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The Results of the "Positive Action for Today's Health" (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities.


ABSTRACT:

Background

The "Positive Action for Today's Health" (PATH) trial tested an environmental intervention to increase walking in underserved communities.

Methods

Three matched communities were randomized to a police-patrolled walking plus social marketing, a police-patrolled walking-only, or a no-walking intervention. The 24-month intervention addressed safety and access for physical activity (PA) and utilized social marketing to enhance environmental supports for PA. African-Americans (N=434; 62% females; aged 51±16 years) provided accelerometry and psychosocial measures at baseline and 12, 18, and 24 months. Walking attendance and trail use were obtained over 24 months.

Results

There were no significant differences across communities over 24 months for moderate-to-vigorous PA. Walking attendance in the social marketing community showed an increase from 40 to 400 walkers per month at 9 months and sustained ~200 walkers per month through 24 months. No change in attendance was observed in the walking-only community.

Conclusions

Findings support integrating social marketing strategies to increase walking in underserved African-Americans (ClinicalTrials.gov #NCT01025726).

SUBMITTER: Wilson DK 

PROVIDER: S-EPMC4426390 | biostudies-literature | 2015 Jun

REPOSITORIES: biostudies-literature

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Publications

The Results of the "Positive Action for Today's Health" (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities.

Wilson Dawn K DK   Van Horn M Lee ML   Siceloff E Rebekah ER   Alia Kassandra A KA   St George Sara M SM   Lawman Hannah G HG   Trumpeter Nevelyn N NN   Coulon Sandra M SM   Griffin Sarah F SF   Wandersman Abraham A   Egan Brent B   Colabianchi Natalie N   Forthofer Melinda M   Gadson Barney B  

Annals of behavioral medicine : a publication of the Society of Behavioral Medicine 20150601 3


<h4>Background</h4>The "Positive Action for Today's Health" (PATH) trial tested an environmental intervention to increase walking in underserved communities.<h4>Methods</h4>Three matched communities were randomized to a police-patrolled walking plus social marketing, a police-patrolled walking-only, or a no-walking intervention. The 24-month intervention addressed safety and access for physical activity (PA) and utilized social marketing to enhance environmental supports for PA. African-American  ...[more]

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