Abstract

Background: Urban, low income minority adolescents are disproportionately affected by numerous preventable morbidities, including poor school performance, obesity, and teen pregnancy. Owing to the complex interplay of social, cultural, and economic factors that contribute to the morbidities, no single intervention has shown consistent success in categorically improving outcomes. Recent research suggests a common root problem is lack of empowerment. Effective positive youth development (PYD) initiatives can prevent many morbidities by fostering empowerment in at-risk youths. However, little is published on how to implement and sustain such interventions. Methods: Cyclopedia is an annual summer curriculum of mentored bicycle rides consisting of educational lessons, local exploration, and creative self-expression (photography and writing). It is structured on a PYD model and is supported by a core partnership between a medical institution and a community based organization (CBO). Results: Cyclopedia has completed two full seasons with expansion from 18 boys to 50 boys and girls. The cost per trip has dropped from approximately $400 per rider to $100 per rider. The number of rides increased from 13 to 20, and total mileage increased from 740 to 870 miles per year. However, miles per rider dropped from 41 to 17, and writings per rider dropped from 2.6 to 0.5. Conclusions: Cyclopedia, supported by a core partnership between a medical institution and a CBO, shows significant promise in cost-effectively reaching large numbers of at-risk children with PYD programming. Ongoing curriculum adjustments aim to address decrements in individual participation.

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