• Journal of East-West Nursing Research
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• v.23 no.1
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• pp.86-95
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• 2017

Purpose: This study was conducted to investigate the effects of forest walking program on stress and recovery among schizophrenic patients in a closed ward. Methods: A non-equivalent control group pre-posttest design was used. The participants were composed of 36 patients with schizophrenia admitted in two psychiatric hospitals. The experimental group (n = 18) received the forest walking program twice a week with a total of 6 weeks. Results: The study results revealed that the forest walking program was effective on stress(${\chi}^2=34.11$, p<.001), subjective recovery(${\chi}^2=22.40$, p<.001) and clinical recovery(F=28.34, p<.001) of hospitalized patients with schizophrenia. Conclusion: The findings indicate that the forest walking program for schizophrenic patients in the closed ward can be an effective nursing intervention to reduce stress and improve recovery ability. We suggest that mental health nurses may adapt this program to help patients with schizophrenia in a closed ward.

• Journal of Sasang Constitutional Medicine
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• v.24 no.3
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• pp.69-79
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• 2012

Objectives This study was performed to research the biological change after walking program in forest according to Sasang constitution. Methods Twenty four applicants are involved in this study. They were classified into three groups(Soyangin, Taeeumin, Soeumin) by QSCC II and divided into two groups(roadway, forest path) by place. And then they participated in walking program on March 31 in 2012. We performed before and after measurements, including active oxygen, biochemical test(BC), and stress hormones. Results Cortisol decreased in the entire group after walking program, which means the effect of relaxation. Glucose reduced in Soyangin group while increased in Taeeumin and Soeumin group after the program. There was no correlation in the test results between Sasang constitution and walking place. Conclusions Walking program has shown most efficacy in relaxation. However a single positive result within this study should be carefully interpreted. In the future, well-designed studies for Sasang constitutional walking program are needed.

• Journal of Korean Academy of Rural Health Nursing
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• v.18 no.2
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• pp.99-105
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• 2023

Purpose: This study aims to develop a shared forest walking program and verify its effects on self-esteem, life satisfaction, and depression among older adults living alone in rural communities. Methods: Participants were assigned to an experimental or a control group, with 20 participants each. Data collected during August 1~3, 2022, before the program, and October 29~31, 2022, after the program. In this study, the shared forest walking program was conducted twice a week for a total of 24 sessions, with each session lasting one hour. All data were analyzed using SPSS version 18.0, x² tests, and t-tests. Results: The experimental group participating in the sharing forest walking program showed higher self-esteem and life satisfaction than the control group, along with a decrease in depression. Additionally, there were statistically significant differences in self-esteem (t=5.97, p<.001), life satisfaction (t=7.78, p<.001), and depression (t=-7.58, p<.001). Conclusion: The shared forest walking program, developed based on the results of this study, improved self-esteem and; life satisfaction; and reduced depression among older adults living alone in rural communities. We propose the development of a continuous program to assist older adults living alone in underprivileged rural areas to experience retirement with reduced depression, increased self-esteem, and enhanced life satisfaction.

• Journal of Korean Academy of Nursing
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• v.46 no.1
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• pp.140-148
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• 2016

Purpose: This study was performed to determine the physical and psychological effects of an urban forest-walking program for office workers. For many workers, sedentary lifestyles can lead to low levels of physical activity causing various health problems despite an increased interest in health promotion. Methods: Fifty four office workers participated in this study. They were assigned to two groups (experimental group and control group) in random order and the experimental group performed 5 weeks of walking exercise based on Information-Motivation-Behavioral skills Model. The data were collected from October to November 2014. SPSS 21.0 was used for the statistical analysis. Results: The results showed that the urban forest walking program had positive effects on the physical activity level (U=65.00, p <.001), health promotion behavior (t= - 2.20, p =.033), and quality of life (t= - 2.42, p =.020). However, there were no statistical differences in depression, waist size, body mass index, blood pressure, or bone density between the groups. Conclusion: The current findings of the study suggest the forest-walking program may have positive effects on improving physical activity, health promotion behavior, and quality of life. The program can be used as an effective and efficient strategy for physical and psychological health promotion for office workers.

• Journal of Korean Society of Forest Science
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• v.103 no.3
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• pp.503-509
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• 2014

The purpose of this study was to investigate the effect of Forest-walking exercise on gait pattern in the elderly. The subjects (n=37) were assigned to 2 groups: Forest-walking exercise (FWE) group (n=19, $66.34{\pm}4.31$ years old) and In-door treadmill-walking exercise (ITWE) group (n=18, $67.18{\pm}2.78$ years old). The subjects participated in FWE program or ITWE program (3 times/week, 80 min/day) for 12 weeks. The subjects were tested on functional fitness (strength, endurance, agility/balance, BMI) and gait pattern (cadence, velocity, and stability) at the beginning and the end of the 12-weeks program. For data analysis, mean and standard deviation scores were calculated, and independent t-test and repeated two-way ANOVA were used. The results of this study were as follow: First, FWE group was significantly more improved than ITWE group on functional fitness(lower-body muscular strength, lower-body flexibility, mobility, cardiorespiratory endurance) after 12-weeks exercise program. But both groups showed equally improvements on functional fitness (upper-body muscular strength, upper-body flexibility, BMI). Second, FWE group was significantly more improved than ITWE group on cadence, gait velocity, and gait stability after 12-weeks exercise program. Therefore, this study may suggest that Forest-walking exercise based on sensory-motor functional integration improves efficiently functional fitness and gait pattern in the elderly, and further becomes an effective exercise method that makes more dynamic life, and prevents from falling.

• Journal of People, Plants, and Environment
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• v.22 no.5
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• pp.489-503
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• 2019

This study aimed to analyze the preference of subfertile women for forest therapy programs depending on their emotional characteristics, and to provide basic data for the development of forest therapy programs in order to promote the mental health of subfertile women. Among the surveyed emotional characteristics of subfertile women, the level of emotions including pressure to become pregnant, impatience and frustration were high, while that of emotions including anxiety and fear; depression, hopelessness, helplessness, loneliness and sadness tended to be medium. The level of emotions including shame and guilt tended to be low. The top six forest therapy programs preferred by subfertile women include a deep breath of air /phytoncide, forest bathing/wind bathing/sun bathing, self-esteem recovery program, eating organic foods, low body bathing/foot bathing/hot spring bathing, and breathing/breathing exercises. Subfertile women highly pressured to become pregnant showed significant differences in the preference of the self-esteem recovery program, Domar 's relaxation therapy, NLP therapy, and sleeping in the woods, while women with anxiety and fear showed significant differences in the preference of walking barefoot in forests, mountain walking in silence, listening to water sounds/ hand and foot soak, self-esteem recovery program, NLP therapy, cognitive behavior therapy, aroma therapy, integrated art therapy in forests, forest bathing/wind bathing/sunbathing, a deep breath of air/phytoncide, and observing stars. Women with depression, hopelessness, helplessness, loneliness, and sadness showed significant differences in eating organic foods, self-esteem recovery program, counseling/coaching, and cognitive behavior therapy. The significance of this study was to analyze the preference of subfertile women, as subjects, for forest therapy program. The results of this study are expected to be used as basis data for developing forest therapy programs for subfertile women.

• Korean Journal of Environment and Ecology
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• v.30 no.1
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• pp.118-129
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• 2016

The purpose of this study was to offer the preliminary data for the development of forest therapy program. This exploratory study is about the development of forest healing program by identifying what is the forest healing program preferences of potential consumers and would be an important basis for the operation. The survey of interests and needs of 620 people on the forest therapy was analyzed. Using SPSS 21.0 program, statistical analysis, frequency analysis, T-test, One-way ANOVA, we looked at the differences in forest healing program preferences according to gender, age, occupation. Forest therapy program preference was found to vary depending on sex, age and job. First, according to gender, men preferred athletic in the forest and camping compared to women, and women showed a higher preference than men in the overall program. Second, depending on age, as compared to other age, for 20s; stress assessment & diagnosis, cooking in the forest, photo therapy in the forest, for 30s; walking in the forest, counseling, listening to lectures(stress-related or interpersonal relationships-related), communication-related lectures and vision quest, for 40s; meditation, viewing the forest, forest bathing wind bathing sun bathing, walking on barefoot in the forest, for 50s; breathing breathing exercises, yoga, mountaineering, climbing in silence, eating wild food, respectively, each of those programs were especially favored. Third, the forest healing program preference in accordance with the job is as follows. For students; stress assessment & diagnosis, cooking in the forest, etc., for teachers; walking in the forest, mountaineering, reading in the forest, viewing the forest, forest bathing wind bathing sun bathing, camping etc., for housewives; yoga, listening to the sound of water flowing, drinking herbal tea, eating wild food, for specialist researcher; breathing breathing exercises, climbing in silence, meditation, sleeping in the forest, respectively, each of those programs were especially favored. We expect the results of this study to be utilized as basic data for the development of forest therapy program targeting on adults.

• Korean Journal of Environment and Ecology
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• v.30 no.3
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• pp.434-442
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• 2016

This study examined differences in the preference of the fest therapy program regarding stress level. Using convenience sampling method, the surveys on the preferred type of forest healing program and social and psychological stress scales was carried out for adult male and female. As a basis of Psycho social Stress Scale (PWI-SF: Psychosocial Well-being Index Short Form), the adult 620 people were classified such as healthy group, potential stress group, high-risk stress group. The data were analyzed by use of SPSS 21.0 program. To see the difference in preferences for forest therapy program between the three groups according to stress levels, it was analyzed using one-way ANOVA. Depending on the stress levels, there were differences in the preferences of forest healing program such as breathing, breathing exercises, walking in the forest, listening to the sound of water flowing, viewing the forest, counseling, consultation and expert coaching, stress-related lectures, communication-related lectures, forest bathing wind bathing sun bathing. High-risk stress group preferred cognitive based program such as counseling, consultation and expert coaching, stress-related lectures, communication-related lectures. Healthy group appeared to prefer highly emotional approach of the program to take advantage of the five senses such as breathing, breathing exercises, walking in the forest, listening to the sound of water flowing, viewing the forest, forest bathing, wind bathing, sun bathing. Noticeable preference difference was not observed in the potential stress group. It is hoped this study will serve as a basis for the development of forest healing program regarding stress level.

• Korean Journal of Agricultural Science
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• v.51 no.1
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• pp.9-23
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• 2024

This study investigates the physiological and psychological effects of a nature-based outdoor activity program in an environment reflecting the characteristics of forest and coastal areas on 30 firefighters (average age: 40.4 ± 9.8 years) who are frequently exposed to dangerous situations. Blood pressure, pulse pressure, and heart rate variability were used as physiological measurement indicators, and the Korean versions of PANAS (positive affect and negative affect schedule), WEMWBS (Warwick-Edinburgh mental well-being scale), and PRS (perceived restorativeness scale) were used as psychological measurement indicators. For four days and three nights, the participants experienced programs at Hallyeohaesang Nature Center and the surrounding mountains, seas, and islands, utilizing forest resources such as trekking on forest trails, walking barefoot, taking aromatic footbaths, meditating in forest oxygen domes, and lying on relaxation chairs, and programs utilizing marine resources such as taking a boat to an island, walking on forest trails with seascape views, and sailing on a yacht. Participants' systolic blood pressure and pulse pressure decreased, and participants' positive emotions increased and negative emotions decreased after the program. There was a statistically significant increase in mental well-being and perceived restorative environment. Through this study, it was found that nature-based outdoor activity programs based on forest and marine resources are effective in physiological and psychological stability of firefighters. It is hoped that the results of this study will be applied to other high-risk workers for PTSD, who have high stress levels, by combining forest healing and marine healing, and expanding the scope and diversity of programs in more diverse environments and conditions.

• International journal of advanced smart convergence
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• v.13 no.2
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• pp.222-228
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• 2024

The purpose of this study was to investigate the effect of 8 weeks of forestry exercise on the quality of life and physical self-concept of breast cancer survivors. The subjects of this study were eight breast cancer survivors 6 months after mastectomy. The forest combined exercise program consisted of aerobic exercise through forest walking and resistance exercise using elastic bands. The forest combined exercise was conducted twice for 8 weeks. Forest trekking consisted of a 2km walking speed and resistance exercise consisted of three levels of sets and intensity. The format was divided into gradual increases. The exercise time was 40 to 60 minutes for forest trekking, 20 to 30 minutes for descent, and 40 to 60 minutes for resistance exercise, for a total of 120 to 130 minutes per day. Breast cancer survivors' quality of life was measured using a questionnaire, and changes in quality of life were measured using a t-test (α=.05). Physical self-concept was assessed through in-depth interviews. There was no statistically significant difference in quality of life before and after 8 weeks of combined forestry exercise, but there was a slight tendency to increase in the area of physical well-being. Physical self-concept showed positive changes in motivation, physical strength improvement, health promotion, physical competence, and self-confidence through the forest composite exercise. Therefore, the forest composite exercise is believed to have a positive effect on the physical self-concept of breast cancer survivors.