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

Autor: Wilson, Dawn, Horn, M., Siceloff, E., Alia, Kassandra, St. George, Sara, Lawman, Hannah, Trumpeter, Nevelyn, Coulon, Sandra, Griffin, Sarah, Wandersman, Abraham, Egan, Brent, Colabianchi, Natalie, Forthofer, Melinda, Gadson, Barney
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Zdroj: Annals of Behavioral Medicine; Jun2015, Vol. 49 Issue 3, p398-410, 13p, 1 Diagram, 3 Charts, 3 Graphs
Abstrakt: 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). [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index