Positive Action for Today's Health

NCT01025726 | Completed DMC

• 2 other identifiers: Pro00005110R01DK067615
• Study Type: interventional
• Target: 439
• Locations: 1 country
• Sites: 3

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.

Conditions

Obesity

Outcome Measures

Primary Outcomes (1)

• Physical Activity (Accelerometer)

  0, 6, 12, 18, 24 months

Secondary Outcomes (2)

• Blood Pressure

  0, 6, 12, 18, 24 months

• Body Mass Index (BMI)

  0, 6, 12, 18, 24 months

Study Arms (3)

Full Intervention

EXPERIMENTAL

Police Patrolled Walking Program plus Social Marketing Intervention

Behavioral: Police Patrolled Walking plus Social Marketing

Walking Only

EXPERIMENTAL

Police Patrolled Walking Only Intervention

Behavioral: Police Patrolled Walking Program Only

General Health

ACTIVE COMPARATOR

General Health Education Intervention

Behavioral: General Health Education

Interventions

Police Patrolled Walking plus Social Marketing BEHAVIORAL

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

Full Intervention

Police Patrolled Walking Program Only BEHAVIORAL

Identify walking route, hire walking leaders and police support, maintain route and monitor stray dogs

Walking Only

General Health Education BEHAVIORAL

Host community events for chronic disease education

General Health

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• University of South Carolina: lead
• National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK): collaborator

Study Sites (3)

Pee Dee CAP Weed & Seed

Florence, South Carolina, 29506, United States

Location

Ministry of Reconcilliation

Orangeburg, South Carolina, 29115, United States

Location

M.H. Newton Family Life Enrichment Center

Sumter, South Carolina, 29150, United States

Location

Related Publications (4)

• 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. 2021 Jul 22;55(8):708-719. doi: 10.1093/abm/kaaa063.

  PMID: 32914830 DERIVED

• 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.

  PMID: 31148501 DERIVED

• 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.

  PMID: 28532489 DERIVED

• 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.

  PMID: 25385203 DERIVED

MeSH Terms

Conditions

Obesity

Interventions

Social Marketing

Condition Hierarchy (Ancestors)

Overweight; Overnutrition; Nutrition Disorders; Nutritional and Metabolic Diseases; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Marketing; Commerce; Technology, Industry, and Agriculture; Marketing of Health Services; Health Services Accessibility; Delivery of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• Dawn K Wilson, PhD

  University of South Carolina

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: December 1, 2009
• First Posted: December 3, 2009
• Study Start: July 1, 2007
• Primary Completion: June 1, 2011
• Study Completion: June 1, 2012
• Last Updated: January 19, 2023

Record last verified: 2012-09

Locations

US (3)