NCT06633367

Brief Summary

This project will first examine nature opportunities, belonging and benefits with a multi-state nature-based intervention with a focus on students of color. In light of the syndemic, 'nature deficit disorder' and poor mental health, the investigators anticipate several far-reaching impacts that will (a) test a nationally useful standardized way to quantify exposure; (b) invest in nature resources and accessibility on campuses; and (c) promote the mental health and therapeutic benefits of nature among young adults. These will lead to understanding the nature exposure and mental health interplay and techniques for quantifying and encouraging nature exposure to treat the on-going youth mental health crisis. Including HBCUs and an hispanic-serving institution is expected to result in heightened visibility of underlying disparities, including structural racism and land-based violence and discrimination, that have contributed to current-day nature gaps and dismantled nature relationships for students of color.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
1,545

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Sep 2024

Shorter than P25 for not_applicable

Geographic Reach
1 country

9 active sites

Status
completed

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

September 9, 2024

Completed
28 days until next milestone

First Submitted

Initial submission to the registry

October 7, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

October 9, 2024

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

March 1, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

March 1, 2025

Completed
Last Updated

September 12, 2025

Status Verified

September 1, 2025

Enrollment Period

6 months

First QC Date

October 7, 2024

Last Update Submit

September 5, 2025

Conditions

Keywords

Mental HealthNatureYoung Adults

Outcome Measures

Primary Outcomes (3)

  • Kessler-6

    Kessler-6 changed to be a two week recall period. Range: 0-24. Higher scores indicate higher distress.

    From enrollment to end of participation phase, 4 weeks.

  • Worry

    Single question "I worry all the time" on a likert-type scale. Source: https://pubmed.ncbi.nlm.nih.gov/29214862/. Values range from 1-5, whereby a higher score indicates more frequent worry.

    from enrollment to the final survey (4 week period)

  • Positive and Negative Affect Scale

    This scale is comprised of 20 items, with 10 items measuring positive affect (e.g., excited, inspired) and 10 items measuring negative affect (e.g., upset, afraid). Each item is rated on a five-point Likert Scale, ranging from 1 = Very Slightly or Not at all to 5 = Extremely, to measure the extent to which the affect has been experienced, over a two-week period. Positive affect range: 10-50, whereby higher values indicate higher positive affect. Negative affect range: 10-50, whereby higher values indicate higher negative affect.

    from emrollment to the final survey (4 week period)

Secondary Outcomes (2)

  • NR-6

    From enrollment to the final survey (4 week period)

  • Access to Nature scale

    from enrollment to the final survey (4 week period)

Study Arms (2)

Control group receiving standard health information

NO INTERVENTION

This group will receive information about health benefits in nature.

Intervention Group receiving standard health information + incentives to increase time outdoors

ACTIVE COMPARATOR

This group will receive information on the health benefits of time outdoors, a request to increase their time outdoors, eligibility to receive a prize, and information on peer performance.

Other: Increasing time in nature

Interventions

This intervention includes requesting an increase in time spent outdoors, eligibility to receive a prize, and information on peer performance.

Intervention Group receiving standard health information + incentives to increase time outdoors

Eligibility Criteria

Age18 Years - 24 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Undergraduate student
  • years of age
  • Lives within 30 miles of university campus

You may not qualify if:

  • Not an undergraduate student
  • Under 18 or over 24 years of age
  • Lives \> 30 miles from the university campus

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Morgan State University

Baltimore, Maryland, 21251, United States

Location

University of Maryland

College Park, Maryland, 20742, United States

Location

University of Maryland Eastern Shore

Salisbury, Maryland, 21804, United States

Location

Michigan State University

East Lansing, Michigan, 48824, United States

Location

University of New Mexico

Albequerque, New Mexico, 87131, United States

Location

North Carolina A&T University

Greensboro, North Carolina, 27411, United States

Location

Cleveland State University

Cleveland, Ohio, 44115, United States

Location

Clemson University

Clemson, South Carolina, 29631, United States

Location

University of Virginia

Charlottesville, Virginia, 22902, United States

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal SatisfactionBehavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: The investigators will determine nature opportunities at each school using park and sports field mapping, remote sensing, and tree canopy assessment within 30 miles of campuses to identify disparities. As Fall semester starts, the investigators will recruit 160 students/school for an RCT. Students will complete baseline surveys on nature connectedness, nature belongingness, mental health, and demographics. Students will download the NatureDoseâ„¢ app, which uses 30+ datasets and machine learning models to quantify nature. The app calculates how much nature is near users whenever they are outdoors, and weekly minutes in nature. App data will be collected over a 2-week baseline period, after which students will be randomized to receive 1) standard information about the health benefits of nature or 2) standard health information, a request to increase time in nature, eligibility to receive a prize, and information on peer performance. After 2 weeks, students will repeat baseline surveys.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Associate Professor

Study Record Dates

First Submitted

October 7, 2024

First Posted

October 9, 2024

Study Start

September 9, 2024

Primary Completion

March 1, 2025

Study Completion

March 1, 2025

Last Updated

September 12, 2025

Record last verified: 2025-09

Data Sharing

IPD Sharing
Will not share

Locations