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Promoting resilience and wellbeing through an outdoor intervention designed for Aboriginal adolescents
Open accessAbstract
INTRODUCTION: Aboriginal people in Canada (First Nations, Inuit and Métis) have a lower health status compared to the Canadian population. There is a particular concern about the mental health and wellbeing of First Nations adolescents living on reserves. Interventions following principles of outdoor education and adventure therapy appear to be an appropriate fit for this population. These approaches have proven effective in non-Aboriginal populations, yet there is very little evidence on the efficacy of these types of program for Aboriginal adolescents. The primary purpose of this study was to evaluate the impact of an outdoor adventure leadership experience (OALE) on the resilience and wellbeing of First Nations adolescents from one reserve community. The secondary purposes were to explore whether this impact was sustainable, and whether there were any intervening factors that may have influenced the impact. METHODS: The collaborative research team used a mixed-method design to evaluate the 10-day OALE for adolescents from Wikwemikong Unceded Indian Reserve in northern Ontario, Canada. The main outcome assessed was resilience, measured by self-report, using the 14-Item Resilience Scale (RS-14). Several other exploratory measures assessed other aspects of health and well-being. The questionnaire package was administered at three different time periods: (T1) one day before the OALE; (T2) one month after the OALE; and (T3) one year after the OALE. The Mental Component Score (MCS) of the SF-12v2 was used to confirm any changes in resilience. Open-ended questions were appended to the questionnaire at the 1-year point to identify any intervening factors that may have impacted any changes in resilience and wellbeing. The primary analysis compared mean RS-14 scores at T1 with those at T2. Responses to the open-ended questions were analyzed using content analysis. RESULTS: =0.011) between T1 and T2. However, the resilience scores at T3 (1 year post-OALE) had a mean of 74.19, indicating a return back to pre-OALE levels. The mean MCS score at T1 was 48.23 and it improved over the subsequent two time periods. Several intervening factors reported at T3 may have influenced the decrease in resilience scores from T2 to T3. These included changes in family living situation, death in the family, and other life stressors that occurred over the course of the year. CONCLUSIONS: Outcome scores from this study provide a unique glimpse into the self-reported health and wellbeing for adolescents within one First Nations community in Canada. The OALE program was beneficial in promoting resilience for adolescents in Wikwemikong over the short-term. Future studies are necessary to assess whether the OALE (or similar outdoor type interventions) are effective within other communities.
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“Most studies were used a pre-post design and only two used a comparison/control group (Ritchie et al., 2014; Hayhurst et al., 2015).”
From Blue care: a systematic review of blue space interventions for health and wellbeing (2020) · cites this paper as Ritchie et al., 2014
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“The few exceptions (n = 4) where the intervention was designed in response to the needs and aims of the group were Berger and Tiry (Berger and Tiry, 2012) for those with psychiatric disabilities, Ritchie et al. (Ritchie et al., 2014, 2015) with Aboriginal adolescents in Canada, and Nielsen and Mitchell (Nielsen and Mitchell, 2002) with breast cancer survivors.”
From Blue care: a systematic review of blue space interventions for health and wellbeing (2020) · cites this paper as Ritchie et al., 2014
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“Only one study included a long-term follow-up (Ritchie et al. 2014) to assess the potential for sustained health and wellbeing benefits (i.e. >6 months), but a tendency to focus on short-term outcomes is typical of health-based interventions in general (Nutbeam, 1998; Campbell et al., 2000).”
From Blue care: a systematic review of blue space interventions for health and wellbeing (2020) · cites this paper as Ritchie et al., 2014
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Metadata
- Authors
- Ritchie, S., Wabano, M. J., Russell, K., Enosse, L., & Young, N.
- Affiliations
- Western Washington University (US)
- Venue
- Rural and Remote Health
- Publisher
- Rural and Remote Health
- Published
- 2014-03-26
- Volume
- 14
- Pages
- 2523-2523
- ISSN
- 1445-6354 (ISSN-L)
- OpenAlex
- W2181351627
- Cited by
- 82
- References
- 57
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 6 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 9 · 2018: 5 · 2017: 3 · 2016: 7 · 2015: 8 · 2014: 3
- FWCI
- 9.57
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- Rural and Remote Health (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Education › Outdoor and Experiential Education
- Social Sciences › Health › Indigenous Health, Education, and Rights
- Social Sciences › Psychology › Developmental and Educational Psychology › Youth Development and Social Support
- Keywords
- First Nations youth, resilience, well-being, outdoor education, adventure therapy, Indigenous mental health, reserve communities, program sustainability, life events, family change, intervention evaluation, Indigenous health disparities
- MeSH terms
- Adolescent, Child, Inuit, Female, Health Promotion, Health Status, Humans, Indians, North American, Leadership, Male, Mental Health, Ontario, Personal Satisfaction, Self Concept, Social Support, Exercise, Resilience, Psychological
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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