The 3rd International Electronic Conference on Environmental Research and Public Health
Proceedings
‘Looking for flowering trees to walk past’: A qualitative analy-
sis of US older adults’ therapeutic landscapes during the
COVID-19 pandemic
†
Viveka Guzmán*
1
, Gabriela Bustamante
2
, Lindsay Kobayashi
3
and Jessica Finlay
4
1
Division of Population Health, Royal College of Surgeons in Ireland, Ireland; vivekaguzman@rcsi.ie
2
Program in Health Disparities Research, University of Minnesota, United States of America;
busta027@umn.edu
3
Centre for Social Epidemiology and Population Health, University of Michigan, United States of America;
lkob@umich.edu
4
Social Environment and Health, Institute for Social Research, University of Michigan, United States of Amer-
ica; jmfinlay@umich.edu
* Correspondence: vivekaguzman@rcsi.ie
Abstract: Therapeutic engagement with nature can support health and wellbeing among older
adults. This may be particularly important to cope with adversities of the COVID-19 pandemic
when public health measures have been particularly stringent for individuals in this age group.
Utilizing therapeutic landscapes as a conceptual framework, we conducted a secondary thematic
analysis of qualitative data to explore older adults’ everyday experiences (N=769) with parks and
nature during the early months of the COVID-19 pandemic in the US. The data analyzed is part of
the COVID-19 Coping Study baseline survey collected online between April to May 2020. Prelimi-
nary findings indicate that participants purposefully engaged with nature and outdoor
spaces in diverse ways. This engagement provided opportunities for exercising and
maintaining a routine at a safe physical distance from others, which promoted phys-
ical and mental health and well-being.
Keywords: therapeutic landscapes; physical well-being; mental well-being; social well-being; older
adults; COVID-19
1. Introduction
Exposure to nature and residential green and blue spaces have been associated with
better physical and mental well-being in later life (1,2). However, there is limited evidence
of the role of such settings during the COVID-19 pandemic when public health efforts to
contain the virus have included shelter-in-place orders and restrictions of movement. Alt-
hough evidence is emerging about the relevance of contact with nature during the
COVID-19 pandemic (3), to our knowledge no previous study has conducted an in-depth
qualitative analysis to understand how older adults interpret and use nature during this
time of collective trauma. The aim of this study is to explore the experiences and percep-
tions of older adults regarding the role of nature and the outdoors to support health and
well-being during the first months of the COVID-19 pandemic in the US. We utilize the
therapeutic landscapes as a conceptual framework to examine how physical and social
characteristics of natural spaces contribute to health and well-being (4,5).
2. Methods
Data for analysis was collected as part of the COVID-19 Coping Study, a longitudinal
mixed-methods study of US adults aged over 55. Participants were recruited between
April and May 2020 using online multi-frame non-probability sampling (n= 6938). A list
Publisher’s Note: MDPI stays neu-
tral with regard to jurisdictional
claims in published maps and insti-
tutional affiliations.
Copyright: © 2020 by the authors.
Submitted for possible open access
publication under the terms and con-
ditions of the Creative Commons At-
tribution (CC BY) license (http://crea-
tivecommons.org/licenses/by/4.0/).