The study aims to understand the participants’ acceptance on Friends in Nature intervention provided through a new social prescription model. It also seeks to uncover the perceived benefits, challenges, and overall satisfaction with the intervention, providing insights into how well it resonates with participants and how it can be optimized for greater accessibility and impact.
A qualitative study was conducted using a constructivist and inductive approach, with reflexive thematic analysis. A purposive sampling strategy was employed, developing 4 post-intervention focus groups with 16 participants who experienced severe mental illness and chronic pain. All participants were recruited from various social and health services in the region and had completed the same intervention, "Friends in Nature." Each interview session lasted approximately 45-60 minutes and was audio-recorded with the participants’ written consent. Verbatim transcripts of the interviews were produced by the interviewer, and the final transcripts were returned to the participants for validation to ensure data accuracy. The sample size was determined by data saturation, or when sufficient information power was achieved based on the study’s objectives and the characteristics of the population.
The qualitative findings indicate strong acceptance of the group nature-based intervention among participants, with many reporting reduced loneliness and improved social support. Key facilitators included the restorative environment of nature and the sense of belonging within the group. Barriers included logistical issues and the need for tailored support for individuals with severe physical limitations. Participants emphasized the value of peer support and opportunities for social reconnection.
The “Friends in Nature” intervention has been positively received by individuals with chronic conditions, demonstrating its potential to improve emotional well-being and reduce loneliness. The qualitative findings suggest that future program adaptations should consider specific needs related to chronic health conditions (i.e. shorter or adapted walkings) to increase accessibility and impact.
The study highlights the potential of nature-based group interventions within social prescription frameworks to enhance well-being and address loneliness in individuals with chronic physical and mental health conditions. The insights gained will inform further development and optimization of social prescription models in healthcare.
Chronic disease
Social prescribing
