Cultivating wellbeing: a mixed methods exploration of the impact of a nature-based intervention for mental wellbeing, from the perspectives of service users, staff and social prescribers

Aims: This study aims to evaluate the effectiveness of a nature-based intervention (NBI), Together We Grow (TWG), in enhancing psychological wellbeing and quality of life among participants. It seeks to understand the experience of participation through both measurable outcomes and personal accounts. Introduction: This study aims to explore the perceptions of participants, social prescribers, and staff regarding the barriers and opportunities associated with Nature-Based Interventions (NBIs). Using a mixed-methods design that combines quantitative outcomes with qualitative insights, the study investigates the impact of NBIs on individuals receiving primary or secondary mental health care services. Methodology: A convergent mixed methods design was adopted. Quantitative data were collected using pre- and post-intervention surveys, which included validated measures of psychological wellbeing (PHQ-9, GAD-7, SWEMWBS, and UCLA Loneliness Scale) and quality of life (WHOQOL-BREF). Qualitative data were gathered through semi-structured interviews with participants and staff. 12 service user participants were recruited, of whom 9 completed both pre- and post-test measures and a semi-structured interview. Quantitative data were analysed using paired t-tests and descriptive statistics, while reflexive thematic analysis (RTA) was employed for qualitative data. Results: Quantitative findings indicated statistically significant improvements in overall anxiety, loneliness, and wellbeing scores following at least 12 weeks of participation at TWG. Qualitative analysis revealed key themes including “Reclaiming Health”, “Finding Calm”, “Temporal Integration”, Building Self Agency and “Belonging”. Participants described NBIs as accessible, restorative, and meaningful, particularly in the context of stress and isolation. Discussion: Findings suggest that NBIs can positively influence wellbeing by offering psychosocial benefits. The mixed methods approach highlighted how measurable changes in wellbeing are enriched by understanding personal narratives and contextual factors. Implications include the need for broader integration of NBIs in health and social care.