Abstract

The Pathways Project is a comprehensive, school-based intervention designed to help reduce obesity in Native American children. Grades 3, 4, and 5 in forty schools from six American Indian nations are involved: Pima/Maricopa, Tohono O'odham, Navajo, White Mountain Apache, Oglala Lakota, and Sicangu Lakota. The intervention is implemented through representatives of the six nations and four cooperating universities: The Johns Hopkins University, the University of New Mexico, the University of Arizona, and the University of Minnesota with a fifth institution, the University of North Carolina, serving as the Coordinating Center. The design of Pathways is a randomized, controlled trial with the following components: physical activity, food service, classroom curriculum, and family involvement. The NHLBI funded a three-year feasibility study, whose results are summarized in the proposal, and now the PI's are requesting funding to begin the full-scale study, to be carried out over a five-year period.

  Funding Agency

Agency
National Institute of Health (NIH)
Institute
National Heart, Lung, and Blood Institute (NHLBI)
Type
Research Project--Cooperative Agreements (U01)
Project #
5U01HL050869-06
Application #
2750393
Study Section
Special Emphasis Panel (ZHL1-CSR-G (O1))
Project Start
1993-09-30
Project End
2001-07-31
Budget Start
1998-08-01
Budget End
1999-07-31
Support Year
6
Fiscal Year
1998
Total Cost
Indirect Cost

  Institution

Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
045911138
City
Baltimore
State
MD
Country
United States
Zip Code
21218

  Publications

Page-Reeves, Janet; Davis, Sally; Romero, Camilla et al. (2015) Understanding ""agency"" in the translation of a health promotion program. Prev Sci 16:11-20
Going, Scott B (2010) Physical activity measurements: lessons learned from the pathways study. J Public Health Manag Pract 16:420-5
Stevens, June; Suchindran, Chirayath; Ring, Kim et al. (2004) Physical activity as a predictor of body composition in American Indian children. Obes Res 12:1974-80
Gittelsohn, Joel; Davis, Sally M; Steckler, Allan et al. (2003) Pathways: lessons learned and future directions for school-based interventions among American Indians. Prev Med 37:S107-12
Cunningham-Sabo, Leslie; Snyder, M Patricia; Anliker, Jean et al. (2003) Impact of the Pathways food service intervention on breakfast served in American-Indian schools. Prev Med 37:S46-54
Himes, John H; Ring, Kim; Gittelsohn, Joel et al. (2003) Impact of the Pathways intervention on dietary intakes of American Indian schoolchildren. Prev Med 37:S55-61
Steckler, Allan; Ethelbah, Becky; Martin, Catherine Jane et al. (2003) Pathways process evaluation results: a school-based prevention trial to promote healthful diet and physical activity in American Indian third, fourth, and fifth grade students. Prev Med 37:S80-90
Caballero, Benjamin; Clay, Theresa; Davis, Sally M et al. (2003) Pathways: a school-based, randomized controlled trial for the prevention of obesity in American Indian schoolchildren. Am J Clin Nutr 78:1030-8
Story, Mary; Stevens, June; Himes, John et al. (2003) Obesity in American-Indian children: prevalence, consequences, and prevention. Prev Med 37:S3-12
Going, Scott; Thompson, Janice; Cano, Stephanie et al. (2003) The effects of the Pathways Obesity Prevention Program on physical activity in American Indian children. Prev Med 37:S62-9

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