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Positive Action for Today's Health (PATH)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT01025726
Recruitment Status : Completed
First Posted : December 3, 2009
Last Update Posted : September 25, 2012
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Information provided by (Responsible Party):
University of South Carolina

Brief Summary:
Regular moderate and vigorous intensity physical activity (PA) is inversely related with obesity, however, few adults are successful in incorporating sufficient PA into their daily lives. Minority and lower-income adults have among the highest obesity rates and lowest levels of regular PA. Increasing environmental supports for safe and convenient places for PA is an emerging public health strategy for PA interventions. Preliminary data by Wilson (PI) and colleagues has revealed through focus groups that low-income minority adults would like to increase the safe places for PA (areas free from crime, containment of stray dogs, increased police patrol) and access to PA (sidewalks/trails and expand opportunities for PA) in their community. In addition, the results of the investigators' preliminary studies suggest that African Americans had psychosocial barriers to PA that included lack of self-motivation, cultural body image issues, and lack of time due to family obligations. The present proposal is innovative in that it specifically tests the efficacy of an intervention that includes both patrolled-walking and social marketing elements to increase PA in low-income African Americans. Three communities will be randomized to receive one of three programs: a police patrolled-walking program plus social marketing intervention, a police patrolled-walking only intervention, or no walking intervention (general health education only; N=390; 130/group). The 24-month intervention will focus on increasing safety (training community leaders to serve as walking captains, hiring off-duty police officers to patrol the walking program, and containing stray dogs), increasing access for PA (marking a walking route), and will include a tailored social marketing campaign for increasing PA (in one intervention community). The investigators will collect data for PA (7-day accelerometer estimates, 4-week PA history), body composition, blood pressure, psychosocial measures, and perceptions of environmental supports for safety and access for PA at baseline, 6-,12-,18-, and 24-months. The primary hypotheses are that the patrolled-walking plus social marketing intervention will result in greater increases in moderate and vigorous PA as compared to a patrolled walking only intervention or no-intervention by 12-months and that these effects will be maintained at 18-month and 24-month assessments.

Condition or disease Intervention/treatment Phase
Obesity Behavioral: Police Patrolled Walking plus Social Marketing Behavioral: Police Patrolled Walking Program Only Behavioral: General Health Education Not Applicable

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 439 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Improving Safety and Access for Physical Activity
Study Start Date : July 2007
Actual Primary Completion Date : June 2011
Actual Study Completion Date : June 2012

Arm Intervention/treatment
Experimental: Full Intervention
Police Patrolled Walking Program plus Social Marketing Intervention
Behavioral: Police Patrolled Walking plus Social Marketing
Identify walking route, hire walking leaders and police support, maintain route and monitor stray dogs PLUS grass-roots social marketing campaign to promote walking on the route

Experimental: Walking Only
Police Patrolled Walking Only Intervention
Behavioral: Police Patrolled Walking Program Only
Identify walking route, hire walking leaders and police support, maintain route and monitor stray dogs

Active Comparator: General Health
General Health Education Intervention
Behavioral: General Health Education
Host community events for chronic disease education

Primary Outcome Measures :
  1. Physical Activity (Accelerometer) [ Time Frame: 0, 6, 12, 18, 24 months ]

Secondary Outcome Measures :
  1. Blood Pressure [ Time Frame: 0, 6, 12, 18, 24 months ]
  2. Body Mass Index (BMI) [ Time Frame: 0, 6, 12, 18, 24 months ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • African American (3 of 4 grandparents are of African Descent)
  • Lives in designated census area
  • No plans to move in the next two years
  • Has no medical condition that would limit participation in moderate intensity exercise including life-threatening illness (e.g., immobile, severely disabled, or bed ridden)
  • Available and able to participate in measures and intervention activities over the next 2 years

Exclusion Criteria:

  • Extreme Blood Pressure and/or Blood Glucose levels
  • Unable to take a brisk, 30-minute walk

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT01025726

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United States, South Carolina
Pee Dee CAP Weed & Seed
Florence, South Carolina, United States, 29506
Ministry of Reconcilliation
Orangeburg, South Carolina, United States, 29115
M.H. Newton Family Life Enrichment Center
Sumter, South Carolina, United States, 29150
Sponsors and Collaborators
University of South Carolina
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
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Principal Investigator: Dawn K Wilson, PhD University of South Carolina
Publications automatically indexed to this study by Identifier (NCT Number):
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Responsible Party: University of South Carolina Identifier: NCT01025726    
Other Study ID Numbers: ProjectPATH
R01DK067615 ( U.S. NIH Grant/Contract )
First Posted: December 3, 2009    Key Record Dates
Last Update Posted: September 25, 2012
Last Verified: September 2012