Meaningful and psychologically rewarding nature-assisted occupations - A feasibility study for improving alternatives in vocational rehabilitation in Iceland.

BACKGROUND

Nature-assisted activities (NAA) have been linked to improved mental health and well-being, and are often perceived as psychologically rewarding. However, little is known about how these activities are experienced within vocational rehabilitation programs in the Icelandic context.

OBJECTIVE

This study aimed to explore participants' experiences of nature-assisted occupations in vocational rehabilitation, focusing on their perceived meaningfulness and psychological benefits, to inform the development of nature-based interventions within existing programs.

METHODS

A mixed-method convergent longitudinal design was used at a vocational rehabilitation centre in Iceland with 11 participants. Participants engaged in weekly, voluntary two-hour NAA sessions over a period of 4-11 months. Activities included outdoor play, foraging, adventure-based tasks, as well as outdoor and indoor gardening. Data were collected using the Meaningful and Psychologically Rewarding Occupation Rating Scale and a focus group interview.

RESULTS

Quantitative findings: Outdoor and adventure-based activities were rated as the most meaningful and psychologically rewarding. Qualitative findings: Participants described increased enjoyment, personal growth, a sense of freedom, and reduced performance pressure as central to their positive experiences. Structured and indoor tasks were generally seen as less beneficial.