Trial Outcomes & Findings for Stay Healthy In Nature Everyday: Family Nature Outings in a Low Income Population (NCT NCT02623855)

NCT ID: NCT02623855

Last Updated: 2020-11-30

Results Overview

measured through the Perceived Stress Score10 (PSS10) over 0, 1 and 3 months. The PSS10 is a ten item, validated instrument which ranges from 0-40. Each item on the instrument is summed to create a total score. Higher values correspond with higher stress.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

156 participants

Primary outcome timeframe

3 months

Results posted on

2020-11-30

Participant Flow

Participant milestones

Participant milestones
Measure
Park Prescription
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Overall Study
STARTED
56
100
Overall Study
COMPLETED
46
84
Overall Study
NOT COMPLETED
10
16

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

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

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Park Prescription
n=56 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=100 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Total
n=156 Participants
Total of all reporting groups
Age, Categorical
<=18 years
28 Participants
n=5 Participants
50 Participants
n=7 Participants
78 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
28 Participants
n=5 Participants
50 Participants
n=7 Participants
78 Participants
n=5 Participants
Age, Categorical
>=65 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Sex: Female, Male
Female
34 Participants
n=5 Participants
72 Participants
n=7 Participants
106 Participants
n=5 Participants
Sex: Female, Male
Male
22 Participants
n=5 Participants
28 Participants
n=7 Participants
50 Participants
n=5 Participants
Race/Ethnicity, Customized
African-American
39 Participants
n=5 Participants
59 Participants
n=7 Participants
98 Participants
n=5 Participants
Race/Ethnicity, Customized
Non-Latino White
1 Participants
n=5 Participants
5 Participants
n=7 Participants
6 Participants
n=5 Participants
Race/Ethnicity, Customized
Latino
4 Participants
n=5 Participants
21 Participants
n=7 Participants
25 Participants
n=5 Participants
Race/Ethnicity, Customized
Other (Native American, Middle Eastern, API)
12 Participants
n=5 Participants
17 Participants
n=7 Participants
29 Participants
n=5 Participants
Region of Enrollment
United States
56 Participants
n=5 Participants
100 Participants
n=7 Participants
156 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 3 months

measured through the Perceived Stress Score10 (PSS10) over 0, 1 and 3 months. The PSS10 is a ten item, validated instrument which ranges from 0-40. Each item on the instrument is summed to create a total score. Higher values correspond with higher stress.

Outcome measures

Outcome measures
Measure
Park Prescription
n=23 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=42 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Stress
-1.48 units on a scale
Interval -4.55 to 1.6
-1.83 units on a scale
Interval -3.42 to -0.25

PRIMARY outcome

Timeframe: 1 month

measured through the Perceived Stress Score10 (PSS10), a ten item, validated instrument which ranges from 0-40.

Outcome measures

Outcome measures
Measure
Park Prescription
n=21 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=39 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Stress
-2.81 units on a scale
Interval -6.51 to 0.89
-1.90 units on a scale
Interval -3.7 to -0.89

SECONDARY outcome

Timeframe: 1 month

Self-reported number of park visits in the last week, measured at 0, 1, and 3 months.

Outcome measures

Outcome measures
Measure
Park Prescription
n=23 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=42 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Park Visits Per Week
1.81 park visits/week
Interval 0.82 to 2.8
1.08 park visits/week
Interval 0.24 to 1.92

SECONDARY outcome

Timeframe: 3 months

Population: Minutes of moderate physical activity per average day in the week prior to follow up at 0, 1 and 3 months was measured. Below we list the mean within group change of minutes of moderate physical activity per day.

Parents will report their physical activity in terms of minutes of moderate physical activity in the week before follow up at 0, 1, and 3 months out. Pedometers were also given to participants. Of note, because of poor follow through with returning pedometer data, this variable was not analyzed in the study results.

Outcome measures

Outcome measures
Measure
Park Prescription
n=78 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=78 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Minutes of Moderate Physical Activity Per Day
33.91 minutes/day
Interval 8.2 to 59.62
18.58 minutes/day
Interval 3.75 to 33.42

SECONDARY outcome

Timeframe: 3 months

Salivary cortisol from parents

Outcome measures

Outcome measures
Measure
Park Prescription
n=17 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=35 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Cortisol Level in Parents
-0.01 ug/dL
Interval -0.04 to 0.03
0.01 ug/dL
Interval -0.07 to 0.09

SECONDARY outcome

Timeframe: 1 month

Population: Minutes of moderate physical activity per average day in the week prior to follow up at 0, 1 and 3 months was measured. Below we list the mean within group change of minutes of moderate physical activity per day.

Parents will report their physical activity in terms of minutes of moderate physical activity in the week before follow up at 0, 1months follow up. Pedometers were also given to participants. Of note, because of poor follow through with returning pedometer data, this variable was not analyzed in the study results.

Outcome measures

Outcome measures
Measure
Park Prescription
n=18 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=38 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Minutes of Moderate Physical Activity Per Day
20.72 minutes/day
Interval -4.96 to 46.41
30.76 minutes/day
Interval 8.28 to 53.25

SECONDARY outcome

Timeframe: 1 month

Salivary cortisol from parents

Outcome measures

Outcome measures
Measure
Park Prescription
n=17 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=35 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Cortisol Level in Parents
-0.01 ug/dL
Interval -0.04 to 0.03
0.01 ug/dL
Interval -0.07 to 0.09

SECONDARY outcome

Timeframe: 3 month

Self-reported number of park visits in the last week, measured at 0, 1, and 3 months.

Outcome measures

Outcome measures
Measure
Park Prescription
n=23 Participants
Park prescription, pedometry. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry.
Park Prescription and Family Outings
n=42 Participants
Park prescription, pedometry, case management and 3 weekly family outings. 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. Park prescription: Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature. Pedometry: Participants will record their daily pedometry. 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.
Change in Park Visits Per Week
-1.48 park visits/week
Interval -4.55 to 1.6
-1.83 park visits/week
Interval -3.42 to -0.25

Adverse Events

Park Prescription

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Park Prescription and Family Outings

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Nooshin Razani, Principal Investigator

UCSF Benioff Children's Hospital Oaland

Phone: 415-428-3129

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place