Intervenções baseadas na natureza usando tecnologia para a saúde: uma revisão de escopo

Autores

DOI:

https://doi.org/10.37914/riis.v8i2.427

Palavras-chave:

tecnologia, realidade virtual, natureza, saúde

Resumo

Enquadramento: as intervenções baseadas na natureza são geralmente reconhecidas pela sua capacidade de melhorar a saúde e bem-estar. Objetivos: esta revisão de escopo mapeia a evidência sobre o uso da tecnologia para aprimorar as intervenções baseadas na natureza, examinando várias ferramentas digitais e seu impacto na maximização dos benefícios das experiências baseadas na natureza. Metodologia: foi realizada uma scoping review seguindo as diretrizes PRISMA ScR. As fontes consistiram na pesquisa em quatro bases de dados eletrónicas para identificar estudos publicados entre 2014-2024. O processo de seleção deste estudo foi realizado utilizando o software Rayyan, e os dados recuperados foram então sintetizados utilizando uma técnica narrativa. Resultados: 12 estudos cumpriram os critérios de inclusão e desses todos utilizaram a realidade virtual ou realidade aumentada para simular ambientes naturais; os estudos variaram igualmente quanto aos participantes, sendo que 33.3% foram adultos, 33.3% foram jovens adultos e 33.3% foram idosos. Conclusão: a utilização de intervenções baseadas na natureza com recurso à tecnologia demonstrou ter potencial para diminuir o stress, melhorar o humor e aumentar o bem-estar geral. No entanto, a análise também salienta a importância de mais investigação para compreender os impactos duradouros e as melhores formas de introduzir estas tecnologias em diferentes populações e situações.

Biografia Autor

Raquel Simões de Almeida, Escola Superior de Saúde-IPP

Doutorada em Psicologia e Mestre em Reabilitação Psicossocial e Saúde Mental, é atualmente terapeuta ocupacional e professora Adjunta convidada na Escola Superior de Saúde do Instituto Politécnico do Porto. Enquanto investigadora no Laboratório de Reabilitação Psicossocial (FPCEUP-ESS P.Porto), tem-se dedicado ao estudo de tecnologias de apoio à reabilitação psicossocial, tecnologias inovadoras, literacia e bem-estar na saúde mental.

Referências

Adams, J. (2024). Examining ethical and social implications of digital mental health technologies through expert interviews and sociotechnical systems theory. DISO, 3, article 24. https://doi.org/10.1007/s44206-024-00110-5

Ali, M. J., Rahaman, M., & Hossain, Sk. I. (2022). Urban green spaces for elderly human health: a planning model for healthy city living. Land Use Policy, 114. https://doi.org/10.1016/j.landusepol.2021.105970

Anzovino, T., Connolly, M., McEwen, J., Oresar, J., Gignac, G., & Sitler, E. (2023). It’s an IDEA (inclusion, diversity, equity and accessibility): learning to foster authentic inclusion for accessibility through VR simulations. Liberal Studies, Niagara College. https://openlibrary-repo.ecampusontario.ca/jspui/handle/123456789/1748

Arksey, H., & O’Malley, L. (2005). Scoping studies: towards a methodological framework. International Journal of Social Research Methodology, 8(1), 19–32. https://doi.org/10.1080/1364557032000119616

Barnes, M. R., Donahue, M. L., Keeler, B. L., Shorb, C. M., Mohtadi, T. Z., & Shelby, L. J. (2019). Characterizing nature and participant experience in studies of nature exposure for positive mental health: an integrative review. Frontiers in Psychology, 9. https://doi.org/10.3389/fpsyg.2018.02617

Barton, J., Sandercock, G., Pretty, J., & Wood, C. (2015). The effect of playground- and nature-based playtime interventions on physical activity and self-esteem in UK school children. International Journal of Environmental Health Research, 25(2), 196–206. https://doi.org/10.1080/09603123.2014.915020

Bloomfield, D. (2017). What makes nature-based interventions for mental health successful? BJPsych international, 14(4), 82–85. https://doi.org/10.1192/s2056474000002063

Borek, A. J., Abraham, C., Smith, J. R., Greaves, C. J., & Tarrant, M. (2015). A checklist to improve reporting of group-based behaviour-change interventions. BMC Public Health, 15, article 963. https://doi.org/10.1186/s12889-015-2300-6

Choi, N. G., DiNitto, D. M., Marti, C. N., & Choi, B. Y. (2022). Telehealth use among older adults during COVID-19: associations with sociodemographic and health characteristics, technology device ownership, and technology learning. Journal of Applied Gerontology, 41(3), 600–609. https://doi.org/10.1177/07334648211047347

Clemente, D., Romano, L., Zamboni, E., Carrus, G., & Panno, A. (2024). Forest therapy using virtual reality in the older population: a systematic review. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1323758

Corazon, S. S., Sidenius, U., Poulsen, D. V., Gramkow, M. C., & Stigsdotter, U. K. (2019). Psycho-physiological stress recovery in outdoor nature-based interventions: a systematic review of the past eight years of research. International Journal of Environmental Research and Public Health, 16(10). https://doi.org/10.3390/ijerph16101711

Ferreira, V., Barreira, A. P., Loures, L., Antunes, D., & Panagopoulos, T. (2020). Stakeholders’ engagement on nature-based solutions: a systematic literature review. Sustainability, 12(2). https://doi.org/10.3390/su12020640

Foley, H., Leach, M., Feng, X., Astell-Burt, T., & Brymer, E. (2023). Towards key principles for the design and implementation of nature prescription programs. Sustainability, 15(12). https://doi.org/10.3390/su15129530

Gritzka, S., MacIntyre, T. E., Dörfel, D., Baker-Blanc, J. L., & Calogiuri, G. (2020). The effects of workplace nature-based interventions on the mental health and well-being of employees: a systematic review. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.00323

Jeng, M.-Y., Pai, F.-Y., & Yeh, T.-M. (2017). The virtual reality leisure activities experience on elderly people. Applied Research in Quality of Life, 12, 49–65. https://doi.org/10.1007/s11482-016-9452-0

Joye, Y., & Bolderdijk, J. W. (2015). An exploratory study into the effects of extraordinary nature on emotions, mood, and prosociality. Frontiers in Psychology, 5. https://doi.org/10.3389/fpsyg.2014.01577

Kalantari, S., Bill Xu, T., Mostafavi, A., Lee, A., Barankevich, R., Boot, W. R., & Czaja, S. J. (2022). Using a nature-based virtual reality environment for improving mood states and cognitive engagement in older adults: a mixed-method feasibility study. Innovation in Aging, 6(3), igac015. https://doi.org/10.1093/geroni/igac015

Kang, M.-J., Kim, H.-S., & Kim, J.-Y. (2022). Effects of forest-based interventions on mental health: a meta-analysis of randomized controlled trials. International Journal of Environmental Research and Public Health, 19(8), 4884. https://doi.org/10.3390/ijerph19084884

Kemper, K. J., Gardiner, P., & Birdee, G. S. (2013). Use of complementary and alternative medical therapies among youth with mental health concerns. Academic Pediatrics, 13(6), 540–545. https://doi.org/10.1016/j.acap.2013.05.001

Keniger, L. E., Gaston, K. J., Irvine, K. N., & Fuller, R. A. (2013). What are the benefits of interacting with nature? International Journal of Environmental Research and Public Health, 10(3). https://doi.org/10.3390/ijerph10030913

Lee, E. S., Maillet, M. A., & Grouzet, F. M. E. (2022). Why do individuals engage with the natural world? A self-determination theory perspective on the effect of nature engagement and well-being. Applied Research in Quality of Life, 17, 1501–1532. https://doi.org/10.1007/s11482-021-09970-2

Lenda, M. L., Skórka, P., Jaźwa, M., Lin, H.-Y., Nęcka, E., Tryjanowski, P., Moroń, D., Knops, J. M. H., & Possingham, H. P. (2023). Recognizing the importance of near-home contact with nature for mental well-being based on the COVID-19 lockdown experience. Ecology and Society, 28(3). https://doi.org/10.5751/ES-14374-280313

Li, H., Zhang, X., Wang, H., Yang, Z., Liu, H., Cao, Y., & Zhang, G. (2021). Access to nature via virtual reality: a mini-review. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.725288

Ma, J., Lin, P., & Williams, J. (2023). Effectiveness of nature-based walking interventions in improving mental health in adults: a systematic review. Current Psychology, 43, 9521-9539. https://doi.org/10.1007/s12144-023-05112-z

Marvier, M., Kareiva, P., Felix, D., Ferrante, B. J., & Billington, M. B. (2023). The benefits of nature exposure: the need for research that better informs implementation. Proceedings of the National Academy of Sciences, 120(44), e2304126120. https://doi.org/10.1073/pnas.2304126120

McClain, L. R., & Zimmerman, H. T. (2016). Technology-mediated engagement with nature: sensory and social engagement with the outdoors supported through an e-Trailguide. International Journal of Science Education, Part B, 6(4), 385–399. https://doi.org/10.1080/21548455.2016.1148827

Melo, M., Gonçalves, G., Monteiro, P., Coelho, H., Vasconcelos-Raposo, J., & Bessa, M. (2022). Do multisensory stimuli benefit the virtual reality experience? A systematic review. IEEE Transactions on Visualization and Computer Graphics, 28(2), 1428–1442. https://doi.org/10.1109/TVCG.2020.3010088

Mercer, J. (2014). Alternative psychotherapies: evaluating unconventional mental health treatments. Rowman & Littlefield.

Moeller, C., King, N., Burr, V., Gibbs, G. R., & Gomersall, T. (2018). Nature-based interventions in institutional and organisational settings: a scoping review. International Journal of Environmental Health Research, 28(3), 293–305. https://doi.org/10.1080/09603123.2018.1468425

Nguyen, G., King, K., & Stirling, L. (2023). Telerehabilitation use and experiences in occupational and physical therapy through the early stages of the COVID-19 pandemic. PLOS ONE, 18(11), e0291605. https://doi.org/10.1371/journal.pone.0291605

O’Brien, L. (2018). Engaging with and shaping nature: a nature-based intervention for those with mental health and behavioural problems at the Westonbirt Arboretum in England. International Journal of Environmental Research and Public Health, 15(10), 2214. https://doi.org/10.3390/ijerph15102214

O’Connor, S., Hanlon, P., O’Donnell, C. A., Garcia, S., Glanville, J., & Mair, F. S. (2016). Barriers and facilitators to patient and public engagement and recruitment to digital health interventions: protocol of a systematic review of qualitative studies. BMJ Open, 6(9), e010895. https://doi.org/10.1136/bmjopen-2015-010895

O’Hogain, S., & McCarton, L. (2018). Nature-Based Solutions. In S. O’Hogain & L. McCarton (Eds.), A technology portfolio of nature based solutions: innovations in water management (pp. 1–9). Springer International Publishing. https://doi.org/10.1007/978-3-319-73281-7_1

Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan - a web and mobile app for systematic reviews. Systematic Reviews, 5, article 210. https://doi.org/10.1186/s13643-016-0384-4

Pimentel, G., Neves, J., Loureiro, A. R., Ventura, F., Vieira, A., Morais, A., Amorim, V., Lopes, P., Matos, R. C., Ferreira, R., & Marques, A. (2022). Consultas de enfermagem à distância em Portugal: recomendações de peritos. Revista de Investigação & Inovação em Saúde, 5(1). https://doi.org/10.37914/riis.v5i1.171

Pretty, J., & Barton, J. (2020). Nature-based interventions and mind–body interventions: Saving public health costs whilst increasing life satisfaction and happiness. International Journal of Environmental Research and Public Health, 17(21), 7769. https://doi.org/10.3390/ijerph17217769

Riches, S., Azevedo, L., Bird, L., Pisani, S., & Valmaggia, L. (2021). Virtual reality relaxation for the general population: a systematic review. Social Psychiatry and Psychiatric Epidemiology, 56(10), 1707–1727. https://doi.org/10.1007/s00127-021-02110-z

Sæther, L. S., Ueland, T., Haatveit, B., Maglanoc, L. A., Szabo, A., Djurovic, S., Aukrust, P., Roelfs, D., Mohn, C., Ormerod, M. B. E. G., Lagerberg, T. V., Steen, N. E., Melle, I., Andreassen, O. A., & Ueland, T. (2023). Inflammation and cognition in severe mental illness: patterns of covariation and subgroups. Molecular Psychiatry, 28(3), 1284-1292. https://doi.org/10.1038/s41380-022-01924-w

Shanahan, D. F., Astell–Burt, T., Barber, E. A., Brymer, E., Cox, D. T. C., Dean, J., Depledge, M., Fuller, R. A., Hartig, T., Irvine, K. N., Jones, A., Kikillus, H., Lovell, R., Mitchell, R., Niemelä, J., Nieuwenhuijsen, M., Pretty, J., Townsend, M., van Heezik, Y., ... Gaston, K. J. (2019). Nature–based interventions for improving health and wellbeing: The purpose, the people and the outcomes. Sports, 7(6), 141. https://doi.org/10.3390/sports7060141

Shrestha, T., Chi, C. V. Y., Cassarino, M., Foley, S., & Blasi, Z. D. (2023). Factors influencing the effectiveness of nature-based interventions (NBIs) aimed at improving mental health and wellbeing: protocol of an umbrella review. PLOS ONE, 18(7), e0273139. https://doi.org/10.1371/journal.pone.0273139

Tambyah, R., Olcoń, K., Allan, J., Destry, P., & Astell-Burt, T. (2022). Mental health clinicians’ perceptions of nature-based interventions within community mental health services: evidence from Australia. BMC Health Services Research, 22, article 841. https://doi.org/10.1186/s12913-022-08223-8

Thangaleela, S., Sivamaruthi, B. S., Kesika, P., Bharathi, M., Kunaviktikul, W., Klunklin, A., Chanthapoon, C., & Chaiyasut, C. (2022). Essential oils, phytoncides, aromachology, and aromatherapy—a review. Applied Sciences, 12(9). https://doi.org/10.3390/app12094495

Trøstrup, C. H., Christiansen, A. B., Stølen, K. S., Nielsen, P. K., & Stelter, R. (2019). The effect of nature exposure on the mental health of patients: a systematic review. Quality of Life Research, 28, 1695–1703. https://doi.org/10.1007/s11136-019-02125-9

Vijayakumar, S., & Srivastava, P. (2025). Ecosystems and human health: the impact of nature-based interventions. In P. Singh, P. Srivastava, & A. Sorokin (Eds.), Nature-based solutions in achieving sustainable development goals: harmonizing nature and progress (pp. 63–90). Springer Nature Switzerland. https://doi.org/10.1007/978-3-031-76128-7_3

White, M. P., Yeo, N. L., Vassiljev, P., Lundstedt, R., Wallergård, M., Albin, M., & Lõhmus, M. (2018). A prescription for “nature” – the potential of using virtual nature in therapeutics. Neuropsychiatric Disease and Treatment, 14, 3001–3013. https://doi.org/10.2147/NDT.S179038

World Health Organization. (‎2016)‎. Urban green spaces and health. WHO Regional Office for Europe. https://iris.who.int/handle/10665/345751

Xing, Y., Jones, P., & Donnison, I. (2017). Characterisation of nature-based solutions for the built environment. Sustainability, 9(1). https://doi.org/10.3390/su9010149

Xu, J., Liu, N., Polemiti, E., Garcia-Mondragon, L., Tang, J., Liu, X., Lett, T., Yu, L., Nöthen, M. M., Feng, J., Yu, C., Marquand, A., & Schumann, G. (2023). Effects of urban living environments on mental health in adults. Nature Medicine, 29(6), 1456–1467. https://doi.org/10.1038/s41591-023-02365-w

Yardley, L., Spring, B. J., Riper, H., Morrison, L. G., Crane, D. H., Curtis, K., Merchant, G. C., Naughton, F., & Blandford, A. (2016). Understanding and promoting effective engagement with digital behavior change interventions. American Journal of Preventive Medicine, 51(5), 833–842. https://doi.org/10.1016/j.amepre.2016.06.015

Yu, C.-P., Lee, H.-Y., & Luo, X.-Y. (2018). The effect of virtual reality forest and urban environments on physiological and psychological responses. Urban Forestry & Urban Greening, 35, 106–114. https://doi.org/10.1016/j.ufug.2018.08.013

Downloads

Publicado

26-11-2025

Como Citar

Moreira, T., & Simões de Almeida, R. (2025). Intervenções baseadas na natureza usando tecnologia para a saúde: uma revisão de escopo. Revista De Investigação & Inovação Em Saúde, 8(2), e427. https://doi.org/10.37914/riis.v8i2.427