Audiovisual arts interventions show promise for youth mental health promotion, but evidence remains limited. This scoping review aims to systematically map evidence on audiovisual arts interventions for mental health promotion among youth aged 15–24 years.

The review will be conducted according to the Joanna Briggs Institute guide on evidence synthesis, and the results will be reported following the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews. A comprehensive search will be conducted in seven electronic databases: Web of Science Core Collection (including MEDLINE and ProQuest), PubMed, Embase, Scopus, APA PsycInfo, Communication & Mass Media Complete and China National Knowledge Infrastructure. Grey literature sources, including WHO Institutional Repository for Information Sharing, will also be searched. The search will include publications from 1 January 2000 to 31 December 2025, with no language restrictions. Two reviewers will independently screen titles, abstracts and full texts, and chart data from included studies. The data will be synthesised using a narrative approach.

No ethical approval required as only published data will be analysed. Results will be disseminated through peer-reviewed publications, conferences and stakeholder engagement.

Open Science Framework registration DOI: https://doi.org/10.17605/OSF.IO/DEGPJ.

The prevalence of cardiovascular diseases (CVDs) is rapidly increasing across Asia, with the burden particularly high among individuals aged ≥50 years. Elevated low-density lipoprotein cholesterol (LDL-C) level is a well-established causal risk factor for CVDs. Mediterranean-Dietary Approaches to Stop Hypertension Intervention for Neurodegenerative Delay (MIND) diet is a cardioprotective diet, which is rich in plant-based foods. Combining it with stress-reducing practices, including forest bathing (FB), which involves immersive exposure to forest environments, has been shown to reduce LDL-C levels and other cardiovascular risk factors by modulating pro-inflammatory responses. However, existing evidence is limited due to small sample sizes and poor study design. Therefore, this study aims to investigate whether the MIND diet combined with FB can reduce CVD risks among Chinese adults in Hong Kong. It also compares the effects of the MIND diet combined with FB on cardiovascular and mental health.

A single-blind, randomised controlled trial involving three groups will be used to assess the impact of the MIND diet combined with FB on LDL-C levels in adults aged 50–75 years with elevated LDL-C levels. Participants (n=273) from local community centres will be randomly assigned to the MIND-plus-FB (who will receive nutrition education, follow the MIND diet for 12 weeks and participate in regular FB sessions), MIND-alone (who will receive nutrition education and follow the MIND diet for 12 weeks) or routine care (who will continue their usual activities and receive a general health talk along with pamphlets on cardiovascular risks) group. The change in LDL-C levels will be measured at weeks 4 and 12 (primary outcome). Additionally, changes in high-density lipoprotein cholesterol level, triglyceride level, glucose level, systolic blood pressure, waist circumference, body mass index, anxiety levels and emotional state will also be assessed at weeks 4 and 12. Statistical analyses will include intent-to-treat, ² test, analysis of variance and generalised estimating equations.

This study has been approved by the Research Ethics Committee of Tung Wah College, Hong Kong (reference number: REC2023164). Research findings will be disseminated through publication in peer-reviewed journals and presentations at academic and primary healthcare conferences.

ClinicalTrials.gov ID: NCT06222632, registered on 25 January 2024. The ClinicalTrials.gov data are available at: https://clinicaltrials.gov/study/NCT06222632?term=NCT06222632&rank=1&a=2&tab=history