NCT04914572

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
81

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Aug 2021

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 1, 2021

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 4, 2021

Completed
3 months until next milestone

Study Start

First participant enrolled

August 31, 2021

Completed
1.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 31, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 31, 2023

Completed
Last Updated

August 1, 2023

Status Verified

July 1, 2023

Enrollment Period

1.6 years

First QC Date

June 1, 2021

Last Update Submit

July 28, 2023

Conditions

Keywords

Mental health; well-being; stress;

Outcome Measures

Primary Outcomes (4)

  • Perceived Stress Scale 4 (PSS-4)

    4 items, Likert scale (0-lowest, 4-highest) Scoring higher in the scale would translate to higher perceived stress.

    8 weeks

  • Generalised Anxiety Disorder Scale (GAD-7)

    7 items, Likert scale (0-lowest, 3-highest) Scoring higher in the scale would translate to higher anxiety level.

    8 weeks

  • English Brief Resilience Scale (BRS)

    6 items, Likert scale (1-lowest, 5-highest) Scoring higher in the scale would translate to higher resilience.

    8 weeks

  • Saliva Cortisol

    Measured using Passive drool method

    8 weeks

Study Arms (3)

Therapeutic rainforest & MIndful walking

EXPERIMENTAL

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

Therapeutic rainforest walk

EXPERIMENTAL

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

Campus green walk

ACTIVE COMPARATOR

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

Interventions

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.

Therapeutic rainforest & MIndful walking

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

Therapeutic rainforest 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.

Campus green walk

Eligibility Criteria

Age18 Years - 30 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

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

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Alice Lee Centre for Nursing Studies

Singapore, Singapore

Location

MeSH Terms

Conditions

Anxiety DisordersPsychological Well-Being

Condition Hierarchy (Ancestors)

Mental DisordersPersonal SatisfactionBehavior

Study Officials

  • Yong Shian Goh, PhD

    National University of Singapore

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
OTHER
Intervention Model
SEQUENTIAL
Model Details: * 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.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor

Study Record Dates

First Submitted

June 1, 2021

First Posted

June 4, 2021

Study Start

August 31, 2021

Primary Completion

March 31, 2023

Study Completion

March 31, 2023

Last Updated

August 1, 2023

Record last verified: 2023-07

Locations