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Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health

Richard Doran-Sherlock, Payal Sood Orcid Logo, Nicole Anne Struthers, Filip Maric

Frontiers in Public Health, Volume: 13, Start page: 1509419

Swansea University Author: Payal Sood Orcid Logo

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DOI (Published version): 10.3389/fpubh.2025.1509419

Abstract

Nature-based health and therapy (NBHT) is a term incorporating a broad suite of practices that focus on engagement with the natural world and nature-rich spaces for potential physical and mental health benefits. As healthcare professions such as physiotherapy and osteopathy move away from biomedical...

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Published in: Frontiers in Public Health
ISSN: 2296-2565
Published: Frontiers Media SA 2025
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URI: https://cronfa.swan.ac.uk/Record/cronfa68921
first_indexed 2025-02-19T11:28:37Z
last_indexed 2025-02-20T11:19:09Z
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spelling 2025-02-19T11:31:04.1597012 v2 68921 2025-02-19 Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health bd7240c4fdfce2d9b86b3165f436a68c 0000-0002-1538-142X Payal Sood Payal Sood true false 2025-02-19 HSOC Nature-based health and therapy (NBHT) is a term incorporating a broad suite of practices that focus on engagement with the natural world and nature-rich spaces for potential physical and mental health benefits. As healthcare professions such as physiotherapy and osteopathy move away from biomedical/reductionist models of care for complex conditions towards approaches which take into account social and environmental determinants of health, NBHT may become part of clinical interventions and public health messaging. However, there are multiple challenges in aspects of NBHT research and application, from methodological issues in the primary research base, to questions of environmental injustice and access inequalities in many areas. In addition, engaging with natural environments which are vulnerable to the entwinned threats of climate change and biodiversity collapse requires consideration of the effects of ecological disturbance and the underlying anthropocentric/utilitarian view of the natural world. In this perspective, we outline a critique of NBHT literature and offer positive suggestions for how better-quality research can be conducted and implemented by focusing on local environmental, social, and political factors. We conclude by outlining a set of critical considerations that healthcare professionals might use to develop and implement NBHT programmes in their specific regional contexts. Journal Article Frontiers in Public Health 13 1509419 Frontiers Media SA 2296-2565 nature-based therapy, nature-based interventions, planetary health, physical health, musculoskeletal health 22 1 2025 2025-01-22 10.3389/fpubh.2025.1509419 Perspective COLLEGE NANME Health and Social Care School COLLEGE CODE HSOC Swansea University Another institution paid the OA fee The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article. 2025-02-19T11:31:04.1597012 2025-02-19T11:23:14.9384522 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Therapies Richard Doran-Sherlock 1 Payal Sood 0000-0002-1538-142X 2 Nicole Anne Struthers 3 Filip Maric 4 68921__33638__35357470ea97447f8fabb41a7f565f97.pdf 68921.VOR.pdf 2025-02-19T11:27:32.7112105 Output 274654 application/pdf Version of Record true © 2025 Doran-Sherlock, Sood, Struthers and Maric. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). true eng http://creativecommons.org/licenses/by/4.0/
title Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
spellingShingle Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
Payal Sood
title_short Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
title_full Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
title_fullStr Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
title_full_unstemmed Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
title_sort Challenges in nature-based health and therapy research and critical considerations for application in musculoskeletal health
author_id_str_mv bd7240c4fdfce2d9b86b3165f436a68c
author_id_fullname_str_mv bd7240c4fdfce2d9b86b3165f436a68c_***_Payal Sood
author Payal Sood
author2 Richard Doran-Sherlock
Payal Sood
Nicole Anne Struthers
Filip Maric
format Journal article
container_title Frontiers in Public Health
container_volume 13
container_start_page 1509419
publishDate 2025
institution Swansea University
issn 2296-2565
doi_str_mv 10.3389/fpubh.2025.1509419
publisher Frontiers Media SA
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Therapies{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Therapies
document_store_str 1
active_str 0
description Nature-based health and therapy (NBHT) is a term incorporating a broad suite of practices that focus on engagement with the natural world and nature-rich spaces for potential physical and mental health benefits. As healthcare professions such as physiotherapy and osteopathy move away from biomedical/reductionist models of care for complex conditions towards approaches which take into account social and environmental determinants of health, NBHT may become part of clinical interventions and public health messaging. However, there are multiple challenges in aspects of NBHT research and application, from methodological issues in the primary research base, to questions of environmental injustice and access inequalities in many areas. In addition, engaging with natural environments which are vulnerable to the entwinned threats of climate change and biodiversity collapse requires consideration of the effects of ecological disturbance and the underlying anthropocentric/utilitarian view of the natural world. In this perspective, we outline a critique of NBHT literature and offer positive suggestions for how better-quality research can be conducted and implemented by focusing on local environmental, social, and political factors. We conclude by outlining a set of critical considerations that healthcare professionals might use to develop and implement NBHT programmes in their specific regional contexts.
published_date 2025-01-22T08:30:13Z
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score 11.501582

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