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Therapeutic landscape dimensions in community parks support geriatric health through physical, social, activity, and health featuresPark Design Features Support Health for Older Adults

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Key Takeaway
Note that integrated physical and social park features are required to provide high therapeutic value for older adults.

This systematic review synthesizes 25 studies across 14 countries to evaluate how various dimensions of community parks—specifically physical, social, activity, and immediate health features—support geriatric health. The authors identify a cyclical process where older adults actively shape their therapeutic experiences through interaction with these environments.

The findings establish a Hierarchical Priority Framework for park design. In this framework, the integration of physical infrastructure, social interactions, active engagement, and immediate health features forms the necessary foundation to achieve the symbolic dimension, which represents the highest level of therapeutic experience for older adults.

A key finding is that physical infrastructure alone cannot sustain long-term therapeutic value; policy and design must support both physical spaces and social activities simultaneously. While the review highlights these benefits, it notes that the relationship between park dimensions and user experience is a cyclical process rather than a direct clinical causality. These findings suggest that urban planning for geriatric health should prioritize multi-dimensional landscape features to ensure sustained community health benefits.

A review of 25 studies across 14 countries looked at how different parts of a park affect the health of older adults. Researchers looked at four main areas: physical space, social interaction, activity opportunities, and immediate health features. They found that these elements work together to create a better experience for people using the parks.

The study found that while physical infrastructure is important, it is not enough on its own. For example, having a path is only part of the experience. To provide the most benefit, a park must also offer ways for people to be active and interact with others. These elements build upon each other to create a sense of well-being.

Because this was a review of existing research rather than a new trial, the results show a link between park design and experience rather than a direct medical cause. The findings suggest that city planners should focus on both physical space and social activities to help seniors stay healthy. You can discuss how local parks might support your health goals with your healthcare provider.

What this means for you:
Parks with both physical features and social spaces provide better health experiences for older adults.

Common questions

What specific park features help older adults?

The study identified four main dimensions: physical space, social interaction, activity opportunities, and immediate health features. When these elements are combined, they create a better experience for older adults. The research suggests that physical infrastructure alone is not enough to provide the full therapeutic value of a park.

How do social spaces affect senior health?

The study found that social and activity features are necessary components of a healthy environment. For older adults, having places to interact with others and stay active is just as important as the physical layout of the park for maintaining long-term well-being.

Is there a medical link between parks and health?

The study shows an association between specific park designs and the experience of older adults. It describes this as a cyclical process where users shape their own experiences. Because it is an observational review, it does not establish a direct clinical cause for specific medical conditions.

Study Details

Study typeMeta analysis
EvidenceLevel 1
PublishedJul 2026
View Original Abstract ↓
As aging-in-place policies gain global adoption, community parks are vital for older adults’ health. Therapeutic landscapes offer a promising framework for understanding how park environments support well-being. However, how these dimensions contribute to therapeutic outcomes and whether they operate through a structured hierarchy remain theoretically underdeveloped. The aim of this systematic review is to determine how therapeutic landscape dimensions collectively and sequentially support geriatric health. Following PRISMA guidelines, a systematic search of Web of Science and Scopus synthesized data from 25 studies across 14 countries. Two principal findings emerge. First, the interaction between older adults and park environments emerges as a cyclical process where users actively shape their therapeutic experiences. Second, a Hierarchical Priority Framework is proposed in which physical, social, activity and immediate health features form a foundation leading to the symbolic dimension. This symbolic level represents the highest therapeutic experience, reachable only through sustained engagement. The main conclusion establishes that physical infrastructure alone cannot sustain therapeutic value. Park design and policy must continuously support both physical spaces and social activities to maintain long-term health benefits.
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