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What are green prescriptions? A scoping review
Jessica Stanhope1, Philip Weinstein2
1School of Biological Sciences, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and School of Allied Health Science and Practice, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia; and Environment Institute, The University of Adelaide, North Terrace, Adelaide, South Australia 5005, Australia.
Journal of Primary Health Care
|June 30, 2023
Summary
The term "green prescription" has been inconsistently used since 1997, often referring to lifestyle changes like physical activity. Recent literature also uses it for nature exposure, causing confusion. We recommend using "nature prescriptions" for nature-based interventions.
Area of Science:
- Public Health
- Environmental Health
- Medical Terminology
Background:
- Clear terminology is essential for effective communication among healthcare professionals, policymakers, and the public.
- The term 'green prescription' has gained traction in recent years, but its application requires clarification.
Purpose of the Study:
- To conduct a scoping review to understand the diverse uses of the term 'green prescription' in peer-reviewed literature.
- To analyze the evolution, geographic distribution, and disciplinary application of 'green prescription' terminology.
Main Methods:
- A comprehensive scoping review of 268 peer-reviewed articles utilizing the term 'green prescription(s)'.
- Analysis of term usage trends over time, across different geographical regions, and within various academic disciplines.
Main Results:
- The term 'green prescription' has been used since 1997, primarily for written prescriptions for lifestyle changes, especially physical activity.
- Since 2014, the term has also been adopted to denote exposure to nature, leading to ambiguity.
- Despite the newer meaning, 'green prescription' predominantly refers to physical activity in health and medical literature globally.
Conclusions:
- Inconsistent terminology surrounding 'green prescriptions' has resulted in the misapplication of research evidence, particularly conflating exercise prescriptions with nature exposure benefits.
- It is recommended to reserve 'green prescription' exclusively for its original definition: written orders for physical activity and/or dietary changes.
- For interventions involving nature exposure, the distinct term 'nature prescriptions' is proposed to ensure clarity and accurate research interpretation.
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