Exploring the impact of creative nature-based interventions on wellbeing

Abstract

Section A
Background: Research exploring the impact of nature-based and creative interventions on wellbeing continues to grow. However, the combined effects of nature and creativity on wellbeing remains unclear. This review aimed to understand how facilitated creative outdoor activities influence mental wellbeing in adults.
Methods: A systematic literature search was completed using CINAHL, ASSIA, PsycINFO and Medline databases, with results screened against inclusion and exclusion criteria. Included studies were appraised for quality and findings synthesised using a narrative synthesis approach.
Results: Nine published studies met inclusion criteria. Quality appraisal indicated the four included qualitative studies were of good quality. However, inadequate information limited appraisal of the one quantitative study, and components of the four mixed-methods papers were poorly integrated. All studies reported some improvement in subjective (e.g. positive affect) and/or eudemonic wellbeing (e.g. self-esteem). These benefits appeared to be influenced by engagement with creative, nature and facilitated components of the activities, as well as social experiences.
Conclusion: Although review findings are promising, significant heterogeneity between included studies means any conclusions are tentative. Further research investigating causal relationships and longitudinal wellbeing outcomes of facilitated creative outdoor activities for adults would strengthen the evidence for implementation of these interventions.

Section B
Background: Nature-based interventions (NBIs) are well documented to support wellbeing, and creative activities are thought to enhance these benefits. However, the process of engagement with creative NBIs and mechanisms influencing wellbeing remain unclear. This study explored how participants experienced a creative outdoor community wellbeing space and how this affected their wellbeing.
Method: A modified grounded theory approach was used with data collected through semi-structured interviews and photographs. Thirteen participants took part. A model of the process of engagement and core category representing this process were developed.
Results: Findings suggest participants were able to reconnect with themselves, nature and others, fulfilling something they were searching for in their daily lives and supporting perceived wellbeing improvements. Additionally, relatively unexplored elements such as communal making and consuming of food, gathering around a fire, and creativity emerged as features of the intervention that may enhance benefits. The study also elucidates the experience of participants transitioning to facilitators, a process potentially resulting from increased empowerment and sense of shared ownership.
Discussion: Findings support the existing evidence base, although mechanisms of process add important context to our understanding of how creative NBIs improve wellbeing. Recommendations for practice and future research are discussed to support delivery and understanding of creative NBIs.

Date of Award	2026
Original language	English
Awarding Institution	Canterbury Christ Church University