You & Me Healthy: Youth Empowered Self-Care Substudy (YES)
- Conditions
- AnxietyWellness, Psychological
- Interventions
- Behavioral: Community-based recreation program referralBehavioral: Pre-surveys only
- Registration Number
- NCT06255093
- Lead Sponsor
- Duke University
- Brief Summary
You \& Me Healthy: Youth Empowered Self-Care, or YES, is a study that aims to link 150 youth ages 8-12 and families to free or low-cost community-based programs, resources, and clinical care options that promote mental wellness and help reduce anxiety.
Community-based programs can include:
* Afterschool programs
* Local parks and recreation activities
* Youth social programming
- Detailed Description
The You \& Me Healthy; Youth Empowered Self-care study seeks to evaluate a direct-to-participant mental health intervention for youth living in underserved communities, comprising online self-screening tools, educational materials and online linkage to treatment options, and referral to free or low-cost accessible out-of-school community-based resources. Participants will self-'triage' online to access education, community resources, and clinical care options when necessary. This work will provide access and explore mechanisms for addressing wellness and anxiety needs among youth drawing from self-reported and web interaction data over a 4-month period. The central hypothesis is that the researchers will demonstrate the value of a direct-to-participant, community asset based mental health promotion program in response to COVID-19 impacts. In addition, the team aims to specifically identify approaches to enable access to community-based anxiety and mental wellness resources in underserved populations.
Out-of-school youth programs play an important role in supporting students' mental health, yet program participation has dwindled since the COVID-19 pandemic. These programs provide students with psychosocial, developmental, and health and wellness benefits. Specifically, structured youth programs can engage students in recreation, provide academic enrichment, access to green spaces, as well as opportunities for promoting social interaction and connectedness with peers, adaptive functioning, mentorship, as well as resilience, mental health, and well-being. Out-of-school youth programs are particularly critical for students who live in under resourced communities with high transportation vulnerability and limited access to community-based recreation, although unmet demand for programs is highest in underserved areas. Nationally, 9 out of 10 parents agree that out-of-school youth programs are important to their community, and 80% of North Carolina parents indicate that these programs give them peace of mind and help them to keep their jobs. Out-of-school youth programs also have been proposed as an ideal setting for supporting children's health and wellness. Put simply, out-of-school youth programs provide students with safe and supportive settings for recreation, mentorship, learning, and structure that are particularly essential for underserved communities. However, the COVID-19 pandemic has created hardships for youth to attend out-of-school programs nationwide. Prior to the COVID-19 pandemic, over 10 million youth participated in out-of-school programs nationally, although more than 80% of programs reported difficulties providing ongoing services during the COVID-19 pandemic due to poor enrollment. The gap in psychosocial support typically provided through out-of-school youth programs has likely exacerbated mental health needs during the pandemic, particularly for underserved students, and further overburdening the health care system.
The research team is working together with two large community organizations as partners for this study (Durham Parks and Recreation Department and Miami-Dade County Parks and Recreation Department), who will coordinate directly with 150 youth and families (75 participants per site) to link youth to community-based youth programs that have potential to support youth mental health needs. All eligible and consented participants will complete basic data collection including demographics, mental health symptom questions, additional barriers to program enrollment and attendance, and satisfaction survey questions using REDCap. Participants will also receive online resource linkage to mental wellness education and anxiety treatment locations as applicable.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 150
-
In order to be eligible to participate in this study, an individual must meet all of the following criteria:
- Self-reported primary residence within the pre-identified communities
- Age 8-12 years at enrollment
- Provision of signed and dated informed consent form
- There are no exclusion criteria for this study if all above inclusion criteria are met.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Pre-Surveys, Recreational Program Referral, Post Surveys Community-based recreation program referral Pre-surveys, meet referral criteria, referred to a program, post-surveys. Post-surveys will occur at the end of the out-of-school program, or 4 months after joining the program (whichever comes first). Pre-Surveys Only Pre-surveys only Pre-surveys only (did not meet referral criteria based on screening assessment) and receive online wellness education and anxiety treatment options information
- Primary Outcome Measures
Name Time Method Proportion of participants who visited the online resources page Up to 4 months Proportion of participants referred to youth community-based programs with potential to promote mental health that are free/low-cost Up to 4 months Number of youth enrollees to community-based programs with potential to promote mental wellness that are free/low-cost (self-reported) Up to 4 months Change in mental wellness needs, as measured by survey Baseline, up to 6 months KIDSCREEN #27- Health Screen QUestionnaire for Children and Young People ( Parent version)
Number of consented participants who complete self-screening assessment Baseline Change in anxiety symptoms, as measured by survey Baseline, up to 6 months Scale: Screen for Child Anxiety Related Emotional Disorders (SCARED) Survey- Parent Version
Number of youth community-based programs with potential to promote mental wellness offered that are free/low-cost (self-reported) Up to 4 months Proportion of consented participants who complete self-screening assessment Baseline
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (2)
Miami-Dade County Parks and Recreation
🇺🇸Miami, Florida, United States
Durham Parks and Recreation
🇺🇸Durham, North Carolina, United States