Evidence map›Paper›PMID 41899771›Full record

ArticleInternational journal of environmental research and public health2026

The Implicit Ecosystem of Outdoor Therapies: A Grounded Theory Exploratory Study of International Practitioners' Guiding Frameworks and the Proposition of a Practice Theory.

Carina R Fernee, Markus Mattsson, Pekka Lyytinen, Nevin J Harper

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 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

4 authors.

Carina R FerneeDepartment of Child and Adolescent Mental Health, Sørlandet Hospital, Egsveien 100, 4615 Kristiansand, Norway.ORCID 0000-0002-0732-7407
Markus MattssonDepartment of Child and Adolescent Mental Health, Sørlandet Hospital, Egsveien 100, 4615 Kristiansand, Norway.ORCID 0000-0001-9063-8363
Pekka LyytinenMuutosloki Turku Ay, Yliopistonkatu 26b, 20100 Turku, Finland.ORCID 0009-0005-7345-7479
Nevin J HarperSchool of Exercise Science, Physical and Health Education, University of Victoria, P.O. Box 1700 STN CSC, Victoria, BC V8W 2Y2, Canada.ORCID 0000-0002-7828-2349

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Human health and well-being are dependent on natural environments, which is the core foundation of the growing discipline of outdoor therapies. However, as with psychotherapy research in general, the field of outdoor therapies lacks descriptive process-oriented theoretical frameworks that precisely reflect this multi-faceted practice. Therapeutic work, whether this takes place indoors or outdoors, comprises numerous implicit relational and environmental dimensions. Implicit aspects are largely sensed, embodied and intuitive, and therefore hard to pin down and describe accurately. In this exploratory study, a survey mapped implicit guiding frameworks amongst outdoor therapy practitioners (

Indexed as

NaturePsychotherapyEnvironmentGrounded TheoryHumansecosystemgrounded theoryimplicit theorynature-basedoutdoor therapy

Identifiers

PMID41899771
PMCPMC13027336

What OpenQuestion holds

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LicenceCC BY
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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.