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Centeral themes discussed by Sidenius, Stigsdotter, Poulsen, and Bodas are
-stress related illness
-the effect of these illnesses on the economy
-new more efficient methods to cope with stress.

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Where is the review? How does the author use the literature review to explain the purpose of the study?

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Where is the review? How does the author use the literature review to explain the purpose of the study?

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The literature review is the first paragraph of the article and is called the background section.

The literature review serves the purpose of educating the reader on previous research on the topic of stress related illness and how it can affect an individual and their community.

In the literature review section the authors provide some general information on how stress related illnesses are viewed and how they can impact the community. The review also mentions how there is limited research into efficient methods of treatment interventions for stress.

The review section cites information from the World Health Organization and the International Classification of Diseases to provide an understanding of the public perception of stress related illness, it’s symptoms, and its impacts.

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How many studies are listed in the references? How recently were the y published relative to the article?

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How many studies are listed in the references? How recently were the y published relative to the article?

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This article cites 44 sources in the reference section.

The article uses sources from 1970 through 2016, one year prior to this publication. 25 of the sources were published within 10 years of this articles publication.

The wide array of sources throughout the past 45 years helps to show the current information as well as the relevant historical precedents.

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: On pg. 11, the author explains that the 2 of the authors are landscape architects and had prior knowledge of therapy gardens and NBT, as well as experience with Nacadia, the location of the research. There were also 2 authors from physiotherapy and nursing science that contributed to the understanding of participant experiences. The rationale is not stated explicitly, though it seems to be to add evidence to treatments and interventions for severe stress in individuals.

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The authors provided significant descriptions of the program at Nacadia, including multiple visual aids. The components were: individual conversation therapy, physical and mental awareness, garden activities, own time and homework including all of the above. The authors also included extensive excerpts from interviews with participants throughout the analysis.

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The program lasted 10 weeks, 3 days per week for 3 hours per day. 42 people participated. All participants had to be between 20-60 and have severe stress disorder without any  other significant disease or disorder. Of the 42 participants, 14 were interviewed and used in this study for 20 minutes on average. Participants were selected based on their willingness to participate and their mental capacity/ability to participate.

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Reference to triangulation is made on pg. 5 figure 3, where the author illustrates the process of data collection (Corroborating data from observations, data from interviews and Corroborating data from participants’ log books). He refers to this as a “spiral” process.

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The study authors used a “spiral process” of analytical flow derived from Dahlberg, et al. (2008) to analyze data in a whole-parts-whole sequence. They began by listening to interviews “to gain an overall impression and to become familiar with the participants’ narratives and with the phenomenon.”  These interviews were broken down into parts using a matrix to categorize specific “meaning units” and to identify any clusters of meaning.  Finally, the clusters that emerged during the “parts” analysis were entered into a new matrix which enabled researchers to develop a deeper “understanding of the essence of meaning and, thus, the phenomenon….”  There was no specific mention of coding, but given that researchers used pre-established matrices, it seems that they may have used a priori coding.

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There were maps/diagrams of the study environment (the garden) and a flow chart that illustrated the whole-parts-whole analytical framework.

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How was analysis checked for dependability of analysis?

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How was analysis checked for dependability of analysis?

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Interviews were conducted using an interview guide and were recorded and later transcribed.  Dependability of interview data and analysis was checked by collecting corroborating data from interviews with the NBT clinicians, participant logbooks, and notes from researcher observations, which utilized a “behaviour mapping” method.

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- 42 participants in 7 groups, each group consisted of 4-7 participants
- The study took place between August 5, 2013 to March 27, each group ran for a 10 week period, 3 days a week, for 3 hours a day
- 14 people from the 42 were selected to participate in interviews, this was the primary sample for the phenomenology study
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Lots of specific details, about the key concepts and the lit review.

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There is more information to be had about who was in the sample. Why were they studying this sample? I see that the sample, who is being studies, is described in detail by Maggie in the data collection, but it belongs here.

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The word rationale may not appear, but it is synonymous with purpose. Do you have any sense of what was asked in the interviews? How the participants were prompted to talk about their experiences? See page 4 for discussion of the interview guide.

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Very good summary. To some of your observations, the word "code" is reserved for a clinical definition, however there is an in-depth explanation on pages 4 - 5 in which the work "meaning units" is used as a synonym for "code" to explain how they constructed meaning. There is also a term used, "bridling", which indicates how they attempted to guard against subjectivity.

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Design and Purpose: This qualitative research design is a phenomenological study, using the analysis of semi structured interviews for the purpose of identifying and describing the meanings of the phenomena of the participant’s lived experiences of one nature-based therapy program.

In addition to interviewing of participants, therapists are also interviewed, and some data is collected through behavioral observation and review of the participant’s logbooks.  This made me question if this was at least in part a case study of this nature based therapy program, but all of the methods used are for the stated intention of shedding light on the phenomenon of the experience of the individuals in the program, from their personal points of view, as opposed to describing  the program. The interview questions also indicate the purpose of this study is to interpret the phenomenon of the experience from the participant’s perspective.