Biological and Behavioral Outcomes of Community Nature Walks

Sponsor

Charlotte Tate (Other)

Overall Status

Recruiting

CT.gov ID

NCT06056375

Collaborator

University of California, San Francisco (Other)

200

Enrollment

Location

Arm

Anticipated Duration (Months)

4.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The investigators will test the efficacy of our proposed intervention to reduce embodied stress in four racial/ethnic groups (Black, Latinx, Pilipinx, and Pacific Islander) as a preventative intervention for health disparities found in these communities. The intervention is comprised of two phases. The first consists of community nature walks in a pristine redwood forest for six months. This is followed by chosen nature activities with family and/or friends for three months. The investigators will test the ability of these activities in nature to reduce chronic stress that underpins many health disparities using validated biological, behavioral, and sociocultural measures. The use of these measures is in alignment with the National Institute of Minority Health and Health Disparities (NIMHD) Research Framework, and will increase understanding of individual, interpersonal, community, and social level factors that lead to, and that can eliminate health disparities.

Condition or Disease	Intervention/Treatment	Phase
Stress, Psychological Telomere Shortening Stress Reaction	Behavioral: Reclaiming Nature Intervention	Phase 1

Detailed Description

Study Design

Study Type:

Interventional

Anticipated Enrollment :

200 participants

Allocation:

Non-Randomized

Intervention Model:

Sequential Assignment

Intervention Model Description:

Waitlist control designWaitlist control design

Masking:

None (Open Label)

Masking Description:

Since the study is a waitlisted control, all participants are aware of which condition they are in at any time.

Primary Purpose:

Prevention

Official Title:

Examining Anti-Racist Healing in Nature to Protect Telomeres of Transitional Age BIPOC for Health Equity

Actual Study Start Date :

Feb 1, 2023

Anticipated Primary Completion Date :

Nov 1, 2024

Anticipated Study Completion Date :

Sep 1, 2026

Arms and Interventions

Arm	Intervention/Treatment
Other: Waitlist Control Waitlist control; all participants receive the treatment but are in a control condition prior to the treatment	Behavioral: Reclaiming Nature Intervention The purpose of the community intervention is to prevent health disparities in Black, Latinx, Pilipinx, and Pacific Islander communities of San Francisco, California.

Arm

Intervention/Treatment

Other: Waitlist Control

Waitlist control; all participants receive the treatment but are in a control condition prior to the treatment

Behavioral: Reclaiming Nature Intervention

The purpose of the community intervention is to prevent health disparities in Black, Latinx, Pilipinx, and Pacific Islander communities of San Francisco, California.

Outcome Measures

Primary Outcome Measures

Relative Telomere Length [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
Relative Telomere Length in the name of the outcome measure.

Secondary Outcome Measures

Hair cortisol concentration [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
Hair cortisol concentration in the name of the outcome measure.
Self-reported stress (extent of) [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
Cohen Stress Scale (Likert-type self-reported measurement) in the name of the outcome measure.
Positive mood (extent of) [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
Positive And Negative Affect Scale International version (PANAS-I) (Likert-type self-reported measurement)

Other Outcome Measures

Steps (number of) [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
total number of steps per day, assessed by Apple's Health Application on phones in the name of the outcome measure.
Heart rate (average of beats per minute over days) [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
average beats per minute over days assessed by rate hear application on phones
Sleep quality (extent of) [Baseline (pre-intervention), during intervention, immediate post-intervention, 3 months after intervention]
14-item Sleep Questionnaire (Likert-type self-reported measurement)

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years and Older

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion critieria:

18 years or older
able to commit to a 9-month Nature Intervention (6-month walks; 3-month chosen nature activity)
spoken languages: English, Spanish, or Tagalog
able-bodied as in must be able to walk.

Exclusion criteria:

pregnant women (and other gender identities who are pregnant)
prisoners
cognitively impaired

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	San Francisco State University	San Francisco	California	United States	94132

Sponsors and Collaborators

Charlotte Tate
University of California, San Francisco

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Charlotte Tate, Full Professor, San Francisco State University

ClinicalTrials.gov Identifier:

NCT06056375

Other Study ID Numbers:

X21-013

First Posted:

Sep 28, 2023

Last Update Posted:

Sep 28, 2023

Last Verified:

Sep 1, 2023

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Additional relevant MeSH terms:

Fractures, Stress

Stress, Psychological

Study Results

No Results Posted as of Sep 28, 2023