Positive Action for Today's Health (PATH)

• ClinicalTrials.gov Identifier: NCT01025726
• Recruitment Status: Completed
• First Posted: December 3, 2009
• Last Update Posted: September 25, 2012
• Sponsor: University of South Carolina
• Collaborator: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
• Information provided by (Responsible Party): University of South Carolina

Study Description

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

Study Design

• 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

Arms and Interventions

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

Outcome Measures

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 ]

Eligibility Criteria

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

Criteria

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

Contacts and Locations

Locations

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)

Investigators

• Principal Investigator: Dawn K Wilson, PhD; University of South Carolina

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

McDaniel T, Wilson DK, Coulon MS, Sweeney AM, Van Horn ML. Interaction of Neighborhood and Genetic Risk on Waist Circumference in African-American Adults: A Longitudinal Study. Ann Behav Med. 2020 Sep 11. pii: kaaa063. doi: 10.1093/abm/kaaa063. [Epub ahead of print]

Abshire DA, Wilson DK, Sweeney AM, Pinto BM. Correlates of Moderate-to-Vigorous Physical Activity and Exercise Motivation in Underserved African American Men. Am J Mens Health. 2019 May-Jun;13(3):1557988319855155. doi: 10.1177/1557988319855155.

Sweeney AM, Wilson DK, Lee Van Horn M. Longitudinal relationships between self-concept for physical activity and neighborhood social life as predictors of physical activity among older African American adults. Int J Behav Nutr Phys Act. 2017 May 22;14(1):67. doi: 10.1186/s12966-017-0523-x.

Wilson DK, Van Horn ML, Siceloff ER, Alia KA, St George SM, Lawman HG, Trumpeter NN, Coulon SM, Griffin SF, Wandersman A, Egan B, Colabianchi N, Forthofer M, Gadson B. The Results of the "Positive Action for Today's Health" (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities. Ann Behav Med. 2015 Jun;49(3):398-410. doi: 10.1007/s12160-014-9664-1.

• Responsible Party: University of South Carolina
• ClinicalTrials.gov Identifier: NCT01025726
• Other Study ID Numbers: ProjectPATH; R01DK067615 ( U.S. NIH Grant/Contract )
• First Posted: December 3, 2009
• Last Update Posted: September 25, 2012
• Last Verified: September 2012