Community Park-Based Programs for Health Promotion: The Fit2Lead Prospective Cohort Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Anxiety
- Sponsor
- Duke University
- Enrollment
- 1000
- Locations
- 1
- Primary Endpoint
- Change in Blood Pressure
- Status
- Recruiting
- Last Updated
- 7 months ago
Overview
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.
Investigators
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 \<12 or \>17 years, not residing in Miami-Dade County, cannot read and speak in English
Outcomes
Primary Outcomes
Change in Blood Pressure
Time Frame: Baseline, 12-72 months
Change in Weight
Time Frame: Baseline, 12-72 months
Change in number of push-ups
Time Frame: Baseline, 12-72 months
Change in number of sit-ups
Time Frame: Baseline, 12-72 months
Change in Career and Education Planning survey
Time Frame: Baseline, 12-72 months
Change in College and Career Readiness survey
Time Frame: Baseline, 12-72 months
Change in Kidscreen-27
Time Frame: Baseline, 12-72 months
The Kidscreen-27 score range is 27-135. A higher score indicates more positive well-being.
Change in Generalized Anxiety Disorder 7-item (GAD-7)
Time Frame: Baseline, 12-72 months
The GAD-7 has a score range 0-21. Higher score indicates higher anxiety levels.
Change in Patient Health Questionnaire-8 (PHQ-8)
Time Frame: Baseline, 12-72 months
The PHQ-8 has a score range 0-24. Higher score indicates higher depression levels.
Change in the Progressive Aerobic Cardiovascular Endurance Run (PACER) score
Time Frame: Baseline, 12-72 months
Among boys, for ages 10-17, the healthy fitness range is 23-61 laps for age 10, 23-72 laps for age 11, 32-72 laps for age 12, and 41-83 laps for ages 13 and up; Among girls, for ages 10-17, the healthy fitness range is 7-41 laps for age 10, 15-41 laps for ages 11 and 12, and 23-51 laps for ages 13 and up. A higher score indicates greater aerobic capacity.
Change in Brief Sense of Community Scale (BSCS)
Time Frame: Baseline, 12-72 months
The Brief Sense of Community Scale (BSCS) has a total score range of 0-32. Higher score indicates more positive sense of community.
Change in Sociopolitical Control Scale for Youth (SCPS-Y; Leadership subscale)
Time Frame: Baseline, 12-72 months
The SCPS-Y has a range 1-6. Higher scores indicate higher policy control, leadership competence, sense of community, ethnic identity, and social support.
Change in Self-efficacy for teen conflict (SE-TCS)
Time Frame: Baseline, 12-72 months
Possible range for the SE-TCS is 5 to 25' with higher scores indicating more confidence
Change in Casey Life Skills Assessment
Time Frame: Baseline, 12-72 months
Casey Life Skills Assessment (CLSA) scores are on a scale of 1-5, with 5 representing the highest level of strength
Change in Perceived Stress Scale (PSS)
Time Frame: Baseline, 12-72 months
The Perceived Stress Scale (PSS) has a score range of 0 to 40, with higher scores indicating greater perceived stress.