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

项目摘要 公园是建筑环境的一个关键特征，它促进社区参与，使社区充满活力， 并支持居民的福利。这项研究将测试对社区健康相关生活质量的影响 和精神健康的社区参与，社区一级的干预，旨在改善公园为基础的 卫生和社会方案。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翻新，这是一项新的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主要是拉丁裔和黑人社区，通过 以资产为基础、以人为本的设计流程，共同创建和实施一个健康和一个社会 在每个社区公园的战略。健康战略将侧重于体育活动，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，被随机分组至两个步骤之一。干预期为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（而不是在参与公园活动的个人之间）， 干预基线时参与社区成年居民的随机代表性样本， 此外，我们还将研究干预效果是否可能是通过 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， 根据《综合框架》的构想实施社区一级的干预措施， 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 发展和公园方案和政策，以促进人口健康和减少健康差距。

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.