The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury

WILKIE, LOWRI; Fisher, Zoe; Kemp, Andrew

doi:10.3390/su14159605

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The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury

LOWRI WILKIE, Zoe Fisher

, Andrew Kemp

Sustainability, Volume: 14, Issue: 15, Start page: 9605

Swansea University Authors: LOWRI WILKIE, Zoe Fisher , Andrew Kemp

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DOI (Published version): 10.3390/su14159605

Abstract

Dominant psychological models of wellbeing neglect the role that nature connection and other key factors, such as positive health behaviours and behaviour change, play in determining wellbeing. The present mixed-methods evaluation explores the impact of ”Surf-Ability”, an adapted surf therapy interv...

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Published in:	Sustainability
ISSN:	2071-1050
Published:	MDPI AG 2022
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URI:	https://cronfa.swan.ac.uk/Record/cronfa60729
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first_indexed	2022-08-04T13:52:27Z
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These changes occurred at the scale of (1) individual wellbeing—increased mindfulness and physical activity; (2) collective wellbeing—improved relationships, community participation and contribution to organisations; and (3) planetary wellbeing—connection to nature. These findings align with the GENIAL theoretical framework, which defines wellbeing from a biopsychosocial ecological perspective across multiple levels of scale. 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spelling	2022-08-26T10:56:09.7559743 v2 60729 2022-08-04 The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury df376bd4ece8b9c12f075208fe09c250 LOWRI WILKIE LOWRI WILKIE true false b7d5965d35de6f683716c6eb1e82ff81 0000-0001-8150-2499 Zoe Fisher Zoe Fisher true false dfd05900f0e2409d3f67dca227c59a93 0000-0003-1146-3791 Andrew Kemp Andrew Kemp true false 2022-08-04 Dominant psychological models of wellbeing neglect the role that nature connection and other key factors, such as positive health behaviours and behaviour change, play in determining wellbeing. The present mixed-methods evaluation explores the impact of ”Surf-Ability”, an adapted surf therapy intervention delivered in collaboration with a UK neurorehabilitation service, on individuals with acquired brain injury (ABI) as part of an effort to design interventions based on advances in wellbeing science. Following five surf-therapy sessions, within-subjects analysis (n= 15) revealed significant improvements on the Warwick–Edinburgh mental wellbeing scale (t (15) = −2.164, p = 0.048), as well as in anxiety and happiness as measured via a brief visual analogue. No significant changes occurred in the Hospital Anxiety and Depression Scale (HADS) or resting heart rate variability (HRV). A ripple effects mapping (REM) session at 6–10 months follow-up (n = 6) revealed that the physical and psychological experience of a nature-based challenge initiated a mindset shift in participants, which ultimately led to them adopting wellbeing-promoting long-term behaviour changes. These changes occurred at the scale of (1) individual wellbeing—increased mindfulness and physical activity; (2) collective wellbeing—improved relationships, community participation and contribution to organisations; and (3) planetary wellbeing—connection to nature. These findings align with the GENIAL theoretical framework, which defines wellbeing from a biopsychosocial ecological perspective across multiple levels of scale. The findings support the need for healthcare providers—including neurorehabilitation services—to enhance interventions for patients by incorporating novel factors that improve wellbeing, such as nature-connection. Journal Article Sustainability 14 15 9605 MDPI AG 2071-1050 surf therapy; wellbeing; positive psychology; GENIAL model; heart rate variability; brain injury 4 8 2022 2022-08-04 10.3390/su14159605 COLLEGE NANME COLLEGE CODE Swansea University Other £11,758.52 of funding was awarded to Surf-Ability by the Welsh Government—“Integrated Care Fund Wales” to support the surf therapy intervention reported in this paper. 2022-08-26T10:56:09.7559743 2022-08-04T14:48:54.6805142 Faculty of Medicine, Health and Life Sciences School of Psychology LOWRI WILKIE 1 Zoe Fisher 0000-0001-8150-2499 2 Andrew Kemp 0000-0003-1146-3791 3 60729__24846__0e4441973b574e99abd07d63728e49d7.pdf sustainability-14-09605.pdf 2022-08-04T14:51:10.6409093 Output 751954 application/pdf Version of Record true © 2022 by the authors. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) licensie true eng https://cre-ativecommons.org/licenses/by/4.0/
title	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
spellingShingle	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury LOWRI WILKIE Zoe Fisher Andrew Kemp
title_short	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
title_full	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
title_fullStr	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
title_full_unstemmed	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
title_sort	The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury
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author	LOWRI WILKIE Zoe Fisher Andrew Kemp
author2	LOWRI WILKIE Zoe Fisher Andrew Kemp
format	Journal article
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description	Dominant psychological models of wellbeing neglect the role that nature connection and other key factors, such as positive health behaviours and behaviour change, play in determining wellbeing. The present mixed-methods evaluation explores the impact of ”Surf-Ability”, an adapted surf therapy intervention delivered in collaboration with a UK neurorehabilitation service, on individuals with acquired brain injury (ABI) as part of an effort to design interventions based on advances in wellbeing science. Following five surf-therapy sessions, within-subjects analysis (n= 15) revealed significant improvements on the Warwick–Edinburgh mental wellbeing scale (t (15) = −2.164, p = 0.048), as well as in anxiety and happiness as measured via a brief visual analogue. No significant changes occurred in the Hospital Anxiety and Depression Scale (HADS) or resting heart rate variability (HRV). A ripple effects mapping (REM) session at 6–10 months follow-up (n = 6) revealed that the physical and psychological experience of a nature-based challenge initiated a mindset shift in participants, which ultimately led to them adopting wellbeing-promoting long-term behaviour changes. These changes occurred at the scale of (1) individual wellbeing—increased mindfulness and physical activity; (2) collective wellbeing—improved relationships, community participation and contribution to organisations; and (3) planetary wellbeing—connection to nature. These findings align with the GENIAL theoretical framework, which defines wellbeing from a biopsychosocial ecological perspective across multiple levels of scale. The findings support the need for healthcare providers—including neurorehabilitation services—to enhance interventions for patients by incorporating novel factors that improve wellbeing, such as nature-connection.
published_date	2022-08-04T04:19:05Z
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The ‘Rippling’ Waves of Wellbeing: A Mixed Methods Evaluation of a Surf-Therapy Intervention on Patients with Acquired Brain Injury

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