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Annals of Behavioral Medicine
Erschienen in: Annals of Behavioral Medicine 3/2015

01.06.2015 | Original Article

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

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

Erschienen in: Annals of Behavioral Medicine | Ausgabe 3/2015

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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).
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Fußnoten
1
Separate mixed model ANCOVA with random effects for individuals was conducted to examine differences between communities in psychosocial variables over time. Two significant community-by-time interactions were found. First, there was a significant change in social cohesion within the full treatment condition such that following a slight increase at the 12-month assessment, levels of social cohesion declined over the 18- and 24-month assessments (CI−0.50,−0.02). Second, there was a significant change in perceptions of neighborhood crime within the full treatment condition such that participants reported lower perceptions of crime at the 12-month assessment than at the initial assessment (CI−0.65,−0.15).
 
2
Results from a one-way repeated measures ANOVA showed an effect for mobile observations in the police-patrolled walking program-only community (F(3, 78) = 4.54, p < 0.01). Results from a one-way repeated measures ANOVA also showed a trend for a within-subject effect for stationary observations in the walking plus social marketing community (F(2, 26) = 3.00, p = 0.06). The pattern of the results was consistent with the descriptive results already reported. However, it is important to note that the study was underpowered; thus, these analyses should be interpreted with caution.
 
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Metadaten
Titel
The Results of the “Positive Action for Today’s Health” (PATH) Trial for Increasing Walking and Physical Activity in Underserved African-American Communities
verfasst von
Dawn K. Wilson, Ph.D.
M. Lee Van Horn, Ph.D.
E. Rebekah Siceloff, Ph.D.
Kassandra A. Alia, M.A.
Sara M. St. George, Ph.D.
Hannah G. Lawman, Ph.D.
Nevelyn N. Trumpeter, M.S.
Sandra M. Coulon, Ph.D.
Sarah F. Griffin, Ph.D.
Abraham Wandersman, Ph.D.
Brent Egan, M.D.
Natalie Colabianchi, Ph.D.
Melinda Forthofer, Ph.D.
Barney Gadson
Publikationsdatum
01.06.2015
Verlag
Springer US
Erschienen in
Annals of Behavioral Medicine / Ausgabe 3/2015
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-014-9664-1

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