We are updating the design of this site. Learn more.
Show more
ClinicalTrials.gov
ClinicalTrials.gov Menu

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

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT02623855
First Posted: December 8, 2015
Last Update Posted: February 15, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
East Bay Regional Park District
National Recreation and Park Association
University of California, San Francisco
Information provided by (Responsible Party):
Children's Hospital & Research Center Oakland
  Purpose
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.

Condition Intervention
Stress, Psychological Social Isolation Physical Activity Behavioral: Family outings Behavioral: Park prescription Device: Pedometry Behavioral: Case Management

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Other
Official Title: Stay Healthy In Nature Everyday: a Randomized Controlled Trial of the Effect of Family Nature Outings on Stress and Physical Inactivity in a Low Income Population

Further study details as provided by Children's Hospital & Research Center Oakland:

Primary Outcome Measures:
  • Change in Stress [ Time Frame: 3 months ]
    Self-report


Secondary Outcome Measures:
  • Change in park visits per week [ Time Frame: 3 months ]
    Self-report

  • Physical activity [ Time Frame: 3 months ]
    Pedometer data

  • Parent-child stress attunement [ Time Frame: 3 months ]
    Salivary cortisol


Enrollment: 156
Study Start Date: July 2015
Study Completion Date: January 2017
Primary Completion Date: September 2016 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Park prescription
Park prescription, pedometry.
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.
Device: Pedometry
Participants will record their daily pedometry.
Experimental: Park prescription and family outings
Park prescription, pedometry, case management and 3 weekly family outings.
Behavioral: 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.
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.
Device: Pedometry
Participants will record their daily pedometry.
Behavioral: 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.

Detailed Description:
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.
  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   4 Years and older   (Child, Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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.
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02623855


Locations
United States, California
UCSF Benioff Children's Hospital Oakland Primary Care Clinic
Oakland, California, United States, 94609
Sponsors and Collaborators
Children's Hospital & Research Center Oakland
East Bay Regional Park District
National Recreation and Park Association
University of California, San Francisco
Investigators
Principal Investigator: Nooshin Razani, MD, MPH UCSF Benioff Children's Hospital Oakland
  More Information

Responsible Party: Children's Hospital & Research Center Oakland
ClinicalTrials.gov Identifier: NCT02623855     History of Changes
Other Study ID Numbers: 2015-042
First Submitted: November 24, 2015
First Posted: December 8, 2015
Last Update Posted: February 15, 2017
Last Verified: February 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Keywords provided by Children's Hospital & Research Center Oakland:
Parks
Well-being
Stress
Physical Activity
Nature
Greenspace

Additional relevant MeSH terms:
Stress, Psychological
Behavioral Symptoms