title: An overview of the "Positive Action for Today's Health" (PATH) trial for increasing walking in low income, ethnic minority communities.
abstract: BACKGROUND
  Ethnic minorities and lower-income adults have among the highest rates of obesity and lowest levels of regular physical activity (PA). The Positive Action for Today's Health (PATH) trial compares three communities that are randomly assigned to different levels of an environmental intervention to improve safety and access for walking in low income communities.
  
  
  METHODS
  Three communities matched on census tract information (crime, PA, ethnic minorities, and income) were randomized to receive either: an intervention that combines a police-patrolled-walking program with social marketing strategies to promote PA, a police-patrolled-walking only intervention, or no-walking intervention (general health education only). Measures include PA (7-day accelerometer estimates), body composition, blood pressure, psychosocial measures, and perceptions of safety and access for PA at baseline, 6, 12, 18, and 24 months.
  
  
  METHODS
  The police-patrolled walking plus social marketing intervention targets increasing safety (training community leaders as walking captains, hiring off-duty police officers to patrol the walking trail, and containing stray dogs), increasing access for PA (marking a walking route), and utilizes a social marketing campaign that targets psychosocial and environmental mediators for increasing PA. MAIN HYPOTHESES/OUTCOMES: It is hypothesized that the police-patrolled walking plus social marketing intervention will result in greater increases in moderate-to-vigorous PA as compared to the police-patrolled-walking only or the general health intervention after 12 months and that this effect will be maintained at 18 and 24 months.
  
  
  CONCLUSIONS
  Implications of this community-based trial are discussed.
authors.affiliation: Department of Psychology, University of South Carolina, Columbia, SC 29208, United States. wilsondk@mailbox.sc.edu
authors.forename: Dawn K
authors.initials: DK
authors.lastname: Wilson
authors.forename: Nevelyn N
authors.initials: NN
authors.lastname: Trumpeter
authors.forename: Sara M
authors.initials: SM
authors.lastname: St George
authors.forename: Sandra M
authors.initials: SM
authors.lastname: Coulon
authors.forename: Sarah
authors.initials: S
authors.lastname: Griffin
authors.forename: M
authors.initials: M
authors.lastname: Lee Van Horn
authors.forename: Hannah G
authors.initials: HG
authors.lastname: Lawman
authors.forename: Abe
authors.initials: A
authors.lastname: Wandersman
authors.forename: Brent
authors.initials: B
authors.lastname: Egan
authors.forename: Melinda
authors.initials: M
authors.lastname: Forthofer
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Goodlett
authors.forename: Heather
authors.initials: H
authors.lastname: Kitzman-Ulrich
authors.forename: Barney
authors.initials: B
authors.lastname: Gadson
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003415:Crime; D005260:Female; D015438:Health Behavior; D006293:Health Promotion; D006801:Humans; D007182:Income; D008297:Male; D008875:Middle Aged; D008913:Minority Groups; D054525:Minority Health; D016495:Police; D012107:Research Design; D012111:Residence Characteristics; D040241:Social Marketing; D016138:Walking; D055815:Young Adult
references.citation: Prev Med. 2000 Nov;31(5):584-94
references.pmid: 11071840
references.citation: Prev Med. 1987 Nov;16(6):825-36
references.pmid: 3432232
references.citation: J Womens Health Gend Based Med. 1999 Jul-Aug;8(6):805-13
references.pmid: 10495261
references.citation: J Natl Med Assoc. 1996 Sep;88(9):558-62
references.pmid: 8855646
references.citation: J Phys Act Health. 2009 Jan;6(1):1-5
references.pmid: 19211952
references.citation: Med Sci Sports Exerc. 2004 Sep;36(9):1637-45
references.pmid: 15354049
references.citation: Annu Rev Public Health. 2000;21:121-45
references.pmid: 10884949
references.citation: Public Health Nurs. 1999 Feb;16(1):23-31
references.pmid: 10074819
references.citation: Prev Med. 2004 Nov;39(5):903-8
references.pmid: 15475022
references.citation: Ann Behav Med. 2002 Fall;24(4):310-9
references.pmid: 12434942
references.citation: Prev Chronic Dis. 2007 Oct;4(4):A112
references.pmid: 17875256
references.citation: MMWR Morb Mortal Wkly Rep. 1999 Feb 26;48(7):143-6
references.pmid: 10077460
references.citation: Ann Behav Med. 2004 Dec;28(3):186-94
references.pmid: 15576257
references.citation: Contemp Clin Trials. 2010 Jan;31(1):92-104
references.pmid: 19781665
references.citation: J Aging Health. 2009 Feb;21(1):155-71
references.pmid: 19144973
references.citation: J Am Diet Assoc. 1994 Jul;94(7):771-2
references.pmid: 8021419
references.citation: Can J Nurs Res. 2007 Jun;39(2):112-25
references.pmid: 17679588
references.citation: J Clin Epidemiol. 1994 Mar;47(3):271-81
references.pmid: 8138837
references.citation: Am J Public Health. 2003 Sep;93(9):1552-8
references.pmid: 12948979
references.citation: Sports Med. 1996 Nov;22(5):321-31
references.pmid: 8923649
references.citation: Ann Behav Med. 2003 Spring;25(2):100-4
references.pmid: 12704011
references.citation: Stat Med. 1994 Jan 15;13(1):61-78
references.pmid: 9061841
references.citation: Am J Public Health. 1996 Feb;86(2):206-13
references.pmid: 8633737
references.citation: Nutr Rev. 2001 Mar;59(3 Pt 2):S21-39; discussion S57-65
references.pmid: 11330630
references.citation: Contemp Clin Trials. 2008 Jan;29(1):21-31
references.pmid: 17716952
references.citation: Women Health. 2006;43(1):93-113
references.pmid: 17050487
references.citation: Health Psychol. 2006 May;25(3):336-47
references.pmid: 16719605
references.citation: Ann Behav Med. 2004 Aug;28(1):20-8
references.pmid: 15249256
references.citation: Int J Behav Nutr Phys Act. 2009 Mar 31;6:21
references.pmid: 19335883
references.citation: Arch Intern Med. 1998 Sep 28;158(17):1855-67
references.pmid: 9759681
references.citation: Diabetes Care. 1985 Jul-Aug;8(4):343-8
references.pmid: 4042800
references.citation: Arch Fam Med. 1998 May-Jun;7(3):285-9
references.pmid: 9596466
references.citation: Exerc Sport Sci Rev. 2000 Oct;28(4):165-70
references.pmid: 11064850
references.citation: Women Health. 2002;36(2):91-109
references.pmid: 12487143
references.citation: Ann Behav Med. 2005 Oct;30(2):119-24
references.pmid: 16173908
references.citation: Circulation. 2005 Oct 25;112(17):2735-52
references.pmid: 16157765
references.citation: Health Educ Behav. 2009 Feb;36(1):167-81
references.pmid: 18669878
references.citation: JAMA. 1999 Jan 27;281(4):327-34
references.pmid: 9929085
references.citation: Am J Prev Med. 2000 Apr;18(3):235-41
references.pmid: 10722990
references.citation: Res Q Exerc Sport. 2006 Mar;77(1):64-80
references.pmid: 16646354
references.citation: Res Q Exerc Sport. 2000 Dec;71(4):313-21
references.pmid: 11125529
references.citation: Health Educ Behav. 1998 Oct;25(5):640-52
references.pmid: 9768383
references.citation: Circulation. 2007 Aug 28;116(9):1081-93
references.pmid: 17671237
references.citation: J Natl Med Assoc. 2001 Dec;93(12):475-80
references.pmid: 11800276