Clinical trial NCT06596265: Community Park-Based Programs for Health Promotion: the Fit2Lead Prospective Cohort Study
Official title: Community Park-Based Programs for Health Promotion: the Fit2Lead Prospective Cohort Study
Study type: OBSERVATIONAL
Overall status: RECRUITING
Conditions: Anxiety
Wellness, Psychological
Overweight or Obesity
Hypertension
Prehypertension
Low Physical Fitness
Keywords: Youth
Adolescent
Afterschool
Parks and Recreation
Mental Health
Physical Helath
Resilience
Violence Prevention
Lead sponsor: Duke University
Sponsor class: OTHER
Collaborators: name: Miami-Dade County Parks and Recreation
name: The Children's Trust, Miami FL
First posted: 2024-09-19
Enrollment: 1000
Sex: ALL
Minimum age (years): 12
Maximum age (years): 17
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: Fit2Lead is offered in areas composed of 48% male youths, 60% Hispanic persons, 29% non-Hispanic Black persons, 33% single-parent households, and 33% of residents living below the federal poverty threshold as defined by the American Community Survey. Thirty-three percent of families are single-parent households, and 33% of residents are living in poverty in zip codes where Fit2Lead is offered.

Brief summary: The Fit2Lead prospective cohort study examines the effects of a park-based youth mental health and resilience afterschool program on youth participant mental health, resilience, physical fitness, and violence prevention outcomes. Duke will perform a secondary analysis of the data collected as part of the Fit2Lead prospective cohort study run by Miami-Dade County Parks and Recreation.

Detailed description: The Fit2Lead prospective cohort study examines the effects of a park-based youth mental health and resilience afterschool program on youth physical and mental health and resilience, communication, and problem-solving skills training for underserved youth aged 12 to 17 years through an interdisciplinary collaboration among Miami-Dade Department of Parks, Recreation and Open Spaces (MDPROS) Miami-Dade County (MDC) Juvenile Services Department, MDC Public Schools, MDC Police Department, University of Miami, Florida International University, and other community-based partners.

Fit2Lead consists of 2 phases initiated simultaneously in 2015. For youth aged 12 to 14 years, Fit2Lead is offered after school Monday through Friday from 3:00 pm to 7:00 pm at 12 MDC parks for participants in under resourced neighborhoods and based on area-level youth crime and neighborhood poverty. Fit2Lead runs September through June at no charge, and provides daily academic support, sports and recreation, meditation, stress resilience, and life skills-focused workshops. Each park serves anywhere from 2 to 9 feeder schools within these neighborhoods (a target population of 34 000 youth residents aged 12-17 years), and transportation from schools to parks is provided at no cost within a 3-mile radius of a program park. Fit2Lead participants can also enroll in the MDPROS youth summer camp at no charge.

Phase II of Fit2Lead is for youth aged 15 to 17 years and entails a year-round paid internship and 3-hour weekly enrichment, resilience, and life skills workshops. Daily entry-level part-time interns receive $9 per hour (approximately 500 total paid hours per year; total salary approximately $4000 per participant, per year). Work assignments support MDPROS operations and recreation staff. Interns rotate every 8 weeks for exposure to different job opportunities, supervisors, and mentors. Phase 1 participants who reach age 15 years and are awaiting an internship placement can remain in phase 1 until a position opens or can be transferred to another internship program within the MDPROS.

Eligibility criteria: Inclusion Criteria:

* All participants enrolled in the Miami-Dade Fit2Lead study will be included in this secondary analysis
* Aged 12-17 years, residing in Miami-Dade County

Exclusion Criteria:

* Anyone not enrolled in the Miami-Dade Fit2Lead study will be excluded from this secondary analysis
* Aged \&lt;12 or \&gt;17 years, not residing in Miami-Dade County, cannot read and speak in English

Primary outcomes:
measure: Change in Weight
timeFrame: Baseline, 12-72 months
measure: Change in Blood Pressure
timeFrame: Baseline, 12-72 months
measure: Change in number of push-ups
timeFrame: Baseline, 12-72 months
measure: Change in number of sit-ups
timeFrame: Baseline, 12-72 months
measure: Change in Career and Education Planning survey
timeFrame: Baseline, 12-72 months
measure: Change in College and Career Readiness survey
timeFrame: Baseline, 12-72 months
measure: Change in Kidscreen-27
timeFrame: Baseline, 12-72 months
measure: Change in Generalized Anxiety Disorder 7-item (GAD-7)
timeFrame: Baseline, 12-72 months
measure: Change in Patient Health Questionnaire-8 (PHQ-8)
timeFrame: Baseline, 12-72 months
measure: Change in the Progressive Aerobic Cardiovascular Endurance Run (PACER) score
timeFrame: Baseline, 12-72 months
measure: Change in Brief Sense of Community Scale (BSCS)
timeFrame: Baseline, 12-72 months
measure: Change in Sociopolitical Control Scale for Youth (SCPS-Y; Leadership subscale)
timeFrame: Baseline, 12-72 months
measure: Change in Self-efficacy for teen conflict (SE-TCS)
timeFrame: Baseline, 12-72 months
measure: Change in Casey Life Skills Assessment
timeFrame: Baseline, 12-72 months
measure: Change in Perceived Stress Scale (PSS)
timeFrame: Baseline, 12-72 months
Secondary outcomes:
Other outcomes:
Locations:
city: Miami
country: United States
facility: Miami-Dade County Parks, Recreation and Open Spaces Department
state: Florida
Study officials:
affiliation: Duke University
name: Emily D'Agostino
role: PRINCIPAL_INVESTIGATOR
References:
citation: D'Agostino EM, Frazier SL, Hansen E, Patel HH, Ahmed Z, Okeke D, Nardi MI, Messiah SE. Two-Year Changes in Neighborhood Juvenile Arrests After Implementation of a Park-Based Afterschool Mental Health Promotion Program in Miami-Dade County, Florida, 2015-2017. Am J Public Health. 2019 Jun;109(S3):S214-S220. doi: 10.2105/AJPH.2019.305050.
citation: D'Agostino E, Frazier SL, Hansen E, Nardi MI, Messiah SE. Association of a Park-Based Violence Prevention and Mental Health Promotion After-School Program With Youth Arrest Rates. JAMA Netw Open. 2020 Jan 3;3(1):e1919996. doi: 10.1001/jamanetworkopen.2019.19996.
citation: Goodman AC, Ouellette RR, D'Agostino EM, Hansen E, Lee T, Frazier SL. Promoting healthy trajectories for urban middle school youth through county-funded, parks-based after-school programming. J Community Psychol. 2021 Sep;49(7):2795-2817. doi: 10.1002/jcop.22587. Epub 2021 Apr 29.
citation: Frazier SL, Chou T, Ouellette RR, Helseth SA, Kashem ER, Cromer KD. Workforce Support for Urban After-School Programs: Turning Obstacles into Opportunities. Am J Community Psychol. 2019 Jun;63(3-4):430-443. doi: 10.1002/ajcp.12328. Epub 2019 Apr 19.
citation: Cromer KD, D'Agostino EM, Hansen E, Alfonso C, Frazier SL. After-school poly-strengths programming for urban teens at high risk for violence exposure. Transl Behav Med. 2019 May 16;9(3):541-548. doi: 10.1093/tbm/ibz013.