Jan 31, 2025

Public workspaceEngagement with outdoor nature and its impact on quality of life: a scoping review protocol

  • 1University of Plymouth;
  • 2Brighton and Sussex Medical School
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Protocol CitationLorna Smith, Kayleigh Wyles, Ben Hicks, Hannah Wheat, Nicolas Farina 2025. Engagement with outdoor nature and its impact on quality of life: a scoping review protocol. protocols.io https://dx.doi.org/10.17504/protocols.io.j8nlk9r85v5r/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: January 31, 2025
Last Modified: January 31, 2025
Protocol Integer ID: 119401
Keywords: dementia, nature, nature engagement, quality of life, QoL, scoping review
Disclaimer
This scoping review is being conducted as part of a PhD project. For further details, please see: Nature is not a place to visit, it is home - University of Plymouth
Abstract
Engaging with nature has been proposed as a non-pharmaceutical strategy to improve the quality of life (QoL) for people living with dementia. Emerging evidence suggests that nature-based activities can alleviate neuropsychiatric symptoms, foster social interaction, and provide restorative benefits. This scoping review seeks to examine the current state of the literature which explores the associations between nature engagement and QoL for people living with dementia. By synthesising current findings and identifying research gaps, this review aims to inform future studies, guide policy development, and support caregivers and healthcare professionals in integrating nature-based approaches into dementia care.
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Protocol references
Alzheimer’s Society. (2018). Dementia research roadmap for prevention, diagnosis, intervention and care by 2025. Alzheimer’s Society. https://www.alzheimers.org.uk/research/for-researchers/research-roadmap

Alzheimer’s Society. (2024). The progression, signs and stages of dementia. Alzheimer’s Society. https://www.alzheimers.org.uk/about-dementia/symptoms-and-diagnosis/how-dementia-progresses/progression-stages-dementia

Burgener, S. C., Buckwalter, K., Perkhounkova, Y., Liu, M. F., Riley, R., Einhorn, C. J., Fitzsimmons, S., & Hahn-Swanson, C. (2015). Perceived stigma in persons with early-stage dementia: Longitudinal findings: Part 1. Dementia, 14(5), 589–608. https://doi.org/10.1177/1471301213508399

Cook, M. (2020). Using urban woodlands and forests as places for improving the mental well-being of people with dementia. Leisure Studies, 39(1), 41–55. https://doi.org/10.1080/02614367.2019.1595091

De Bruin, S. R., Buist, Y., Hassink, J., & Vaandrager, L. (2021). ‘I want to make myself useful’: The value of nature-based adult day services in urban areas for people with dementia and their family carers. Ageing and Society, 41(3), 582–604. https://doi.org/10.1017/S0144686X19001168

Department of Health and Social Care. (2009). Living ell With Dementia: A national dementia strategy. https://www.gov.uk/government/publications/living-well-with-dementia-a-national-dementia-strategy

Chalfont, G. (2016). The Living Edge: Connection to Nature for People with Dementia in Residential Care. In S. D. Katherine Froggatt (Ed.), Understanding Care Homes: A Research and Development Perspective. Jessica Kingsley.

Gibson, E., Ramsden, N., Tomlinson, R., & Jones, C. (2017). Woodland Wellbeing: A pilot for people with dementia. Working with Older People, 21(3), 178–185. https://doi.org/10.1108/WWOP-05-2017-0012

Hendriks, I. H., Van Vliet, D., Gerritsen, D. L., & Dröes, R.-M. (2016). Nature and dementia: Development of a person-centered approach. International Psychogeriatrics, 28(9), 1455–1470. https://doi.org/10.1017/S1041610216000612

Nguyen, T., & Li, X. (2020). Understanding public-stigma and self-stigma in the context of dementia: A systematic review of the global literature. Dementia, 19(2), 148–181. https://doi.org/10.1177/1471301218800122

Olsson, A., Lampic, C., Skovdahl, K., & Engström, M. (2013). Persons with early-stage dementia reflect on being outdoors: A repeated interview study. Aging & Mental Health, 17(7),793–800. https://doi.org/10.1080/13607863.2013.801065

Pretty, J., Peacock, J., Sellens, M., & Griffin, M. (2005). The mental and physical health outcomes of green exercise. International Journal of Environmental Health Research, 15(5), 319–337. https://doi.org/10.1080/09603120500155963

Teoli, D., & Bhardwaj, A. (2024). Quality Of Life. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK536962/

World Health Organisation (1995) The World Health Organisation Quality of Life assessment (WHOQOL): Position paper. In Social Science & Medicine, 41(10), 1403–1409. https://doi.org/10.1016/0277-9536(95)00112-K

World Health Organisation (2017). Global Action plan on the public health response to dementia 2017-2025. World Health Organisation. 9789241513487-eng.pdf

World Health Organisation. (2023). Dementia—Key facts. https://www.who.int/news-room/fact-sheets/detail/dementia