A Report on the Ke Ola O Ka 'Aina: 'Aina Connectedness Scale.

Optimal health from a Native Hawaiian worldview is achieved by being pono (righteous) and maintaining lokahi (balance) with all our relations, including our relationships as Kanaka (humankind) with 'Aina (land, nature, environment, that which feeds) and Akua (spiritual realm). The purpose of this study is to explore the role of 'Aina connectedness in Native Hawaiian health and resilience to inform the development of the 'Aina Connectedness Scale. Qualitative methods were conducted with 40 Native Hawaiian adults throughout Hawai'i. Three themes emerged: (1) 'Aina is everything; (2) Connection to 'Aina is imperative to health; and (3) Intergenerational health, healing, and resilience are reflected through intergenerational connectedness with 'Aina. Qualitative findings, supplemented with a scoping review of land, nature, and cultural connectedness scales, led to the development of the 'Aina Connectedness Scale, which examined the degree to which people feel connected to 'Aina, with implications for future research. 'Aina connectedness may address concerns related to health disparities that stem from colonization, historical trauma, and environmental changes and better our understanding of Native Hawaiian health by fostering stronger ties to land. Resilience- and 'Aina-based approaches are critically important to health equity and interventions that aim to improve Native Hawaiian health.

Nature visits during the COVID-19 pandemic in Norway: Facilitators, motives, and associations with sociodemographic characteristics.

Introduction: The COVID-19 pandemic has been linked to increased mental health issues and reduced well-being. Researchers also reports increased frequency of nature visits during the pandemic, proposing it may mitigate some of these negative consequences. Using the case of Norway, a country with ample access to nature and relatively low levels of pandemic-related restrictions, this study sought to (i) understand how the COVID-19 crisis impacted patterns of nature visits and specific nature-based activities, (ii) examine how these patterns varied among different population groups and levels of restrictions, and (iii) explore the motives and facilitators for increased frequency of nature visits. Methods: The data were retrieved from a national cross-sectional survey conducted in June 2021, which was designed to assess participants (n = 1,005, age > 15 years) habits in relation to nature visits and outdoor recreation since the beginning of the COVID-19 crisis, and associated factors. Results: The results showed that 32 % of participants increased their frequency of nature visits during the crisis, while 11 % experienced a decrease. Multivariate logistic regression revealed significant positive associations between increased frequency of nature visits and longer duration of lockdown restrictions (OR [95% CI] = 2.35 [1.28-4.29] and 4.92 [2.77-8.74] for a few weeks and several months of lockdown, respectively). Increased frequency of nature visits was also more likely among women, younger respondents, and individuals from high-income households. A Cochran's Q test showed that the most common motive for increased frequency of nature visits was "To be physically active" (74%). The most commonly reported facilitators were the possibility of using natural environments as an alternative to gyms and organized sports alongside having more time available (58 and 49%, respectively). Conclusion: These findings suggest that nature visits provided important opportunities for physical activity during the COVID-19 crisis, but also that the mental health benefits of nature visits during such times may be under-communicated. This highlights the importance of access to natural environments to promote physical activity and health, but also suggests that campaigns that specifically communicate the beneficial effects of nature visits during lockdowns or similar stressful situations might help people cope with the situation.

Analysing the Relationship between University Students' Ecological Footprint and Their Connection with Nature and Pro-Environmental Attitude.

In the last decade, universities worldwide have adopted various measures intended to promote sustainability in higher education and include it in the curriculum. However, although this paradigm shift appears to be contributing to students' acquisition of the knowledge, skills and values necessary to fight for a more sustainable world, serious global crises such as the present SARS-CoV-2 pandemic oblige us to rethink our behaviour and spur us to accelerate the move towards a deep-seated commitment to the environment and people. Therefore, the aims of this study were (a) to explore consumption habits in students at four Spanish universities by analysing their individual ecological footprint (EF); (b) to develop indices of connection with nature and a pro-environmental attitude and to determine relationships between these indices and students' consumption. Among other factors, our results showed that private university students have a higher EF than public university students; that food consumption has the greatest impact on individuals' EF; and that those who consume more sustainably do not show a more pro-environmental attitude or feel a greater connection with nature. Therefore, we conclude that there was no apparent direct relationship between study participants' convictions and their daily behaviour. There is a pressing need in education to demonstrate the connection between our actions and their environmental impact.

Use of virtual reality in the inpatient rehabilitation of COVID-19 patients.

INTRODUCTION: Use of virtual reality (VR) in healthcare has expanded in recent years. The challenges faced by patients with prolonged COVID-19-related hospitalizations - social isolation, disability, neurologic sequelae, adjustment-related anxiety, depression, and stress - may be mitigated by the novel use of VR as one modality of a comprehensive rehabilitation plan. This descriptive study aimed to understand patient satisfaction and perceived benefit of virtual reality on a COVID-19 recovery unit, as well as the logistical and operational feasibility of providing VR content for patients and staff. MATERIALS AND METHODS: During the COVID-19 surge in New York City in 2020, the COVID-19 Recovery Unit (CRU) of a large academic hospital invited patients and staff to participate in VR sessions with three categories of experience: (1) Guided meditation, (2) Exploration of natural environments, (3) Cognitive stimulation games. Patients and staff were surveyed about satisfaction and perceived benefit. RESULTS: 13 patients and 11 staff were surveyed, with median patient satisfaction scores of 9 out of 10, with ten representing "extremely satisfied," and median staff satisfaction scores of 10. 13/13 patients answered "yes" to recommending the therapy to others, and 12/13 answered "yes" to perceived enhancement of their treatment. 11/11 staff answered "yes" to recommending the therapy to others, and 11/11 answered "yes" to perceived enhancement of their wellbeing. DISCUSSION: A VR program implemented on a COVID-19 rehabilitation unit for patients and healthcare providers was rated as highly satisfactory with perceived benefit by survey respondents. Participants commented that the use of VR was useful in coping with isolation and loneliness, and could be implemented within the context of clinical care for COVID-19 patients as part of a comprehensive rehabilitation model. The use of VR was also logistically and operationally feasible on the CRU. Future work to compare benefits of VR to standard neuropsychological rehabilitation is needed.

Restoration of Visitors through Nature-Based Tourism: A Systematic Review, Conceptual Framework, and Future Research Directions.

Visiting natural environments could restore health and contribute to human sustainability. However, the understanding of potential linkages between restoration of visitors and nature-based tourism remains incomplete, resulting in a lack of orientation for researchers and managers. This study aimed to explore how visitors achieve restoration through nature by analyzing published literature on tourism. Using a systematic review method, this study examined destination types, participant traits, theoretical foundations, and potential restorative outcomes presented in 34 identified articles. A new framework that synthesizes relevant research and conceptualizes the restorative mechanisms of nature-based tourism from a human-nature interaction perspective was developed. Owing to the limitations in the theories, methods, cases, and the COVID-19 pandemic, interdisciplinary methods and multisensory theories are needed in the future to shed further light on the restoration of visitors through nature-based tourism. The findings provide a theoretical perspective on the consideration of nature-based tourism as a public-wellness product worldwide, and the study provides recommendations for future research in a COVID-19 or post-COVID-19 society.

Nature's Role in Supporting Health during the COVID-19 Pandemic: A Geospatial and Socioecological Study.

The COVID-19 pandemic has brought about unprecedented changes to human lifestyles across the world. The virus and associated social restriction measures have been linked to an increase in mental health conditions. A considerable body of evidence shows that spending time in and engaging with nature can improve human health and wellbeing. Our study explores nature's role in supporting health during the COVID-19 pandemic. We created web-based questionnaires with validated health instruments and conducted spatial analyses in a geographic information system (GIS). We collected data (n = 1184) on people's patterns of nature exposure, associated health and wellbeing responses, and potential socioecological drivers such as relative deprivation, access to greenspaces, and land-cover greenness. The majority of responses came from England, UK (n = 993). We applied a range of statistical analyses including bootstrap-resampled correlations and binomial regression models, adjusting for several potential confounding factors. We found that respondents significantly changed their patterns of visiting nature as a result of the COVID-19 pandemic. People spent more time in nature and visited nature more often during the pandemic. People generally visited nature for a health and wellbeing benefit and felt that nature helped them cope during the pandemic. Greater land-cover greenness within a 250 m radius around a respondent's postcode was important in predicting higher levels of mental wellbeing. There were significantly more food-growing allotments within 100 and 250 m around respondents with high mental wellbeing scores. The need for a mutually-advantageous relationship between humans and the wider biotic community has never been more important. We must conserve, restore and design nature-centric environments to maintain resilient societies and promote planetary health.

Access to Nature in a Post Covid-19 World: Opportunities for Green Infrastructure Financing, Distribution and Equitability in Urban Planning.

Covid-19 changed the way many people viewed and interacted with the natural environment. In the UK, a series of national lockdowns limited the number of places that individuals could use to support their mental and physical health. Parks, gardens, canals and other "green infrastructure" (GI) resources remained open and were repositioned as "essential infrastructure" supporting well-being. However, the quality, functionality and location of GI in urban areas illustrated a disparity in distribution that meant that in many cases communities with higher ethnic diversity, lower income and greater health inequality suffered from insufficient access. This paper provides commentary on these issues, reflecting on how planners, urban designers and environmental organizations are positioning GI in decision-making to address inequality. Through a discussion of access and quality in an era of austerity funding, this paper proposes potential pathways to equitable environmental planning that address historical and contemporary disenfranchisement with the natural environment in urban areas.

The Relationship between Nature Deprivation and Individual Wellbeing across Urban Gradients under COVID-19.

Lockdown aiming at slowing COVID-19 transmission has altered nature accessibility patterns, creating quasi-experimental conditions to assess if retracted nature contact and perceived nature deprivation influence physical and emotional wellbeing. We measure through on-line survey methods (n = 529) how pandemic mandates limiting personal movement and outdoor nature access within the United States affect self-assessed nature exposure, perceived nature deprivation, and subsequent flourishing as measured by the Harvard Flourishing Index. Results indicate that perceived nature deprivation strongly associates with local nature contact, time in nature, and access to municipal nature during the pandemic, after controlling for lockdown mandates, job status, household composition, and sociodemographic variables. Our hypothesis is that individuals with strong perceived nature deprivation under COVID-19 leads to diminished wellbeing proved true. Interaction models of flourishing showed positive modification of nature affinity with age and qualitative modification of nature deprivation with race. Our results demonstrate the potential of local nature contact to support individual wellbeing in a background context of emotional distress and social isolation, important in guiding public health policies beyond pandemics.

"Recovering With Nature": A Review of Ecotherapy and Implications for the COVID-19 Pandemic.

Connection with nature has been considered beneficial for psychological well-being since times of evolution. Differences in Indian and Western thoughts have viewed natural elements in different lights, varying between eco-centrism to anthropocentrism. The intrusion of technology and digitalized lives as a result of globalization has decreased connectedness with nature. Ecotherapy is a novel form of psychotherapeutic technique based on explicit environmental or ecological interventions. Social and therapeutic horticulture, animal-assisted interventions, care farming, green exercise, environmental conservation and wilderness therapy are some of the ecosystem-based approaches used in mental health. Based on the principles of positive and client-centered psychology, ecotherapy-related techniques have been shown to be effective in medical disorders like hypertension, obesity, post-surgical recovery and psychosocial conditions like depression, stress reduction, post-traumatic stress disorder (PTSD), attention deficit hyperkinetic disorder (ADHD) and adjustment disorders. The principles of ecotherapy have been integrated into other psychotherapeutic techniques for better efficacy. This review attempts provides an overview of techniques, applications and challenges related to ecotherapy in psychology. The implications of its use during the ongoing Coronavirus 2019 (COVID-19) crisis, social isolation and consequent psychosocial aftermath are also discussed.

Just another day for wildlife...

Josh Loeb discusses how he and others have been admiring nature from the safety of their homes.