Pathways family intervention for third-grade American Indian children

Nicolette I. Teufel, Cheryl L. Perry, Mary Story, Hilary G. Flint-Wagner, Sarah Levin, Theresa E. Clay, Sally M. Davis, Joel Gittelsohn, Jackie Altaha, Juanita L. Pablo

Research output: Contribution to journalArticlepeer-review

26 Scopus citations


The goal of the feasibility phase of the Pathways family intervention was to work with families of third-grade American Indian children to reinforce health behaviors being promoted by the curriculum, food service, and physical activity components of this school-based obesity prevention intervention. Family behaviors regarding food choices and physical activity were identified and ranked according to priority by using formative assessment and a literature review of school-based programs that included a family component. The family intervention involved 3 primary strategies designed to create an informed home environment supportive of behavioral change: 1) giving the children 'family packs' containing worksheets, interactive assignments, healthful snacks, and low-fat tips and recipes to take home to share with their families; 2) implementing family events at the school to provide a fun atmosphere in which health education concepts could be introduced and reinforced; and 3) forming school-based family advisory councils composed of family members and community volunteers who provided feedback on Pathways strategies, helped negotiate barriers, and explored ideas for continued family participation. For strategy 2, a kick-off Family Fun Night provided a series of learning booths that presented the healthful behaviors taught by Pathways. At an end-of-year Family Celebration, a healthy meal was served, students demonstrated newly learned Pathways activities, and certificates were presented in recognition of completion of the Pathways curriculum. Based on evaluation forms and attendance rosters, strategies 1 and 2 were more easily implemented and better received than strategy 3. Implications for developing family involvement strategies for intervention programs are discussed.

Original languageEnglish (US)
Pages (from-to)803S-809S
JournalAmerican Journal of Clinical Nutrition
Issue number4 SUPPL.
StatePublished - Apr 1999
Externally publishedYes


  • American Indians
  • Children
  • Exercise
  • Family
  • Health attitudes
  • Health behaviors
  • Health education
  • Health promotion
  • Low-fat diet
  • Nutrition intervention obesity prevention
  • Parents
  • Physical activity

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Nutrition and Dietetics


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