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Health-Promoting Nature Access for People with Mobility Impairments: A Systematic Review

Department of Geosciences and Natural Resource Management, University of Copenhagen, Rolighedsvej 23, 1958 Frederiksberg C, Denmark
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Int. J. Environ. Res. Public Health 2017, 14(7), 703; https://doi.org/10.3390/ijerph14070703
Received: 4 June 2017 / Revised: 22 June 2017 / Accepted: 25 June 2017 / Published: 29 June 2017
(This article belongs to the Special Issue Landscapes and Human Health)
This study systematically evaluated the scientific evidence for health benefits of natural environments for people with mobility impairments. Literature searches based on five categories of terms—target group, nature type, health-related impacts, nature-related activities and accessibility issues—were conducted in four databases (Web of Science, Scopus, CAB ABSTRACT and Medline). Twenty-seven articles from 4196 hits were included in the systematic reviews. We concluded that people with mobility disabilities could gain different health benefits, including physical health benefits, mental health benefits and social health benefits from nature in different kinds of nature contacts ranging from passive contact, active involvement to rehabilitative interventions. Several issues related to the accessibility and use of nature for people with mobility impairments need attention from professionals such as landscape architects, rehabilitative therapists, caregivers and policy makers. The overall quality of methodology of the included studies is not high based on assessment of the Mixed Methods Appraisal Tool (MMAT). Moreover, more randomized controlled trials and longitudinal studies that focus specifically on evidence-based health design of nature for people with mobility impairments in the future are needed. View Full-Text
Keywords: accessibility; barriers; disabilities; green spaces; health benefits; health design; nature-related activities accessibility; barriers; disabilities; green spaces; health benefits; health design; nature-related activities
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Zhang, G.; Poulsen, D.V.; Lygum, V.L.; Corazon, S.S.; Gramkow, M.C.; Stigsdotter, U.K. Health-Promoting Nature Access for People with Mobility Impairments: A Systematic Review. Int. J. Environ. Res. Public Health 2017, 14, 703.

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