# An interpretative phenomenological analysis of the experience of a nature-based therapy intervention for children with long-term health conditions and associated psychological difficulties

## TL;DR

This study explores how children with long-term health conditions experience a nature-based therapy and how it affects their wellbeing.

## Contribution

The study provides new insights into the psychological impact of nature-based therapy on children with long-term health conditions.

## Key findings

- Participants experienced improved self-esteem and emotion regulation.
- They felt a deeper connection with peers and nature.
- Themes like 'Overcoming Illness-Identity' and 'A Mindful Presence' emerged from the analysis.

## Abstract

Children and young people (CYP) with long-term health conditions (LTC) are at higher risk of developing mental health difficulties. Research suggests nature-based therapeutic interventions (NBTIs) may benefit CYP’s wellbeing, but less is known about the impact on CYP with LTC. This study’s objective was to explore how CYP with LTC and associated psychological difficulties experienced a NBTI and the impact on their wellbeing. Ten participants aged 10–13 attended a NBTI and took part in semi-structured interviews that explored how they made sense of their journey through the intervention, its impact on mental, physical wellbeing and sense of self. An interpretative phenomenological analysis of the interview data yielded four group experiential themes: ‘Overcoming Illness-Identity’, ‘Freedom to Choose’, ‘Sense of Connection’ and ‘A Mindful Presence’. Participants reported improved self-esteem, a deepened sense of belonging with peers and nature, and enhanced emotion regulation. Clinical implications and directions for future research are discussed.