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Peer-reviewedCC BY 4.0PLOS One

CO-produced Nature-based Intervention Feasibility for children with ADHD Study: The CONIFAS2 study protocol

  • Kathryn L. Date1
  • Judith Cohen2
  • Peter A. Coventry3
  • Tracey Dorey4
  • Natasha Green5
  • Susan Griffin6
  • Chao Huang7
  • Ellen N. Kingsley8
  • Michelle Marlow9
  • Sarah Sumpter10
  • Maureen Twiddy11
  • Piran C. L. White
2 more authors
  • Kat Woolley
  • Hannah A. Armitt
11 affiliations
  1. 1Hull Health Trials Unit, University of Hull, Hull, United Kingdom
  2. 2School of Nursing and Public Health, Manchester Metropolitan University, Manchester, United Kingdom
  3. 3Research and Development Department, Humber Teaching NHS Foundation Trust, Hull, United Kingdom
  4. 4Patient and Public Involvement Lead, Northampton, United Kingdom
  5. 5Centre for Health Economics, University of York, York, United Kingdom
  6. 6Institute for Clinical and Applied Health Research, University of Hull, Hull, United Kingdom
  7. 7Child Oriented Mental Health Innovation Collaborative, Leeds and York Partnership NHS Foundation Trust, York, United Kingdom
  8. 8KIDS Yorkshire and the Humber, Hull, United Kingdom
  9. 9Department of Environment and Geography, University of York, York, United Kingdom
  10. 10Public Contributor, Huddersfield, United Kingdom
  11. 11Smart Data Donation Service, University of York, York, United Kingdom
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Abstract

Introduction: Children with ADHD face significant unmet needs for timely post-diagnostic support in UK NHS services. Nature-based interventions represent a promising under-researched adjunct to conventional treatment. The CONIFAS2 study will assess the feasibility and acceptability of a co-produced, home-based, nature-based intervention embedded in NHS neurodiversity services. Methods and analysis: This is a feasibility randomised controlled trial assessing recruitment, retention, intervention fidelity, data collection and acceptability of both the intervention and trial design. Participants will be children diagnosed with ADHD and their parent/guardian recruited as a dyad from NHS neurodiversity services. Following baseline assessment, dyads will be randomised to either intervention, which consists of structured daily nature-based activities with psychoeducational support, delivered alongside treatment as usual, or treatment as usual only. A mixed methods process evaluation, will refine a programme theory and identify barriers and facilitators to intervention delivery, engagement and implementation in a future definitive trial. A feasibility health economic evaluation will assess the feasibility of collecting resource use, cost and health-related quality of life data to inform a future cost-effectiveness analysis. Dissemination: Findings will inform a future definitive trial and be disseminated via peer-reviewed publications, conference presentations, and community partners. Trial registration: ISRCTN ISRCTN15490570

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Cite

BibTeXRIS
BibTeX
@article{date2026coproduced,
  title = {{CO-produced Nature-based Intervention Feasibility for children with ADHD Study: The CONIFAS2 study protocol}},
  author = {Kathryn L. Date and Judith Cohen and Peter A. Coventry and Tracey Dorey and Natasha Green and Susan Griffin and Chao Huang and Ellen N. Kingsley and Michelle Marlow and Sarah Sumpter and Maureen Twiddy and Piran C. L. White and Kat Woolley and Hannah A. Armitt},
  journal = {PLOS One},
  year = {2026},
  month = oct,
  doi = {10.1371/journal.pone.0359206},
  url = {https://doi.org/10.1371/journal.pone.0359206},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - CO-produced Nature-based Intervention Feasibility for children with ADHD Study: The CONIFAS2 study protocol
AU  - Kathryn L. Date
AU  - Judith Cohen
AU  - Peter A. Coventry
AU  - Tracey Dorey
AU  - Natasha Green
AU  - Susan Griffin
AU  - Chao Huang
AU  - Ellen N. Kingsley
AU  - Michelle Marlow
AU  - Sarah Sumpter
AU  - Maureen Twiddy
AU  - Piran C. L. White
AU  - Kat Woolley
AU  - Hannah A. Armitt
PY  - 2026
DA  - 2026/10/07
JO  - PLOS One
DO  - 10.1371/journal.pone.0359206
UR  - https://doi.org/10.1371/journal.pone.0359206
AB  - Introduction: Children with ADHD face significant unmet needs for timely post-diagnostic support in UK NHS services. Nature-based interventions represent a promising under-researched adjunct to conventional treatment. The CONIFAS2 study will assess the feasibility and acceptability of a co-produced, home-based, nature-based intervention embedded in NHS neurodiversity services. Methods and analysis: This is a feasibility randomised controlled trial assessing recruitment, retention, intervention fidelity, data collection and acceptability of both the intervention and trial design. Participants will be children diagnosed with ADHD and their parent/guardian recruited as a dyad from NHS neurodiversity services. Following baseline assessment, dyads will be randomised to either intervention, which consists of structured daily nature-based activities with psychoeducational support, delivered alongside treatment as usual, or treatment as usual only. A mixed methods process evaluation, will refine a programme theory and identify barriers and facilitators to intervention delivery, engagement and implementation in a future definitive trial. A feasibility health economic evaluation will assess the feasibility of collecting resource use, cost and health-related quality of life data to inform a future cost-effectiveness analysis. Dissemination: Findings will inform a future definitive trial and be disseminated via peer-reviewed publications, conference presentations, and community partners. Trial registration: ISRCTN ISRCTN15490570
SN  - 1932-6203
ER  -