A qualitative investigation of forest therapy as a nature-based wellbeing intervention for women 40 years and older in Scotland

Scotland’s Women’s Health Plan prioritises mental health and wellbeing. Non-pharmaceutical interventions such as nature-based interventions (NBIs) are highlighted as an important opportunity. Research on forest bathing, an NBI, shows positive impacts on health and wellbeing, yet reveals a gap in understanding the impacts for women 40 years and older who often encounter challenges associated with the menopausal transition.
Our aim is to understand how forest therapy (FT), a 2-3-hour sensory walk, similar to forest bathing, might improve women’s mental health and wellbeing through exploration of motivations, experiences, and outcomes associated with participation.
Within a mixed methods study exploring the feasibility and acceptability of FT, we conducted semi-structured interviews with a purposively selected maximum variation sub-sample of twelve women 4-6 weeks following participation in an FT experience.
We highlight key elements of their stories that underpin the value of FT as a wellbeing practice, and potential barriers to uptake. Participating alongside other women in their age group was important for emotional comfort and safety. Barriers include accessibility issues and concerns (location, terrain), life commitments (work, family), and pre-existing perceptions/uncertainty (activity-related, self-consciousness). Taking time for self, to slow down, be present, and notice nature in a mindful way was important in participants’ experience and outcomes. All interviewees highly recommended the experience.
We present a perspective on FT that has been absent from the literature, including attention to a distinct segment of the population. Forest therapy holds potential to support women’s health and wellbeing and warrants further study for utilisation in Scotland.