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NCT Number: NCT06596265

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

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.

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Key information

Conditions

Anxiety Anxiety Disorders Behavior Body Weight Cardiovascular Diseases Hypertension Low Physical Fitness Mental Disorders Nutrition Disorders Nutritional and Metabolic Diseases Obesity Overnutrition Overweight Overweight or Obesity Pathological Conditions, Signs and Symptoms Personal Satisfaction Prehypertension Psychological Well-Being Signs and Symptoms Vascular Diseases Wellness, Psychological

Age range

12 year–17 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Miami-Dade County Parks, Recreation and Open Spaces Department

Miami, Florida, 33128, United States

Location status: Recruiting

About this study

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.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • 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

Exclusion criteria

  • 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

Treatment and study plan

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.

Primary outcomes

  1. Change in Weight

    Time frame: Baseline, 12-72 months

  2. Change in Blood Pressure

    Time frame: Baseline, 12-72 months

  3. Change in number of push-ups

    Time frame: Baseline, 12-72 months

  4. Change in number of sit-ups

    Time frame: Baseline, 12-72 months

  5. Change in Career and Education Planning survey

    Time frame: Baseline, 12-72 months

  6. Change in College and Career Readiness survey

    Time frame: Baseline, 12-72 months

  7. Change in Kidscreen-27

    Time frame: Baseline, 12-72 months

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

  8. Change in Generalized Anxiety Disorder 7-item (GAD-7)

    Time frame: Baseline, 12-72 months

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

  9. Change in Patient Health Questionnaire-8 (PHQ-8)

    Time frame: Baseline, 12-72 months

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

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

    Time frame: Baseline, 12-72 months

    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.

  11. Change in Brief Sense of Community Scale (BSCS)

    Time frame: Baseline, 12-72 months

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

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

    Time frame: Baseline, 12-72 months

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

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

    Time frame: Baseline, 12-72 months

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

  14. Change in Casey Life Skills Assessment

    Time frame: Baseline, 12-72 months

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

  15. Change in Perceived Stress Scale (PSS)

    Time frame: Baseline, 12-72 months

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

Study contacts

Contact information is provided by the study sponsor or research team.

Emily D'Agostino

CONTACT

Emily.M.D'[email protected]

Sponsors and collaborators

Lead sponsor

Duke University

Other

Collaborators

  • Miami-Dade County Parks and Recreation
  • The Children's Trust, Miami FL

Registry information

Acronym: F2L

Important dates

Study start
2016
Primary completion
2028
Study completion
2028
First posted
Sep 19, 2024
Registry last updated
Sep 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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