Park Rx and Physical Activity Among Low-income Children
关键词
抽象
描述
Park prescriptions are formal clinical encouragements for patients to engage in more physical activity outdoors. From the beginning, ParkRx has been perceived as a common-sense solution to physical inactivity and to increasing the time children might be spending outdoors in nature. In spite of a lack of rigorous evidence that it is effective, the ParkRx concept is currently being widely disseminated and has been embraced by multiple national organizations. Unity Health, a federally qualified community health center in Washington, DC, is currently implementing park prescriptions for its largely low-income and minority population, a group at high risk of chronic diseases, physical inactivity and obesity. In partnership with Unity Health, we propose to conduct a randomized controlled trial (RCT) to prospectively evaluate Park Rx's impact on physical activity, as well as other secondary health outcomes in pediatric patients. Our specific aims are: 1) to test whether Park Rx will increase park visits and accelerometry-measured physical activity among children; 2) to identify any biological impacts of Park Rx on health, including impact on hypercholesterolemia, hypertriglyceridemia, HbA1C, overweight and obesity, for those patients with relevant diagnoses; 3) to explore impacts on mental health, including stress and measures of cognitive functioning; and 4) to determine whether there are age and gender differences in adherence to and impact of Park Rx. The results of this study will quantify the effectiveness of Park Rx and inform its future dissemination.
日期
最后验证: | 06/30/2020 |
首次提交: | 08/26/2019 |
提交的预估入学人数: | 09/30/2019 |
首次发布: | 10/02/2019 |
上次提交的更新: | 07/12/2020 |
最近更新发布: | 07/14/2020 |
实际学习开始日期: | 03/26/2020 |
预计主要完成日期: | 11/30/2024 |
预计完成日期: | 07/30/2025 |
状况或疾病
干预/治疗
Behavioral: Park Rx
相
手臂组
臂 | 干预/治疗 |
---|---|
Experimental: Park Rx Participants will be given a park prescription as part of their treatment plan | Behavioral: Park Rx Participants will be advised to visit a specific park at a specific frequency and duration |
No Intervention: No Park Rx Usual care only |
资格标准
有资格学习的年龄 | 6 Years 至 6 Years |
有资格学习的性别 | All |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - ages >6 and <16 with one or more diagnoses of chronic conditions that usually require two or more routine health care provider visits per year. - ADHD, or - Overweight or obesity, or - hypertriglyceridemia or - hypercholesterolemia, or - pre-diabetes or - Type 2 diabetes. AND - Likely to live in the Washington DC area in the next 2 years. Exclusion Criteria: - Individuals who have previously been given a park prescription |
结果
主要结果指标
1. Change in Physical Activity [Baseline, 3 months, 6 months 12 months and 2 years]
次要成果指标
1. Change in Cognition [Baseline, 3 months, 6 months 12 months and 2 years]
其他成果措施
1. Change in BMI percentile [2 years]
2. Change in Lipids [2 years]