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

16 września 2026 zaktualizowane przez: 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.

Przegląd badań

Status

Jeszcze nie rekrutacja

Warunki

Interwencja / Leczenie

Szczegółowy opis

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).

Typ studiów

Interwencyjne

Zapisy (Szacowany)

350

Faza

  • Nie dotyczy

Kontakty i lokalizacje

Ta sekcja zawiera dane kontaktowe osób prowadzących badanie oraz informacje o tym, gdzie badanie jest przeprowadzane.

Kontakt w sprawie studiów

Kopia zapasowa kontaktu do badania

Kryteria uczestnictwa

Badacze szukają osób, które pasują do określonego opisu, zwanego kryteriami kwalifikacyjnymi. Niektóre przykłady tych kryteriów to ogólny stan zdrowia danej osoby lub wcześniejsze leczenie.

Kryteria kwalifikacji

Wiek uprawniający do nauki

  • Starszy dorosły

Akceptuje zdrowych ochotników

Nie

Opis

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:

-

Plan studiów

Ta sekcja zawiera szczegółowe informacje na temat planu badania, w tym sposób zaprojektowania badania i jego pomiary.

Jak projektuje się badanie?

Szczegóły projektu

  • Główny cel: Zapobieganie
  • Przydział: Randomizowane
  • Model interwencyjny: Przydział równoległy
  • Maskowanie: Brak (otwarta etykieta)

Broń i interwencje

Grupa uczestników / Arm
Interwencja / Leczenie
Eksperymentalny: 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.
Brak interwencji: 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.

Co mierzy badanie?

Podstawowe miary wyniku

Miara wyniku
Opis środka
Ramy czasowe
Psychological well-being: the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS)
Ramy czasowe: 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.

Miary wyników drugorzędnych

Miara wyniku
Opis środka
Ramy czasowe
Caregivers' perceived coping as caregivers: COPE Index
Ramy czasowe: 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)
Ramy czasowe: 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
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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
Ramy czasowe: 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)
Ramy czasowe: 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)
Ramy czasowe: 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)
Ramy czasowe: 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)
Ramy czasowe: 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)
Ramy czasowe: 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
Ramy czasowe: 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.

Inne miary wyników

Miara wyniku
Opis środka
Ramy czasowe
Caregiver characteristics
Ramy czasowe: 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.

Współpracownicy i badacze

Tutaj znajdziesz osoby i organizacje zaangażowane w to badanie.

Sponsor

Współpracownicy

Śledczy

  • Główny śledczy: Julija Chichaeva, MHS, JAMK University Of Applied Sciences

Daty zapisu na studia

Daty te śledzą postęp w przesyłaniu rekordów badań i podsumowań wyników do ClinicalTrials.gov. Zapisy badań i zgłoszone wyniki są przeglądane przez National Library of Medicine (NLM), aby upewnić się, że spełniają określone standardy kontroli jakości, zanim zostaną opublikowane na publicznej stronie internetowej.

Główne daty studiów

Rozpoczęcie studiów (Szacowany)

7 września 2026

Zakończenie podstawowe (Szacowany)

1 marca 2028

Ukończenie studiów (Szacowany)

1 marca 2028

Daty rejestracji na studia

Pierwszy przesłany

3 września 2026

Pierwszy przesłany, który spełnia kryteria kontroli jakości

15 września 2026

Pierwszy wysłany (Rzeczywisty)

16 września 2026

Aktualizacje rekordów badań

Ostatnia wysłana aktualizacja (Rzeczywisty)

17 września 2026

Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości

16 września 2026

Ostatnia weryfikacja

1 września 2026

Więcej informacji

Terminy związane z tym badaniem

Inne numery identyfikacyjne badania

  • VA-THL-2025-1-80

Plan dla danych uczestnika indywidualnego (IPD)

Planujesz udostępniać dane poszczególnych uczestników (IPD)?

TAK

Opis planu IPD

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

Typ informacji pomocniczych dotyczących udostępniania IPD

  • PROTOKÓŁ BADANIA
  • SOK ROŚLINNY
  • ICF
  • CSR

Informacje o lekach i urządzeniach, dokumenty badawcze

Bada produkt leczniczy regulowany przez amerykańską FDA

Nie

Bada produkt urządzenia regulowany przez amerykańską FDA

Nie

Te informacje zostały pobrane bezpośrednio ze strony internetowej clinicaltrials.gov bez żadnych zmian. Jeśli chcesz zmienić, usunąć lub zaktualizować dane swojego badania, skontaktuj się z register@clinicaltrials.gov. Gdy tylko zmiana zostanie wprowadzona na stronie clinicaltrials.gov, zostanie ona automatycznie zaktualizowana również na naszej stronie internetowej .