Promoting Physical Activity In High Poverty Neighborhoods

NCT01925404 | Completed Results DMC

• 2 other identifiers: 2011-0692-AM02R01HL114283
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

Encouraging greater levels of physical activity is critical to improving health among Americans, who are largely sedentary. Neighborhood parks are resources for physical activity that are available to most Americans within a couple miles of their homes, yet many residents are unaware of the programs and facilities available. Previous research indicates that park use is related to park programming and outreach. Because funding for parks is limited, low-cost interventions are needed to attract more people to parks to engage in moderate-to-vigorous physical activity. While many community-based organizations would like to invest in efforts that increase physical activity, few low-cost park programs are documented to be both scalable and cost-effective. Effective programs that can be replicated to make population-level impacts are needed. The goal of this study is to develop and test 2 low-cost community-level approaches, free exercise classes vs. a frequent user program, to promoting physical activity, singly and in combination, in 48 park settings in Los Angeles low-income neighborhoods.

Conditions

Physical Activity

Keywords

Physical activity; parks; programming; public health

Outcome Measures

Primary Outcomes (1)

• Percentage Change in Park-based Physical Activity

  Physical activity was measured in MET-hours (Metabolic equivalents)

  difference between baseline and follow-up (1 year)

Secondary Outcomes (1)

• Park Use (% Change)

  baseline versus 1 year

Study Arms (4)

Frequent User Arm

EXPERIMENTAL

Park users will be able to earn rewards or prizes by coming more frequently to the park

Behavioral: Frequent User

Free Physical Activity Classes/programs

EXPERIMENTAL

We will offer at least 100 free physical activity classes at the park

Behavioral: Free physical activity classes

Combined arm

EXPERIMENTAL

We will offer free classes and the frequent user program at the park

Behavioral: Free physical activity classes; Behavioral: Frequent User

Control

NO INTERVENTION

Business as usual, no special physical activity programs offered

Interventions

Free physical activity classes BEHAVIORAL

100 hours of free activity classes will be provided

Combined arm; Free Physical Activity Classes/programs

Frequent User BEHAVIORAL

Participants can become eligible for prizes by visiting the park more frequently

Combined arm; Frequent User Arm

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• RAND: lead
• City of Los Angeles Department of Recreation and Parks: collaborator
• AltaMed Health Services Corporation: collaborator
• National Heart, Lung, and Blood Institute (NHLBI): collaborator

Study Sites (1)

RAND

Santa Monica, California, 90407, United States

Location

Related Publications (4)

• Derose KP, Han B, Park S, Williamson S, Cohen DA. The mediating role of perceived crime in gender and built environment associations with park use and park-based physical activity among park users in high poverty neighborhoods. Prev Med. 2019 Dec;129:105846. doi: 10.1016/j.ypmed.2019.105846. Epub 2019 Sep 10.

  PMID: 31518627 DERIVED

• Cohen DA, Han B, Park S, Williamson S, Derose KP. Park Use and Park-Based Physical Activity in Low-Income Neighborhoods. J Aging Phys Act. 2019 Jun 1;27(3):334-342. doi: 10.1123/japa.2018-0032. Epub 2018 Nov 21.

  PMID: 30160585 DERIVED

• Han B, Cohen DA, Derose KP, Li J, Williamson S. Violent Crime and Park Use in Low-Income Urban Neighborhoods. Am J Prev Med. 2018 Mar;54(3):352-358. doi: 10.1016/j.amepre.2017.10.025. Epub 2018 Jan 12.

  PMID: 29338953 DERIVED

• Derose KP, Han B, Williamson S, Cohen DA. Gender Disparities in Park Use and Physical Activity among Residents of High-Poverty Neighborhoods in Los Angeles. Womens Health Issues. 2018 Jan-Feb;28(1):6-13. doi: 10.1016/j.whi.2017.11.003. Epub 2017 Dec 11.

  PMID: 29241943 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Limitations and Caveats

Park observations were snapshot direct observations of aggregated activities. Resident surveys were based on self-reports, subject to reporting biases. The resident sample was a repeated-cross sectional sample rather than a longitudinal cohort.

Results Point of Contact

• Title: Deborah Cohen
• Organization: RAND

dcohen@rand.org

310 3930411

Study Officials

• Deborah A Cohen, MD, MPH

  RAND

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 15, 2013
• First Posted: August 19, 2013
• Study Start: June 1, 2013
• Primary Completion: October 1, 2015
• Study Completion: July 1, 2017
• Last Updated: June 19, 2018
• Results First Posted: June 19, 2018

Record last verified: 2018-05

Data Sharing

• IPD Sharing: Will share

Locations

US (1)