Paquet Sophie, Struthers Nicole A, Gunz Anna, Gittings Lesley
Health and Rehabilitation Sciences, Faculty of Health Sciences, Western University, 1151 Richmond St., London, ON N6A 3K7, Canada.
Children's Health Research Institute, 800 Commissioners Rd E, London, ON N6A 5W9, Canada.
Health Promot Int. 2025 Mar 5;40(2). doi: 10.1093/heapro/daaf039.
Spending time in and connecting with nature has been shown to have positive benefits across multiple health outcomes, including for children and youth. Growing in popularity, nature prescriptions are recommended by health providers, social providers, and educators to spend more time in nature. The health and well-being benefits from nature prescription programs hold great potential for children and youth. However, a key evidence gap remains on how nature prescriptions occur in practice in pediatric healthcare, social care, and education, including barriers and facilitators to the implementation of nature prescription programs. The purpose of this scoping review was to explore the barriers and facilitators to the implementation of nature prescription programs for child and youth health. Peer-reviewed, original studies published in English were systematically searched in six databases using search terms focusing on nature prescriptions and child and youth health. Following the recommendations of Arksey and O'Malley (2005), two reviewers independently screened 2111 titles and abstracts, 38 records were screened in full text, and 10 studies were included. Thematic analysis was conducted following Braun and Clarke's (2022) guidelines. Three themes were developed from thematic analysis: (i) safety considerations, (ii) materials, resources, and support, and (iii) program features. The results of this review can be used to guide future nature prescription program implementation strategies for child and youth health.
事实证明，花时间置身于大自然并与大自然建立联系对多种健康状况都有积极益处，对儿童和青少年而言亦是如此。自然疗法越来越受欢迎，健康服务提供者、社会服务提供者和教育工作者都建议人们多花时间接触大自然。自然疗法项目对健康和幸福的益处对儿童和青少年具有巨大潜力。然而，在儿科医疗保健、社会护理和教育中，自然疗法在实际操作中是如何实施的，包括实施自然疗法项目的障碍和促进因素，仍然存在关键的证据空白。本范围综述的目的是探讨实施儿童和青少年健康自然疗法项目的障碍和促进因素。我们使用关注自然疗法以及儿童和青少年健康的搜索词，在六个数据库中系统检索了以英文发表的同行评审原创研究。按照阿克西和奥马利（2005年）的建议，两名评审员独立筛选了2111篇标题和摘要，对38篇记录进行了全文筛选，最终纳入了10项研究。按照布劳恩和克拉克（2022年）的指南进行了主题分析。主题分析得出了三个主题：（i）安全考虑，（ii）材料、资源和支持，以及（iii）项目特点。本综述的结果可用于指导未来儿童和青少年健康自然疗法项目的实施策略。
