Pathways: A culturally appropriate obesity-prevention program for American Indian schoolchildren

Sally M. Davis, Scott B. Going, Deborah L. Helitzer, Nicolette I. Teufel, Patricia Snyder, Joel Gittelsohn, Lauve Metcalfe, Vivian Arviso, Marguerite Evans, Mary Smyth, Richard Brice, Jackie Altaha

Research output: Contribution to journalArticlepeer-review

86 Scopus citations


Pathways, a culturally appropriate obesity prevention study for third-, fourth-, and fifth-grade American Indian schoolchildren includes an intervention that promotes increased physical activity and healthful eating behaviors. The Pathways intervention, developed through a collaboration of universities and American Indian nations, schools, and families, focuses on individual, behavioral, and environmental factors and merges constructs from social learning theory with American Indian customs and practices. We describe the Pathways program developed during 3 y of feasibility testing in American Indian schools, with special emphasis on the activities developed for the third grade; review the theoretical and cultural underpinnings of the program; outline the construction process of the intervention; detail the curriculum and physical education components of the intervention; and summarize the formative assessment and the school food service and family components of the intervention.

Original languageEnglish (US)
Pages (from-to)796S-802S
JournalAmerican Journal of Clinical Nutrition
Issue number4 SUPPL.
StatePublished - Apr 1999
Externally publishedYes


  • American Indians
  • Culturally appropriate intervention
  • Obesity prevention
  • Pathways
  • Physical activity
  • School-based prevention
  • Schoolchildren

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics


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