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Updated: Jun 23, 2025

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Nature-based social prescribing programmes: opportunities, challenges, and facilitators for implementation.

Siân de Bell1, Julius Cesar Alejandre2, Claudia Menzel3

  • 1Exeter HSDR Evidence Synthesis Centre, University of Exeter, 79 Heavitree Rd, Exeter EX2 4TH, United Kingdom.

Environment International
|June 23, 2024
PubMed
Summary
This summary is machine-generated.

Nature-based social prescribing (NBSP) offers significant public health benefits by utilizing natural environments for health treatment. This study provides guidance for adapting NBSP programs globally, considering diverse healthcare systems and local needs.

Keywords:
EnvironmentGreen social prescribingHealthNatural environmentsNature-based social prescribingPolicyPublic health

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Area of Science:

  • Public Health
  • Environmental Medicine
  • Social Prescribing

Background:

  • Growing evidence highlights health benefits of nature exposure, extending from health promotion to treatment.
  • Social prescribing connects individuals with health needs to community-based interventions.
  • Nature-based social prescribing (NBSP) leverages natural environments for health and wellbeing.

Purpose of the Study:

  • To analyze opportunities, challenges, and facilitators for developing and implementing NBSP.
  • To compare NBSP development in the UK and Germany, considering differing healthcare systems.
  • To provide guidance for adapting NBSP interventions to diverse global contexts.

Main Methods:

  • Expert group participatory workshop with 29 UK and German health and environmental practitioners, researchers, and policymakers.
  • Case study analysis of NBSP in the UK and Germany.
  • SWOT analysis (Strengths, Weaknesses, Opportunities, Threats) for key NBSP themes.

Main Results:

  • Identified five overarching themes: Capacity Building, Accessibility and Acceptability, Networks and Collaborations, Standardised Implementation and Evaluation, and Sustainability.
  • Detailed analysis of strengths, weaknesses, opportunities, and threats for each theme.
  • Understanding of factors supporting NBSP implementation.

Conclusions:

  • NBSP holds significant potential for public health benefits by utilizing blue and green spaces.
  • Guidance is provided for adapting NBSP implementation, policy support, and program design/evaluation across contexts.
  • Research informs development and evaluation of NBSP for planetary health at local and global scales.