Finding With Nature: A Study Testing Nature-Based Support for Family Caregivers Aged 65 and Over (FWN)
2026년 9월 16일 업데이트: 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.
연구 개요
상태
상태
아직 모집하지 않음
정황
정황
개입 / 치료
개입 / 치료
상세 설명
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).
연구 유형
연구 유형
중재적
등록 (추정된)
등록
350
단계
단계
- 해당 없음
연락처 및 위치
이 섹션에서는 연구를 수행하는 사람들의 연락처 정보와 이 연구가 수행되는 장소에 대한 정보를 제공합니다.
연구 연락처
연구 연락처
- 이름: Julija Chichaeva, MHS
- 전화번호: +358504628081
- 이메일: julija.chichaeva@jamk.fi
연구 연락처 백업
- 이름: Emmi Matikainen, PhD
- 전화번호: +358504755530
- 이메일: emmi.matikainen-tervola@jamk.fi
참여기준
연구원은 적격성 기준이라는 특정 설명에 맞는 사람을 찾습니다. 이러한 기준의 몇 가지 예는 개인의 일반적인 건강 상태 또는 이전 치료입니다.
자격 기준
자격 기준
공부할 수 있는 나이
- 고령자
건강한 자원 봉사자를 받아들입니다
아니
설명
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:
-
공부 계획
이 섹션에서는 연구 설계 방법과 연구가 측정하는 내용을 포함하여 연구 계획에 대한 세부 정보를 제공합니다.
연구는 어떻게 설계됩니까?
디자인 세부사항
- 주 목적: 방지
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
팔의 수
2
무기와 개입
참가자 그룹 / 팔참가자 그룹 / 팔 |
개입 / 치료개입 / 치료 |
|---|---|
|
실험적: 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.
|
|
간섭 없음: 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.
|
연구는 무엇을 측정합니까?
주요 결과 측정
주요 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Psychological well-being: the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)
기간: 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.
|
2차 결과 측정
2차 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Caregivers' perceived coping as caregivers: COPE Index
기간: 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)
기간: 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
기간: 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
기간: 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)
기간: 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
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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)
기간: 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
기간: 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.
|
기타 결과 측정
기타 결과 측정
결과 측정 |
측정값 설명 |
기간 |
|---|---|---|
|
Caregiver characteristics
기간: 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.
|
공동 작업자 및 조사자
여기에서 이 연구와 관련된 사람과 조직을 찾을 수 있습니다.
협력자
협력자
수사관
수사관
- 수석 연구원: Julija Chichaeva, MHS, JAMK University Of Applied Sciences
연구 기록 날짜
이 날짜는 ClinicalTrials.gov에 대한 연구 기록 및 요약 결과 제출의 진행 상황을 추적합니다. 연구 기록 및 보고된 결과는 공개 웹사이트에 게시되기 전에 특정 품질 관리 기준을 충족하는지 확인하기 위해 국립 의학 도서관(NLM)에서 검토합니다.
연구 주요 날짜
연구 시작 (추정된)
연구 시작
2026년 9월 7일
기본 완료 (추정된)
기본 완료
2028년 3월 1일
연구 완료 (추정된)
연구 완료
2028년 3월 1일
연구 등록 날짜
최초 제출
최초 제출
2026년 9월 3일
QC 기준을 충족하는 최초 제출
QC 기준을 충족하는 최초 제출
2026년 9월 15일
처음 게시됨 (실제)
처음 게시됨
2026년 9월 16일
연구 기록 업데이트
마지막 업데이트 게시됨 (실제)
마지막 업데이트 게시됨
2026년 9월 17일
QC 기준을 충족하는 마지막 업데이트 제출
QC 기준을 충족하는 마지막 업데이트 제출
2026년 9월 16일
마지막으로 확인됨
마지막으로 확인됨
2026년 9월 1일
추가 정보
이 연구와 관련된 용어
기타 연구 ID 번호
기타 연구 ID 번호
- VA-THL-2025-1-80
개별 참가자 데이터(IPD) 계획
개별 참가자 데이터(IPD)를 공유할 계획입니까?
예
IPD 계획 설명
Anonymised quantitative data will be archived, where applicable, in the Finnish Social Science Data Archive (FSD).
IPD 공유 지원 정보 유형
- 연구_프로토콜
- 수액
- ICF
- CSR
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아니
미국 FDA 규제 기기 제품 연구
아니
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .