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.

National Institute of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)
Research Project--Cooperative Agreements (U01)
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Special Emphasis Panel (ZHL1-CSR-G (O1))
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Gila River Indian Community
United States
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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; Merkle, Sarah; Story, Mary et al. (2003) School climate and implementation of the Pathways study. Prev Med 37:S97-106
Stevens, June; Story, Mary; Ring, Kim et al. (2003) The impact of the Pathways intervention on psychosocial variables related to diet and physical activity in American Indian schoolchildren. Prev Med 37:S70-9
Stone, Elaine J; Norman, James E; Davis, Sally M et al. (2003) Design, implementation, and quality control in the Pathways American-Indian multicenter trial. Prev Med 37:S13-23
Story, Mary; Snyder, M Patricia; Anliker, Jean et al. (2003) Changes in the nutrient content of school lunches: results from the Pathways study. Prev Med 37:S35-45
Davis, Sally M; Clay, Theresa; Smyth, Mary et al. (2003) Pathways curriculum and family interventions to promote healthful eating and physical activity in American Indian schoolchildren. Prev Med 37:S24-34
Caballero, Benjamin; Himes, John H; Lohman, Timothy et al. (2003) Body composition and overweight prevalence in 1704 schoolchildren from 7 American Indian communities. Am J Clin Nutr 78:308-12
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

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