Evidence map›Paper›PMID 42374306›Full record

Trial reportBMC public health2026

Youth Empowered Self-Care: a direct-to-participant intervention to promote mental well-being.

Emily M D'Agostino, Elizabeth R Pulgaron, Cody Neshteruk, Camille Brown-Lowery, Princess Abbot-Grimes, Tigidankay Fadika, Mark Ward, Jeannine Sato, Mia Cooper, Eric Hansen and 6 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Trial report in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06255093 (You & Me Healthy), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

NCT06255093 naunknown statusnot on this map

You & Me Healthy: Youth Empowered Self-Care Substudy (YES)

TypeinterventionalSponsorDuke UniversityRan2024 to 2024Enrolled150ConditionsAnxiety, Wellness, PsychologicalArmsCommunity-based recreation program referral, Pre-surveys only
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

16 authors.

Emily M D'AgostinoDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA. emily.m.dagostino@duke.edu.
Elizabeth R PulgaronMailman Center for Child Development, Miller School of Medicine, University of Miami, Miami, FL, USA.
Cody NeshterukDepartment of Population Health Sciences, Duke University School of Medicine, Durham, NC, USA.
Camille Brown-LoweryDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Princess Abbot-GrimesDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Tigidankay FadikaDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Mark WardDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Jeannine SatoDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Mia CooperDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.
Eric HansenMiami-Dade County Department of Parks, Recreation and Open Spaces, Miami, FL, USA.
Erin EnwrightMiami-Dade County Department of Parks, Recreation and Open Spaces, Miami, FL, USA.
Maria I NardiMiami-Dade County Department of Parks, Recreation and Open Spaces, Miami, FL, USA.
Jeffrey FordeDurham Parks and Recreation, Durham, NC, USA.
Andrea HicksDurham Parks and Recreation, Durham, NC, USA.
Tang LiDepartment of Public Health Science, Penn State College of Medicine, Hershey, PA, USA.
Christoph P HornikDuke Clinical Research Institute, Duke University School of Medicine, 311 Trent Drive, 2nd FL, Occupational Therapy Doctorate Division, Durham, NC, 27710, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA crisis of youth mental health exists, disproportionately affecting minoritized and low-income youth. Park- and community-based recreation programs may promote mental well-being by offering accessible and affordable recreation in non-stigmatizing settings, with the potential to reduce mental health disparities. However, these programs are not currently being used at scale. Youth Empowered Self-Care (YES) is a mental well-being intervention intended to increase timely access to park- and community-based recreation programs among minoritized low-income youth. We evaluated YES for feasibility, acceptability, and change in participants' psychological, mental, and social well-being and anxiety.

methodsThis study was a single-arm prospective cohort pilot design. Youth aged 8-12 years were enrolled with two parks and recreation departments in Durham, North Carolina, and Miami, Florida, United States. Youth and caregivers were directed to the YES website, where they received information on mental health and resources, and park- and community-based programs. Data collected included website usage, program enrollment, and caregiver-reported youth psychological, mental, and social well-being and anxiety at baseline and at 3 months using the KIDSCREEN-27 and Screen for Child Anxiety Related Emotional Disorders (SCARED) measures to assess feasibility, acceptability, and change in psychological, mental, and social well-being and anxiety. Change from pre- to post-test scores and paired t-tests were used to determine change in mental well-being via the KIDSCREEN-27 and SCARED assessments.

resultsParticipants (n = 247) included youth aged 8-12 years (36.4% Black;34.4% White; 11.7% Hispanic; 50.2% male; 39.7% >$50,000-$75,000 annual household income). The YES website had > 1,100 users, with ≥ 51.0% of website users enrolling in YES. Almost all (99.1%) participants indicated that YES connected them to a program, and that they subsequently completed their program (99.5%). Eighty-five percent and 31.3% of caregivers reported an increase on the youth psychological well-being and peer and social support subscales, respectively. Nearly half (46.5%) of caregivers reported a reduction in youth anxiety.

conclusionsThis study suggests that YES may promote youth mental well-being. Pilot data also demonstrated YES feasibility and acceptability, and linkage to mental health education and treatment. The next steps for this research entail randomized prospective trials to assess YES efficacy.

trial registrationNCT06255093 ( www. CLINICALTRIALS: gov ); registration date: February 12, 2024.

Indexed as

EmpowermentHealth PromotionMental HealthSelf CareChildFeasibility StudiesFemaleHumansMaleParks, RecreationalPilot ProjectsPovertyProspective StudiesPsychological Well-BeingRecreationAnxietyHealth equityMental healthMental well-beingParks and recreationSocial connectednessYouth

Identifiers

PMID42374306
PMCPMC13491775

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Registered trials

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.