Community Park-Based Programs for Health Promotion: Fit2Play Prospective Cohort Study

NCT06595251 | Recruiting

• 1 other identifier: Pro00105669
• Study Type: observational
• Target: 5,000
• Locations: 1 country
• Sites: 1

Brief Summary

The Fit2Play prospective cohort study examines the effects of a park-based youth physical activity afterschool program on youth participant fitness and mental health outcomes. Duke will perform a secondary analysis of the data collected as part of the Fit2Play prospective cohort study run by Miami-Dade County Parks and Recreation.

Conditions

Overweight; Obesity; Hypertension; Prehypertension; Anxiety; Well-being; Depression; Low Physical Fitness; Psychological

Keywords

Youth; Afterschool; Parks and Recreation; Mental Health; Physical Health; Physical Activity; Exercise

Outcome Measures

Primary Outcomes (12)

• Change in Weight

  Baseline, 12-72 MONTHS

• Change in Height

  Baseline, 12-72 MONTHS

• Change in Waist-to-Hip Circumference

  Baseline, 12-72 MONTHS

• Change in Pulse

  Baseline, 12-72 MONTHS

• Change in Blood Pressure

  Baseline, 12-72 MONTHS

• Change in PACER score

  Baseline, 12-72 MONTHS

• Change in sit-and-reach test

  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 Kidscreen-27

  Baseline, 12-72 MONTHS

• Change in GAD-7

  Baseline, 12-72 MONTHS

• Change in PHQ-8

  Baseline, 12-72 MONTHS

Study Arms (1)

Fit2Play Program

Other: Fit2Play curriculum

Interventions

Fit2Play curriculum OTHER

Fit2Play is a daily after-school park-based program (Monday-Friday, 2 PM-6 PM) that comprises (1) 60 minutes of physical activity that incorporates multiple sports (soccer, kickball, flag football) and activities from Sports, Play and Active Recreation for Kids (SPARK), a play- and evidenced-based, outcome-oriented, structured, active recreation program for children with a focus on developing and improving motor skills, movement knowledge, social and personal skills; and (2) 20-30 minutes of nutrition education lessons 1-2 times per week that incorporate EmpowerMe4Life, a health and wellness curriculum aligned to the National Health Education Standards for fifth grade and grounded in the American Heart Association's scientific recommendations in promoting heart-healthy lifestyles. Miami-Dade Parks and Recreation is the sponsor of the Fit2Play prospective cohort study. Duke is conducting a secondary data analysis on data collected as part of the Fit2Play study.

Fit2Play Program

Eligibility Criteria

• Age: 6 Years - 14 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Fit2Play aims to enroll youth ages 6-14 years who are majority Hispanic and non-Hispanic black, 50% male; approximately 60% of the population will be normal weight, 15% with overweight, and 25% with obesity.

You may qualify if:

• All participants enrolled in the Miami-Dade Fit2Play study will be included in this secondary analysis

You may not qualify if:

• Anyone not enrolled in the Miami-Dade Fit2Play study will be excluded from this secondary analysis

Sponsors & Collaborators

• Duke University: lead
• Miami-Dade County Parks and Recreation: collaborator
• The Children's Trust, Miami FL: collaborator

Study Sites (1)

Miami-Dade County Parks, Recreation and Open Spaces Department

Miami, Florida, 33128, United States

RECRUITING

Related Publications (11)

• D'Agostino EM, Patel HH, Hansen E, Mathew MS, Nardi M, Messiah SE. Longitudinal analysis of cardiovascular disease risk profile in neighbourhood poverty subgroups: 5-year results from an afterschool fitness programme in the USA. J Epidemiol Community Health. 2018 Mar;72(3):193-201. doi: 10.1136/jech-2017-209333. Epub 2017 Nov 24.

  PMID: 29175865 BACKGROUND

• Booth JV, Messiah SE, Hansen E, Nardi MI, Hawver E, Patel HH, Kling H, Okeke D, D'Agostino EM. Objective Measurement of Physical Activity Attributed to a Park-Based Afterschool Program. J Phys Act Health. 2021 Mar 1;18(3):329-336. doi: 10.1123/jpah.2020-0162. Epub 2021 Jan 31.

  PMID: 33524953 BACKGROUND

• D'Agostino EM, Patel HH, Hansen E, Mathew MS, Nardi MI, Messiah SE. Effect of participation in a park-based afterschool program on cardiovascular disease risk among severely obese youth. Public Health. 2018 Jun;159:137-143. doi: 10.1016/j.puhe.2018.02.025. Epub 2018 Mar 27.

  PMID: 29599055 BACKGROUND

• Messiah SE, D'Agostino EM, Hansen E, Mathew MS, Okeke D, Nardi M, Kardys J, Arheart KL. Longitudinal Impact of a Park-Based Afterschool Healthy Weight Program on Modifiable Cardiovascular Disease Risk Factors in Youth. J Community Health. 2018 Feb;43(1):103-116. doi: 10.1007/s10900-017-0393-9.

  PMID: 28689339 BACKGROUND

• Messiah SE, D'Agostino EM, Patel HH, Hansen E, Mathew MS, Arheart KL. Sex differences in fitness outcomes among minority youth after participation in a park-based after-school program. Ann Epidemiol. 2018 Jul;28(7):432-439. doi: 10.1016/j.annepidem.2018.03.020. Epub 2018 Apr 12.

  PMID: 29703522 BACKGROUND

• D'Agostino EM, Patel HH, Ahmed Z, Hansen E, Sunil Mathew M, Nardi MI, Messiah SE. Impact of change in neighborhood racial/ethnic segregation on cardiovascular health in minority youth attending a park-based afterschool program. Soc Sci Med. 2018 May;205:116-129. doi: 10.1016/j.socscimed.2018.03.038. Epub 2018 Mar 27.

  PMID: 29705630 BACKGROUND

• Zewdie H, Zhao AY, Patel HH, Hansen E, Messiah SE, Armstrong SC, Skinner AC, Neshteruk CD, Hipp JA, D'Agostino EM. The association between neighborhood quality, youth physical fitness, and modifiable cardiovascular disease risk factors. Ann Epidemiol. 2021 May;57:30-39. doi: 10.1016/j.annepidem.2021.02.004. Epub 2021 Feb 14.

  PMID: 33596444 BACKGROUND

• D'Agostino EM, Patel HH, Hansen E, Mathew MS, Messiah SE. Longitudinal Effects of Transportation Vulnerability on the Association Between Racial/Ethnic Segregation and Youth Cardiovascular Health. J Racial Ethn Health Disparities. 2021 Jun;8(3):618-629. doi: 10.1007/s40615-020-00821-8. Epub 2020 Sep 2.

  PMID: 32880096 BACKGROUND

• D'Agostino EM, Patel HH, Ahmed Z, Hansen E, Mathew MS, Nardi MI, Messiah SE. Natural experiment examining the longitudinal association between change in residential segregation and youth cardiovascular health across race/ethnicity and gender in the USA. J Epidemiol Community Health. 2018 Jul;72(7):595-604. doi: 10.1136/jech-2018-210592. Epub 2018 May 10.

  PMID: 29748417 BACKGROUND

• D'Agostino EM, Patel HH, Hansen E, Mathew MS, Nardi MI, Messiah SE. Does transportation vulnerability explain the relationship between changes in exposure to segregation and youth cardiovascular health? Health Place. 2019 May;57:265-276. doi: 10.1016/j.healthplace.2019.04.002. Epub 2019 May 24.

  PMID: 31132717 BACKGROUND

• Patel HH, Messiah SE, Hansen E, D'Agostino EM. The relationship between transportation vulnerability, school attendance, and free transportation to an afterschool program for youth. Transportation. 2021 Oct;48(5):2315-33.

  BACKGROUND

MeSH Terms

Conditions

Overweight; Obesity; Hypertension; Prehypertension; Anxiety Disorders; Depression; Psychological Well-Being; Motor Activity

Condition Hierarchy (Ancestors)

Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Vascular Diseases; Cardiovascular Diseases; Mental Disorders; Behavioral Symptoms; Behavior; Personal Satisfaction

Study Officials

• Emily D'Agostino, DPH, MS, MEd, MA

  Duke University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Emily M D'Agostino, DPH, MS, MEd, MA

CONTACT

+1 919 668 8540; emily.m.dagostino@duke.edu

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 10, 2024
• First Posted: September 19, 2024
• Study Start: May 7, 2020
• Primary Completion (Estimated): May 17, 2027
• Study Completion (Estimated): May 17, 2027
• Last Updated: September 4, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)