Leck Chris, Upton Dominic, Evans Nick
Institute of Health and Society, University of Worcester, UK.
Faculty of Health, University of Canberra, Australian Capital Territory, Australia.
Br J Health Psychol. 2015 Nov;20(4):745-62. doi: 10.1111/bjhp.12138. Epub 2015 Mar 21.
Care farms enable people who are in some way vulnerable to engage with agricultural places and farming activities. This study investigates how this impacts on the health and well-being of service users and explores associated processes and outcomes.
A mixed methods design was adopted that allowed for the integration of quantitative measurements of change with qualitative descriptions of this change. A pragmatic approach provided sufficient flexibility to support the investigation of complex contexts.
A total of 216 service users completed an initial questionnaire, and 137 (63%) of this number provided comparative data in a follow-up questionnaire. Questionnaires contained multiple choice and open-ended questions alongside standardized health and well-being measures requiring Likert-format responses. Semi-structured interviews with 33 service users allowed personal experiences to be detailed.
Statistical analysis of well-being measure scores identified significant positive relationships with the length of time people had been attending the care farm. Questionnaire and interview data presented health benefits as being enabled by the farm environment, the positive experience as supporting personal development, and associated social interactions as becoming increasingly influential as time progressed.
The health and well-being outcomes that result from participating at a care farm influence multiple elements of the human condition and apply amongst vulnerable people with a wide range of personal needs. Care farms have access to a potentially unique range of resources that can support many service users in becoming happier and healthier individuals. Statement of contribution What is already known on this subject? Care farming is increasingly practised and is suggested to support the health and well-being of people who are in some way vulnerable. Care farms utilize agricultural spaces and activities to provide benefits that are presented as having relevance to public health and social inclusion agendas. What does this study add? This is the first longitudinal study to include participants with such differing personal needs. Associated outcomes are explored to provide an understanding of how they impact on health. People and place are found to be mutually supportive in facilitating positive change.
关怀农场使在某些方面处于弱势的人们能够接触农业场所并参与农业活动。本研究调查了这对服务使用者的健康和福祉有何影响,并探讨了相关的过程和结果。
采用了混合方法设计,将变化的定量测量与对这种变化的定性描述相结合。一种务实的方法提供了足够的灵活性,以支持对复杂背景的调查。
共有216名服务使用者完成了初始问卷,其中137人(63%)在后续问卷中提供了比较数据。问卷包含多项选择题和开放式问题,以及需要李克特量表格式回答的标准化健康和福祉测量。对33名服务使用者进行的半结构化访谈详细阐述了个人经历。
对福祉测量分数的统计分析确定了与人们参加关怀农场的时间长度之间存在显著的正相关关系。问卷和访谈数据表明,农场环境带来了健康益处,积极体验促进了个人发展,并且随着时间的推移,相关的社交互动变得越来越有影响力。
参与关怀农场带来的健康和福祉结果影响着人类状况的多个要素,并适用于有广泛个人需求的弱势群体。关怀农场能够获取一系列潜在独特的资源,这些资源可以帮助许多服务使用者成为更快乐、更健康的个体。贡献声明关于这个主题已经知道了什么?关怀农场的实践越来越多,并且被认为有助于支持在某些方面处于弱势的人们的健康和福祉。关怀农场利用农业空间和活动提供与公共卫生和社会包容议程相关联的益处。这项研究增加了什么?这是第一项纳入具有如此不同个人需求的参与者的纵向研究。探索了相关结果,以了解它们如何影响健康。发现人和场所相互支持,促进积极变化。