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Area of Science:

  • Public Health
  • Sleep Medicine
  • Environmental Psychology

Background:

  • Sleep health is a critical global public health issue.
  • There is a growing need for effective, non-pharmacological interventions.
  • Nature-based interventions (NBIs) show promise for improving well-being.

Purpose of the Study:

  • To synthesize comparative evidence on sensory-oriented NBIs for adult sleep health.
  • To evaluate the effectiveness of different NBI modalities using a Bayesian network meta-analysis.
  • To provide an evidence-based overview of NBIs for sleep improvement.

Main Methods:

  • Bayesian network meta-analysis of randomized controlled trials (RCTs).
  • Inclusion of studies on sensory-oriented nature-based interventions for sleep health in adults.
  • Assessment of comparative effectiveness across different NBI categories and against conventional care.

Main Results:

  • All NBI categories demonstrated superior outcomes compared to conventional care for sleep health.
  • Differences in effectiveness between various NBI modalities were generally small.
  • Robustness analyses confirmed the stability and reliability of the findings.

Conclusions:

  • Nature-based interventions are effective and scalable strategies for improving adult sleep health.
  • The therapeutic benefits of NBIs for sleep may be attributed to a general effect of nature exposure.
  • Further large-scale, rigorous RCTs are needed to determine the comparative effectiveness of specific NBI modalities.