Going Places: A Multi-level Intervention to Improve Youth Transportation Efficacy and Physical Activity

NCT ID: NCT07044375

Last Updated: 2025-07-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-07

Study Completion Date

2026-12-31

Brief Summary

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Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. Going Places was co-developed under the joint leadership of Duke and Durham Parks and Recreation (DPR). Going Places is pilot tested and fully functional. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.

Detailed Description

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Going Places is a multilevel transportation self-efficacy intervention designed to increase physical activity (PA) among under resourced youth and improve their cardiometabolic health. Going Places is informed by the Socioecological Framework and Bandura's Self-efficacy Theory and includes the following components: weekly workshops on navigating transportation systems (individual level), community field trips and participatory mapping activities (recreation center level), and local transportation advocacy (environment level). Going Places was codeveloped under the joint leadership of Duke University and Durham Parks and Recreation (DPR; Durham, NC).

Going Places is offered to individual youth as part of DPR's no-cost adolescent afterschool program for youths aged 13 to 19 years. Going Places provides weekly workshops co-led by Duke and DPR that aimed to promote transportation self-efficacy (e.g., how to use local transportation systems, including biking and walking path trail maps, acquiring a free bus pass, using the bus and rail system, pedestrian and biking safety). Workshops also include engaging in active games and recreation.

Monthly field trips organized with the recreation center provide opportunities for youth to navigate transportation systems and engage in PA, primarily in outdoor settings. Youth also participate in a series of participatory mapping exercises to identify safe routes to reach neighborhood sites for active recreation.

The intervention's environmental components focus on promoting access to transportation and PA for youths. The Going Places study team, youth participants, and the program's Steering Committee collaborate with local organizations that oversee recreation and transportation programs and policy in Durham. These organizations are involved in ongoing advocacy to promote safe, affordable, and sustainable transportation and recreation, including park renovation and restoration projects, public mural contests, and social activism (web; social media).

Conditions

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Physical Activity Cardiometabolic Risk Factors Cardiometabolic Health Indicators Self-Efficacy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Going Places

Teens enrolled in the MyDurham park-based afterschool program will receive the Going Places youth transportation intervention.

Group Type OTHER

Going Places

Intervention Type BEHAVIORAL

Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.

Interventions

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Going Places

Going Places is a community driven intervention to increase transportation self-efficacy among low-income youth, enabling access to community-based programs that promote physical activity and improve long term cardiometabolic health. The intervention incorporates a multi-level approach that includes 1) workshops on navigating local transportation systems; 2) field trips and participatory assets mapping activities; and 3) youth transportation advocacy.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Age 12-18 years
* 18 years or older and has a family member who or has enrolled in Durham Parks and Recreation programs
* Enrolled in the MyDurham teen park-based afterschool program in Durham, NC
* Reads, writes and speaks English
* Durham Parks and Recreation Staff

Exclusion Criteria

* Age \<12 years or \>18 years
* Not enrolled in the MyDurham teen park-based afterschool program in Durham, NC
Minimum Eligible Age

12 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Durham Parks and Recreation (Durham, NC)

UNKNOWN

Sponsor Role collaborator

Duke University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emily D'Agostino, DPH, MS, MEd, MA

Role: PRINCIPAL_INVESTIGATOR

Duke University

Locations

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Durham Parks and Recreation

Durham, North Carolina, United States

Site Status

Countries

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United States

References

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Miller HN, Berger MB, Askew S, Trefney E, Tyson C, Svetkey L, Bennett GG, Steinberg DM. Implementation of an At-home Blood Pressure Measurement Protocol in a Hypertension Management Clinical Trial During the COVID-19 Pandemic. J Cardiovasc Nurs. 2022 Sep-Oct 01;37(5):475-481. doi: 10.1097/JCN.0000000000000927. Epub 2022 Apr 23.

Reference Type BACKGROUND
PMID: 35467561 (View on PubMed)

Urbina E, Alpert B, Flynn J, Hayman L, Harshfield GA, Jacobson M, Mahoney L, McCrindle B, Mietus-Snyder M, Steinberger J, Daniels S; American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee. Ambulatory blood pressure monitoring in children and adolescents: recommendations for standard assessment: a scientific statement from the American Heart Association Atherosclerosis, Hypertension, and Obesity in Youth Committee of the council on cardiovascular disease in the young and the council for high blood pressure research. Hypertension. 2008 Sep;52(3):433-51. doi: 10.1161/HYPERTENSIONAHA.108.190329. Epub 2008 Aug 4. No abstract available.

Reference Type BACKGROUND
PMID: 18678786 (View on PubMed)

National High Blood Pressure Education Program Working Group on High Blood Pressure in Children and Adolescents. The fourth report on the diagnosis, evaluation, and treatment of high blood pressure in children and adolescents. Pediatrics. 2004 Aug;114(2 Suppl 4th Report):555-76. No abstract available.

Reference Type BACKGROUND
PMID: 15286277 (View on PubMed)

Chung NW, Ostbye T, Jones JM, Smith AL, Zewdie HY, Yuan A, Kumar A, D'Agostino EM. Needs Assessment and Feasibility of a Park-Based Active Transportation Intervention to Promote Youth Physical Activity and Access to Parks and Recreation. Journal of Park and Recreation Administration. 2023 July. DOI:10.18666/JPRA-2023-11830

Reference Type RESULT

D'Agostino EM, Neshteruk CD, Li T, Davis J, Granados I, Kumar A, Forde J, Hornik CP. Going Places: An Active Transportation Intervention to Increase Youth Physical Activity, Durham, North Carolina, 2023-2024. Am J Public Health. 2025 May;115(5):693-697. doi: 10.2105/AJPH.2025.308012. Epub 2025 Mar 20.

Reference Type RESULT
PMID: 40112267 (View on PubMed)

Other Identifiers

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Pro00106083

Identifier Type: -

Identifier Source: org_study_id

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