CClinicalTrials.gg
CompletedNCT06365736Updated Sep 22, 2025

The Effect of a Contemplative Nature-based Intervention on Spiritual Well-being

An interventional study of Contemplating in nature in Spiritual Well-being and Healthy, sponsored by University of Twente. Completed at 1 site in Netherlands. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-09-22.

Sponsored by University of Twente · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
41
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The goal of this randomized control trial is to test if contemplating in nature could benefit spiritual well-being in general adults. The main question it aims to answer is:

Does a 2-week contemplative nature intervention improve spiritual well-being?

Participants in the intervention condition will walk for 10 minutes and then choose a nice spot to sit for 10 minutes. During these minutes they will be asked to be silently present and observe trees, plants, flowers, or other aspects of nature and contemplate their connectedness to nature and their own awareness. Then walk back 10 minutes.

02

Conditions studied

  • Spiritual Well-being
  • Healthy

Keywords

  • nature-based interventions
  • spiritual well-being
  • contemplate
03

In context

Lead sponsor

University of Twente is the lead sponsor of 16 studies on the registry; 6 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • is 18 years or older;
  • has access to a nearby natural environment for walking and sitting activities such as a forest, park, or walking area;
  • possesses the physical ability to walk for half an hour;
  • has access to a computer or tablet with a stable internet connection and an email address;
  • is willing to commit half an hour to engage in nature walks 10 times over 14 days.

Exclusion criteria

Exclusion Criteria:

- NA.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
41 participants (actual)

Study arms

  • Experimental
    Contemplative nature intervention

    Participants will spend 30 minutes in nature per day for 10 times over 14 days. Participants will walk for 10 minutes and then choose a nice spot to sit for 10 minutes. During these minutes they will be asked to be silently present and observe trees, plants, flowers, or other aspects of nature and contemplate their connectedness to nature and their own awareness. Then walk back 10 minutes.

    Behavioral: Contemplating in nature

Interventions

  • BehavioralContemplating in nature

    Participants will spend 30 minutes in nature per day for 10 times over 14 days. Each time, participants will walk for 10 minutes and then choose a nice spot to sit for 10 minutes. During these minutes they will be asked to be silently present and observe trees, plants, flowers or other aspects of nature and contemplate their connectedness to nature and their own awareness. Then walk back 10 minutes.

    Also known as: contemplative nature-based interventions

06

What researchers measure

Primary outcomes

  1. Spiritual well-being assessed by Spiritual Attitude and Involvement List Short Form (SAIL-SF)

    On a 6-point Likert scale ranging from 1 (not at all) to 6 (to a very high degree), respondents rate in how far they think specific statements about spiritual well-being apply to themselves. Higher scores indicate higher scores of spiritual well-being.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  2. Spiritual well-being assessed by Spiritual Attitude and Involvement List Short Form (SAIL-SF)

    On a 6-point Likert scale ranging from 1 (not at all) to 6 (to a very high degree), respondents rate in how far they think specific statements about spiritual well-being apply to themselves. Higher scores indicate higher scores of spiritual well-being.

    Time frame: Change from Baseline to Short-term follow-up at 1 month.

  3. Spiritual well-being assessed by Spiritual Attitude and Involvement List Short Form (SAIL-SF)

    On a 6-point Likert scale ranging from 1 (not at all) to 6 (to a very high degree), respondents rate in how far they think specific statements about spiritual well-being apply to themselves. Higher scores indicate higher scores of spiritual well-being.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

  4. Spiritual well-being assessed by Daily Spiritual Experience Scale (DSES)

    The non-theistic items from DSES will be used. Ranging from 1 (multiple times a day) to 6 (never). The item responses were reverse coded prior to analysis so that larger values would reflect a higher level of daily spiritual experiences.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  5. Spiritual well-being assessed by Daily Spiritual Experience Scale (DSES)

    The non-theistic items from DSES will be used. Ranging from 1 (multiple times a day) to 6 (never). The item responses were reverse coded prior to analysis so that larger values would reflect a higher level of daily spiritual experiences.

    Time frame: Change from baseline to short-term follow-up at 1 month.

  6. Spiritual well-being assessed by Daily Spiritual Experience Scale (DSES)

    The non-theistic items from DSES will be used. Ranging from 1 (multiple times a day) to 6 (never). The item responses were reverse coded prior to analysis so that larger values would reflect a higher level of daily spiritual experiences.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

Other outcomes

  1. Client satisfaction of intervention condition assessed by Client Satisfaction Questionnaire (CSQ-8)

    A Likert scale scored from 1 (low satisfaction) to 4 (high satisfaction). Higher score means higher satisfaction with the intervention.

    Time frame: From post-intervention to short-term follow-up at 1 month.

  2. Client satisfaction of active control condition assessed by Client Satisfaction Questionnaire (CSQ-8)

    A Likert scale scored from 1 (low satisfaction) to 4 (high satisfaction). Higher score means higher satisfaction with the intervention.

    Time frame: From post-intervention to short-term follow-up at 1 month.

  3. Client satisfaction of passive control condition assessed by Client Satisfaction Questionnaire (CSQ-8)

    A Likert scale scored from 1 (low satisfaction) to 4 (high satisfaction). Higher score means higher satisfaction with the intervention.

    Time frame: From post-intervention to longer term follow-up at 3 months.

  4. Nature connectedness assessed by Connectedness to Nature Scale (CNS)

    Items are rated on a 5-point scale with endpoints 1 (strongly disagree) and 5 (strongly agree). Higher score means higher sense of oneness with the natural world.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  5. Nature connectedness assessed by Connectedness to Nature Scale (CNS)

    Items are rated on a 5-point scale with endpoints 1 (strongly disagree) and 5 (strongly agree). Higher score means higher sense of oneness with the natural world.

    Time frame: Change from baseline to short-term follow-up at 1 month.

  6. Nature connectedness assessed by Connectedness to Nature Scale (CNS)

    Items are rated on a 5-point scale with endpoints 1 (strongly disagree) and 5 (strongly agree). Higher score means higher sense of oneness with the natural world.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

  7. Nature connectedness assessed by the single item Inclusion of Nature with Self scale (INS)

    Participants were asked to select one of seven different sets of overlapping circles labeled ''self'' and ''nature.'' Scores ranged from 1 (where the circles touched but did not overlap) to 7 (where the two circles entirely overlapped).

    Time frame: Change from baseline to post-intervention at 2 weeks.

  8. Nature connectedness assessed by the single item Inclusion of Nature with Self scale (INS)

    Participants were asked to select one of seven different sets of overlapping circles labeled ''self'' and ''nature.'' Scores ranged from 1 (where the circles touched but did not overlap) to 7 (where the two circles entirely overlapped).

    Time frame: Change from baseline to short-term follow-up at 1 month.

  9. Nature connectedness assessed by the single item Inclusion of Nature with Self scale (INS)

    Participants were asked to select one of seven different sets of overlapping circles labeled ''self'' and ''nature.'' Scores ranged from 1 (where the circles touched but did not overlap) to 7 (where the two circles entirely overlapped).

    Time frame: Change from baseline to longer-term follow-up at 3 months.

  10. Well-being assessed by Mental Health Continuum-Short Form (MHC-SF)

    A 6-point Likert scale scored from "never" to "every day". Higher score means higher level of well-being.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  11. Well-being assessed by Mental Health Continuum-Short Form (MHC-SF)

    A 6-point Likert scale scored from "never" to "every day". Higher score means higher level of well-being.

    Time frame: Change from baseline to short-term follow-up at 1 month.

  12. Well-being assessed by Mental Health Continuum-Short Form (MHC-SF)

    A 6-point Likert scale scored from "never" to "every day". Higher score means higher level of well-being.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

  13. Psychological well-being assessed by Brief INSPIRE-O

    A 5-point Likert scale scored from 0 (not at all) to 4 (a lot). Higher score means higher psychological well-being.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  14. Psychological well-being assessed by Brief INSPIRE-O

    A 5-point Likert scale scored from 0 (not at all) to 4 (a lot). Higher score means higher psychological well-being.

    Time frame: Change from baseline to short-term follow-up at 1 month.

  15. Psychological well-being assessed by Brief INSPIRE-O

    A 5-point Likert scale scored from 0 (not at all) to 4 (a lot). Higher score means higher psychological well-being.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

  16. Stress assessed by Perceived Stress Scale (PSS)

    A 5-point Likert scale scored from 0 (never) to 4 (very often). Higher score means higher level of perceived stress.

    Time frame: Change from baseline to post-intervention at 2 weeks.

  17. Stress assessed by Perceived Stress Scale (PSS)

    A 5-point Likert scale scored from 0 (never) to 4 (very often). Higher score means higher level of perceived stress.

    Time frame: Change from baseline to short-term follow-up at 1 month.

  18. Stress assessed by Perceived Stress Scale (PSS)

    A 5-point Likert scale scored from 0 (never) to 4 (very often). Higher score means higher level of perceived stress.

    Time frame: Change from baseline to longer-term follow-up at 3 months.

07

Study locations

1 site
  • University of Twente
    Enschede, Overijssel 7522NB, Netherlands
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 22, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06365736
Lead sponsor
University of Twente
Responsible party
Xingjian Ruan (Principal Investigator, University of Twente) — Principal investigator
First posted
Apr 15, 2024
Start date
May 10, 2024
Primary completion
Sep 4, 2024
Completion
Sep 4, 2024
Last update
Sep 22, 2025

Study contacts

Ernst Bohlmeijer, Prof. Dr.
principal investigator · University of Twente

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion