Finding With Nature: A Study Testing Nature-Based Support for Family Caregivers Aged 65 and Over (FWN)
Finding With Nature: A Nature-Based Intervention for the Well-Being of Family Caregivers Aged 65 and Over: Protocol for a Randomised Controlled Trial
調査の概要
状態
詳細な説明
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).
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前：Julija Chichaeva, MHS
- 電話番号：+358504628081
- メール：julija.chichaeva@jamk.fi
研究連絡先のバックアップ
- 名前：Emmi Matikainen, PhD
- 電話番号：+358504755530
- メール：emmi.matikainen-tervola@jamk.fi
参加基準
適格基準
就学可能な年齢
- 高齢者
健康ボランティアの受け入れ
説明
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:
-
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：防止
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：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.
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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.
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介入なし：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.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Psychological well-being: the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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7-item scale, range 7-35; higher scores indicate better mental well-being.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Caregivers' perceived coping as caregivers: COPE Index
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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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.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Functioning: the WHO Disability Assessment Schedule 2.0 (WHODAS 2.0)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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A standardized assessment of functioning across multiple life domains.
12-item scale, range 0-48; higher scores indicate greater disability (worse functioning).
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Adult Social Care Outcomes Toolkit (ASCOT) SCT4
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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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.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Self-rated health: a single validated item
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Connectedness to nature: short version of Connectedness to Nature Scale (CNS)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Short version of the Connectedness to Nature Scale (CNS), 7-item scale, range 7-35; higher scores indicate greater connectedness to nature.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Connectedness to nature and nature-related experiences: the Holistic Nature Experience measure
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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16-item scale, range 16-96; higher scores indicate more positive nature-related experiences.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Psychological flexibility: Comprehensive Assessment of ACT Processes (CompACT-10)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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10-item scale, range 0-60; higher scores indicate greater psychological flexibility
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Anxiety: Generalized Anxiety Disorder 7-item Scale (GAD-7)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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7-item scale, range 0-21; higher scores indicate greater anxiety symptoms
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Physical activity: International physical activity questionnaire -short form (IPAQ-SF)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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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.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Restorative experiences: the Restoration Outcome Scale (ROS)
時間枠：Immediately before and after each of the six weekly intervention sessions during the 6-week intervention period.
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6-item scale, range 6-42; higher scores indicate greater restorative experiences
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Immediately before and after each of the six weekly intervention sessions during the 6-week intervention period.
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Life-space mobility: the Life-Space Assessment (LSA)
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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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
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Engagement with natural and green environments
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Assessed through questions on frequency, purpose, and patterns of nature visits.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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その他の成果指標
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Caregiver characteristics
時間枠：Pre-intervention, immediately post-intervention, and 3-month follow-up.
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Information is collected on the care recipient, duration of caregiving, formal caregiver status, and use of support services.
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Pre-intervention, immediately post-intervention, and 3-month follow-up.
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協力者と研究者
捜査官
- 主任研究者：Julija Chichaeva, MHS、JAMK University Of Applied Sciences
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- VA-THL-2025-1-80
個々の参加者データ (IPD) の計画
個々の参加者データ (IPD) を共有する予定はありますか?
IPD プランの説明
IPD 共有サポート情報タイプ
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
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