Eva Dahlkvist1,2, Terry Hartig3, Annika Nilsson1,4, Hans Högberg1, Kirsti Skovdahl5, Maria Engström1,4. 1. Faculty of Health and Occupational Studies, University of Gävle, Sweden. 2. Department of Health and Medicine, Örebro University, Sweden. 3. Institute for Housing and Urban Research, Uppsala University, Sweden. 4. Department of Public Health and Caring Sciences, Uppsala University, Sweden. 5. Faculty of Health Sciences, Buskerud University College, Tønsberg, Norway.
Abstract
AIMS: To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden. BACKGROUND: Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health. DESIGN: A multi-level, cross-sectional, correlational design. METHODS: Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis. RESULTS: The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health. CONCLUSION: Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.
AIMS: To test the relationship between greenery in gardens at residential facilities for older people and the self-perceived health of residents, mediated by experiences of being away and fascination when in the garden and the frequency of visitation there. To examine how these indirect effects vary with the number of physical barriers to visiting the garden. BACKGROUND: Many older people in residential facilities suffer from complex health problems. Access to a green outdoor environment may enable psychological distance, engage effortless attention, encourage more frequent visitation and promote resident health. DESIGN: A multi-level, cross-sectional, correlational design. METHODS: Questionnaires were administered June-August, 2011 to convenience samples of residents at 72 facilities for older people with complex healthcare needs. One to 10 eligible residents were sampled during self-motivated garden visits at each facility (n = 290). They reported on their garden experiences and health. Facility staff reported on objective garden characteristics and barriers to access. A serial mediation model was tested with multiple linear regression analysis. RESULTS: The total indirect effect of greenery on self-perceived health was positive and significant. Garden greenery appears to affect health by enhancing a sense of being away, affording possibilities to experience the outdoor environment as interesting and encouraging visitation. Among residents in homes with multiple barriers, only fascination mediated the relationship between greenery and self-perceived health. CONCLUSION: Ample greenery in outdoor space at residential facilities for older people appears to promote experiences of being away and fascination, more frequent visitation and better health.
Authors: Gregory N Bratman; Christopher B Anderson; Marc G Berman; Bobby Cochran; Sjerp de Vries; Jon Flanders; Carl Folke; Howard Frumkin; James J Gross; Terry Hartig; Peter H Kahn; Ming Kuo; Joshua J Lawler; Phillip S Levin; Therese Lindahl; Andreas Meyer-Lindenberg; Richard Mitchell; Zhiyun Ouyang; Jenny Roe; Lynn Scarlett; Jeffrey R Smith; Matilda van den Bosch; Benedict W Wheeler; Mathew P White; Hua Zheng; Gretchen C Daily Journal: Sci Adv Date: 2019-07-24 Impact factor: 14.136
Authors: Pazit Levinger; Anita M Y Goh; Jeremy Dunn; Josephine Katite; Ritu Paudel; Adrian Onofrio; Frances Batchelor; Maya G Panisset; Keith D Hill Journal: Pilot Feasibility Stud Date: 2022-03-22