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针对有心理健康挑战的成年人开展基于自然活动的社会投资回报

Social Return on Investment of Nature-Based Activities for Adults with Mental Wellbeing Challenges.

作者信息

Hartfiel Ned, Gittins Heli, Morrison Val, Wynne-Jones Sophie, Dandy Norman, Edwards Rhiannon Tudor

机构信息

Centre for Health Economics and Medicines Evaluation, Bangor University, Bangor LL57 2PZ, UK.

School of Natural Sciences, Bangor University, Bangor LL57 2DG, UK.

出版信息

Int J Environ Res Public Health. 2023 Aug 2;20(15):6500. doi: 10.3390/ijerph20156500.

Abstract

Increased time spent in nature can enhance physical health and mental wellbeing. The UK Government's '25 Year Environment Plan' recommends extending the health benefits of contact with nature to a wider group of people, including those with mental health challenges. This study investigated whether nature-based interventions (NBIs) for people with mild mental health challenges could generate a positive social return on investment (SROI). Between May 2017 and January 2019, 120 participants at six outdoor sites in Wales participated in a 6 to 12-week NBI, which consisted of a weekly 2- to 4-h session. Quantitative data were collected from baseline and follow-up questionnaires identifying participant demographics and measuring mental wellbeing, physical activity, self-efficacy, and social trust. Wellbeing valuation generated a range of social value ratios by applying the Housing Association Charitable Trust (HACT) Social Value Calculator (SVC 4.0) and HACT Mental Health Social Value Calculator (MHSVC 1.0). Seventy-four participants (62%) completed follow-up questionnaires at 6 months. SROI ratios were calculated using the SVC for physical activity, self-efficacy, and social trust. The MHSVC generated social value ratios for mental wellbeing. The base case results revealed a positive social value ratio for participants, ranging from British Pound Sterling (GBP) 2.57 to GBP 4.67 for every GBP 1 invested, indicating favourable outcomes in terms of value generated.

摘要

增加在自然环境中的时间可以增进身体健康和心理健康。英国政府的“25年环境计划”建议将与自然接触对健康的益处扩展到更广泛的人群,包括那些有心理健康问题的人。本研究调查了针对轻度心理健康问题人群的基于自然的干预措施(NBI)是否能产生积极的社会投资回报(SROI)。在2017年5月至2019年1月期间,威尔士六个户外场所的120名参与者参加了为期6至12周的NBI,该干预措施包括每周一次2至4小时的课程。通过基线和随访问卷收集定量数据,以确定参与者的人口统计学特征,并测量心理健康、身体活动、自我效能感和社会信任。通过应用住房协会慈善信托基金(HACT)社会价值计算器(SVC 4.0)和HACT心理健康社会价值计算器(MHSVC 1.0),幸福感评估得出了一系列社会价值比率。74名参与者(62%)在6个月时完成了随访问卷。使用SVC计算身体活动、自我效能感和社会信任的SROI比率。MHSVC得出了心理健康的社会价值比率。基本情况结果显示参与者的社会价值比率为正,每投资1英镑,社会价值比率在2.57英镑至4.67英镑之间,表明在产生的价值方面有良好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9465/10418598/96132e3b678e/ijerph-20-06500-g001.jpg

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