Going Places: A Multi-level Intervention to Improve Youth Transportation Efficacy and Physical Activity

NCT07044375 | Enrolling By Invitation

• 1 other identifier: Pro00106083
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 1

Brief Summary

Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. Going Places was co-developed under the joint leadership of Duke and Durham Parks and Recreation (DPR). Going Places is pilot tested and fully functional. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.

Conditions

Physical Activity; Cardiometabolic Risk Factors; Cardiometabolic Health Indicators; Self-Efficacy

Keywords

Program planning and implementation; Community youth organizations; Community-based physical activity; Transportation self-efficacy; Cardiometabolic health; Physical activity; Parks and Recreation

Outcome Measures

Primary Outcomes (4)

• Physical Activity as measured by number of steps per day

  Youth participants were provided with Garmin accelerometers at baseline and 4 months to monitor step data over 7 consecutive days. Wrist-worn accelerometry (versus waist worn) was chosen to maximize compliance. A threshold of 11,500 or more steps per day was used to evaluate whether participants met daily steps goals.

  Baseline and 4 months

• Transportation Self-Efficacy as measured by the Teen Environment and Neighborhood (TEAN) scale

  The primary measure of youth transportation self-efficacy measured at baseline and 4 months will be the Teen Environment and Neighborhood (TEAN) scale, measured via surveys collected during regular youth program hours.

  Baseline and 4 months

• Transportation Self-Efficacy as measured by the Youth Living in Active Neighborhoods scale

  The Youth Living in Active Neighborhoods scale is a 67-item questionnaire that assesses youth perceptions of neighborhood design features related to physical activity. A higher score indicates greater neighborhood walkability.

  Baseline and 4 months

• Transportation Self-Efficacy as measured by Physical Activity Neighborhood Environment Scale (PANES)

  The PANES is used to assess the environmental factors for walking and bicycling in the participant's neighborhood. The score is calculated as a mean of items 1 through 17 and has a range of 1 to 4, with higher values indicating greater environmental support for physical activity.

  Baseline and 4 months

Secondary Outcomes (4)

• Moderate-to-Vigorous Physical Activity (MVPA) time per day

  Baseline and 4 months

• Total Physical Activity (PA) time per day

  Baseline and 4 months

• Systolic Blood Pressure (SBP)

  Baseline and 4 months

• Diastolic Blood Pressure (DBP)

  Baseline and 4 months

Study Arms (1)

Going Places

OTHER

Teens enrolled in the MyDurham park-based afterschool program will receive the Going Places youth transportation intervention.

Behavioral: Going Places

Interventions

Going Places BEHAVIORAL

Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.

Going Places

Eligibility Criteria

• Age: 12 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Age 12-18 years
• years or older and has a family member who or has enrolled in Durham Parks and Recreation programs
• Enrolled in the MyDurham teen park-based afterschool program in Durham, NC
• Reads, writes and speaks English
• Durham Parks and Recreation Staff

You may not qualify if:

• Age \<12 years or \>18 years
• Not enrolled in the MyDurham teen park-based afterschool program in Durham, NC

Sponsors & Collaborators

• Duke University: lead
• Durham Parks and Recreation (Durham, NC): collaborator

Study Sites (1)

Durham Parks and Recreation

Durham, North Carolina, 27701, United States

Location

Related Publications (5)

• Miller HN, Berger MB, Askew S, Trefney E, Tyson C, Svetkey L, Bennett GG, Steinberg DM. Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic. J Cardiovasc Nurs. 2022 Sep-Oct 01;37(5):475-481. doi: 10.1097/JCN.0000000000000927. Epub 2022 Apr 23.

  PMID: 35467561 BACKGROUND

• Urbina E, Alpert B, Flynn J, Hayman L, Harshfield GA, Jacobson M, Mahoney L, McCrindle B, Mietus-Snyder M, Steinberger J, Daniels S; American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee. Ambulatory blood pressure monitoring in children and adolescents: recommendations for standard assessment: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the council on cardiovascular disease in the young and the council for high blood pressure research. Hypertension. 2008 Sep;52(3):433-51. doi: 10.1161/HYPERTENSIONAHA.108.190329. Epub 2008 Aug 4. No abstract available.

  PMID: 18678786 BACKGROUND

• National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-76. No abstract available.

  PMID: 15286277 BACKGROUND

• Chung NW, Ostbye T, Jones JM, Smith AL, Zewdie HY, Yuan A, Kumar A, D'Agostino EM. Needs Assessment and Feasibility of a Park-Based Active Transportation Intervention to Promote Youth Physical Activity and Access to Parks and Recreation. Journal of Park and Recreation Administration. 2023 July. DOI:10.18666/JPRA-2023-11830

  RESULT

• D'Agostino EM, Neshteruk CD, Li T, Davis J, Granados I, Kumar A, Forde J, Hornik CP. Going Places: An Active Transportation Intervention to Increase Youth Physical Activity, Durham, North Carolina, 2023-2024. Am J Public Health. 2025 May;115(5):693-697. doi: 10.2105/AJPH.2025.308012. Epub 2025 Mar 20.

  PMID: 40112267 RESULT

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Emily D'Agostino, DPH, MS, MEd, MA

  Duke University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: OTHER
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 23, 2025
• First Posted: July 1, 2025
• Study Start: October 7, 2020
• Primary Completion (Estimated): December 31, 2026
• Study Completion (Estimated): December 31, 2026
• Last Updated: July 1, 2025

Record last verified: 2025-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)