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Finding With Nature: A Study Testing Nature-Based Support for Family Caregivers Aged 65 and Over (FWN)

16. September 2026 aktualisiert von: Julija Chichaeva, JAMK University Of Applied Sciences

Finding With Nature: A Nature-Based Intervention for the Well-Being of Family Caregivers Aged 65 and Over: Protocol for a Randomised Controlled Trial

This research project investigates the effects of a nature-based programme (Finding with Nature, FWN), on psychological well-being, functioning, and nature connectedness among older adults (65 and older) who provide care for their close one in Finland. The FWN programme combines nature exposure, physical activity, and Acceptance and Commitment Therapy (ACT) methods. The effects of the FWN programme are studied in a randomised controlled trial. The psychological well-being, functioning, and nature connectedness are investigated with self-report measures and analysed with quantitative methods. The results provide knowledge about the ability of nature-based, low-threshold methods to support older adults (65+) who provide care for their close one.

Studienübersicht

Status

Noch keine Rekrutierung

Bedingungen

Intervention / Behandlung

Detaillierte Beschreibung

An intervention study in randomised control trial design will be conducted with a target sample of 350 participants living in Central Finland. After receiving information about the research and providing a written consent, participants answer a question of caregiver burden and indicate whether they would prefer to participate in the Finding with Nature (FWN) programme in face-to-face group meetings or individually via an interactive online platform. After that, the participants are randomly allocated to intervention and control groups which are balanced according to the caregiver burden. The participants in the intervention group will be offered a 6-week FWN programme either in a face-to-face group or individually online, according to their own preference. In the face-to-face group implementation, the FWN programme will be carried out by a trained facilitator with meetings once a week. In the online implementation, the FWN programme will be completed individually at their own pace via an interactive online platform. In both implementation formats, participants will complete independent tasks and have the opportunity to share their experiences with peers.

At the core of the FWN programme are facilitated nature-based, low-threshold exercises in six theme areas of the FWN programme (one theme for each week): 1) Introduction, personal situation, and starting points for change; 2) personally meaningful matters and values; 3) acceptance of emotions and confronting barriers; 4) listening to the body, meaningful movement, and natural settings; 5) mindfulness skills and everyday choices; and (6) self-concept, self-compassion, and self-awareness.

Participants respond to surveys at three measurement points: a pre-measurement at the start of the programme, a post-measurement at the end of the programme, and a follow-up measurement three months after the end of the programme. The participants in the intervention group are compared to the participants in the control group who continue life as usual and only respond to online surveys at three measurement points (pre-, post- and follow-up measurements). The control group participants are offered a opportunity to participate in face-to-face group meetings or the online implementation of the FWN programme after the follow-up measurement.

This research is funded by the Health Promotion Grant (Ministry of Social Affairs and Health, STM, va-thl-2025-1-80).

Studientyp

Interventionell

Einschreibung (Geschätzt)

350

Phase

  • Unzutreffend

Kontakte und Standorte

Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.

Studienkontakt

Studieren Sie die Kontaktsicherung

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Älterer Erwachsener

Akzeptiert gesunde Freiwillige

Nein

Beschreibung

Inclusion Criteria:

  • Age 65 years and older
  • Providing care for a close one, formally or informally
  • Able to communicate adequately in Finnish
  • Willingness to commit to a 6-week intervention programme

Exclusion Criteria:

-

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Verhütung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Keine (Offenes Etikett)

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: Finding with Nature intervention
Participants aged ≥65 years who are informal/family caregivers and living in Central Finland. Participants randomized to this arm will take part in a 6-week structured intervention program.
A 6-week nature-based program integrating physical activity in nature and Acceptance and Commitment Therapy (ACT) methods to promote well-being, functioning, and nature connectedness. Delivered either in face-to-face groups or via an online platform, including guided sessions, independent exercises, informational content, and opportunities for peer support.
Kein Eingriff: No intervention
Participants aged ≥65 years who are informal/family caregivers and living in Central Finland. Participants randomized to this arm will continue their usual daily life without the study intervention during the 6-week follow-up period. After the follow-up, they will be offered the opportunity to participate in the intervention.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Psychological well-being: the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
7-item scale, range 7-35; higher scores indicate better mental well-being.
Pre-intervention, immediately post-intervention, and 3-month follow-up.

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Caregivers' perceived coping as caregivers: COPE Index
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
COPE Index evaluates the caregiver's subjective experience of strain, support, and quality of the caregiving relationship. 15-item scale, range 15-75; higher scores indicate greater caregiving burden.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Functioning: the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
A standardized assessment of functioning across multiple life domains. 12-item scale, range 0-48; higher scores indicate greater disability (worse functioning).
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Adult Social Care Outcomes Toolkit (ASCOT) SCT4
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Measure designed specifically for informal caregivers, focusing on social care-related quality of life. 8-item scale; higher scores indicate better social care-related quality of life.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Self-rated health: a single validated item
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Connectedness to nature: short version of Connectedness to Nature Scale (CNS)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Short version of the Connectedness to Nature Scale (CNS), 7-item scale, range 7-35; higher scores indicate greater connectedness to nature.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Connectedness to nature and nature-related experiences: the Holistic Nature Experience measure
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
16-item scale, range 16-96; higher scores indicate more positive nature-related experiences.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Psychological flexibility: Comprehensive Assessment of ACT Processes (CompACT-10)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
10-item scale, range 0-60; higher scores indicate greater psychological flexibility
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Anxiety: Generalized Anxiety Disorder 7-item Scale (GAD-7)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
7-item scale, range 0-21; higher scores indicate greater anxiety symptoms
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Physical activity: International physical activity questionnaire -short form (IPAQ-SF)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
International Physical Activity Questionnaire - Short Form (IPAQ-SF), 7-item questionnaire. Total physical activity is expressed as MET-minutes per week. The minimum value is 0 MET-minutes/week, with no fixed maximum value. Higher scores indicate higher levels of physical activity.
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Restorative experiences: the Restoration Outcome Scale (ROS)
Zeitfenster: Immediately before and after each of the six weekly intervention sessions during the 6-week intervention period.
6-item scale, range 6-42; higher scores indicate greater restorative experiences
Immediately before and after each of the six weekly intervention sessions during the 6-week intervention period.
Life-space mobility: the Life-Space Assessment (LSA)
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Capture the spatial extent and frequency of participants' mobility in daily life, assessing mobility over the previous 4 weeks, range 0-120; higher scores indicate greater life-space mobility
Pre-intervention, immediately post-intervention, and 3-month follow-up.
Engagement with natural and green environments
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Assessed through questions on frequency, purpose, and patterns of nature visits.
Pre-intervention, immediately post-intervention, and 3-month follow-up.

Andere Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Caregiver characteristics
Zeitfenster: Pre-intervention, immediately post-intervention, and 3-month follow-up.
Information is collected on the care recipient, duration of caregiving, formal caregiver status, and use of support services.
Pre-intervention, immediately post-intervention, and 3-month follow-up.

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Sponsor

Mitarbeiter

Ermittler

  • Hauptermittler: Julija Chichaeva, MHS, JAMK University Of Applied Sciences

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Geschätzt)

7. September 2026

Primärer Abschluss (Geschätzt)

1. März 2028

Studienabschluss (Geschätzt)

1. März 2028

Studienanmeldedaten

Zuerst eingereicht

3. September 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

15. September 2026

Zuerst gepostet (Tatsächlich)

16. September 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

17. September 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

16. September 2026

Zuletzt verifiziert

1. September 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Andere Studien-ID-Nummern

  • VA-THL-2025-1-80

Plan für individuelle Teilnehmerdaten (IPD)

Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?

JA

Beschreibung des IPD-Plans

Anonymised quantitative data will be archived, where applicable, in the Finnish Social Science Data Archive (FSD).

Art der unterstützenden IPD-Freigabeinformationen

  • STUDIENPROTOKOLL
  • SAFT
  • ICF
  • CSR

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .