Nature Based Therapy With Mindful Walks in Urban Coastal Setting - Barcelona (Spain) (NATURE-MET-B)

Barcelona Institute for Global Health

Status: Completed

Conditions: Healthy Participants

Treatments: Other: Nature based Therapy (NbT): Planned therapeutic techniques performed in natural settings and based on nature-human active participation and connection; Other: Waiting List

Study type: Interventional

Funder types: Other

Identifiers

NCT06622629

2024/11524/I

101081420 RESONATE (Other Grant/Funding Number)

Details and patient eligibility

About

The main objective of the NATURE-MET-B (Barcelona) study is to analyze the effects of a Nature-based Therapy (NbT) on the biopsychological resilience of adults general population through changes in: i) health-related quality of life and ii) allostatic load (physiological stress). The secondary objective is to provide data on the environmental, social, and economic aspects of the intervention in order to refine specific prevention programs and establish programs that include NbT as a secondary preventive measure in healthcare.

Analogous to NATURE-MET-B, two similar NbT studies will be carried out in Padua (Italy) and Salzburg (Austria) for the secondary prevention of Metabolic Syndrom (MetS). These are not multicenter studies but three comparable studies with similar inclusion and exclusion criteria in all study locations. Only the types of landscape and natural exposure sites differ: Barcelona-Coastal Urban, Padua-Urban Green, Salzburg-Mountainous Rural.

Enrollment: 100 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adults >=18 years
• Smartphone users

Exclusion criteria

• Acute contraindications

  - Malignant hypertension

• Contraindications or differential diagnosis

  • Severe respiratory or pulmonary disease (COPD, severe asthma, emphysema)
  • Arteriosclerotic incident (e.g., myocardial infarction) 6 months previous the study starting
  • Heart failure
  • Uncontrolled metabolic diseases (e.g., diabetes mellitus)
  • Diagnosis or treatment of a malignant disease < 3 years ago
  • Chronic immunological diseases (e.g., rheumatoid arthritis)
  • Orthopedic conditions that prevent participation in excursions

• Factors that prevent or hinder participation in the intervention program

  • Alcohol or substance abuse (except nicotine)
  • Pregnancy
  • Insufficient knowledge of Spanish or Catalan (written and spoken/questionnaires)
  • Factors that prevent self-management
  • Moderate to severe depression (score < 13 points on the WHO-5)
  • Other untreated severe psychiatric illnesses (e.g., schizophrenia)
  • Taking certain medications
  • Use of weight loss supplements
  • Participation in another clinical intervention trial
  • Participation in therapeutic weight loss programs

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Intervention Grop

Experimental group

Description:

* Adults aged \>=18 years * Smartphone users * Understand Spanish and/or Catalan language

Treatment:

Other: Nature based Therapy (NbT): Planned therapeutic techniques performed in natural settings and based on nature-human active participation and connection

Control group

Active Comparator group

Description:

* Adults aged \>=18 years * Smartphone users * Understand Spanish and/or Catalan language The control group participants are assessed at the same time as those in the intervention group (t1, t2, and t3). Participants in the control group will be offered the opportunity to benefit from the NbT once the follow-up period is completed (day 70).

Treatment:

Other: Waiting List