Impact of Park Renovations on Physical Activity and Community Health in NYC

公园改造对纽约市体育活动和社区健康的影响

基本信息

批准号：
9245644
负责人：
Terry T-K Huang
金额：
$ 59.9万
依托单位：
GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-17 至 2021-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9245644
关键词：
Accelerometer Accounting Address Adult Anxiety Behavior Biometry Capital Cities Communities Community Health Complex Control Groups Data Data Collection Eligibility Determination Epidemiology Etiology Evaluation Future Goals Green space Health Health Status Health Technology Housing Individual Intervention Investments Long-Term Effects Low income Measures Mental Health Monitor Natural experiment Nature Neighborhoods New York New York City Obesity Outcome Participant Patient Self-Report Physical activity Play Policies Population Growth Poverty Public Health Schools Radial Randomized Recreation Recruitment Activity Reporting Research Research Personnel Resources Role Sample Size Sampling Self Efficacy Site Social support Stress Structure Surveys Text Time Universities Well in self base built environment cohesion community partnership design group intervention health disparity improved intervention effect longitudinal design mHealth member multilevel analysis physical conditioning prevent programs psychosocial public health relevance satisfaction social socioeconomics urban planning urban underserved

项目摘要

DESCRIPTION (provided by applicant): The built environment plays a critical role in promoting physical activity and health. The association between parks, as a key attribute of the built environment, and physical activity, however, remains inconclusive. This project employs a natural experiment design to assess the impact of the Community Parks Initiative (CPI), a New York City Department of Parks and Recreation (NYC Parks) park redesign and renovation initiative, on physical activity, park usage, psychosocial and mental health, and community wellbeing. The project will use a longitudinal design with matched controls. NYC Parks has identified 134 parks with extreme capital needs in high-priority neighborhoods and will begin renovating parks in waves. In late 2016, the first wave of 35 parks across 55 neighborhoods will close for renovations; these parks will reopen in late 2017. From this initial wave, 20 interventio parks have been selected for inclusion in this study. Intervention park neighborhoods have been matched to a control group of 20 socio-economically similar park neighborhoods that will not be renovated during the study. The study will address two aims. In Aim 1, investigators will compare total volume of PA and other health outcomes among residents in the intervention vs. control park neighborhoods (defined as .25 mile radius around each park) from baseline to 2.5 years post-renovation. We hypothesize that improvements will be observed in PA and health levels in intervention but not control neighborhoods. In Aim 2, an additional 10 park neighborhoods receiving renovation in 2018 and reopening in 2019 will be used to monitor replicability of intervention effects at 1.5 years post-renovation. This combined design enhances our ability to infer causality in a natural experiment. We aim to recruit and retain 40 study participants per park neighborhood, after attrition, for a total of 1600 participants in Aim 1 and 400 in Aim 2. Study participants will represent two distinct sociodemographic strata in each neighborhood: low-income housing and community- engaged residents. Measures include direct park observations and program checklists, park quality, self- reported and GPS-tracked park usage, accelerometry-based physical activity, self-reported psychosocial health, and perceived community wellbeing. The largest natural experiment of its kind to date, this study represents a rare opportunity to provide robust evidence to further our understanding of the complex relationship between parks and physical activity, psychosocial and mental health, and community wellbeing. The findings will inform future investments in health-oriented urban design policies and offer evidence for addressing health disparities through built environment strategies.

描述（由申请人提供）：建筑环境在促进身体活动和健康方面发挥着关键作用，但是，公园作为建筑环境的一个关键属性，与身体活动之间的关联仍然没有定论。旨在评估社区公园倡议 (CPI)、纽约市公园和娱乐部 (NYC Parks) 公园重新设计和改造倡议对体育活动、公园使用、心理社会和心理健康以及社区福祉项目的影响。将采用纵向设计和配套控制措施。纽约市公园管理局已确定高优先级社区中 134 个资金需求极高的公园，并将于 2016 年底开始分批整修公园，其中 55 个社区的第一批 35 个公园将关闭进行整修；这些公园将于 2017 年底重新开放。从第一轮开始，已选择 20 个干预公园纳入本研究，并与 20 个对照组相匹配。研究期间不会进行翻新的社会经济相似的公园社区在目标 1 中，研究人员将比较干预公园社区和对照公园社区居民的 PA 总量和其他健康结果。从基线到改造后 2.5 年，我们力求在干预措施中观察到 PA 和健康水平的改善，但不控制社区。在目标 2 中，另外 10 个公园社区接受改造。 2018 年和 2019 年重新开放将用于监测改造后 1.5 年干预效果的可复制性。这种组合设计增强了我们在自然实验中推断因果关系的能力，我们的目标是在每个公园社区招募并留住 40 名研究参与者。，目标 1 共有 1600 名参与者，目标 2 共有 400 名参与者。研究参与者将代表每个社区的两个不同的社会人口阶层：低收入住房和措施包括直接公园观察和项目清单、公园质量、自我报告和 GPS 跟踪的公园使用情况、基于加速度测量的身体活动、自我报告的社会心理健康以及感知的社区福祉。迄今为止，这项研究提供了一个难得的机会，可以提供强有力的证据，以进一步了解公园与体育活动、社会心理健康以及社区福祉之间的复杂关系。研究结果将为未来对以健康为导向的城市设计政策的投资提供信息。并为解决健康差异提供证据通过建筑环境战略。