Investigating the mood effects of nature sounds and soothing images in adolescents: a proof-of-concept randomised control pilot study

INTERVENTION: The intervention comprises of viewing or listening to nature based‐sounds and images. The intervention was conducted online using Qualtrics. The participants were randomly allocated to three conditions using randomisation programming in Qualtrics. The intervention conditions consisted of viewing 25 images (image condition), 25 sounds (sounds condition) or 25 images & sounds combined (combined condition). CONDITION: Improving positive and negative mood symptoms among adolescents ; Mental and Behavioural Disorders PRIMARY OUTCOME: The following outcome measures will be completed pre and post‐intervention:; 1. Positive and negative affect measured using International Positive and Negative Affect Schedule‐Short Form (I‐PANAS‐SF); 2. Serenity mood states measured using the Serenity Subscale from the PANAS‐X questionnaire; 3. Anxiety and depression states assessed using the Profile of Mood States‐Adolescents – Tension‐Anxiety Subscale and Depression‐Dejection Subscale (POMS‐A) SECONDARY OUTCOME: At baseline, prior to the intervention, the following measures will be used:; 1. Depression assessed using the Patient Health Questionnaire (PHQ‐9); 2. Anxiety symptoms assessed using the Generalised Anxiety Disorder Questionnaire (GAD‐7) INCLUSION CRITERIA: 1. Adolescents between 13 and 17 years of age 2. Adolescents self‐identifying as understanding and speaking fluent English 3. Adolescents with access to an internet connection and a digital device