eprintid: 10118194 rev_number: 19 eprint_status: archive userid: 608 dir: disk0/10/11/81/94 datestamp: 2021-01-14 16:03:09 lastmod: 2021-09-28 22:21:20 status_changed: 2021-01-14 16:03:09 type: article metadata_visibility: show creators_name: Fairbrass, AJ creators_name: Chatterjee, H creators_name: Jones, KE creators_name: Osborn, D title: Human responses to nature- and culture-based non-clinical interventions: a systematised review ispublished: inpress divisions: UCL divisions: B02 divisions: C08 divisions: D09 divisions: F99 divisions: B04 divisions: C06 divisions: F57 divisions: C04 divisions: F34 keywords: culture, evidence, health, intervention, nature, review note: This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). abstract: AIMS: A wide range of non-clinical nature- and culture-based interventions for the treatment of health issues have been evaluated in evidence and systematic reviews. However, common outcomes of these interventions have not been identified and neuro-bio-psychosocial mechanisms underlying how these interventions impact health are not well understood. We conducted a systematised review and compared the evidence for human responses to nature- and culture-based non-clinical interventions for a range of health issues and assessed the proposed mechanisms and conceptual frameworks underlying these interventions. METHODS: Comprehensive searches were conducted up to May 2018 in six bibliographic databases: Campbell Collaboration, Cochrane Library, Embase, Medline, Scopus and Web of Science. Studies included were evidence reviews or systematic reviews on any nature- or culture-based non-clinical intervention to improve the health of individuals. RESULTS: A total of 60 reviews were included (33 of nature, 26 of culture, 1 of both) covering 1480 individual studies and trials. The most common review types were systematic (32), literature (22) and meta-analyses (6). Positive effects on mental health were reported for the majority of interventions, while other health outcomes such as immunity were not well represented in the review literature. A range of secondary outcomes were common to both nature- and culture-based interventions including psychological and emotional impacts, social interaction and relationship development, skills development, physical health benefits, and positive impact of the intervention environment. Only two reviews proposed conceptual frameworks, and the neuro-bio-psychosocial mechanisms that underpin the health changes were not clarified. CONCLUSION: Future research should focus on reviewing the evidence gaps for non-clinical nature- and culture-based interventions with an emphasis on implementing larger sample sizes, cohort and longitudinal studies, which deploy a wider range of mixed-methods, quasi-experimental and randomised control trials. There should also be agreement on terminology and developing conceptual frameworks to better understand the neuro-bio-psychosocial mechanisms underlying interventions. date: 2020-12-15 date_type: published official_url: https://doi.org/10.1177/1757913920967036 oa_status: green full_text_type: pub language: eng primo: open primo_central: open_green verified: verified_manual elements_id: 1838178 doi: 10.1177/1757913920967036 lyricists_name: Chatterjee, Helen lyricists_name: Fairbrass, Alison lyricists_name: Jones, Katherine lyricists_name: Osborn, Daniel lyricists_id: HCHAT26 lyricists_id: AFAIR75 lyricists_id: KEJON62 lyricists_id: DOSBO77 actors_name: Flynn, Bernadette actors_id: BFFLY94 actors_role: owner full_text_status: public publication: Perspectives in Public Health event_location: United States citation: Fairbrass, AJ; Chatterjee, H; Jones, KE; Osborn, D; (2020) Human responses to nature- and culture-based non-clinical interventions: a systematised review. Perspectives in Public Health 10.1177/1757913920967036 <https://doi.org/10.1177/1757913920967036>. (In press). Green open access document_url: https://discovery.ucl.ac.uk/id/eprint/10118194/1/1757913920967036.pdf