wellbeing.

trial registrationClinicalTrials.gov Identifier: NCT02715544. Registered 8 March 2016.

Indexed as

Mental HealthNatureChildChild, PreschoolFemaleHumansMalePsychometricsUrban Population

Identifiers

PMID30496300
PMCPMC6264829

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.