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Recruiting NCT06596265

Community Park-Based Programs for Health Promotion: The Fit2Lead Prospective Cohort Study

— Observational Anxiety Wellness, Psychological Overweight or Obesity Hypertension

For patients and families

In plain language

An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.

What is being studied
The protocol lists: Fit2Lead Group 1-2.
Who it may be relevant to
Registry conditions: Anxiety, Wellness, Psychological, Overweight or Obesity, Hypertension. Basic parameters: 12 years — 17 years · All.
What needs checking
Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
Where it takes place
United States
Next step
Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →

Unsure about the terms? Read our patient guide →

Overview

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.

Interventions

  • Behavioral Fit2Lead Group 1-2
    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. Work assignments support MDPROS operations and recreation staff. Interns in Phase II rotate every 8 weeks for exposure to different job opportunities, supervisors,

Primary outcome measures

  • Change in Weight [Time frame: Baseline, 12-72 months]
  • Change in Blood Pressure [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]
  • Change in Generalized Anxiety Disorder 7-item (GAD-7) [Time frame: Baseline, 12-72 months]
  • Change in Patient Health Questionnaire-8 (PHQ-8) [Time frame: Baseline, 12-72 months]
  • Change in the Progressive Aerobic Cardiovascular Endurance Run (PACER) score [Time frame: Baseline, 12-72 months]

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

Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.

Healthy volunteers: Yes

Study design

Observational model
Cohort

Study locations

United States · 1 center
  • Miami-Dade County Parks, Recreation and Open Spaces Department — Miami

Publications

  • 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. PMID 31241997
  • 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. PMID 31995210
  • 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. PMID 33914915
  • 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. PMID 31002394
  • 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. PMID 31094433

Identifiers

NCT: NCT06596265 · Pro00105669_2

Primary sources (government registries)

View this study on ClinicalTrials.gov ↗