# Garden on the Go: A Feasibility Study of a Gardening Program to Support Mental Health and Resilience in Youth with Adverse Childhood Experiences

## TL;DR

A gardening program for youth with adverse childhood experiences is feasible and may improve mental health and social connections.

## Contribution

This study explores the feasibility of a school-based gardening program for adolescents with ACEs using mixed methods.

## Key findings

- Gardening intervention recruitment and data collection procedures were feasible.
- Intervention was acceptable to participants, with potential for prosocial behavior changes.
- External factors like absenteeism impacted participation frequency and duration.

## Abstract

Background/Objectives: The benefits of nature-based interventions to support well-being and mental health are increasingly well-documented in the literature; however, study of an occupational therapy gardening program for adolescents with exposure to adverse childhood experiences (ACEs) is limited. Methods: This study evaluates the feasibility of a novel school gardening program for youth with a history of ACEs including the following: (1) recruitment; (2) data collection procedures and outcome measures; (3) acceptability and suitability of the intervention; and (4) evaluation of the response to a gardening intervention as measured by a visual analog scale of emotional state, a heartbeat counting task designed to capture changes in interoceptive awareness, and qualitative data from the teacher and researchers. This feasibility study was designed as an 8- to 10-week program (10 sessions minimum) to accommodate the school’s academic curriculum and support the participants’ academic progression. Three adolescents were recruited, ages 12–17, two of whom completed a shorter version of the program and one who dropped out. Results: Results indicated the gardening intervention recruitment and data collection procedures were feasible. Intervention was acceptable to participants. Outcome measures that produce both quantitative and qualitative changes are needed. Interoceptive measures show promise but require further refinement. Response to intervention seemed to be influenced by the participant’s psychosocial history but suggests possible changes in prosocial behavior. External factors such as absenteeism influenced aspects of participation, including frequency and duration of intervention. Conclusions: These findings suggest gardening interventions in occupational therapy are feasible and suitable for adolescents with a history of adversity. Potential exists for enhanced social connectedness, which supports mental health and well-being. Suggestions are offered for implementation and outcome measurements appropriate for this population.