Anxiety, Hypertension, Low Physical Fitness, Overweight or Obesity, Prehypertension, Wellness, Psychological
Conditions
Keywords
Youth, Adolescent, Afterschool, Parks and Recreation, Mental Health, Physical Helath, Resilience, Violence Prevention
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.
Interventions
BEHAVIORALFit2Lead 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, and mentors. Duke is conducting a secondary data analysis on data collected as part of the Fit2Lead study.
Sponsors
Miami-Dade County Parks and Recreation
The Children's Trust, Miami FL
Duke University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
12 Years to 17 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Weight | Baseline, 12-72 months | — |
| Change in Blood Pressure | Baseline, 12-72 months | — |
| Change in number of push-ups | Baseline, 12-72 months | — |
| Change in number of sit-ups | Baseline, 12-72 months | — |
| Change in Career and Education Planning survey | Baseline, 12-72 months | — |
| Change in College and Career Readiness survey | Baseline, 12-72 months | — |
| Change in Kidscreen-27 | 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) | 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) | 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 | 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) | 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) | 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) | 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 | 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) | Baseline, 12-72 months | The Perceived Stress Scale (PSS) has a score range of 0 to 40, with higher scores indicating greater perceived stress. |
Countries
United States
Contacts
Primary ContactEmily D'Agostino
Outcome results
None listed