Horticultural therapy for enhancing children’s body-mind-spirit holistic health: A randomized controlled trial

Authors

DOI:

https://doi.org/10.1921/swssr20252595

Keywords:

body-mind-spirit holistic health, horticultural therapy, randomized controlled trial, social work

Abstract

Grounded in the holistic health theory of body-mind-spirit, this study uses a horticultural group intervention approach to examine the effectiveness of promoting holistic child development in social work practice. It aims to provide innovative perspectives and methodologies for social work practitioners and to support the creation and growth of child-friendly communities in mainland China. The study was conducted in the Z Child-Friendly Community of N City and involved 160 children who were divided into an intervention and control group for practical implementation. Evaluation was carried out using both quantitative and qualitative techniques. The results indicate that the Body-Mind-Spirit Horticulture group intervention is effective in promoting holistic health development in children by reducing stress, optimising emotional state, and promoting harmonious coexistence with nature. These findings have significant practical relevance. The study also discusses the challenges and limitations of implementing the holistic health group counselling programme in child-friendly communities.

Author Biographies

Wu Yihan, Nanjing Normal University

Yihan Wu is Wu is an Associate Professor at Nanjing Normal University, China. Her major research interests encompass adolescent social work and health social work. Her scholarly work particularly addresses mental health issues in youth populations and public health interventions for vulnerable children.

Xiaohan Zhao, Nanjing Normal University

Xiaohan Zhao is is a Research Assistant at Nanjing Normal University, China. She specializes in mental health social work, with research interests focusing on adolescent mental health interventions, psychosocial support systems, and community-based social work practices. 

Marcus Yu Lung Chiu, University of Greater Manchester

Marcus Yu-Lung Chiu is a Research Professor of the Saint Francis University, Hong Kong, and a Visiting Professor of the University of Greater Manchester, UK. He was a mental health social worker by training and Marcus’ major research interests are stigma and help-seeking, mental health recovery, psychoeducation, and programme evaluation.

References

Barton, J., and Pretty, J. (2010) What is the best dose of nature and green exercise for improving mental health? A multi-study analysis. Environmental Science & Technology, 44(10), 3947-3955. https://doi.org/10.1021/es903183r

Chan, C., Ho, S. Y. P., and Chow, E. (2002) A body-mind-spirit model in health. Social Work in Health Care, 34 (3-4), 261-282.

Davis, S. (2024). Development of the profession of horticultural therapy. In, Horticulture as Therapy (pp. 3-20). CRC Press.

Lee, M. Y., Ng, S. M., Leung, P., and Chan, C. (2018) Integrative body-mind-spirit social work: An empirically based approach to assessment and treatment. Oxford University Press.

Li, F., Cui, Y., Li, Y., Guo, L., Ke, X., Liu, J., Luo, X., Zheng, Y., and Leckman, J. F. (2022) Prevalence of mental disorders in school children and adolescents in China: Diagnostic data from detailed clinical assessments of 17,524 individuals. The Journal of Child Psychology and Psychiatry, 63, 34-46. https://doi.org/10.1111/jcpp.13445

Li, T., Guo, S., Xue, B., and Yang, W. (2024). Connecting college students with nature: An evaluation indicator system for the implementation of horticultural therapy programmes on university campuses. Folia Horticulturae, 36(2), 221-233.

Lu, S., Liu, J., Xu, M., and Xu, F. (2023) Horticultural therapy for stress reduction: A systematic review and meta-analysis. Frontiers in Psychology, 14, 1086121. https://doi.org/10.3389/fpsyg.2023.1086121

Moreira, T. C. L., Polize, J. L., and Brito, M. (2022) Assessing the impact of urban environment and green infrastructure on mental health: results from the São Paulo Megacity Mental Health Survey. Journal of Exposure Science & Environmental Epidemiology, 32, 205-212. https://doi.org/10.1038/s41370-021-00349-x

Ng, S. M., Wang, A. M., Li, H. Y., Fung, M. H., LO, H. H., Yeung, A., ... and Xie, W. Y. (2024) A multi-site randomized controlled trial of a brief daily workplace well-being program for community mental health workers—an integrative body-mind-spirit approach. Asia Pacific Journal of Social Work and Development, 34(1), 32-50.

Nyahuma-Mukwashi, G., Chivenge, M., and Chirisa, I. (2021) Children, urban vulnerability, and resilience. In, The Palgrave Encyclopedia of Urban and Regional Futures. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-030-51812-7_90-1

Oh, Y. A., Lee, A. Y., An, K. J., and Park, S. A. (2020) Horticultural therapy program for improving emotional well-being of elementary school students: An observational study. Integrative Medicine Research, 9(1), 37–41. https://doi.org/10.1016/j.imr.2020.01.007

Sham, W. W. L., Yeung, G. T. Y., Mak, W. W. S., & Powell, C. L. Y. M. (2021) Comprehensive well-being scale: Development and validation among Chinese in recovery of mental illness in Hong Kong. BMC Psychology, 9 (1), 179.

Shao, Y., Elsadek, M., and Liu, B. (2020) Horticultural activity: Its contribution to stress recovery and well-being for children. International Journal of Environmental Research and Public Health, 17.

Silva, A., Matos, M., and Gonçalves, M. (2024) Nature and human well-being: A systematic review of empirical evidence from nature-based interventions. Journal of Environmental Planning and Management, 67(14), 3397-3454.

Srinivasa Murthy, R. (2024) Integrating ‘spirituality’ in social work-challenges and opportunities. In, M. Anand. (Ed.), Mental Health Care Resource Book. Springer. https://doi.org/10.1007/978-981-97-1203-8_13

Wang, F., and Boros, S. (2025) Effect of gardening activities on domains of health: A systematic review and meta-analysis. BMC Public Health, 25, 1102. https://doi.org/10.1186/s12889-025-22263-9

World Health Organization. (2021) Adolescent Mental Health. https://www.who.int

Downloads

Published

2026-02-17

How to Cite

Yihan, W., Zhao, X., & Chiu, M. Y. L. (2026). Horticultural therapy for enhancing children’s body-mind-spirit holistic health: A randomized controlled trial. Social Work and Social Sciences Review, 26(1), 17–33. https://doi.org/10.1921/swssr20252595

Issue

Section

Articles