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The "Forest" Art Therapy Trail project. Design and methodology for a Russian study on the effects of combination forest and art therapy on human health

https://doi.org/10.15829/1728-8800-2026-4710

EDN: DXAREE

Abstract

This article presents the design and methodology of the first Russian research project "Forest" Art Therapy Trail, dedicated to studying the effects of combination forest and art therapy. The pilot study was conducted from July to September 2025 on the grounds of the Gorki Leninskiye reserve museum.

Aim. To evaluate the impact of combination forest and art therapy on a person's mental status and mood, as well as on a number of objective health parameters.

Material and methods. Volunteers over 18 years of age who met the inclusion criteria participated in the study. The study protocol included assessing mental state using the standardized Profile of Mood States (POMS) questionnaire (short version) and assessing objective health indicators (blood pressure, heart rate, blood oxygen saturation) before and after completing a 2-kilometer route. The route integrates natural landscapes with art objects created by contemporary artists in the land art style. To facilitate data collection, a specialized digital platform was developed to record indicators over time. The study included various participation formats, such as independent walks with questionnaire completion and an extended protocol with a medical examination on weekends.

Conclusion. The obtained research results will form the basis for developing guidelines for the application of this approach as a tool for population-based prevention of noncommunicable diseases and the modification of risk factors such as physical inactivity and chronic stress in urban populations.

About the Authors

A. V. Kontsevaya
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



M. I. Kashutina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



A. A. Antsiferova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



D. K. Mukaneeva
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



V. A. Kutsenko
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



E. S. Ivanova
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



N. A. Pustelenin
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



O. M. Drapkina
National Medical Research Center for Therapy and Preventive Medicine
Russian Federation

Petroverigsky Lane, 10, bld. 3, Moscow, 101990



References

1. Drapkina OM, Kontsevaya AV, Kalinina AM, et al. 2022 Pre­ven­tion of chronic non-communicable diseases in the Russian Fe­de­ration. National guidelines. Cardiovascular Therapy and Pre­ven­tion. 2022;21(4):3235. (In Russ.) doi:10.15829/1728-8800-2022-3235.

2. Esdaile H, Khan S, Mayet J, et al. The association between the stress hyperglycaemia ratio and mortality in cardiovascular disease: a meta-analysis and systematic review. Cardiovasc Diabetol. 2024;23(1):412. doi:10.1186/s12933-024-02454-1.

3. Rai R, Nahar M, Jat D, et al. A systematic assessment of stress insomnia as the high-risk factor for cervical cancer and interplay of cervicovaginal microbiome. Front Cell Infect Microbiol. 2022; 12:1042663. doi:10.3389/fcimb.2022.1042663.

4. Yi L, Lin X, She X, et al. Chronic stress as an emerging risk factor for the development and progression of glioma. Chin Med J (Engl). 2024;137(4):394-407. doi:10.1097/CM9.0000000000002976.

5. Geneshka M, Coventry P, Cruz J, et al. Relationship between Green and Blue Spaces with Mental and Physical Health: A Sys­te­matic Review of Longitudinal Observational Studies. Int J En­viron Res Public Health. 2021;18(17):9010. doi:10.3390/ijerph18179010.

6. Lindert J. Quality space and mental health — systematic review. European Journal of Public Health. 2014;24(2):163. doi:10.1093/eurpub/cku163.061.

7. Brown SC, Perrino T, Lombard J, et al. Health Disparities in the Relationship of Neighborhood Greenness to Mental Health Outcomes in 249,405 U. S. Medicare Beneficiaries. Int J Environ Res Public Health. 2018;15(3):430. doi:10.3390/ijerph15030430.

8. Wang K, Lombard J, Rundek T, et al. Relationship of Neighbor­hood Greenness to Heart Disease in 249 405 US Medi­ca­re Beneficiaries. J Am Heart Assoc. 2019;8(6):e010258. doi:10.1161/JAHA.118.010258.

9. Zhang Z, Ye B. Forest Therapy in Germany, Japan, and China: Proposal, Development Status, and Future Prospects. Forests. 2022;13(8):1289. doi:10.3390/f13081289.

10. Li Q. Effects of forest environment (Shinrin-yoku/Forest bathing) on health promotion and disease prevention — the Establishment of "Forest Medicine". Environ Health Prev Med. 2022;27:43. doi:10.1265/ehpm.22-00160.

11. Li Q, Ochiai H, Ochiai T, et al. Effects of forest bathing (shinrin-yoku) on serotonin in serum, depressive symptoms and subjec­tive sleep quality in middle-aged males. Environ Health Prev Med. 2022;27:44. doi:10.1265/ehpm.22-00136.

12. Chun H-r, Cho I, Choi YY, et al. Use of Measurement Tools to Validate the Health Effects of Forest Healing Programs: A Qualitative Analysis. Forests. 2023;14(12):2405. doi:10.3390/f14122405.

13. Yi Y, Seo E, An J. Does Forest Therapy Have Physio-­Psychological Benefits? A Systematic Review and Meta-­Analysis of Ran­do­mized Controlled Trials. Int J Environ Res Public Health. 2022;19(17):10512. doi:10.3390/ijerph191710512.

14. Qiu Q, Yang L, He M, et al. The Effects of Forest Therapy on the Blood Pressure and Salivary Cortisol Levels of Urban Residents: A Meta-­Analysis. Int J Environ Res Public Health. 2022;20(1):458. doi:10.3390/ijerph20010458.

15. Yeon PS, Jeon JY, Jung MS, et al. Effect of Forest Therapy on Depression and Anxiety: A Systematic Review and Meta-­Analysis. Int J Environ Res Public Health. 2021;18(23):12685. doi:10.3390/ijerph182312685.

16. Thomson LJ, Morse N, Elsden E, et al. Art, nature and men­tal health: assessing the biopsychosocial effects of a "crea­tive green prescription" museum programme involving horti­cul­ture, artmaking and collections. Perspect Public Health. 2020; 140(5):277-85. doi:10.1177/1757913920910443.

17. Joschko R, Klatte C, Grabowska WA, et al. Active Visual Art Therapy and Health Outcomes: A Systematic Review and Meta-­Analysis. JAMA Netw Open. 2024;7(9):e2428709. doi:10.1001/jamanetworkopen.2024.28709.

18. Kobalava ZhD, Konradi AO, Nedogoda SV, et al. 2024 Clinical practice guidelines for Hypertension in adults. Russian Journal of Cardiology. 2024;29(9):6117. (In Russ.) doi:10.15829/1560-4071-2024-6117.

19. Furuyashiki A, Tabuchi K, Norikoshi K, et al. A comparative study of the physiological and psychological effects of forest bathing (Shinrin-yoku) on working age people with and without depressive tendencies. Environ Health Prev Med. 2019;24(1):46. doi:10.1186/s12199-019-0800-1.


What is already known about the subject?

  • Mental health is closely linked to physical health, and chronic stress increases the risk of noncom­mu­ni­cable diseases.
  • Exposure to green spaces (forests, parks) has a posi­ti­ve effect on mental and physical health, including a reduced risk of depression, Alzheimer's disease, and cardiovascular disease.
  • Forest therapy (shinrin-yoku, forest bathing) is an evi­dence-­based practice of immersion in a natural envi­ronment that helps reduce stress, normalize blood pressure and heart rate, and strengthen the im­mune system.
  • Land art (art in a natural environment) can enhan­ce the health-­promoting potential of the environ­ment.
  • Forest therapy is being introduced as a practice in Russia, but there is a lack of evidence based on Rus­sia's climatic and population characteristics.

What might this study add?

  • For the first time in Russia, a comprehensive re­search project has been developed and imple­men­ted to assess the impact of forest therapy combined with land art on the mental state and objective health parameters of people.
  • The pilot project results will lay the foundation for the development and scaling of forest therapy in Russia.

Review

For citations:


Kontsevaya A.V., Kashutina M.I., Antsiferova A.A., Mukaneeva D.K., Kutsenko V.A., Ivanova E.S., Pustelenin N.A., Drapkina O.M. The "Forest" Art Therapy Trail project. Design and methodology for a Russian study on the effects of combination forest and art therapy on human health. Cardiovascular Therapy and Prevention. 2026;25(5):4710. (In Russ.) https://doi.org/10.15829/1728-8800-2026-4710. EDN: DXAREE

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ISSN 1728-8800 (Print)
ISSN 2619-0125 (Online)