Evidence map›Paper›PMID 41896920›Full record

ArticleTrials2026

Outdoor nature-based activities for mental vitality and cognitive empowerment in older adults: a randomized controlled trial protocol.

Fatemeh Mehriyan, Afsaneh Bakhtiari, Razieh Zahedi

Abstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Fatemeh MehriyanStudent Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.ORCID http://orcid.org/0009-0000-3595-6772
Afsaneh BakhtiariSocial Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. afbakhtiari@gmail.com.ORCID http://orcid.org/0000-0002-4732-6900
Razieh ZahediResearch Center for Noncommunicable Diseases, Jahrom University of Medical Sciences, Jahrom, Iran.ORCID http://orcid.org/0000-0002-8998-1292

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNature exposure has been associated with mental health and cognitive benefits among older adults. However, controlled trials evaluating specific types of nature-based interventions are limited. This study aims to examine the effects of two structured outdoor activities, walking with meaningful conversation and group meditation, on mental vitality and cognitive empowerment in elderly women.

methodsThis is a three-arm parallel randomized controlled trial (RCT) enrolling 111 women aged ≥ 60 from 9 urban and rural health centers in Khafr County, Iran. Participants will be randomized into the following: (1) Walking with meaningful conversation group, (2) meditation in nature group, and (3) control group with no intervention. Each intervention consists of eight 2-h sessions across 8 weeks. Assessments will occur at baseline, post-intervention (week 8), and 3-month follow-up using validated questionnaires on mental vitality and cognitive empowerment. The generalized estimating equation (GEE) model will be applied to analyze changes over time. DISCUSSION: We hypothesize that both intervention groups will show significant improvements compared to the control, with walking expected to yield greater gains in mental vitality and meditation to better enhance cognitive empowerment. Findings may support the implementation of community-based, non-pharmacological programs to promote active aging.

trial registrationIranian Registry of Clinical Trials IRCT20241023063481N1. Registered on 18 February 2025.

Indexed as

CognitionEmpowermentMental HealthWalkingAgedCognitive EnhancementFemaleHumansIranMiddle AgedRandomized Controlled Trials as TopicTime FactorsCognitive empowermentElderly womenMental vitalityOutdoor activitiesRandomized controlled trial

Identifiers

PMID41896920
PMCPMC13147574

What OpenQuestion holds

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Registered trials

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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.