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

项目摘要 公园是建筑环境的关键特征，它促进了社区的参与，使社区充满活力， 并支持居民的福祉。这项研究将测试对社区层面健康相关生活质量的影响 和心理健康，社区参与，社区层面的干预，旨在改善公园为基础的 健康和社会规划。这项研究将利用最近重新设计的社区公园 并作为社区公园倡议的一部分进行了翻新，该倡议是纽约的一项资本投资和公园股权计划 约克城。我们的目标是与八个低收入和以拉丁裔和黑人为主的社区合作，通过 基于资产和以人为中心的设计流程，共同创建和实施一种健康和一种社交 每个社区公园的策略。健康战略将侧重于体力活动，社会战略将 寻求加强每个社区的社会关系和网络。实现广泛的覆盖面、包容性和 可持续性是设计过程中将考虑的关键因素。这八个社区将 在阶梯式楔形干预试验中，随机分为两个步骤之一。干预时间为24个月。 在每个社区，随访48个月。我们将研究结果，包括HR-QOL、抑郁症、 焦虑、压力和孤独，在社区层面(不是在参与公园活动的个人中)，通过 参与社区的成年居民的随机、有代表性的样本，在干预基线和 基线后24个月和48个月。此外，我们将研究干预效果是否可能被中介 通过社会凝聚力、邻里关系、社区意识、公园使用和感知和/或健康 身体活动和睡眠等行为。最后，我们将进行定性研究，以检验 根据综合框架的结构实施社区级干预 实施研究。研究结果将有助于为城市社区未来的最佳实践提供信息 制定和实施促进人口健康和缩小健康差距的方案和政策。

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.