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

NCT06596265 | Recruiting

• 1 other identifier: Pro00105669_2
• Study Type: observational
• Target: 1,000
• Locations: 1 country
• Sites: 1

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.

Conditions

Anxiety; Wellness, Psychological; Overweight or Obesity; Hypertension; Prehypertension; Low Physical Fitness

Keywords

Youth; Adolescent; Afterschool; Parks and Recreation; Mental Health; Physical Helath; Resilience; Violence Prevention

Outcome Measures

Primary Outcomes (15)

• 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

  The Kidscreen-27 score range is 27-135. A higher score indicates more positive well-being.

  Baseline, 12-72 months

• Change in Generalized Anxiety Disorder 7-item (GAD-7)

  The GAD-7 has a score range 0-21. Higher score indicates higher anxiety levels.

  Baseline, 12-72 months

• Change in Patient Health Questionnaire-8 (PHQ-8)

  The PHQ-8 has a score range 0-24. Higher score indicates higher depression levels.

  Baseline, 12-72 months

• Change in the Progressive Aerobic Cardiovascular Endurance Run (PACER) score

  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.

  Baseline, 12-72 months

• Change in Brief Sense of Community Scale (BSCS)

  The Brief Sense of Community Scale (BSCS) has a total score range of 0-32. Higher score indicates more positive sense of community.

  Baseline, 12-72 months

• Change in Sociopolitical Control Scale for Youth (SCPS-Y; Leadership subscale)

  The SCPS-Y has a range 1-6. Higher scores indicate higher policy control, leadership competence, sense of community, ethnic identity, and social support.

  Baseline, 12-72 months

• Change in Self-efficacy for teen conflict (SE-TCS)

  Possible range for the SE-TCS is 5 to 25' with higher scores indicating more confidence

  Baseline, 12-72 months

• Change in Casey Life Skills Assessment

  Casey Life Skills Assessment (CLSA) scores are on a scale of 1-5, with 5 representing the highest level of strength

  Baseline, 12-72 months

• Change in Perceived Stress Scale (PSS)

  The Perceived Stress Scale (PSS) has a score range of 0 to 40, with higher scores indicating greater perceived stress.

  Baseline, 12-72 months

Study Arms (1)

Fit2 Lead Cohort 1-2

Fit2Lead runs September through June at no charge, and provides daily academic support, sports and recreation, meditation, stress resilience, and life skills-focused workshops. 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.

Behavioral: Fit2Lead Group 1-2

Interventions

Fit2Lead Group 1-2 BEHAVIORAL

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.

Fit2 Lead Cohort 1-2

Eligibility Criteria

• Age: 12 Years - 17 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Fit2Lead is offered in areas composed of 48% male youths, 60% Hispanic persons, 29% non-Hispanic Black persons, 33% single-parent households, and 33% of residents living below the federal poverty threshold as defined by the American Community Survey. Thirty-three percent of families are single-parent households, and 33% of residents are living in poverty in zip codes where Fit2Lead is offered.

You may qualify if:

• 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

You may not qualify if:

• 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

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 (5)

• 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

• 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 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

• 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 BACKGROUND

• 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 BACKGROUND

MeSH Terms

Conditions

Anxiety Disorders; Psychological Well-Being; Overweight; Obesity; Hypertension; Prehypertension

Condition Hierarchy (Ancestors)

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

Study Officials

• Emily D'Agostino

  Duke University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Emily D'Agostino

CONTACT

Emily.M.D'Agostino@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 11, 2024
• First Posted: September 19, 2024
• Study Start: February 17, 2016
• Primary Completion (Estimated): June 17, 2028
• Study Completion (Estimated): June 17, 2028
• Last Updated: September 10, 2025

Record last verified: 2025-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)