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Stay Healthy In Nature Everyday: Family Nature Outings in a Low Income Population

NCT ID: NCT02623855

Last Updated: 2020-11-30

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

156 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-07-31

Study Completion Date

2017-01-31

Brief Summary

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The SHINE study is a randomized controlled study of the effect of a park-based family support group on multiple outcomes (including stress and physical activity) in a low income population.

Detailed Description

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Despite mounting evidence that nature matters for human health, we are not aware of any prospective intervention trials looking at the use of nature as a health intervention. Like other protective factors, such as the presence of a caring adult, safe play places, greater stimulation, the presence of green-space in a child's life has been empirically linked to greater resilience. Nature has been proposed as a buffer to stress through several pathways: by providing a space for friends and families to gather (thereby increasing social support and improving family relationships), by increasing opportunities for physical activity, and by improving cognition. Research to date suggests that participation in outdoor activities facilitates a sense of connectedness to place. This sense of attachment may also provide a form of social support. Families served by Children's Hospital Oakland Primary Care Clinic experience high levels of stress. As a safety-net clinic, the primary care clinic serves a diverse set of patients, with a common thread of poverty. The Stay Healthy In Nature program was developed to encourage stress management skills through play and physical activity in parks. The program uses a combination of facilitated and independent outings into local parks to encourage sustained behavior change and measurable health benefits.

Conditions

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Stress, Psychological Social Isolation Physical Activity

Keywords

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Parks Well-being Stress Physical Activity Nature Greenspace

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Park prescription

Park prescription, pedometry.

Group Type ACTIVE_COMPARATOR

Park prescription

Intervention Type BEHAVIORAL

Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature.

Pedometry

Intervention Type DEVICE

Participants will record their daily pedometry.

Park prescription and family outings

Park prescription, pedometry, case management and 3 weekly family outings.

Group Type EXPERIMENTAL

Family outings

Intervention Type BEHAVIORAL

Participants will be invited to three weekly outings to local parks, case management and support in getting to nature. Participants will be offered transportation to the outings and s meal at local nature destinations. Programming at the park will include a picnic and walk with nature exploration, and will be facilitated by park and clinic staff.

Park prescription

Intervention Type BEHAVIORAL

Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature.

Pedometry

Intervention Type DEVICE

Participants will record their daily pedometry.

Case Management

Intervention Type BEHAVIORAL

Participants will receive a phone call to list potential barriers to participating in nature outings, and will talk through solutions with an investigator. Participants will be offered assistance with transportation if necessary.

Interventions

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Family outings

Participants will be invited to three weekly outings to local parks, case management and support in getting to nature. Participants will be offered transportation to the outings and s meal at local nature destinations. Programming at the park will include a picnic and walk with nature exploration, and will be facilitated by park and clinic staff.

Intervention Type BEHAVIORAL

Park prescription

Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature.

Intervention Type BEHAVIORAL

Pedometry

Participants will record their daily pedometry.

Intervention Type DEVICE

Case Management

Participants will receive a phone call to list potential barriers to participating in nature outings, and will talk through solutions with an investigator. Participants will be offered assistance with transportation if necessary.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Child must be 4 years and older, a patient in our clinic, physically able, available for follow up, able to answer questionnaire
* Caregiver must be 18 or older, legal guardian, physically able, able for follow up, able to answer questionnaire

Exclusion Criteria

* Enrolled in a weight loss program, unable to be physically active, unable to give informed consent, unable to follow up for study duration.
Minimum Eligible Age

4 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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East Bay Regional Park District

OTHER

Sponsor Role collaborator

National Recreation and Park Association

OTHER

Sponsor Role collaborator

University of California, San Francisco

OTHER

Sponsor Role collaborator

UCSF Benioff Children's Hospital Oakland

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nooshin Razani, MD, MPH

Role: PRINCIPAL_INVESTIGATOR

UCSF Benioff Children's Hospital Oakland

Locations

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UCSF Benioff Children's Hospital Oakland Primary Care Clinic

Oakland, California, United States

Site Status

Countries

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United States

References

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Razani N, Morshed S, Kohn MA, Wells NM, Thompson D, Alqassari M, Agodi A, Rutherford GW. Effect of park prescriptions with and without group visits to parks on stress reduction in low-income parents: SHINE randomized trial. PLoS One. 2018 Feb 15;13(2):e0192921. doi: 10.1371/journal.pone.0192921. eCollection 2018.

Reference Type DERIVED
PMID: 29447248 (View on PubMed)

Other Identifiers

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2015-042

Identifier Type: -

Identifier Source: org_study_id