Positive Action for Today's Health (PATH)

This study has been completed.
Sponsor:
Collaborator:
Information provided by (Responsible Party):
University of South Carolina
ClinicalTrials.gov Identifier:
NCT01025726
First received: December 1, 2009
Last updated: September 21, 2012
Last verified: September 2012
  Purpose

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 Intervention
Obesity
Behavioral: Police Patrolled Walking plus Social Marketing
Behavioral: Police Patrolled Walking Program Only
Behavioral: General Health Education

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Outcomes Assessor)
Primary Purpose: Prevention
Official Title: Improving Safety and Access for Physical Activity

Resource links provided by NLM:


Further study details as provided by University of South Carolina:

Primary Outcome Measures:
  • Physical Activity (Accelerometer) [ Time Frame: 0, 6, 12, 18, 24 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Blood Pressure [ Time Frame: 0, 6, 12, 18, 24 months ] [ Designated as safety issue: No ]
  • Body Mass Index (BMI) [ Time Frame: 0, 6, 12, 18, 24 months ] [ Designated as safety issue: No ]

Enrollment: 439
Study Start Date: July 2007
Study Completion Date: June 2012
Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01025726

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
Investigators
Principal Investigator: Dawn K Wilson, PhD University of South Carolina
  More Information

No publications provided

Responsible Party: University of South Carolina
ClinicalTrials.gov Identifier: NCT01025726     History of Changes
Other Study ID Numbers: ProjectPATH, R01DK067615
Study First Received: December 1, 2009
Last Updated: September 21, 2012
Health Authority: United States: Institutional Review Board

ClinicalTrials.gov processed this record on September 16, 2014