Trial Outcomes & Findings for Community Health Through Engagement and Environmental Renewal (NCT NCT04362475)

NCT ID: NCT04362475

Last Updated: 2026-03-13

Results Overview

Three items asked have the child ever been suspended from school and within the past 12 months prior to the baseline survey have they smoked cigarettes or drunk alcohol. Participants choose 1 for yes and 0 for no. The range is form 0 to 3, where 3 describes a higher problematic behavior. Three questions were asked at 1-week and 6 month follow-up: have they been suspended from school, smoked cigarettes or drunk alcohol since baseline.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

915 participants

Primary outcome timeframe

Baseline, 1-week and 6-month Follow-up

Results posted on

2026-03-13

Participant Flow

Participant milestones

Participant milestones
Measure
Family Youth Intervention (FYI) Parents
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups.
Overall Study
STARTED
305
305
305
Overall Study
COMPLETED
237
200
280
Overall Study
NOT COMPLETED
68
105
25

Reasons for withdrawal

Reasons for withdrawal
Measure
Family Youth Intervention (FYI) Parents
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups.
Overall Study
Protocol Violation
22
0
10
Overall Study
Withdrawal by Subject
36
0
15
Overall Study
Lost to Follow-up
10
105
0

Baseline Characteristics

Community Health Through Engagement and Environmental Renewal

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Family Youth Intervention (FYI) Parent
n=237 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=200 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
n=280 Participants
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Total
n=717 Participants
Total of all reporting groups
Age, Continuous
45 years
STANDARD_DEVIATION 12 • n=41 Participants
13 years
STANDARD_DEVIATION 4 • n=39 Participants
57 years
STANDARD_DEVIATION 29 • n=80 Participants
52 years
STANDARD_DEVIATION 20 • n=296 Participants
Sex: Female, Male
Sex/Gender · Female
198 Participants
n=41 Participants
87 Participants
n=39 Participants
170 Participants
n=80 Participants
455 Participants
n=296 Participants
Sex: Female, Male
Sex/Gender · Male
39 Participants
n=41 Participants
113 Participants
n=39 Participants
110 Participants
n=80 Participants
262 Participants
n=296 Participants
Race (NIH/OMB)
American Indian or Alaska Native
4 Participants
n=41 Participants
3 Participants
n=39 Participants
0 Participants
n=80 Participants
7 Participants
n=296 Participants
Race (NIH/OMB)
Asian
0 Participants
n=41 Participants
0 Participants
n=39 Participants
0 Participants
n=80 Participants
0 Participants
n=296 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=41 Participants
0 Participants
n=39 Participants
0 Participants
n=80 Participants
0 Participants
n=296 Participants
Race (NIH/OMB)
Black or African American
222 Participants
n=41 Participants
191 Participants
n=39 Participants
265 Participants
n=80 Participants
678 Participants
n=296 Participants
Race (NIH/OMB)
White
3 Participants
n=41 Participants
1 Participants
n=39 Participants
4 Participants
n=80 Participants
8 Participants
n=296 Participants
Race (NIH/OMB)
More than one race
2 Participants
n=41 Participants
3 Participants
n=39 Participants
5 Participants
n=80 Participants
10 Participants
n=296 Participants
Race (NIH/OMB)
Unknown or Not Reported
6 Participants
n=41 Participants
2 Participants
n=39 Participants
6 Participants
n=80 Participants
14 Participants
n=296 Participants
Region of Enrollment
United States
237 participants
n=41 Participants
200 participants
n=39 Participants
280 participants
n=80 Participants
717 participants
n=296 Participants
Birmingham United Neighborhood (BUN)
126 Participants
n=41 Participants
92 Participants
n=39 Participants
280 Participants
n=80 Participants
498 Participants
n=296 Participants
Plan to Move
No
174 Participants
n=41 Participants
133 Participants
n=39 Participants
229 Participants
n=80 Participants
536 Participants
n=296 Participants
Plan to Move
Yes
62 Participants
n=41 Participants
65 Participants
n=39 Participants
50 Participants
n=80 Participants
177 Participants
n=296 Participants
Plan to Move
Unknown
1 Participants
n=41 Participants
2 Participants
n=39 Participants
1 Participants
n=80 Participants
4 Participants
n=296 Participants
Neighborhood
South Titusville
19 Participants
n=41 Participants
19 Participants
n=39 Participants
51 Participants
n=80 Participants
89 Participants
n=296 Participants
Neighborhood
North Titusville
8 Participants
n=41 Participants
4 Participants
n=39 Participants
19 Participants
n=80 Participants
31 Participants
n=296 Participants
Neighborhood
Druid Hills
2 Participants
n=41 Participants
3 Participants
n=39 Participants
57 Participants
n=80 Participants
62 Participants
n=296 Participants
Neighborhood
Fountain Heights
6 Participants
n=41 Participants
6 Participants
n=39 Participants
83 Participants
n=80 Participants
95 Participants
n=296 Participants
Neighborhood
Belview Heights
7 Participants
n=41 Participants
10 Participants
n=39 Participants
6 Participants
n=80 Participants
23 Participants
n=296 Participants
Neighborhood
West Goldwire
3 Participants
n=41 Participants
2 Participants
n=39 Participants
18 Participants
n=80 Participants
23 Participants
n=296 Participants
Neighborhood
Riley Travellick
4 Participants
n=41 Participants
3 Participants
n=39 Participants
43 Participants
n=80 Participants
50 Participants
n=296 Participants
Neighborhood
Rising West Princeton
65 Participants
n=41 Participants
43 Participants
n=39 Participants
3 Participants
n=80 Participants
111 Participants
n=296 Participants
Neighborhood
Other
106 Participants
n=41 Participants
108 Participants
n=39 Participants
0 Participants
n=80 Participants
214 Participants
n=296 Participants
Neighborhood
Unknown
17 Participants
n=41 Participants
2 Participants
n=39 Participants
0 Participants
n=80 Participants
19 Participants
n=296 Participants
How long live in neighborhood
Less than a Year
4 Participants
n=41 Participants
9 Participants
n=39 Participants
5 Participants
n=80 Participants
18 Participants
n=296 Participants
How long live in neighborhood
1 to 5 years
93 Participants
n=41 Participants
81 Participants
n=39 Participants
87 Participants
n=80 Participants
261 Participants
n=296 Participants
How long live in neighborhood
6 to 10 years
45 Participants
n=41 Participants
32 Participants
n=39 Participants
37 Participants
n=80 Participants
114 Participants
n=296 Participants
How long live in neighborhood
11 to 20 years
48 Participants
n=41 Participants
63 Participants
n=39 Participants
42 Participants
n=80 Participants
153 Participants
n=296 Participants
How long live in neighborhood
Over 20 years
41 Participants
n=41 Participants
0 Participants
n=39 Participants
109 Participants
n=80 Participants
150 Participants
n=296 Participants
How long live in neighborhood
Unknown
6 Participants
n=41 Participants
15 Participants
n=39 Participants
0 Participants
n=80 Participants
21 Participants
n=296 Participants

PRIMARY outcome

Timeframe: Baseline, 1-week and 6-month Follow-up

Population: Children from the FYI intervention responses were analyzed using a repeated measures ANOVA. Data were included for the 11 to 16 years old that completed the items at all three timepoints.

Three items asked have the child ever been suspended from school and within the past 12 months prior to the baseline survey have they smoked cigarettes or drunk alcohol. Participants choose 1 for yes and 0 for no. The range is form 0 to 3, where 3 describes a higher problematic behavior. Three questions were asked at 1-week and 6 month follow-up: have they been suspended from school, smoked cigarettes or drunk alcohol since baseline.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=72 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Problem Behaviors in Children Ages 11 to 16 Years.
Baseline
0.49 score on a scale
Standard Deviation 0.63
Problem Behaviors in Children Ages 11 to 16 Years.
1 Week Follow up
0.33 score on a scale
Standard Deviation 0.50
Problem Behaviors in Children Ages 11 to 16 Years.
6 Month Follow up
5.67 score on a scale
Standard Deviation 0.60

PRIMARY outcome

Timeframe: Baseline

Population: Participants assigned to the ESPI arm or FYI parents were not asked this question.

Year of age at sex. Two variables were used to measure sexual initiation. Answer choices ranged continuously from 1 (10 years old) to 9 (18 years or older).

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=200 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Age of Sexual Initiation
13 years old
3 Participants
0 Participants
Age of Sexual Initiation
14 years old
4 Participants
0 Participants
Age of Sexual Initiation
15 years old
8 Participants
0 Participants
Age of Sexual Initiation
16 years old
3 Participants
0 Participants
Age of Sexual Initiation
18 years old
1 Participants
0 Participants
Age of Sexual Initiation
Never had sex
181 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Participants in the ESPI arm or FYI parents were not asked this question.

Follow-up questions for individuals endorsing sexual initiation to assess risky sex behavior. The count was assessed on how often did the participant had sex without a condom.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=200 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Number of Participants Who Participates in Risky Sex
Always
15 Participants
0 Participants
Number of Participants Who Participates in Risky Sex
Never has sex
93 Participants
0 Participants
Number of Participants Who Participates in Risky Sex
Sometimes
5 Participants
0 Participants
Number of Participants Who Participates in Risky Sex
Never
80 Participants
0 Participants
Number of Participants Who Participates in Risky Sex
Rarely
3 Participants
0 Participants
Number of Participants Who Participates in Risky Sex
Frequently
4 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline, 12-month Follow up 1 and 18-month Follow up 2

Population: Participants assigned to the FYI arm were not asked these questions.

Project on Human Development in Chicago Neighborhoods: Community Survey assesses city-level variables relating to neighborhood structure. This scale consisted of 7 items that were measured on a scale of 1 to 6. The range of scores are from 7 to 35. The mean score was analyzed where the higher the score the community interaction was the worst.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=105 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Project on Human Development in Chicago Neighborhoods: Community Survey- Cohesion Index Subscale
Baseline
21.91 score on a scale
Standard Deviation 5.24
Project on Human Development in Chicago Neighborhoods: Community Survey- Cohesion Index Subscale
12-month Follow-up 1
21.80 score on a scale
Standard Deviation 4.72
Project on Human Development in Chicago Neighborhoods: Community Survey- Cohesion Index Subscale
18-month Follow-up 2
22.08 score on a scale
Standard Deviation 4.77

PRIMARY outcome

Timeframe: Baseline

Population: Participants assigned to the FYI arm was not asked these questions.

Survey item on whether they like or dislike living their neighborhood.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=278 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Number of Participants Who Like Living in Their Neighborhood
239 Participants
0 Participants

PRIMARY outcome

Timeframe: Baseline, 12-month Follow up and 18-month Follow-up

Population: Participants in the FYI arm were not asked these questions.

Project on Human Development in Chicago Neighborhoods: Community Survey assesses city-level variables relating to neighborhood structure. Three items on a scale of 1 to 6, were used to measure how participants perceive their neighborhood. The range of the scores were from 3 to 12. The mean score was analyzed where the higher the score is a better overall perception of their neighborhood.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=38 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Project on Human Development in Chicago Neighborhoods: Community Survey- Neighborhood Perception
Baseline
8.26 score on a scale
Standard Deviation 3.27
Project on Human Development in Chicago Neighborhoods: Community Survey- Neighborhood Perception
12-month Follow up 1
10.82 score on a scale
Standard Deviation 3.33
Project on Human Development in Chicago Neighborhoods: Community Survey- Neighborhood Perception
18-month Follow up 2
8.63 score on a scale
Standard Deviation 2.81

PRIMARY outcome

Timeframe: Baseline, 12- month Follow up 1, and 18-month Follow up 2

Population: Participants in the FYI arm were not asked these questions.

Social Contacts and Resources Scale, a 5-item measure of social activities with their neighbors. Responses ranged from 1 (never) to 4 (often). a total mean score were derived where higher scores indicating greater social contact. The scores range from 5 to 20.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=86 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Social Contacts and Resources Scale
Baseline
17.56 score on a scale
Standard Deviation 4.00
Social Contacts and Resources Scale
12- month Follow up 1
19.21 score on a scale
Standard Deviation 4.79
Social Contacts and Resources Scale
18-month Follow up 2
19.58 score on a scale
Standard Deviation 4.50

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants assigned to the ESPI arm were not asked these questions.

This is a 20-item scale where response choices range from 1= Strongly Disagree to 5= Strongly Agree. Items are summed to arrive at a total communication score (range 20-100), with higher scores suggesting better overall communication quality.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=120 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=91 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Parent-Adolescent Communication
Baseline
63.35 score on a scale
Standard Deviation 11.86
69.95 score on a scale
Standard Deviation 11.65
Parent-Adolescent Communication
1 Week Follow up
71.95 score on a scale
Standard Deviation 11.70
70.53 score on a scale
Standard Deviation 12.20
Parent-Adolescent Communication
6 month Follow up
73.21 score on a scale
Standard Deviation 10.35
68.80 score on a scale
Standard Deviation 10.57

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants in the ESPI arm or the FYI parents were not asked these questions.

Measured using using a single item, " I get the emotional help and support I need from my family." The responses to the item is on a 7-point likert scale ranging from Very Strongly Agree to Very Strongly Disagree where Very Strongly Disagree describes a less nurturing parent and Very Strongly Agree describes more nurturance the parent displays. Scores ranged from 1 to 7.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=72 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Parental Nurturance
1 Week Follow up
5.65 units on a scale
Standard Deviation 1.58
Parental Nurturance
6 Month Follow up
5.79 units on a scale
Standard Deviation 1.59
Parental Nurturance
Baseline
5.79 units on a scale
Standard Deviation 1.44

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants in the ESPI arm were not asked these questions.

American Strength Inventory was uses six categories to measure the strength of a family. Participants responded with Not true (1), Sometimes true (2) and Often true (3). The items were added for a total family strength score where a mean score was analyzed. The subscale Global Measure was used to measure family functioning. The scores range from 4 to 12, where the higher the score the higher the family functioning.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=109 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=101 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Family Functioning
6 month Follow up
11.09 score on a scale
Standard Deviation 1.53
10.94 score on a scale
Standard Deviation 1.71
Family Functioning
Baseline
11.28 score on a scale
Standard Deviation 1.20
10.89 score on a scale
Standard Deviation 1.60
Family Functioning
1 Week Follow up
10.95 score on a scale
Standard Deviation 1.54
10.69 score on a scale
Standard Deviation 1.77

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants in the ESPI arm were not asked these questions.

Measured using the Managing Stress and Crisis Effectively subscale of the American Family Strength Inventory assess family functioning and qualities that makes a family strong. Participants responded with Not true (1), Sometimes true (2) and Often true (3). The scores ranged from 6 to 24. The items were added for a total family strength score where a mean score was analyzed. Higher mean scores means higher coping with stress skills.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=110 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=94 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Coping
Baeline
15.94 score on a scale
Standard Deviation 2.34
14.66 score on a scale
Standard Deviation 2.73
Coping
1 Week Follow up
15.84 score on a scale
Standard Deviation 2.35
15.33 score on a scale
Standard Deviation 2.80
Coping
6 Month Follow up
16.19 score on a scale
Standard Deviation 2.29
15.39 score on a scale
Standard Deviation 2.62

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

The Patient Health Questionnaire Scale (PHQ-9) is a abbreviated scale that measures self-report depressive symptoms. Respondents report on a 4-point likert scale where 0 is Not at All and 3 is Nearly Everyday. Items were added to determine the presence and severity of depressive symptoms. The range of the scores are 0 to 27. Score interpretations are 1-4 Minimal depression, 5-9 Mild depression, 10-14 Moderate depression,15-19 Moderately severe depression, and 20-27 Severe depression. A mean score was analyzed.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=103 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=88 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
n=124 Participants
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Perceived Depression
Baseline
6.02 score on a scale
Standard Deviation 5.33
6.10 score on a scale
Standard Deviation 6.19
3.60 score on a scale
Standard Deviation 4.74
Perceived Depression
1 Week Follow up
5.49 score on a scale
Standard Deviation 5.15
5.48 score on a scale
Standard Deviation 7.03
5.33 score on a scale
Standard Deviation 6.20
Perceived Depression
6 Month Follow up
5.24 score on a scale
Standard Deviation 5.60
5.13 score on a scale
Standard Deviation 5.82
3.18 score on a scale
Standard Deviation 4.53

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants assigned to ESPI and the FYI children were not asked these questions.

Measured using items from the World Health Organization's Quality of Life Questionnaire to measure satisfaction with the level of social support they receive. The responses were on a 5-point likert scale ranging from very dissatisfied (1) to very satisfied (5). The higher the score the more scarification with their social support.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=140 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Social Support
Baseline
3.72 units on a scale
Standard Deviation 0.92
Social Support
1 Week Follow up
3.66 units on a scale
Standard Deviation 0.99
Social Support
6 Month Follow up
3.66 units on a scale
Standard Deviation 1.00

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants assigned to ESPI and the FYI children were not asked these questions.

The World Health Organization Quality of Life Brief Scale measures four domains of quality of life: physical health, psychological, social relations and environment. The scores are transformed on a scale from 0 to 100 where higher score mean higher quality of life.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=91 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
The World Health Organization Quality of Life Brief Scale
Baseline
95.41 score on a scale
Standard Deviation 12.93
The World Health Organization Quality of Life Brief Scale
1 Week Follow up
96.51 score on a scale
Standard Deviation 14.81
The World Health Organization Quality of Life Brief Scale
6 Month Follow up
97.46 score on a scale
Standard Deviation 15.78

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants assigned to the ESPI arm and FYI children were not asked these questions.

Punitive discipline is assessed using four items that indicate the frequency of spanking/hitting, scolding, and threatening to spank/hit or threatening to punish. Response categories included 1 = never in past 12 months; 2 = a few times; 3 = once a month or more; 4 = once a week or more; and, 5 = almost everyday. After totaling the score, the higher the score the more the parent uses punitive discipline. Scores range from 4 to 20 where the higher the score the more often the parent used punitive discipline. A mean score was analyzed.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
n=115 Participants
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Punitive Discipline Scale
Baseline
7.01 score on a scale
Standard Deviation 4.22
Punitive Discipline Scale
1 Week Follow up
5.77 score on a scale
Standard Deviation 3.86
Punitive Discipline Scale
6 Month Follow up
5.50 score on a scale
Standard Deviation 4.41

SECONDARY outcome

Timeframe: Baseline, 1-week and 6-month follow up

Population: Participants assigned to the ESPI arm and FYI parents were not asked these questions.

Adolescents reported how often their parents knew where they were and what they were doing after school, on weeknights, and on weekends. All items used a 4-point scale ranging from 1 (almost never), to 2 (sometimes), to 3 (usually), to 4 (almost always). Scores ranging from 1 (low levels of parental monitoring) to 4 (high levels of parental monitoring). The range of the scores are 7-28. After totaling the score, the higher the score the higher levels of parental monitoring were present. A mean score was analyzed.

Outcome measures

Outcome measures
Measure
Family Youth Intervention (FYI) Parent
Parent participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 237 parents remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual parents.
Family Youth Intervention (FYI) Child
n=71 Participants
Child participants were recruited as part of 305 parent-child dyads from eight Birmingham United Neighborhoods (BUN), as well as additional neighborhoods in the Birmingham area. Of the 305 recruited dyads, 200 dyads met eligibility criteria. A total of 200 children remained enrolled and contributed data. Data were collected at baseline, 1-week follow-up, and 6-month follow-up. Participant flow for this arm reflects individual children.
ESPI Environment: Social and Physical Intervention (ESPI)
The Community Health through Engagement and Environmental Renewal (CHEER) Study included two intervention arms: the Environmental Social and Physical Intervention (ESPI) and the Family Youth Intervention (FYI). A total of 305 individual adult participants were recruited from eight Birmingham United Neighborhoods (BUN). Of those recruited, 280 individuals met eligibility criteria and were enrolled in the ESPI intervention. The Participant Flow table reflects individual participants for all ESPI milestones (Enrollment, Started, Completed). There are 3 timeframes: baseline, 12-month and 18-month follow-ups
Parental Monitoring Scale
Baseline
24.94 score on a scale
Standard Deviation 2.94
Parental Monitoring Scale
1 Week Follow up
25.01 score on a scale
Standard Deviation 4.18
Parental Monitoring Scale
6 Month Follow up
24.86 score on a scale
Standard Deviation 4.72

Adverse Events

Family Youth Intervention (FYI) Family Youth Intervention (FYI) Parent

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Family Youth Intervention (FYI) Child

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

ESPI Environment: Social and Physical Intervention (ESPI)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Jeffery Walker

UAB

Phone: (205) 975-5701

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place