This trial has been completed.

Conditions stress, psychological, social isolation, physical activity
Treatments family outings, park prescription, pedometry, case management
Sponsor Children's Hospital & Research Center Oakland
Collaborator East Bay Regional Park District
Start date July 2015
End date September 2016
Trial size 156 participants
Trial identifier NCT02623855, 2015-042


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.

United States No locations recruiting
Other countries No locations recruiting

Study Design

Allocation randomized
Intervention model parallel assignment
Primary purpose other
Masking no masking
(Active Comparator)
Park prescription, pedometry.
park prescription
Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature.
Participants will record their daily pedometry.
Park prescription, pedometry, case management and 3 weekly family outings.
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.
park prescription
Participants will receive a map of local parks, and the recommendation to be physically active outdoors three days a week in nature.
Participants will record their daily pedometry.
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.

Primary Outcomes

Change in Stress
time frame: 3 months

Secondary Outcomes

Change in park visits per week
time frame: 3 months
Physical activity
time frame: 3 months
Parent-child stress attunement
time frame: 3 months

Eligibility Criteria

All participants at least 4 years old.

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.

Additional Information

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
Principal investigator Nooshin Razani, MD, MPH
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.
Trial information was received from ClinicalTrials.gov and was last updated in February 2017.
Information provided to ClinicalTrials.gov by Children's Hospital & Research Center Oakland.