Evidence map›Paper›PMID 42781025›Full record

ArticleFrontiers in public health2026

Connecting with nature to mitigate toxic stress: an exploratory study of pediatric provider perceptions.

Candace M Gragnani, Priyanka Fernandes, Angelica Fregoso, Florence Saez, Varsha Nair, Malakai Espinosa, Ali Al-Saleem, Connecting with Nature Community Advisory Board, Charlene Choi, Nooshin Razani

Abstract read
In one paragraph

Article in Frontiers in 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

10 authors.

Candace M GragnaniDivision of Medicine-Pediatrics & Preventive Medicine, Department of Medicine, UCLA Health, Los Angeles, CA, United States.
Priyanka FernandesDivision of Medicine-Pediatrics & Preventive Medicine, Department of Medicine, UCLA Health, Los Angeles, CA, United States.
Angelica FregosoDivision of Medicine-Pediatrics & Preventive Medicine, Department of Medicine, UCLA Health, Los Angeles, CA, United States.
Florence SaezUCLA Fielding School of Public Health, Los Angeles, CA, United States.
Varsha NairUCLA Fielding School of Public Health, Los Angeles, CA, United States.
Malakai EspinosaUCLA College of Letters and Science, Los Angeles, CA, United States.
Ali Al-SaleemUCLA College of Letters and Science, Los Angeles, CA, United States.
Connecting with Nature Community Advisory Board
Charlene ChoiDivision of Medicine-Pediatrics & Preventive Medicine, Department of Medicine, UCLA Health, Los Angeles, CA, United States.
Nooshin RazaniUCSF Center for Nature and Health, Department of Epidemiology and Biostatistics, UCSF, Oakland, CA, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current research supports claims for nature's role in resilience and healing from toxic stress, adverse childhood experiences (ACEs), and their downstream sequelae. Beyond promoting individual patient health, access to greenspace has broader community-level benefits, including the fostering of community resilience and the reduction of socio-economic and race-driven health inequalities. While these benefits can dovetail with the public health goals of promoting healing, nature and nature contact remain an underutilized resource in the clinical setting with limited previous exploration as to why. The following is an overview of how nature can impact youth and families experiencing ACEs and toxic stress, with a focus on exploring insight from Los Angeles County pediatric providers and opportunities to enhance pediatric health care providers' roles in connecting youth and families with nature to mitigate toxic stress.

Indexed as

Adverse Childhood ExperiencesStress, PsychologicalAdolescentChildFemaleHumansLos AngelesMaleResilience, Psychologicalcommunity partnershiphealthnaturepediatricstoxic stress

Identifiers

PMID42781025
PMCPMC13597923

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.