Designing and implementing pathways-a culturally appropriate obesity prevention project for American Indian schoolchildren

S. Davis, V. Arviso, L. Metcalfe, M. Smvth, P. Snvder, N. Teufel

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Pathways, an obesity prevention project, incorporates social learning theory (SLT) and cultural constructs into a well-integrated school-based program. The multifaceted and complex intervention emphasizes physical activity and healthful eating. Using SLT, Pathways supports healthful changes in the environment, including changes in foods served at school, promoting healthy role models, providing new opportunities, reducing barriers and creating peer support. Pathways intervention also promotes changes in health knowledge, values, skills, and sense of personal control. In addition to adding to students' repertoire of alternatives, Pathways provides them with experience and support in self-monitoring and goal selling. These SLT attributes have been tailored to suit the population of this study. Critical cultural considerations include: 1) American Indians as members of the development and implementation team; 2) storytelling and group activities as teaching methods; 3) the inclusion of traditional stories, games, and customs; 4) a curriculum motif of American Indian children; and 5) local parent advisory committees. We describe the process and include examples for each of four components developed for grades 3-4 including: 1) a classroom curriculum; 2) family activities that complement the curriculum; 3) a physical activity and recess curriculum; and 4) a school food service component. Teachers and other staff from six pilot schools have been trained and have field-tested Pathways.

Original languageEnglish (US)
Pages (from-to)A815
JournalFASEB Journal
Issue number3
StatePublished - 1996
Externally publishedYes

ASJC Scopus subject areas

  • Biotechnology
  • Biochemistry
  • Molecular Biology
  • Genetics


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