Evidence map›Paper›PMID 32183815›Full record

Trial reportThe international journal of behavioral nutrition and physical activity2020

Effectiveness of prescribing physical activity in parks to improve health and wellbeing - the park prescription randomized controlled trial.

Falk Müller-Riemenschneider, Nicholas Petrunoff, Jiali Yao, Alwyn Ng, Angelia Sia, Anbumalar Ramiah, Michael Wong, Jane Han, Bee Choo Tai, Léonie Uijtdewilligen

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The international journal of behavioral nutrition and physical activity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02615392 (Park Prescription Trial), which is not on this map. Cited by 36 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 8 pooled it
5.3field-weighted citation impact, top 3% of its field
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.

NCT02615392 nacompletednot on this map

Park Prescription Trial

TypeinterventionalSponsorNational University of SingaporeRan2016 to 2017Enrolled160ConditionsHealthyArmsPark Prescription
3 · Its place in the literature

Who cites it

36 citing papers in PubMed, 8 syntheses or guidelines pooled it, 95 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. What Activities in Forests Are Beneficial for Human Health? A Systematic Review.International journal of environmental research and public health · 2022
    Pooled it
  8. Pooled it
  9. Trial
  10. 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
  11. Trial
  12. Article
  13. Article
  14. Article
  15. Article
  16. Space Prescription: Initiative to Improve Health and Well-being in Tokyo.Journal of atherosclerosis and thrombosis · 2025
    Review
  17. Article
  18. Nature Prescriptions and Indigenous Peoples: A Qualitative Inquiry in the Northwest Territories, Canada.International journal of environmental research and public health · 2024
    Article
  19. Interactions with Nature, Good for the Mind and Body: A Narrative Review.International journal of environmental research and public health · 2024
    Review
  20. Article
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

10 authors at 3 institutions in 1 country.

Falk Müller-RiemenschneiderSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore. ephmf@nuhs.edu.sg.
Nicholas PetrunoffSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore.
Jiali YaoSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore.
Alwyn NgSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore.
Angelia SiaCentre for Urban Greenery & Ecology, National Parks Board Singapore, 1E Cluny Rd, Singapore Botanic Gardens, Singapore, 259569, Singapore.
Anbumalar RamiahHealth for Life Centre, Alexandra Health Pte Ltd, 90 Yishun Central, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Michael WongHealth for Life Centre, Alexandra Health Pte Ltd, 90 Yishun Central, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Jane HanHealth for Life Centre, Alexandra Health Pte Ltd, 90 Yishun Central, Khoo Teck Puat Hospital, Singapore, 768828, Singapore.
Bee Choo TaiSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore.
Léonie UijtdewilligenSaw Swee Hock School of Public Health, National University of Singapore, Tahir Foundation Building, Block MD1, 12 Science Drive 2, #09-01V, Singapore, 117549, Singapore.
National University of Singapore · SGKhoo Teck Puat Hospital · SGNational Parks Board · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrograms promoting population health through physical activity (PA) and exposure to nature are popular, but few have been evaluated in randomized-controlled trials (RCTs).

objectiveTo investigate the effectiveness of a park prescription intervention (PPI) for improving total moderate-to-vigorous PA (MVPA), other PA related behaviors, quality of life (QoL) and cardio-metabolic health among adults.

methodsHealthy individuals aged 40 to 65 years were recruited through community health screenings and randomly assigned to 1) PPI: face-to-face Park Prescription + invitation to weekly exercise sessions in parks, or 2) control: standard PA materials. After the six-month intervention, participants completed accelerometer assessments, questionnaires on health behaviors and QoL, and health screenings. Independent sample t-tests were used to compare outcomes between groups, with secondary analysis adjusted for co-variates via multiple linear regression. A p-value <0.05 was considered statistically significant.

resultsEighty participants were allocated to each group. Participants with mean age of 51.1 (Standard Deviation: 6.3) years were predominantly female (79%) and of Chinese ethnicity (81%). Participation in the group exercise started at 48% and declined to 24% by week 26. At six-months, 145 (91%) participants attended health screenings for outcome measure collection, and 126 (79%) provided valid accelerometer data. Time spent in MVPA favored the PPI group but this difference was not statistically significant (4.4 (- 43.8, 52.7) minutes/week; when removing 2 extreme outliers 26.8 (- 9.7, 63.4) minutes/week). Time spent in parks (147.5 (2.1, 292.9) minutes/month), PA in parks (192.5 (59.5, 325.5) minutes/month), and recreational PA (48.7 (1.4, 96.0) minutes/week) were significantly greater in the PPI group. PPI also significantly improved psychological QoL (4.0 (0.0, 8.0). DISCUSSION: PPI improved park use, PA in parks, recreational PA, and psychological QoL but not total MVPA. Future RCTs' are warranted to investigate PPI in different target populations and to provide further evidence for improvements in health outcomes.

trial registrationClinicalTrials.gov NCT02615392, 26 November 2015.

Indexed as

Parks, RecreationalQuality of LifeAdultAgedExerciseFemaleHealth PromotionHumansMaleMiddle AgedParksPhysical activityPublic healthRandomized controlled trialUrban green space

Identifiers

PMID32183815
PMCPMC7079356
OpenAlexW3011820459

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.