Promoting Physical Activity In High Poverty Neighborhoods

This study is currently recruiting participants. (see Contacts and Locations)
Verified March 2014 by RAND
Sponsor:
Collaborators:
City of Los Angeles Department of Recreation and Parks
AltaMed Health Services
Information provided by (Responsible Party):
RAND
ClinicalTrials.gov Identifier:
NCT01925404
First received: August 15, 2013
Last updated: March 11, 2014
Last verified: March 2014
  Purpose

Encouraging greater levels of physical activity is critical to improving health among Americans, who are largely sedentary. Neighborhood parks are resources for physical activity that are available to most Americans within a couple miles of their homes, yet many residents are unaware of the programs and facilities available. Previous research indicates that park use is related to park programming and outreach. Because funding for parks is limited, low-cost interventions are needed to attract more people to parks to engage in moderate-to-vigorous physical activity. While many community-based organizations would like to invest in efforts that increase physical activity, few low-cost park programs are documented to be both scalable and cost-effective. Effective programs that can be replicated to make population-level impacts are needed. The goal of this study is to develop and test an enhanced marketing approach to attract people to parks and 2 low-cost community-level approaches to promoting physical activity, singly and in combination, in 48 park settings in Los Angeles. Using a full factorial design we will compare the efficacy of: (a) organized programs promoting walking and fitness activities and (b) an incentive approach adopting the "frequent user" strategy now popular in commercial settings. We will test these approaches with and without an enhanced marketing/outreach component using special events to attract people to the park so they are aware of the programs and facilities there. We will also quantify the cost effectiveness of each intervention; identify which age, gender and racial/ethnic groups benefit the most from these interventions; and develop and disseminate materials describing procedures and lessons learned so they can be applied by parks throughout the country.


Condition Intervention
Physical Activity
Behavioral: Free physical activity classes
Behavioral: Frequent User

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Factorial Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: PROMOTING PHYSICAL ACTIVITY IN HIGH POVERTY NEIGHBORHOODS

Further study details as provided by RAND:

Primary Outcome Measures:
  • Physical activity [ Time Frame: 1 years ] [ Designated as safety issue: No ]
    We will observe the levels of physical activity that people engage in in park settings


Secondary Outcome Measures:
  • number of park users [ Time Frame: 1 year ] [ Designated as safety issue: No ]
    We will count the number of parks users


Estimated Enrollment: 5760
Study Start Date: June 2013
Estimated Study Completion Date: July 2017
Estimated Primary Completion Date: March 2017 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Frequent User Arm
Park users will be able to earn rewards or prizes by coming more frequently to the park
Behavioral: Frequent User
Participants can become eligible for prizes by visiting the park more frequently
Experimental: Free Physical Activity Classes/programs
We will offer at least 100 free physical activity classes at the park
Behavioral: Free physical activity classes
100 hours of free activity classes will be provided
Experimental: Combined arm
We will offer free classes and the frequent user program at the park
Behavioral: Free physical activity classes
100 hours of free activity classes will be provided
Behavioral: Frequent User
Participants can become eligible for prizes by visiting the park more frequently
No Intervention: Control
Business as usual, no special physical activity programs offered

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria: Parks are in low-income neighborhoods; individuals visit parks and/or live within 1 mile radius of the park; -

Exclusion Criteria: Parks are not in low income neighborhoods; individuals do not visit the park and do not live within a 1 mile radius

-

  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01925404

Contacts
Contact: Deborah A Cohen, MD, MPH 310 393-0411 ext 6023 dcohen@rand.org

Locations
United States, California
RAND Recruiting
Santa Monica, California, United States, 90407
Contact: Deborah A Cohen, MD, MPH    310-393-0411 ext 6023    dcohen@rand.org   
Sponsors and Collaborators
RAND
City of Los Angeles Department of Recreation and Parks
AltaMed Health Services
Investigators
Principal Investigator: Deborah A Cohen, MD, MPH RAND
  More Information

No publications provided

Responsible Party: RAND
ClinicalTrials.gov Identifier: NCT01925404     History of Changes
Other Study ID Numbers: 2011-0692-AM02
Study First Received: August 15, 2013
Last Updated: March 11, 2014
Health Authority: United States: Federal Government

Keywords provided by RAND:
Physical activity
parks
programming
public health

ClinicalTrials.gov processed this record on October 19, 2014