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Open Access 01-12-2024 | Study Protocol

Nature-based social interventions to address loneliness among vulnerable populations: a common study protocol for three related randomized controlled trials in Barcelona, Helsinki, and Prague within the RECETAS European project

Authors: Laura Coll-Planas, Aina Carbó-Cardeña, Anu Jansson, Vladimira Dostálová, Alzbeta Bartova, Laura Rautiainen, Annika Kolster, Montse Masó-Aguado, Laia Briones-Buixassa, Sergi Blancafort-Alias, Marta Roqué-Figuls, Ashby Lavelle Sachs, Cristina Casajuana, Uwe Siebert, Ursula Rochau, Sibylle Puntscher, Iva Holmerová, Kaisu H. Pitkala, Jill S. Litt

Published in: BMC Public Health | Issue 1/2024

Abstract

Background

The negative effects of loneliness on population health and wellbeing requires interventions that transcend the medical system and leverage social, cultural, and public health system resources. Group-based social interventions are a potential method to alleviate loneliness. Moreover, nature, as part of our social and health infrastructure, may be an important part of the solutions that are needed to address loneliness. The RECETAS European project H2020 (Re-imagining Environments for Connection and Engagement: Testing Actions for Social Prescribing in Natural Spaces) is an international research project aiming to develop and test the effectiveness of nature-based social interventions to reduce loneliness and increase health-related quality of life.

Methods

This article describes the three related randomized controlled trials (RCTs) that will be implemented: the RECETAS-BCN Trial in Barcelona (Spain) is targeting people 18+ from low socio-economic urban areas; the RECETAS-PRG Trial in Prague (Czech Republic) is addressing community-dwelling older adults over 60 years of age, and the RECETAS-HLSNK trial is reaching older people in assisted living facilities. Each trial will recruit 316 adults suffering from loneliness at least sometimes and randomize them to nature-based social interventions called “Friends in Nature” or to the control group. “Friends in Nature” uses modifications of the “Circle of Friends” methodology based on group processes of peer support and empowerment but including activities in nature. Participants will be assessed at baseline, at post-intervention (3 months), and at 6- and 12-month follow-up after baseline. Primary outcomes are the health-related quality-of-life according to 15D measure and The De Jong Gierveld 11-item loneliness scale. Secondary outcomes are health and psychosocial variables tailored to the specific target population. Nature exposure will be collected throughout the intervention period. Process evaluation will explore context, implementation, and mechanism of impact. Additionally, health economic evaluations will be performed.

Discussion

The three RECETAS trials will explore the effectiveness of nature-based social interventions among lonely people from various ages, social, economic, and cultural backgrounds. RECETAS meets the growing need of solid evidence for programs addressing loneliness by harnessing the beneficial impact of nature on enhancing wellbeing and social connections.

Trial registration

Barcelona (Spain) trial: ClinicalTrials.gov, ID: NCT05488496. Registered 29 July 2022.

Prague (Czech Republic) trial: ClinicalTrials.gov, ID: NCT05522140. Registered August 25, 2022.

Helsinki (Finland) trial: ClinicalTrials.gov, ID: NCT05507684. Registered August 12, 2022.

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Title: Nature-based social interventions to address loneliness among vulnerable populations: a common study protocol for three related randomized controlled trials in Barcelona, Helsinki, and Prague within the RECETAS European project
Authors: Laura Coll-Planas
Aina Carbó-Cardeña
Anu Jansson
Vladimira Dostálová
Alzbeta Bartova
Laura Rautiainen
Annika Kolster
Montse Masó-Aguado
Laia Briones-Buixassa
Sergi Blancafort-Alias
Marta Roqué-Figuls
Ashby Lavelle Sachs
Cristina Casajuana
Uwe Siebert
Ursula Rochau
Sibylle Puntscher
Iva Holmerová
Kaisu H. Pitkala
Jill S. Litt
Publication date: 01-12-2024
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-023-17547-x

Keynote webinar | Spotlight on medication adherence

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Nature-based social interventions to address loneliness among vulnerable populations: a common study protocol for three related randomized controlled trials in Barcelona, Helsinki, and Prague within the RECETAS European project

Abstract

Background

Methods

Discussion

Trial registration

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Discussion

Trial registration

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