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| Name | Class |
|---|---|
| Miami-Dade County Parks and Recreation | OTHER |
| The Children's Trust, Miami FL | OTHER |
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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.
The Fit2Lead prospective cohort study examines the effects of a park-based youth mental health and resilience afterschool program on youth physical and mental health and resilience, communication, and problem-solving skills training for underserved youth aged 12 to 17 years through an interdisciplinary collaboration among Miami-Dade Department of Parks, Recreation and Open Spaces (MDPROS) Miami-Dade County (MDC) Juvenile Services Department, MDC Public Schools, MDC Police Department, University of Miami, Florida International University, and other community-based partners.
Fit2Lead consists of 2 phases initiated simultaneously in 2015. For youth aged 12 to 14 years, Fit2Lead is offered after school Monday through Friday from 3:00 pm to 7:00 pm at 12 MDC parks for participants in under resourced neighborhoods and based on area-level youth crime and neighborhood poverty. Fit2Lead runs September through June at no charge, and provides daily academic support, sports and recreation, meditation, stress resilience, and life skills-focused workshops. 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.
Phase II of Fit2Lead is for youth aged 15 to 17 years and entails a year-round paid internship and 3-hour weekly enrichment, resilience, and life skills workshops. Daily entry-level part-time interns receive $9 per hour (approximately 500 total paid hours per year; total salary approximately $4000 per participant, per year). Work assignments support MDPROS operations and recreation staff. Interns rotate every 8 weeks for exposure to different job opportunities, supervisors, and mentors. Phase 1 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 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. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| 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. |
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
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Inclusion Criteria:
Exclusion Criteria:
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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.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Emily D'Agostino | Contact | Emily.M.D'Agostino@duke.edu |
| Name | Affiliation | Role |
|---|---|---|
| Emily D'Agostino | Duke University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Miami-Dade County Parks, Recreation and Open Spaces Department | Recruiting | Miami | Florida | 33128 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31241997 | Background | 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. | |
| 31995210 |
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| ID | Term |
|---|---|
| D001008 | Anxiety Disorders |
| D000092862 | Psychological Well-Being |
| D050177 | Overweight |
| D009765 | Obesity |
| D006973 | Hypertension |
| D058246 | Prehypertension |
| ID | Term |
|---|---|
| D001523 | Mental Disorders |
| D010549 | Personal Satisfaction |
| D001519 | Behavior |
| D044343 | Overnutrition |
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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 |
| 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. |
| 33914915 | 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. |
| 31002394 | 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. |
| 31094433 | 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. |
| D009748 |
| Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |