Therapeutic Rainforest Study in Generating Positive Energy Among Undergraduate Students

Not Applicable

Completed

• Conditions: Stress; Anxiety
• Interventions: Other: Therapeutic rainforest walk; Other: Therapeutic rainforest mindful walking; Other: Campus Green walk

• Registration Number: NCT04914572
• Lead Sponsor: National University of Singapore

Brief Summary

This study looked into how therapeutic forest walking will impact the well-being of undergraduate students at the National University of Singapore. A three-arm randomized control trial on 108 participants is being planned for this study. The primary aim of this study is to assess the feasibility and primary effect of the Therapeutic Rainforest Walking in generating positive energy among undergraduate students project in enhancing the quality of life, physical, mental, and psycho-social well-being among University students.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2021-06-01
• Study First Submitted QC: 2021-06-01
• Study First Posted: 2021-06-04
• Study Start: 2021-08-31
• Primary Completion: 2023-03-31
• Study Completion: 2023-03-31
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-28
• Last Update Posted: 2023-08-01

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 81

Inclusion Criteria

• Current NUS undergraduate students
• No self-reported physical mobility issue
• No self-reported existing mental health conditions
• Enjoys nature

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SEQUENTIAL

Arm && Interventions

Group	Intervention	Description
Therapeutic rainforest walk	Therapeutic rainforest walk	The second arm of the intervention includes walking through a guided forest trail suggested by NParks Board. The collection of samples and answering of the self-report questionnaire will follow the same sequence as the 1st arm of the 3-arm RCT.
Therapeutic rainforest & MIndful walking	Therapeutic rainforest mindful walking	The first arm uses mindful walking through a 2km forest trail in Singapore. All Interventional and Control arms will conduct their walk between 8 am to 11 am for five occasions weekly. At the T1, participants will attend a Zoom orientation session to familiarize themselves with the route. During this session, participants will need to answer the self-report questionnaire and provide the first saliva sample for the baseline measurement. In T2, a pre-intervention and post-intervention saliva sample will be taken before the walk. This will follow by T3 the following week. At T4, participants will attend a 60 mins reflection session and answer the self-report questionnaire. On T5 and T6, the participants will continue with the therapeutic rainforest mindfulness walk. On T7, a pre-intervention and post-intervention saliva sample will be taken. On T8, participants will attend a 60 mins reflection session and answer the self-report questionnaire.
Campus green walk	Campus Green walk	The control for this study includes guided casual walking around the campus green trial conducted at the same intervals as per the interventions. The collection of samples and answering of the self-report questionnaire will also follow the same sequence as the 1 arm of the 3-arm RCT.

Primary Outcome Measures

Name	Time	Method
Saliva Cortisol	8 weeks	Measured using Passive drool method
Perceived Stress Scale 4 (PSS-4)	8 weeks	4 items, Likert scale (0-lowest, 4-highest) Scoring higher in the scale would translate to higher perceived stress.
Generalised Anxiety Disorder Scale (GAD-7)	8 weeks	7 items, Likert scale (0-lowest, 3-highest) Scoring higher in the scale would translate to higher anxiety level.
English Brief Resilience Scale (BRS)	8 weeks	6 items, Likert scale (1-lowest, 5-highest) Scoring higher in the scale would translate to higher resilience.

Trial Locations

Locations (1)

Alice Lee Centre for Nursing Studies; 🇸🇬 Singapore, Singapore