The importance of nature and wishes for nature-based experiences among older adults in assisted living facilities

Nature-based interventions potentially support physical, mental, and social health. Understanding the needs of the target group is essential when developing such methods as part-of-care. This cross-sectional mixed method survey explores the wishes for nature-based experiences among older adults in assisted living facilities, 854 respondents were included. Diagnoses were confirmed from medical records, while functioning, wellbeing and the meaning of nature were inquired. Respondents' average age was 83 years; 73% were women, and 54% had dementia. Only 24% could move about outdoors independently, 55% suffered from loneliness, and 45% felt depressed at least sometimes. In thematic analyses, open-ended answers highlighted the multifaceted meaning of nature. Nature is a valued source of resilience and a place for physical activity. Although 96% considered nature important, only 51% could have nature contact as often as desired. Respondents provided clear, feasible wishes for activities and 83% were interested in participating in nature-based interventions. (c) 2025 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/)