Innovations in 'therapeutic landscapes': implications for social prescribing

“治疗景观”的创新：对社会处方的影响

• 批准号: ES/W003864/1
• 负责人: Annabelle Edwards
• 金额: $ 11.59万
• 依托单位: Lancaster University
• 依托单位国家: 英国
• 项目类别: Fellowship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=ES%2FW003864%2F1
• 关键词: Innovations; therapeutic; landscapes; implications; social

In my PhD I provided new insight into experiences of 'therapeutic landscapes', spaces (and the activities that take place within them), that are associated with being good for mental health and wellbeing. I demonstrated that experiences of 'therapeutic landscapes', for example green spaces and retreats, are always changing and are not necessarily 'therapeutic'. Where people do have 'therapeutic' experiences, such as feelings of calm or achievement, these often exist alongside other less pleasant or unwelcome experiences, like pain or frustration. Furthermore, I showed that experience, and how this changes over time, varies considerably between people because of their individual histories; because of who they are and what they've experienced before, and because of how and why they came to be there in the first place. Finally, through my research I demonstrated that rather than the spaces themselves being 'therapeutic', 'therapeutic' outcomes are a consequence of a range of different factors (which may or may not include the environment, as well as other things like mood, appreciation or enjoyment of the specific activity, other people and conversations, home life) temporarily coming together in the right way at the right time.I was able to provide this insight because of the approach I developed to conduct the research; an approach that was designed to enable me to capture highly detailed information about experiences, such as thoughts, feelings, and bodily movements, and how and why these happen and change over time. This approach began with my own participation in different 'therapeutic landcapes' (walking groups, conservation groups, and meditation retreats) and the keeping of diaries of these experiences. Following this, I interviewed people I had met through my participation, and used my own experiences as prompts to help people remember theirs.In my fellowship I will publish three academic papers outlining:- The insight provided by my PhD research into how complicated and changeable experiences of 'therapeutic landscapes' are.- The new approach I developed for conducting research that helps to capture highly detailed information about experiences.- The understanding of what experience is and how it happens that informed how I studied experiences of 'therapeutic landscapes'.During the fellowship I will share the findings of my research with other academics at conferences, and through a workshop at which I will introduce the new approach to conducting research that I developed.I will also produce a report, present to, and hold a workshop for, health and social care policy makers and professionals. These are important as my finding that experiences of 'therapeutic landscapes' are not 'therapeutic' all of the time or for all people, and the reasons behind this, has implications for the roll out of 'social prescribing', and specificially, the referral of people on to activities like walking groups and choirs to help improve their mental health, by a member of staff at a doctor's surgery or other healthcare provider. Social prescribing is currently being heavily invested in by the government, and consequently warrants further study. In light of this, I will apply for funding for a research project that draws upon the insights and approach to research gained and developed in my PhD research, to help understand what experiences of 'socially-prescribed' activities are like, and what impact the act of prescription might have on these.

在我的博士学位中，我对“治疗景观”、空间（以及其中发生的活动）的体验提供了新的见解，这些体验与有益于心理健康和福祉相关。我证明了“治疗性景观”的体验，例如绿色空间和静修处，总是在变化，并且不一定是“治疗性的”。当人们确实有“治疗”体验时，例如平静或成就感，这些体验通常与其他不太愉快或不受欢迎的体验同时存在，例如疼痛或沮丧。此外，我还表明，由于个人的历史，经验以及经验如何随着时间的推移而变化，在人与人之间存在很大差异。因为他们是谁，他们以前经历过什么，也因为他们最初是如何以及为何来到这里的。最后，通过我的研究，我证明，“治疗”结果不是空间本身具有“治疗性”，而是一系列不同因素（可能包括也可能不包括环境，以及其他因素，如情绪、对特定活动的欣赏或享受、其他人和谈话、家庭生活）在正确的时间以正确的方式暂时结合在一起的结果。这种方法旨在使我能够捕获有关体验的非常详细的信息，例如思想、感觉和身体动作，以及这些经历如何以及为何随着时间的推移而发生和变化。这种方法始于我自己参与不同的“治疗景观”（步行团体、保护团体和冥想静修）并记录这些经历的日记。此后，我采访了我在参与过程中遇到的人，并利用我自己的经历作为提示，帮助人们记住他们的经历。在我的奖学金中，我将发表三篇学术论文，概述：-我的博士研究提供的关于“治疗景观”的经历是多么复杂和多变的见解。-我为进行研究而开发的新方法，有助于捕获有关经历的非常详细的信息。-对什么是经历以及它是如何发生的理解，这指导了我如何学习 在奖学金期间，我将在会议上与其他学者分享我的研究成果，并通过研讨会介绍我开发的研究新方法。我还将编写一份报告，向健康和社会保健政策制定者和专业人士展示并举办研讨会。这些很重要，因为我发现“治疗景观”的体验并不总是“治疗”或对所有人都具有“治疗作用”，其背后的原因对“社会处方”的推出具有影响，特别是由医生诊所或其他医疗保健提供者的工作人员推荐人们参加步行团体和唱诗班等活动，以帮助改善他们的心理健康。目前政府正在大力投资社会处方，因此值得进一步研究。有鉴于此，我将申请一个研究项目的资助，该项目将利用我在博士研究中获得和发展的见解和研究方法，以帮助了解“社会规定”活动的经历是什么样的，以及规定行为可能对这些活动产生什么影响。

项目成果

'Therapeutic landscape' experiences - redefining their relationship with the everyday.

“治疗景观”体验 - 重新定义他们与日常生活的关系。

• DOI: 10.1016/j.healthplace.2022.102796
• 发表时间: 2022
• 期刊: Health & place
• 影响因子: 4.8
• 作者: Edwards A