Evidence map›Paper›PMID 40991112›Full record

ArticleMaternal and child health journal2025

Enhancing Equity in Access and Quality of Youth Out-of-School-Time Recreational Activities: Perspectives from Primary Caregivers and Parents in Under-resourced Urban Communities Using Semi-structured Interviews.

Jaime La Charite, Mercedes Santoro, Cindy Flores, Alejandra Hurtado, Meachelle Lum, Yelba Castellon-Lopez, Rebecca Dudovitz

Abstract read
In one paragraph

Article in Maternal and child health journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jaime La ChariteDivision of General Internal Medicine and Health Services Research, David Geffen School of Medicine at University of California, Los Angeles, 1100 Glendon Ave. Suite 900, Los Angeles, CA, 90024, USA. jlacharite@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-6496-7558
Mercedes SantoroCounty of Los Angeles Department of Parks and Recreation, Los Angeles, West, 1000 S. Freemont Ave., Alhambra, CA, 92803, USA.
Cindy FloresIrvine School of Medicine, University of California, Irvine, 10001 Health Sciences Road, Irvine, CA, 92697, USA.
Alejandra HurtadoIrvine School of Medicine, University of California, Irvine, 10001 Health Sciences Road, Irvine, CA, 92697, USA.
Meachelle LumDavid Geffen School of Medicine at University of California, Los Angeles, 10833 Le Conte, Los Angeles, CA, 90095, USA.
Yelba Castellon-LopezDivision of Population Sciences, Department of Biomedical Sciences, Cancer Research Center for Health Equity, Cedars Sinai Medical Center, 6500 Wilshire Blvd, Suite 1511, Los Angeles, CA, 90048, USA.
Rebecca DudovitzDepartment of Pediatrics, University of California, Los Angeles, California, 10833 LeConte Ave., 12-358 CHS, Los Angeles, CA, 90095, USA.

Funding

NRSA Training CoreTL1TR001883 · NCATS · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI ALEX BUI, Nina Thawata Harawa · 2016 to 2026
$8.6M
Understanding Barriers to Engagement in the Diabetes Prevention Program among Low-Income Latino Patients: Design and Implementation of an Intervention in Community Health CentersK23DK129828 · NIDDK · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Yelba Castellon-Lopez · 2022 to 2026
$983k
NCATS NIH HHS TL1 TR001883NCATS NIH HHS TL1TR001883NIDDK NIH HHS K23 DK129828
6 · The paper itself

Abstract

objectivesOut-of-school-time recreational activities are linked to numerous socioemotional, health, and academic benefits for children. Racial and income disparities in participation persist, yet there is a lack of qualitative studies eliciting the experiences and input of primary caregivers to improve equitable access to high-quality recreational activities in marginalized communities. This study explores caregiver perceptions of the factors influencing motivations to enroll their child in activities, barriers to participation, how caregivers define quality programming, and caregiver recommendations to improve activity access and quality within under-resourced communities.

methodsWe recruited primary caregivers of children aged 6-17 from under-resourced communities in an urban county by purposive sampling through urban parks and recreation and community organizations. We conducted semi-structured interviews using descriptive methodology with content thematic analysis.

resultsThirty-four interviews (17 English, 17 Spanish) revealed three key themes: primary caregivers (1) were highly motivated, believing that activities were facilitators of lifelong healthy living and wellbeing for children, families, and communities, (2) identified ongoing participation barriers while recognizing opportunities to improve equitable access, (3) described high-quality activities as those promoting safety, inclusivity, and enjoyment. Parents highlighted strategies to promote equitable, high-quality programming, including broad outreach, easy enrollment with accessible activities, low financial barriers, structural investments, staff and volunteer training, and family engagement. CONCLUSIONS FOR PRACTICE: Organizations offering youth out-of-school-time activities should consider caregiver practical suggestions to potentially improve the uptake and equity of these programs, with the ultimate goal of supporting the well-being and healthy development of all children.

Indexed as

CaregiversParentsRecreationAdolescentAdultChildFemaleHumansInterviews as TopicMaleQualitative ResearchUrban PopulationCaregiversDisparitiesExtracurricularsHealthParentsQualitative

Identifiers

PMID40991112
PMCPMC12583305

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.