The Effectiveness of Nature-Based Person-Centred Group Counselling in Improving Spiritual Well-being Among Elderly
Abstract
Aging brings not only physical decline but also psychological and spiritual challenges, particularly among elderly individuals living in communal environments such as Islamic boarding houses (pesantren). While pesantren settings offer religious routines and social support, structured psychological interventions tailored to older people’s spiritual needs are limited. This study examines the effectiveness of nature-based, person-centred group counselling in improving the spiritual well-being of elderly residents at Pesantren Rhoodiyatam Mardhiyyah, Semarang. Using a sequential explanatory mixed-methods design, the research involved a quantitative phase followed by qualitative exploration. The quantitative phase employed a one-factor pretest-multiple posttest control group design analysed using Mixed ANOVA, while the qualitative phase used thematic analysis based on in-depth interviews. A total of 14 participants aged 60 and above were purposively selected. Mixed ANOVA results revealed significant main effects of the intervention across time (p < .001) and between groups (p < .001), with strong interaction effects (ηp² = 0.855), indicating that the nature-based group counselling significantly enhanced spiritual well-being across personal, communal, environmental, and transcendental dimensions. The thematic analysis supported these findings, with participants reporting increased inner peace, emotional openness, social connectedness, and deeper spiritual reflection. Nature-based person-centred counselling provides a practical and culturally relevant intervention to enhance the spiritual well-being of elderly individuals in Islamic boarding schools. This approach integrates therapeutic engagement with nature, group support, and spiritual reflection, offering valuable implications for elderly care programs in religious settings.
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References
Al-Nasa’h, M. (2020). A spirituality-based intervention enhances well-being among older adults in home-based care. Journal of Religion, Spirituality & Aging, 34, 39-60. https://doi.org/10.1080/15528030.2020.1818160.
Andy Harrod, Nadia von Benzon, & Mark Limmer. (2023). ‘It’s probably more about the people’: For a person-centred approach to understanding the benefits of nature-based interventions. Wiley. https://doi.org/10.1111/area.12867
Badan Pusat Statistik Indonesia. (2019, December). Statistik Penduduk Lanjut Usia 2019. https://www.bps.go.id/id/publication/2019/12/20/ab17e75dbe630e05110ae53b/statistik-penduduk-lanjut-usia-2019.html
Department of Development, Azim Premji University, Bangalore, India, & Vilas, K. P. (2024). Understanding the Significance of Socio-Cultural Notions Before Delivering Community-Based Mental Health Services. Journal of Psychiatry & Mental Disorders, 9(1). https://doi.org/10.26420/JPsychiatryMentalDisord.2024.1072
Djamhari, E. A., Ramdlaningrum, H., Layyinah, A., Chrisnahutama, A., & Prasetya, D. (2021). Kondisi Kesejahteraan Lansia dan Perlindungan Sosial Lansia di Indonesia. Perkumpulan PRAKARSA. https://repository.theprakarsa.org/publications/337888/
Elizabeth B. Hurlock. (1990). Psikologi perkembangan: Suatu pendekatan sepanjang rentang kehidupan. Erlangga. https://opac.perpusnas.go.id/DetailOpac.aspx?id=517750
Fisher, J. W. (2003). Domains of spiritual well-being and development and validation of the Spiritual Well-Being Questionnaire. Personality and individual differences, 35(8), 1975-1991. 35(8), 1975-1991.
Garcia, L. L., & Sabater, A. (2020). Progression towards psychosocial well-being in old age. Cogent Social Sciences, 6(1). https://doi.org/10.1080/23311886.2020.1738152
Geertz, C. (1976). The Religion of Java. University of Chicago Press. https://press.uchicago.edu/ucp/books/book/chicago/R/bo3627129.html
Greenleaf, A. T., Bryant, R. M., & Pollock, J. B. (2013). Nature-Based Counselling: Integrating the Healing Benefits of Nature Into Practice. International Journal for the Advancement of Counselling, 36(2), 162–174. https://doi.org/10.1007/s10447-013-9198-4
Kaplan, R. (1995). The Restorative Benefits of Nature: Toward an Integrative Framework. Journal of Environmental Psychology, 15(3) 169-182.
Lancia. (2024, August). Forum Group Discussion [Personal communication].
Lewis, J. S. (2017). Carl Rogers and the Person-Centred Approach: Social Work Applications Now and for the Future. In Human behaviour theory and social work practice. Routledge, (pp. 166-172).
Ohlsson, H. (2022). Nature Connection as Spirituality, Wellbeing Practice, and Subjective Activism. In G. Mossière (Ed.), New Spiritualities and the Cultures of Well-being (pp. 153–168). Springer International Publishing. https://doi.org/10.1007/978-3-031-06263-6_10
Park, S. H., & Jung, T. Y. (2017). The Effects of Horticultural Activity Based upon REBT Group Counselling on the Self-Expression and the Degree of Depression of the Female Marriage Immigrants. Journal of People, Plants, and Environment, 20(2), 165-174.
Pazer, S. (2024). Spiritual practices and mental well-being: A quantitative study among university students. World Journal Of Advanced Research and Reviews, 24(1), 1381–1388. https://doi.org/10.30574/wjarr.2024.24.1.3141
Prawitasari, J. E. (2016). ASPEK SOSIO-PSIKOLOGIS LANSIA DI INDONESIA. Buletin Psikologi, 2(1), Article 1. https://doi.org/10.22146/bpsi.13240
Reyes-Perez, M. D., Facho-Cornejo, J. L., Li-Vega, F. V., López-Ñiquen, K. E., Calonge-De la Piedra, D. M., Cabanillas-Palomino, R., Padilla-Caballero, J. E. A., Jaime-Rodríguez, J. P., & Fernández-Altamirano, A. E. F. (2025). The Impact of Subjective Well-Being on Sustainable Actions: Resilience as a Mediator Between Spirituality and Happiness in Future Environmental Engineers in Peru. Sustainability, 17(2), Article 2. https://doi.org/10.3390/su17020708
Rogers, C. R. (2017). Carl Rogers and the Person-Centred Approach: Social Work Applications Now and for the Future. In Human Behaviour Theory and Social Work Practice (pp. 166-172). Routledge.
Ryff, C. D. (2021). Spirituality and Well-Being: Theory, Science, and the Nature Connection. Religions, 12(11), 914. https://doi.org/10.3390/rel12110914
Shvedovskaya et al, (2024). Results of Cultural Adaptation of Cognitive Stimulation Therapy (CST) for Elderly and Older People with Cognitive Impairment in Russia. Kliničeskaâ i Specialʹnaâ Psihologiâ. https://doi.org/10.17759/cpse.2024000001
Steele, L. (2020). Holistic Well-Being: Mental, Physical, and Spiritual. In W. Leal Filho, T. Wall, A. M. Azul, L. Brandli, & P. G. Özuyar (Eds.), Good Health and Well-Being (pp. 373–382). Springer International Publishing. https://doi.org/10.1007/978-3-319-95681-7_1
TNP2K. (2023). TNP2K | Kondisi Lansia dalam Menjangkau Program Perlindungan Sosial—The Condition of the Elderly in Reaching Social Protection Programs. https://tnp2k.go.id/articles/the-condition-of-the-elderly-in-reaching-social-protection-programs
Yuan et al. (2021). Culturally adapted and lay-delivered cognitive behaviour therapy for older adults with depressive symptoms in rural China: A pilot trial. Behavioural and Cognitive Psychotherapy, 49(4), 1–5. https://doi.org/10.1017/S1352465820000818
Zelenski et al., (2023). Nature Connection: Providing a Pathway from Personal to Planetary Health. Challenge, 14(1), 16–16. https://doi.org/10.3390/challe14010016
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