RESEARCH

Nature-Based Interventions for Autistic Children: A Systematic Review and Meta-Analysis

This systematic review found that nature-based interventions, particularly group-based recreational therapy with experiential learning, were associated with short-term improvements in sensory, social, and behavioral functioning in children with autism spectrum disorder (ASD).

Program Types: Therapeutic

Population Groups: Children/Youth, Neurodevelopmental Differences

Setting or Context: Schools/Educational Settings, Rehabilitation Centers

Health and Wellness Outcomes: Improved Mental Health, Enhanced Emotional Well-being, Improved Stress Management, Improved Cognitive Function, Sensory Stimulation, Increased Social Engagement & Skills

Allied Profession Intersections: Recreational Therapy

Type of Activity: Sensory Stimulation, Outdoor Gardening, Nature-Based Arts & Crafts, Environmental Education

Evidence Type: Meta-Analyses/Systematic Reviews

Measurement and Evaluation: Standardized Assessment Tools, Program Effectiveness

Access: Free

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Summary

This systematic review and meta-analysis examined the effectiveness of nature-based interventions (NBIs) for children with autism spectrum disorder (ASD). The review included 24 studies, utilizing methods such as randomized controlled trials, quasi-experimental studies, and single-group before-and-after designs to assess the impact of NBIs on health-related outcomes. Activities varied but generally involved structured, nature-based experiences in outdoor green or blue spaces.

The analysis of these studies indicated that NBIs were associated with significant short-term improvements in sensory, social, and behavioural functioning among children with ASD. Specifically, NBIs showed a moderate association with improved social communication, reduced hyperactivity and irritability, and enhanced sensory processing, including improved inattention and distractibility, sensory seeking, and sensory sensitivity. These findings suggest that NBIs, particularly group-based recreational therapy with experiential learning, can be a beneficial approach for improving specific functional outcomes in children with ASD

Link

Fan, M. S. N., Li, W. H. C., & Kwan , L. L. (2023). Nature-Based Interventions for Autistic Children A Systematic Review and Meta-Analysis. JAMA Network Open.

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