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

Dawn K. Wilson, M. Lee Van Horn, E. Rebekah Siceloff, Kassandra A. Alia, Sara M. St. George, Hannah G. Lawman, Nevelyn N. Trumpeter, Sandra M. Coulon, Sarah F. Griffin, Abraham Wandersman, Brent Egan, Natalie Colabianchi, Melinda Forthofer, Barney Gadson

Research output: Contribution to journalArticle

28 Scopus citations

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).

Original languageEnglish (US)
Pages (from-to)398-410
Number of pages13
JournalAnnals of Behavioral Medicine
Volume49
Issue number3
DOIs
StatePublished - Jun 1 2015
Externally publishedYes

Keywords

  • African-Americans
  • Perceptions of safety and access
  • Physical activity
  • Walking interventions

ASJC Scopus subject areas

  • Psychology(all)
  • Psychiatry and Mental health

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    Wilson, D. K., Van Horn, M. L., Siceloff, E. R., Alia, K. A., St. George, S. M., Lawman, H. G., Trumpeter, N. N., Coulon, S. M., Griffin, S. F., Wandersman, A., Egan, B., Colabianchi, N., Forthofer, M., & Gadson, B. (2015). The Results of the “Positive Action for Today’s Health” (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities. Annals of Behavioral Medicine, 49(3), 398-410. https://doi.org/10.1007/s12160-014-9664-1