Green prescribing and inclusion health: a systematic search and thematic synthesis of barriers and facilitators to green prescriptions reported for those experiencing health inequalities

TY - GEN

T1 - Green prescribing and inclusion health

T2 - a systematic search and thematic synthesis of barriers and facilitators to green prescriptions reported for those experiencing health inequalities

AU - Thomas, Beth

AU - More, Kimberly

AU - Lim, Chris

AU - Rodriguez, Andrea

AU - Mossey, Peter

AU - de Andrade, Mariza

AU - Grant, Suzanne

PY - 2025/12/4

Y1 - 2025/12/4

N2 - The literature to date reports benefits to health from green prescribing for physical and mental health as well as general wellbeing (Nejade et al, O'Brien 2018). Recent health policy has focused on improving the health of those who have 'multiple, interacting risk factors for poor health' or 'inclusion health' groups (NHS England 2023). It has been suggested that those experiencing these interacting risk factors may struggle to access and engage in green prescribing interventions (Bernard et al 2023), but there have been no qualitative reviews that synthesise the lived experiences of individuals from inclusion groups when accessing or engaging with green prescribing interventions to date. Review objectives This review will identify and thematically synthesise qualitative primary studies that investigate barriers and facilitators to referral for, accessing and engaging in green prescribing interventions for people from 'inclusion health' groups. This overall aim will be addressed by answering the following objectives: 1. What barriers and facilitators do those from inclusion groups face when accessing green prescribing interventions? 2. What barriers and facilitators do those from inclusion groups face when engaging with green prescribing interventions? 3. How can we address those barriers and enable those facilitators to allow those from inclusion health groups to access and engage more effectively in green prescribing interventions?

AB - The literature to date reports benefits to health from green prescribing for physical and mental health as well as general wellbeing (Nejade et al, O'Brien 2018). Recent health policy has focused on improving the health of those who have 'multiple, interacting risk factors for poor health' or 'inclusion health' groups (NHS England 2023). It has been suggested that those experiencing these interacting risk factors may struggle to access and engage in green prescribing interventions (Bernard et al 2023), but there have been no qualitative reviews that synthesise the lived experiences of individuals from inclusion groups when accessing or engaging with green prescribing interventions to date. Review objectives This review will identify and thematically synthesise qualitative primary studies that investigate barriers and facilitators to referral for, accessing and engaging in green prescribing interventions for people from 'inclusion health' groups. This overall aim will be addressed by answering the following objectives: 1. What barriers and facilitators do those from inclusion groups face when accessing green prescribing interventions? 2. What barriers and facilitators do those from inclusion groups face when engaging with green prescribing interventions? 3. How can we address those barriers and enable those facilitators to allow those from inclusion health groups to access and engage more effectively in green prescribing interventions?

KW - social prescribing

KW - health inequalities

KW - Nature based solution

UR - https://www.crd.york.ac.uk/PROSPERO/view/CRD420251153101

M3 - Other contribution

PB - PROSPERO

CY - York

ER -