Community-Engaged Intervention to Optimize the Impact of RenovatedNeighborhood Parks on Community Wellbeing

社区参与干预，以优化翻新邻里公园对社区福祉的影响

• 批准号: 10597853
• 负责人: Terry T-K Huang
• 金额: $ 135.1万
• 依托单位: GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-22 至 2027-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10597853
• 关键词: Adult; Anxiety; Belief; Black race; COVID-19; Capital; Characteristics; Cities; City Government; Climate; Communication; Communities; Community Developments; Community Health; Community Networks; Complement; Consolidated Framework for Implementation Research; Cross-Sectional Studies; Dimensions; Evaluation; Fostering; Future; Goals; Grant; Health; Health Benefit; Health Status; Health behavior; Incentives; Individual; Infrastructure; Intervention; Intervention Studies; Intervention Trial; Interview; Investments; Knowledge; Latino; Lead; Leadership; Loneliness; Low income; Measures; Mediating; Mental Depression; Mental Health; Methodology; Modeling; Music; Neighborhoods; New York City; Outcome; Outcome Study; Perception; Personal Satisfaction; Physical activity; Policies; Population; Positioning Attribute; Problem Solving; Process; Qualitative Research; Randomized; Readiness; Recreation; Reduce health disparities; Research; Research Design; Resources; Safety; Sampling; Self Efficacy; Services; Shapes; Sleep; Social Environment; Social Interaction; Social Network; Stress; Surveys; Testing; Time; Urban Community; Work; base; built environment; community engagement; community organizations; depressive symptoms; design; effectiveness implementation study; follow-up; health related quality of life; human centered design; implementation evaluation; improved; informant; innovation; intervention effect; model development; multidisciplinary; perceived stress; population health; primary outcome; programs; prospective test; prototype; social; social cohesion; social interventions; social relationships; therapy design; tool

Project Summary Parks are a key feature of the built environment that foster community engagement, make communities vibrant, and support resident wellbeing. This study will test the impact on community-level health-related quality of life and mental health of a community-engaged, community-level intervention that aims to improve park-based health and social programming. The study will leverage neighborhood parks that have recently been redesigned and renovated as part of the Community Parks Initiative, a capital investment and park equity program in New York City. We aim to work with eight lower income and predominantly Latino and Black neighborhoods through an asset-based and human-centered design process to co-create and implement one health and one social strategy in each neighborhood park. The health strategy will focus on physical activity and the social strategy will seek to enhance social relationships and networks in each neighborhood. Achieving broad reach, inclusivity, and sustainability are key factors that will be taken into account in the design process. The eight neighborhoods will be cluster-randomized to one of two steps in a stepped wedge intervention trial. The intervention is 24 months in each community, with follow-up to 48 months. We will study outcomes, including HR-QoL, depression, anxiety, stress and loneliness, at the community level (not among individuals participating in park activities) via random, representative samples of adult residents in participating communities at intervention baseline and months 24 and 48 post-baseline.In addition, we will examine whether the intervention effects might be mediated through social cohesion, neighborhood ties, sense of community, park use and perception and/or health behaviors such as physical activity and sleep. Finally, we will conduct qualitative research to examine the implementation of the community-level intervention based on constructs from the Consolidated Framework for Implementation Research. Study findings will help inform future best practices in urban community development and park programs and policies to promote population health and reduce health disparities.

项目摘要 公园是建筑环境的关键特征，该环境促进社区参与，使社区充满活力， 并支持居民福祉。这项研究将测试对社区级健康相关的生活质量的影响 和社区参与的社区级干预的心理健康，旨在改善基于公园的 健康和社会节目。该研究将利用最近重新设计的邻里公园 并作为社区公园倡议的一部分进行了翻新，这是一项新的资本投资和公园股权计划 约克市。我们的目标是通过八个低收入和主要是拉丁裔和黑人社区合作 一个基于资产和以人为中心的设计过程，可共同创造和实施一个健康和一个社会 每个社区公园的策略。健康策略将重点放在体育活动上，社会战略将 寻求增强每个社区的社会关系和网络。实现广泛的影响力，包容性和 可持续性是将在设计过程中考虑到的关键因素。八个社区将 在阶梯楔干审判中，将聚类随附到两个步骤之一。干预为24个月 在每个社区中，随访了48个月。我们将研究包括HR-QOL，抑郁症，包括的结果 通过 干预基线和参与社区中成年居民的随机代表样本和 另外，第24和第48季。此外，我们将检查是否可能介导干预效果 通过社会凝聚力，社区关系，社区意识，公园使用和感知和/或健康 体育锻炼和睡眠等行为。最后，我们将进行定性研究以检查 基于合并框架的结构实施社区级干预措施 实施研究。研究结果将有助于为城市社区的未来最佳实践提供信息 开发和公园计划以及促进人口健康并减少健康差异的政策。