Going Places: A Multi-level Intervention to Improve Youth Transportation Efficacy and Physical Activity
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 97
- Locations
- 1
- Primary Endpoint
- Transportation Self-Efficacy as measured by the Youth Living in Active Neighborhoods scale
Study Overview
Brief Summary
Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. Going Places was co-developed under the joint leadership of Duke and Durham Parks and Recreation (DPR). Going Places is pilot tested and fully functional. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.
Detailed Description
Going Places is a multilevel transportation self-efficacy intervention designed to increase physical activity (PA) among under resourced youth and improve their cardiometabolic health. Going Places is informed by the Socioecological Framework and Bandura's Self-efficacy Theory and includes the following components: weekly workshops on navigating transportation systems (individual level), community field trips and participatory mapping activities (recreation center level), and local transportation advocacy (environment level). Going Places was codeveloped under the joint leadership of Duke University and Durham Parks and Recreation (DPR; Durham, NC).
Going Places is offered to individual youth as part of DPR's no-cost adolescent afterschool program for youths aged 13 to 19 years. Going Places provides weekly workshops co-led by Duke and DPR that aimed to promote transportation self-efficacy (e.g., how to use local transportation systems, including biking and walking path trail maps, acquiring a free bus pass, using the bus and rail system, pedestrian and biking safety). Workshops also include engaging in active games and recreation.
Monthly field trips organized with the recreation center provide opportunities for youth to navigate transportation systems and engage in PA, primarily in outdoor settings. Youth also participate in a series of participatory mapping exercises to identify safe routes to reach neighborhood sites for active recreation.
The intervention's environmental components focus on promoting access to transportation and PA for youths. The Going Places study team, youth participants, and the program's Steering Committee collaborate with local organizations that oversee recreation and transportation programs and policy in Durham. These organizations are involved in ongoing advocacy to promote safe, affordable, and sustainable transportation and recreation, including park renovation and restoration projects, public mural contests, and social activism (web; social media).
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 12 Years to 18 Years (Child, Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 12-18 years
- •18 years or older and has a family member who or has enrolled in Durham Parks and Recreation programs
- •Enrolled in the MyDurham teen park-based afterschool program in Durham, NC
- •Reads, writes and speaks English
- •Durham Parks and Recreation Staff
Exclusion Criteria
- •Age <12 years or >18 years
- •Not enrolled in the MyDurham teen park-based afterschool program in Durham, NC
Arms & Interventions
Going Places
Teens enrolled in the MyDurham park-based afterschool program will receive the Going Places youth transportation intervention.
Intervention: Going Places (Behavioral)
Outcomes
Primary Outcomes
Transportation Self-Efficacy as measured by the Youth Living in Active Neighborhoods scale
Time Frame: Baseline and 4 months
The Youth Living in Active Neighborhoods scale is a 67-item questionnaire that assesses youth perceptions of neighborhood design features related to physical activity. A higher score indicates greater neighborhood walkability.
Transportation Self-Efficacy as measured by Physical Activity Neighborhood Environment Scale (PANES)
Time Frame: Baseline and 4 months
The PANES is used to assess the environmental factors for walking and bicycling in the participant's neighborhood. The score is calculated as a mean of items 1 through 17 and has a range of 1 to 4, with higher values indicating greater environmental support for physical activity.
Transportation Self-Efficacy as measured by the Youth Living in Active Neighborhoods scale
Time Frame: Baseline and 4 months
The Youth Living in Active Neighborhoods scale is a 67-item questionnaire that assesses youth perceptions of neighborhood design features related to physical activity. A higher score indicates greater neighborhood walkability.
Transportation Self-Efficacy as measured by the Teen Environment and Neighborhood (TEAN) scale
Time Frame: Baseline and 4 months
The primary measure of youth transportation self-efficacy measured at baseline and 4 months will be the Teen Environment and Neighborhood (TEAN) scale, measured via surveys collected during regular youth program hours.
Physical Activity as measured by number of steps per day
Time Frame: Baseline and 4 months
Youth participants were provided with Garmin accelerometers at baseline and 4 months to monitor step data over 7 consecutive days. Wrist-worn accelerometry (versus waist worn) was chosen to maximize compliance. A threshold of 11,500 or more steps per day was used to evaluate whether participants met daily steps goals.
Secondary Outcomes
- Total Physical Activity (PA) time per day(Baseline and 4 months)
- Diastolic Blood Pressure (DBP)(Baseline and 4 months)
- Moderate-to-Vigorous Physical Activity (MVPA) time per day(Baseline and 4 months)
- Total Physical Activity (PA) time per day(Baseline and 4 months)
- Systolic Blood Pressure (SBP)(Baseline and 4 months)
- Diastolic Blood Pressure (DBP)(Baseline and 4 months)