Evidence map›Paper›PMID 42705670›Full record

ArticleBMJ open2026

Forest|Health: a pilot study on feasibility and exploratory outcomes of a modular forest therapy intervention in Mecklenburg-Western Pomerania.

Ann-Kristin Reinhard, Sophie Hauck, Kristin Lehnert, Bernhard Lehnert, Eva-Lotta Brakemeier, Susanne Wurm

Abstract read
In one paragraph

Article in BMJ open, 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

6 authors.

Ann-Kristin ReinhardInstitute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany.ORCID 0009-0001-9565-5063
Sophie HauckDepartment of Clinical Psychology and Psychotherapy, University of Greifswald, Greifswald, Germany.
Kristin LehnertClinic and Policlinic for Internal Medicine B, University Medicine Greifswald, Greifswald, Germany.ORCID 0000-0003-2342-3949
Bernhard LehnertClinic and Policlinic for Ear, Nose, and Throat Diseases, Head and Neck Surgery, University Medicine Greifswald, Greifswald, Germany.
Eva-Lotta BrakemeierDepartment of Clinical Psychology and Psychotherapy, University of Greifswald, Greifswald, Germany.ORCID 0000-0001-9589-3697
Susanne WurmInstitute for Community Medicine, Department of Prevention Research and Social Medicine, University Medicine Greifswald, Greifswald, Germany Susanne.Wurm@med.uni-greifswald.de.ORCID 0000-0001-6924-8299

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNature-based interventions aimed at promoting health, enhancing well-being and supporting medical treatment have long been a focus of public health research. In particular, forest therapy and forest bathing are well established in Asia as evidence-informed approaches to stress reduction. In Europe, research on forest therapy is expanding although the field remains comparatively young. Existing studies have mainly focused on the short-term effects of single forest visits while evidence on multiweek interventions and potential medium-term to long-term effects remains limited. The project METHODS AND ANALYSIS: The study protocol describes a pilot study to evaluate a modular forest therapy intervention with regard to feasibility indicators as well as stress-related and symptom-related exploratory outcomes. A total of 120 participants will be recruited across three target groups: community-dwelling adults aged 65 years and older, adults with arterial hypertension and adults with depressive symptoms recruited from treatment waiting lists. Using a multimethod approach, two preliminary studies were conducted: a survey of community-dwelling individuals in the region and focus groups with regional stakeholders. Additionally, a 2-week pilot study of the intervention was conducted. Based on these findings, a 4-week modular forest therapy intervention will be implemented. Participants will be assigned to intervention modules with distinct content using a quasi-randomised procedure. The intervention will follow a pre-post design with follow-up assessments. Feasibility indicators will be assessed as key process outcomes. The primary exploratory outcome will be stress while secondary exploratory outcomes will include psychological and physiological health-related measures. ETHICS AND DISSEMINATION: The study was approved by the Ethics Committee of the University Medicine Greifswald. Participants will provide informed consent, receive information about potential risks and support options. The results will be disseminated through scientific publications, conferences and public outreach.

trial registrationThis study protocol is preregistered on the Open Science Framework (OSF; Registration DOI: 10.17605/OSF.IO/C2D5P; last update 16 December 2025).

Indexed as

DepressionForest TherapyHypertensionStress, PsychologicalAgedFeasibility StudiesFemaleForestsGermanyHumansIndependent LivingPilot ProjectsResearch DesignDepression & mood disordersHypertensionPreventive Health Services

Identifiers

PMID42705670
PMCPMC13560978

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.