Clinic and park partnerships for childhood resilience: A prospective study of park prescriptions

Health Place. 2019 May:57:179-185. doi: 10.1016/j.healthplace.2019.04.008. Epub 2019 May 3.

Abstract

Introduction: Pediatricians need community resources for childhood stress. We examined the association of weekly park visits and resilience amongst children receiving a park prescription at a clinic for low-income families.

Materials and methods: A prospective longitudinal clinical trial was conducted amongst children ages 7-17 at a safety-net primary care clinic with measures at zero, one and three months out. Parents reported their child's park visits per week, baseline ACE score, their own stress (PSS10) and coping; children reported resilience (Brief Resiliency Scale) and stress (PSQ8-11 scale).

Results: Enrolled children (N = 54; mean (sd) age 10.3 (2.4) years), had a median (IQR) ACE score of 2 (1, 4). Child resilience improved with each one-day increase in weekly park visits (0.04 points, 95% CI 0.01, 0.08) at every level of ACEs. Child stress partially mediated this relationship.

Conclusion: Parks are a community resource for pediatric resilience; park prescriptions may be a way to deal with pediatric stress.

Keywords: Adverse childhood experiences; Greenspace; Parks; Pediatric stress; Resilience.

Publication types

  • Clinical Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adverse Childhood Experiences*
  • Child
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Parents / psychology
  • Parks, Recreational*
  • Poverty
  • Primary Health Care*
  • Prospective Studies
  • Resilience, Psychological*
  • Stress, Psychological / psychology*
  • Surveys and Questionnaires