You & Me Healthy: Youth Empowered Self-Care Substudy (YES)

NCT06255093 | Active Not Recruiting

• 1 other identifier: PRO00114773
• Study Type: interventional
• Target: 150
• Locations: 1 country
• Sites: 2

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

Conditions

Anxiety; Wellness, Psychological

Keywords

Anxiety; Mental Health; Psychological Wellness; Recreational Activities; Community programs; School-aged Youth; Parks and Recreation; Afterschool Activities

Outcome Measures

Primary Outcomes (8)

• 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 community-based programs with potential to promote mental wellness offered that are free/low-cost (self-reported)

  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

• Number of consented participants who complete self-screening assessment

  Baseline

• Proportion of consented participants who complete self-screening assessment

  Baseline

• Proportion of participants who visited the online resources page

  Up to 4 months

• Change in anxiety symptoms, as measured by survey

  Scale: Screen for Child Anxiety Related Emotional Disorders (SCARED) Survey- Parent Version

  Baseline, up to 6 months

• Change in mental wellness needs, as measured by survey

  KIDSCREEN #27- Health Screen QUestionnaire for Children and Young People ( Parent version)

  Baseline, up to 6 months

Other Outcomes (2)

• Barriers to youth program enrollment and attendance, as measured by post-participation survey

  Up to 6 months

• Participant Satisfaction, as measured by participant satisfaction survey

  Up to 6 months

Study Arms (2)

Pre-Surveys Only

OTHER

Pre-surveys only (did not meet referral criteria based on screening assessment) and receive online wellness education and anxiety treatment options information

Behavioral: Pre-surveys only

Pre-Surveys, Recreational Program Referral, Post Surveys

OTHER

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).

Behavioral: Community-based recreation program referral

Interventions

Community-based recreation program referral BEHAVIORAL

Provide referral to local Parks and Recreation for programs of interest and participation. Participants will have the option to join a program (up to 4months) and have access to additional resources via study webpage to identify support services.

Pre-Surveys, Recreational Program Referral, Post Surveys

Pre-surveys only BEHAVIORAL

Receive online wellness education and anxiety treatment options information

Pre-Surveys Only

Eligibility Criteria

• Age: 8 Years - 12 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• 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

Sponsors & Collaborators

• Duke University: lead
• Miami-Dade County Parks and Recreation: collaborator
• Durham Parks and Recreation (Durham, NC): collaborator

Study Sites (2)

Miami-Dade County Parks and Recreation

Miami, Florida, 33128, United States

Location

Durham Parks and Recreation

Durham, North Carolina, 27701, United States

Location

Related Publications (14)

• 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 BACKGROUND

• Frazier SL, Cappella E, Atkins MS. Linking mental health and after school systems for children in urban poverty: preventing problems, promoting possibilities. Adm Policy Ment Health. 2007 Jul;34(4):389-99. doi: 10.1007/s10488-007-0118-y. Epub 2007 Mar 6.

  PMID: 17340183 BACKGROUND

• Frazier SL, Dinizulu SM, Rusch D, Boustani MM, Mehta TG, Reitz K. Building Resilience After School for Early Adolescents in Urban Poverty: Open Trial of Leaders @ Play. Adm Policy Ment Health. 2015 Nov;42(6):723-36. doi: 10.1007/s10488-014-0608-7.

  PMID: 25425012 BACKGROUND

• Frazier SL, Mehta TG, Atkins MS, Hur K, Rusch D. Not just a walk in the park: efficacy to effectiveness for after school programs in communities of concentrated urban poverty. Adm Policy Ment Health. 2013 Sep;40(5):406-18. doi: 10.1007/s10488-012-0432-x.

  PMID: 22843303 BACKGROUND

• Frazier SL, Rusch D, Coxe S, Stout TJ, Helseth SA, Dirks MA, Bustamante EE, Atkins MS, Glisson C, Green PD, Bhaumik D, Bhaumik R. After-School Programs and Children's Mental Health: Organizational Social Context, Program Quality, and Children's Social Behavior. J Clin Child Adolesc Psychol. 2021 Mar-Apr;50(2):215-228. doi: 10.1080/15374416.2019.1683849. Epub 2020 Feb 14.

  PMID: 32058822 BACKGROUND

• 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 BACKGROUND

• Hedemann ER, Frazier SL. Leveraging After-School Programs to Minimize Risks for Internalizing Symptoms Among Urban Youth: Weaving Together Music Education and Social Development. Adm Policy Ment Health. 2017 Sep;44(5):756-770. doi: 10.1007/s10488-016-0758-x.

  PMID: 27544670 BACKGROUND

• Jennings V, Baptiste AK, Osborne Jelks N, Skeete R. Urban Green Space and the Pursuit of Health Equity in Parts of the United States. Int J Environ Res Public Health. 2017 Nov 22;14(11):1432. doi: 10.3390/ijerph14111432.

  PMID: 29165367 BACKGROUND

• Jones SE, Ethier KA, Hertz M, DeGue S, Le VD, Thornton J, Lim C, Dittus PJ, Geda S. Mental Health, Suicidality, and Connectedness Among High School Students During the COVID-19 Pandemic - Adolescent Behaviors and Experiences Survey, United States, January-June 2021. MMWR Suppl. 2022 Apr 1;71(3):16-21. doi: 10.15585/mmwr.su7103a3.

  PMID: 35358165 BACKGROUND

• McCormick R. Does Access to Green Space Impact the Mental Well-being of Children: A Systematic Review. J Pediatr Nurs. 2017 Nov-Dec;37:3-7. doi: 10.1016/j.pedn.2017.08.027. Epub 2017 Sep 4.

  PMID: 28882650 BACKGROUND

• Parenteau AM, Boyer CJ, Campos LJ, Carranza AF, Deer LK, Hartman DT, Bidwell JT, Hostinar CE. A review of mental health disparities during COVID-19: Evidence, mechanisms, and policy recommendations for promoting societal resilience. Dev Psychopathol. 2023 Oct;35(4):1821-1842. doi: 10.1017/S0954579422000499. Epub 2022 Sep 13.

  PMID: 36097815 BACKGROUND

• Racine N, McArthur BA, Cooke JE, Eirich R, Zhu J, Madigan S. Global Prevalence of Depressive and Anxiety Symptoms in Children and Adolescents During COVID-19: A Meta-analysis. JAMA Pediatr. 2021 Nov 1;175(11):1142-1150. doi: 10.1001/jamapediatrics.2021.2482.

  PMID: 34369987 BACKGROUND

• Saltzman LY, Lesen AE, Henry V, Hansel TC, Bordnick PS. COVID-19 Mental Health Disparities. Health Secur. 2021 Jun;19(S1):S5-S13. doi: 10.1089/hs.2021.0017. Epub 2021 May 19.

  PMID: 34014118 BACKGROUND

• Twohig-Bennett C, Jones A. The health benefits of the great outdoors: A systematic review and meta-analysis of greenspace exposure and health outcomes. Environ Res. 2018 Oct;166:628-637. doi: 10.1016/j.envres.2018.06.030. Epub 2018 Jul 5.

  PMID: 29982151 BACKGROUND

Related Links

• Afterschool in the time of COVID-19.
• Centers for Disease Control and Prevention. (2023). COVID-19 Provisional Counts - Health Disparities
• Inspiring Learning. Safe and Supportive. Lifeline for Working Families. This is Afterschool in North Carolina
• New Household Survey: North Carolina Is a 'Top 10 State for Afterschool, ' Even as Unmet Demand for Programs Increases
• United States of America: Who coronavirus disease (covid-19) dashboard with vaccination data.

MeSH Terms

Conditions

Anxiety Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Mental Disorders; Personal Satisfaction; Behavior

Study Officials

• Emily D'agostino, DPH

  Duke University

  PRINCIPAL INVESTIGATOR

• Christoph Horniik, MD, PhD

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: Participants will be self-triaged to one of two study arms: (1) Pre-surveys only (did not meet referral criteria based on screening assessment) and receive online mental wellness education and anxiety treatment options information; (2) 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).

Study Record Dates

• First Submitted: February 5, 2024
• First Posted: February 12, 2024
• Study Start: February 13, 2024
• Primary Completion: July 12, 2024
• Study Completion: August 30, 2024
• Last Updated: August 9, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)