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| Name | Class |
|---|---|
| University of Helsinki | OTHER |
| University of Jyvaskyla | OTHER |
| Tampere University | OTHER |
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Outpatient participants with a recent stroke diagnoses receive complimentary rehabilitation. The nature interventions include ergo- and physiotherapeutic and neurocognitive tasks with the support of an psychotherapeutic frame designed to be performed in a nature environment.
Patients with an acute stroke are recruited to the study when signing out from the acute hospital care services. The patients are selected randomly into two groups: intervention and control groups in proportions 1:1. During the four-week study period the partipants in the control group are encouraged to maintain light physical activity 1 to 3 times per week with or without company. The research worker contacts the participants every week. In the nature group the research worker organises individual nature visits in the nearby nature twice a week and encourages the participants to go outdoors with a close-one once a week. All interventional contacts in the nature group are performed in a ecopsychotherapeutical frame consisting of ergo- and physiotherapeutic and neurocognitive tasks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nature intervention group | Experimental | Participants take part in therapeutic individual and group sessions organised in nearby nature by the research worker. |
|
| Control group | No Intervention | Participants do not participate in organised sessions but are encouraged to maintain physical activity and social life. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Therapies in nature | Behavioral | Therapeutic tasks in nature specifically designed for the study |
|
| Measure | Description | Time Frame |
|---|---|---|
| The effect of nature interventions on PROMIS questionnaire | Self-assessed quality of life assessed by a PROMIS (patient-reported outcomes measurement information system) questionnaire. Time points measured wk 0 and wk 4, efficacy evaluated on the basis of the difference between these time points. An increase in the obtained score is considered a positive effect. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| The effect of nature interventions on moods assessed by GAD7 | Evaluation of anxiety scales by a GAD7 (generalised anxiety disorder 7) interview, the score of the questionnaire (0-21 points) is evaluated wk 0 and wk 4. A decrease in the total score is considered as a positive effect on moods. | 4 weeks |
| The effect of nature-based intervention on neurocognitive functions in COMET questionnaire |
| Measure | Description | Time Frame |
|---|---|---|
| The effect of nature interventions on functional ability assessed by a validated questionnaire WHODAS | Self-assessed functional ability in everyday life with a validated questionnaire WHODAS (WHO disability assessment scale). The total scores are evaluated wk0 and wk4. An increase in the total score is considered a positive effect. | 4 weeks |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hanna Haveri, MD PhD | Contact | +358 3 81911 | hanna.haveri@paijatha.fi | |
| Marja Mikkelsson, Prof | Contact | +358 3 81911 | marja.mikkelsson@paijatha.fi |
| Name | Affiliation | Role |
|---|---|---|
| Hanna Haveri, MD PhD | Wellbeing Services County of Paijat-Hame | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Joint Authority for Päijät-Häme Social and Health Care | Recruiting | Lahti | 15850 | Finland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35069344 | Background | Salonen K, Hyvonen K, Paakkolanvaara JV, Korpela K. Flow With Nature Treatment for Depression: Participants' Experiences. Front Psychol. 2022 Jan 5;12:768372. doi: 10.3389/fpsyg.2021.768372. eCollection 2021. |
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| ID | Term |
|---|---|
| D020521 | Stroke |
| D013315 | Stress, Psychological |
| D013313 | Stress Disorders, Post-Traumatic |
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D002561 | Cerebrovascular Disorders |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
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randomised controlled study
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Assessment of the efficacy of nature-based neuropsychological tasks on neurocognitive functions by a cognitive test COMET (cognitive method) -questionnaire. The total score is evaluated wk0 and wk4. An increase in the total score is considered a positive effect. |
| 4 wk |
| The effect of nature interventions on microbiome |
Microbiological analyses from skin flake and stool samples |
| 4 weeks |
| The effect of nature interventions on the activity of autonomic nervous system | The evaluation of the state of the autonomic nervous system by heart rate variability by a portable device. | 4 weeks |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D040921 | Stress Disorders, Traumatic |
| D000068099 | Trauma and Stressor Related Disorders |
| D001523 | Mental Disorders |