Impact of outdoor and nature-based interventions on self-efficacy among adolescents and young adults: a three-level meta-analysis - Summary - MDSpire

Impact of outdoor and nature-based interventions on self-efficacy among adolescents and young adults: a three-level meta-analysis

  • By

  • Qiang Zhang

  • Zhibo Tian

  • Hongliang Wang

  • Shiwei Chen

  • Xue Han

  • July 14, 2026

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Objective:

To systematically evaluate the effects of outdoor and nature-based interventions on self-efficacy among adolescents and young adults using a three-level meta-analytic approach.

Approach:
  • Literature Search: A systematic search was conducted in PubMed, Web of Science, Embase, Cochrane Library, SPORTDiscus, and PsycArticles for studies published up to December 8, 2025.
Key Findings:
  • Six independent studies comprising 10 effect sizes with 1,356 participants aged 12–24 years were included.
  • The meta-analysis showed a significant positive effect of outdoor and nature-based interventions on self-efficacy (d = 0.80, 95% CI 0.31 to 1.30, p = 0.005).
  • No significant moderating effects were found for intervention duration or population type.
Interpretation:

Outdoor and nature-based interventions were associated with improvements in self-efficacy among adolescents and young adults.

Limitations:
  • The small number of available studies.
  • Indications of potential small-study effects.
Conclusion:

Outdoor and nature-based interventions may support self-efficacy during critical developmental periods.

Sources:

Original Source(s)

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