Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks

Abstract Background Individuals living in deprived inner cities have disproportionately high rates of cancers, Type 2 diabetes and obesity, which have stress- and physical inactivity-related etiologies. This study aims to quantify effects of ecological park restoration on physical activity, stress a...

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Main Authors: Amber L. Pearson, Karin A. Pfeiffer, Joseph Gardiner, Teresa Horton, Rachel T. Buxton, Ruth F. Hunter, Victoria Breeze, Thomas McDade
Format: Article
Language:English
Published: BMC 2020-05-01
Series:BMC Public Health
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12889-020-08716-3
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author Amber L. Pearson
Karin A. Pfeiffer
Joseph Gardiner
Teresa Horton
Rachel T. Buxton
Ruth F. Hunter
Victoria Breeze
Thomas McDade
author_facet Amber L. Pearson
Karin A. Pfeiffer
Joseph Gardiner
Teresa Horton
Rachel T. Buxton
Ruth F. Hunter
Victoria Breeze
Thomas McDade
author_sort Amber L. Pearson
collection DOAJ
description Abstract Background Individuals living in deprived inner cities have disproportionately high rates of cancers, Type 2 diabetes and obesity, which have stress- and physical inactivity-related etiologies. This study aims to quantify effects of ecological park restoration on physical activity, stress and cardio-metabolic health outcomes. Methods The Study of Active Neighborhoods in Detroit is a quasi-experimental, longitudinal panel natural experiment with two conditions (restored park intervention (INT) and control (CNT)) and annual measurements at baseline and 3-years post-restoration. Individuals (sampled within 500 m of an INT/CNT park) serve as the unit of analysis. Restoration (n = 4 parks) involves replacing non-native plants and turf with native plants; creating trails; posting signage; and leading community stewardship events. The CNT condition (n = 5) is an unmaintained park, matched to INT based on specified neighborhood conditions. Recruitment involves several avenues, with a retention goal of 450 participants. Park measures include plant/avian diversity; usage of the park (SOPARC); signs of care; auditory environment recordings; and visual greenness using 360 imagery. Health outcomes include device-based physical activity behavior (primary outcome); salivary cortisol (secondary outcome); and several downstream health outcomes. Exposure to the INT will be assessed through visual contact time and time spent in the park using GPS data. Changes in health outcomes between years and INT versus CNT will be tested using generalized linear (mixed) models. Discussion Our study will examine whether restored urban greenspaces increase physical activity and lower stress, with public health planning implications, where small changes in neighborhood greenspaces may have large health benefits in low-income neighborhoods. Study Registration Registration: OSF Preregistration registered March 31, 2020. Accessible from https://osf.io/surx7 .
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spelling doaj.art-39de4ead6ac248faaf3a889c9951ff202022-12-21T20:33:08ZengBMCBMC Public Health1471-24582020-05-0120111410.1186/s12889-020-08716-3Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parksAmber L. Pearson0Karin A. Pfeiffer1Joseph Gardiner2Teresa Horton3Rachel T. Buxton4Ruth F. Hunter5Victoria Breeze6Thomas McDade7Department of Geography, Environment and Spatial Sciences, Michigan State UniversityDepartment of Kinesiology, Michigan State UniversityDepartment of Epidemiology and Biostatistics, Michigan State UniversityDepartment of Anthropology, Northwestern UniversityDepartment of Biology, Carleton UniversityCentre for Public Health, Queen’s University BelfastDepartment of Geography, Environment and Spatial Sciences, Michigan State UniversityDepartment of Anthropology, Northwestern UniversityAbstract Background Individuals living in deprived inner cities have disproportionately high rates of cancers, Type 2 diabetes and obesity, which have stress- and physical inactivity-related etiologies. This study aims to quantify effects of ecological park restoration on physical activity, stress and cardio-metabolic health outcomes. Methods The Study of Active Neighborhoods in Detroit is a quasi-experimental, longitudinal panel natural experiment with two conditions (restored park intervention (INT) and control (CNT)) and annual measurements at baseline and 3-years post-restoration. Individuals (sampled within 500 m of an INT/CNT park) serve as the unit of analysis. Restoration (n = 4 parks) involves replacing non-native plants and turf with native plants; creating trails; posting signage; and leading community stewardship events. The CNT condition (n = 5) is an unmaintained park, matched to INT based on specified neighborhood conditions. Recruitment involves several avenues, with a retention goal of 450 participants. Park measures include plant/avian diversity; usage of the park (SOPARC); signs of care; auditory environment recordings; and visual greenness using 360 imagery. Health outcomes include device-based physical activity behavior (primary outcome); salivary cortisol (secondary outcome); and several downstream health outcomes. Exposure to the INT will be assessed through visual contact time and time spent in the park using GPS data. Changes in health outcomes between years and INT versus CNT will be tested using generalized linear (mixed) models. Discussion Our study will examine whether restored urban greenspaces increase physical activity and lower stress, with public health planning implications, where small changes in neighborhood greenspaces may have large health benefits in low-income neighborhoods. Study Registration Registration: OSF Preregistration registered March 31, 2020. Accessible from https://osf.io/surx7 .http://link.springer.com/article/10.1186/s12889-020-08716-3Low-incomeBuilt environmentGreenspaceUrban planningPhysical activityStress
spellingShingle Amber L. Pearson
Karin A. Pfeiffer
Joseph Gardiner
Teresa Horton
Rachel T. Buxton
Ruth F. Hunter
Victoria Breeze
Thomas McDade
Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
BMC Public Health
Low-income
Built environment
Greenspace
Urban planning
Physical activity
Stress
title Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
title_full Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
title_fullStr Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
title_full_unstemmed Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
title_short Study of active neighborhoods in Detroit (StAND): study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
title_sort study of active neighborhoods in detroit stand study protocol for a natural experiment evaluating the health benefits of ecological restoration of parks
topic Low-income
Built environment
Greenspace
Urban planning
Physical activity
Stress
url http://link.springer.com/article/10.1186/s12889-020-08716-3
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