Therapeutic Rainforest Study in Generating Positive Energy Among Undergraduate Students

Sponsor

National University, Singapore (Other)

Overall Status

Recruiting

CT.gov ID

NCT04914572

Collaborator

(none)

108

Enrollment

Location

Arms

Anticipated Duration (Months)

13.6

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study looked into how therapeutic forest walking will impact the well-being of undergraduate students at the National University of Singapore. A three-arm randomized control trial on 108 participants is being planned for this study. The primary aim of this study is to assess the feasibility and primary effect of the Therapeutic Rainforest Walking in generating positive energy among undergraduate students project in enhancing the quality of life, physical, mental, and psycho-social well-being among University students.

Condition or Disease	Intervention/Treatment	Phase
Stress Anxiety	Other: Therapeutic rainforest mindful walking Other: Therapeutic rainforest walk Other: Campus Green walk	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

108 participants

Allocation:

Randomized

Intervention Model:

Sequential Assignment

Intervention Model Description:

The first arm of the study includes the use of mindful walking through the therapeutic rainforest trail from Kent Ridge Park to Hort Park and Hort Park back to Kent Ridge Park. The second arm of the study includes a walk through the therapeutic rainforest trail from Kent Ridge Park to Hort Park and Hort Park back to Kent Ridge Park. The third arm of the study includes a walk through the Kent Ridge Road Trail curated by the Office of Facility Management.The first arm of the study includes the use of mindful walking through the therapeutic rainforest trail from Kent Ridge Park to Hort Park and Hort Park back to Kent Ridge Park. The second arm of the study includes a walk through the therapeutic rainforest trail from Kent Ridge Park to Hort Park and Hort Park back to Kent Ridge Park. The third arm of the study includes a walk through the Kent Ridge Road Trail curated by the Office of Facility Management.

Masking:

None (Open Label)

Primary Purpose:

Other

Official Title:

Using Therapeutic Rainforest Mindful Walking in Generating Positive Mental Well-being Among Undergraduate Students

Actual Study Start Date :

Aug 31, 2021

Anticipated Primary Completion Date :

Apr 30, 2022

Anticipated Study Completion Date :

Apr 30, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Therapeutic rainforest & MIndful walking The first arm uses mindful walking through a 2km forest trail in Singapore. All Interventional and Control arms will conduct their walk between 8 am to 11 am for five occasions weekly. At the T1, participants will attend a Zoom orientation session to familiarize themselves with the route. During this session, participants will need to answer the self-report questionnaire and provide the first saliva sample for the baseline measurement. In T2, a pre-intervention and post-intervention saliva sample will be taken before the walk. This will follow by T3 the following week. At T4, participants will attend a 60 mins reflection session and answer the self-report questionnaire. On T5 and T6, the participants will continue with the therapeutic rainforest mindfulness walk. On T7, a pre-intervention and post-intervention saliva sample will be taken. On T8, participants will attend a 60 mins reflection session and answer the self-report questionnaire.	Other: Therapeutic rainforest mindful walking A two-kilometer trail curated by the National Parks Board, Singapore. The walk will be led by Mindfulness Practitioner who volunteered to be guides for this study.
Experimental: Therapeutic rainforest walk The second arm of the intervention includes walking through a guided forest trail suggested by NParks Board. The collection of samples and answering of the self-report questionnaire will follow the same sequence as the 1st arm of the 3-arm RCT.	Other: Therapeutic rainforest walk A two-kilometer trail curated by the National Parks Board, Singapore. The walk will be led by volunteer guides recruited by the research team.
Active Comparator: Campus green walk The control for this study includes guided casual walking around the campus green trial conducted at the same intervals as per the interventions. The collection of samples and answering of the self-report questionnaire will also follow the same sequence as the 1 arm of the 3-arm RCT.	Other: Campus Green walk A two-kilometer trail curated by the Office of Facility Management, NUS. The walk will be led by volunteer guides recruited by the research team.

Arm

Intervention/Treatment

Experimental: Therapeutic rainforest & MIndful walking

The first arm uses mindful walking through a 2km forest trail in Singapore. All Interventional and Control arms will conduct their walk between 8 am to 11 am for five occasions weekly. At the T1, participants will attend a Zoom orientation session to familiarize themselves with the route. During this session, participants will need to answer the self-report questionnaire and provide the first saliva sample for the baseline measurement. In T2, a pre-intervention and post-intervention saliva sample will be taken before the walk. This will follow by T3 the following week. At T4, participants will attend a 60 mins reflection session and answer the self-report questionnaire. On T5 and T6, the participants will continue with the therapeutic rainforest mindfulness walk. On T7, a pre-intervention and post-intervention saliva sample will be taken. On T8, participants will attend a 60 mins reflection session and answer the self-report questionnaire.

Other: Therapeutic rainforest mindful walking

A two-kilometer trail curated by the National Parks Board, Singapore. The walk will be led by Mindfulness Practitioner who volunteered to be guides for this study.

Experimental: Therapeutic rainforest walk

The second arm of the intervention includes walking through a guided forest trail suggested by NParks Board. The collection of samples and answering of the self-report questionnaire will follow the same sequence as the 1st arm of the 3-arm RCT.

Other: Therapeutic rainforest walk

A two-kilometer trail curated by the National Parks Board, Singapore. The walk will be led by volunteer guides recruited by the research team.

Active Comparator: Campus green walk

The control for this study includes guided casual walking around the campus green trial conducted at the same intervals as per the interventions. The collection of samples and answering of the self-report questionnaire will also follow the same sequence as the 1 arm of the 3-arm RCT.

Other: Campus Green walk

A two-kilometer trail curated by the Office of Facility Management, NUS. The walk will be led by volunteer guides recruited by the research team.

Outcome Measures

Primary Outcome Measures

Perceived Stress Scale 4 (PSS-4) [8 weeks]
4 items, Likert scale (0-lowest, 4-highest) Scoring higher in the scale would translate to higher perceived stress.
Generalised Anxiety Disorder Scale (GAD-7) [8 weeks]
7 items, Likert scale (0-lowest, 3-highest) Scoring higher in the scale would translate to higher anxiety level.
English Brief Resilience Scale (BRS) [8 weeks]
6 items, Likert scale (1-lowest, 5-highest) Scoring higher in the scale would translate to higher resilience.
Saliva Cortisol [8 weeks]
Measured using Passive drool method

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 30 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Current NUS undergraduate students
No self-reported physical mobility issue
No self-reported existing mental health conditions
Enjoys nature

Exclusion Criteria:

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Alice Lee Centre for Nursing Studies	Singapore		Singapore

Sponsors and Collaborators

National University, Singapore

Investigators

Principal Investigator: Yong Shian Goh, PhD, National University, Singapore

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Goh Yong-Shian, Assistant Professor, National University, Singapore

ClinicalTrials.gov Identifier:

NCT04914572

Other Study ID Numbers:

MindtheGap200

First Posted:

Jun 4, 2021

Last Update Posted:

Sep 5, 2021

Last Verified:

Aug 1, 2021

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Goh Yong-Shian, Assistant Professor, National University, Singapore

Mental health; well-being; stress;

Study Results

No Results Posted as of Sep 5, 2021