Evidence map›Paper›PMID 42032758›Full record

ArticleArchives of public health = Archives belges de sante publique2026

Testing nature-based biopsychosocial resilience theory: a research programme protocol.

Mathew P White, Julia A M Egger, Giulia Amato, Thomas Astell-Burt, Stine Bekke-Hansen, Angel Borja, Angel Burov, Svea Busse, Caroline Costongs, Donka Dimitrova and 37 more

2 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this 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.

NCT06205940 naunknown statusnot on this map

Building Individual and Community Resilience Through Nature-based Therapies - Case Study 8

TypeinterventionalSponsorUniversity of CopenhagenRan2024 to 2025Enrolled124ConditionsMobility DisabilityArmsAudioguided Nature tour, Non audio guided nature tour
NCT06622629 nacompletednot on this map

NATURE-based Therapy in Urban Coast in Barcelona (NATURE-MET-B)

TypeinterventionalSponsorBarcelona Institute for Global HealthRan2024 to 2025Enrolled100ConditionsHealthy ParticipantsArmsNature based Therapy (NbT): Planned therapeutic techniques performed in natural settings and based on nature-human active participation and connection, Waiting List
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

47 authors.

Mathew P WhiteDepartment of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Wächtergasse 1, Vienna, A-1090, Austria. mathew.white@univie.ac.at.
Julia A M EggerDepartment of Clinical and Health Psychology, Faculty of Psychology, University of Vienna, Wächtergasse 1, Vienna, A-1090, Austria.
Giulia AmatoETIFOR, Padua, Italy.
Thomas Astell-BurtCentre for Flourishing Cities, School of Architecture, Design and Planning, University of Sydney, Sydney, New South Wales, Australia.
Stine Bekke-HansenDepartment of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark.
Angel BorjaAZTI, Marine Research, Basque Research and Technology Alliance (BRTA), Pasaia, Spain.
Angel BurovEnvironmental Health Division, Research Institute at Medical University of Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria.
Svea Busse, ISGlobal, Barcelona, Spain.
Caroline Costongs, EuroHealthNet, Brussels, Belgium.
Donka DimitrovaEnvironmental Health Division, Research Institute at Medical University of Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria.
Ilaria DoimoETIFOR, Padua, Italy.
Angel M DzhambovEnvironmental Health Division, Research Institute at Medical University of Plovdiv, Medical University of Plovdiv, Plovdiv, Bulgaria.
Lewis R ElliottEuropean Centre for Environment & Human Health, University of Exeter, Exeter, UK.
Alba Godfrey, EuroHealthNet, Brussels, Belgium.
James GrellierEuropean Centre for Environment & Human Health, University of Exeter, Exeter, UK.
Terry HartigInstitute for Housing and Urban Research, Uppsala University, Uppsala, Sweden.
Arnulf HartlInstitute of Ecomedicine, Paracelsus Medical University, Salzburg, Austria.
Patrik Karlsson NyedDepartment of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark.
Cecil KonijnendijkNature Based Solutions Institute, Malmö, Sweden.
Melissa LemDepartment of Family Practice, University of British Columbia, Vancouver, Canada.
Jill S Litt, ISGlobal, Barcelona, Spain.
Rebecca LovellEuropean Centre for Environment & Human Health, University of Exeter, Exeter, UK.
Freddie LymeusInstitute for Housing and Urban Research, Uppsala University, Uppsala, Sweden.
Aynur MammadovaDepartment of Land, Environment, Agriculture & Forestry (TESAF), University of Padua, Padua, Italy.
Leanne MartinEuropean Centre for Environment & Human Health, University of Exeter, Exeter, UK.
Angelica MoèDepartment of General Psychology, University of Padua, Padua, Italy.
Sarah Morgan TrimmerPrimary Care, Population Science and Medical Education, University of Southampton, Southampton, UK.
Colm O'DriscollETIFOR, Padua, Italy.
Johan ÖstbergNature Based Solutions Institute, Malmö, Sweden.
Sabine PahlEnvironment and Climate Research Hub, University of Vienna, Vienna, Austria.
Francesca PazzagliaDepartment of General Psychology, University of Padua, Padua, Italy.
Christina PichlerInstitute of Ecomedicine, Paracelsus Medical University, Salzburg, Austria.
Alexandria PoolePhilosophy Section, Behavioral, Management and Social Sciences Faculty, University of Twente, Twente, Netherlands.
Sarai PousoAZTI, Marine Research, Basque Research and Technology Alliance (BRTA), Pasaia, Spain.
Nooshin RazaniUniversity of California San Francisco, San Francisco, California, USA.
Todora RogeljaDepartment of Land, Environment, Agriculture & Forestry (TESAF), University of Padua, Padua, Italy.
Laura SeccoDepartment of Land, Environment, Agriculture & Forestry (TESAF), University of Padua, Padua, Italy.
Ulrika K StigsdotterDepartment of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark.
Sus Sola CorazonDepartment of Geosciences and Natural Resource Management, University of Copenhagen, Copenhagen, Denmark.
Georgina SowmanAdvanced Wellbeing Research Centre, Sheffield Hallam University, Sheffield, UK.
Maria C UyarraAZTI, Marine Research, Basque Research and Technology Alliance (BRTA), Pasaia, Spain.
Agnes E van den BergDepartment of Communication Science, University of Twente, Enschede, the Netherlands.
Thomas van RompayDepartment of Communication Science, University of Twente, Enschede, the Netherlands.
Martin VoracekDepartment of Cognition, Emotion, and Methods in Psychology, Faculty of Psychology, University of Vienna, Vienna, Austria.
Nancy M WellsDepartment of Human Centered Design, College of Human Ecology, Cornell University, Ithaca, New York, USA.
Benedict W WheelerEuropean Centre for Environment & Human Health, University of Exeter, Exeter, UK.
Matilda van den Bosch, ISGlobal, Barcelona, Spain.

Funding

HORIZON EUROPE European Research Council 101081420UK Research and Innovation 10063874
6 · The paper itself

Abstract

backgroundInterventions that use nature contact to promote health and well-being exist at the societal/infrastructural level (incl. nature-based solutions) and the individual/group level (incl. nature-based therapies). One way nature-based therapies promote health is by fostering resilience to manage stressors. Nature-based biopsychosocial resilience theory (NBRT) provides a framework to explain how nature plays a role in how resilience-related adaptive resources are built and maintained but this has yet to be tested.

methodsThe current paper outlines a four-year multi-country (Austria, Belgium, Bulgaria, Denmark, Italy, the Netherlands, Spain, Sweden, the UK) research programme that tests the NBRT framework and explores how nature-based therapies can build and maintain individual and community resilience. As well as reviewing and mapping existing interventions globally, nine case studies across Europe are exploring how nature promotes resilience across: (1) whole populations (three case studies); (2) individuals at-risk of metabolic syndrome (three case studies); and (3) individuals with existing issues such as chronic stress, mobility challenges, or cognitive impairments (three case studies). Three case studies use longitudinal cohorts, five use randomised controlled trials, and one a practitioner shared-experience approach. The determinants and impacts of nature-based therapies are also considered beyond effects on individual participants, by assessing distributional issues (e.g., health equity), environmental impacts, financial implications, broader societal acceptability and engagement, as well as the barriers and enablers to successful implementation. In three specific case studies (Barcelona, Padua and Salzburg), this is done through multi-sectoral social innovation actions we refer to as ‘Resilience Hubs’. Results will be summarised in academic publications, a series of sector-specific guides, and an overall ‘What works’ guide for practitioners, policy makers, and the public. DISCUSSION: We use a novel theoretical framework to structure a research and innovation programme to inform the implementation of nature-based therapies across Europe and globally. Challenges include the integration of terminology and research practices from multiple disciplinary perspectives, participant recruitment and attrition, especially among marginalised groups, a potential lack of local stakeholder time and interest, potentially small effect sizes of time-limited interventions, and difficulties in identifying distinct causal mechanisms. Mitigation strategies are discussed.

trial registrationOf nine case studies (CSs), five are intervention trials and have been registered: a) CS4 doi.org/10.1186/ISRCTN74582097 (22.07.2024); b) CS5 doi.org/10.1186/ISRCTN14169596 (10.06.2024); c) CS6 clinicaltrials.gov/study/NCT06622629 (30.09.2024); d) CS7 doi.org/10.1186/ISRCTN93192592 (29.05.2024); e) CS8 clinicaltrials.gov/study/NCT06205940 (15.05.2024). All nine case studies have received ethical approval (see Declarations section).

Indexed as

Biopsychosocial resilience, blue/green spacesComplex interventionsHealth-related quality of lifeLongitudinal cohort studiesMindfulnessNature-based therapiesRandomised controlled trialsSocial-ecological resilienceSocial innovation actionsWell-being

Identifiers

PMID42032758
PMCPMC13107860

What OpenQuestion holds

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LicenceCC BY
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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.