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Background: Health Impact Assessments (HIA) are used to measure the effect of policies and/or projects that influence the health of populations. As a way to increase HIA practitioners, university courses in HIA can benefit both students and community organizations by presenting real-world opportunities for students to conduct HIA while partnering with community organizations or policy makers. Methods: As a course assessment, students in a graduate-level public health course conducted a rapid six step HIA of three potential expansion routes of the Indiana Cultural Trail (ICT). The six steps were 1) screening, 2) scoping, 3) assessment, 4) recommendations, 5) reporting, and 6) monitoring and evaluation. To complete the HIA, students examined local health data, conducted walkability assessments, and conducted seven key stakeholder interviews. Results: The analysis results show that the Riley Hospital Drive/Gateway Bridge (route 3) was the best potential route for expansion due to traffic safety considerations and the impact on residential parking in the adjacent Ransom Place neighborhood. In general, the key informants were in favor of the expansion, with the two most cited reasons being additional space for exercise and recreation and the potential economic impact and connection to local businesses in the area. Conclusion: Through the course assessment, students determined the expansion across the proposed Gateway Bridge would combat parking issues associated with expanding the trail through Ransom Place as well as be the safest way for pedestrians and vehicle traffic to approach large intersections. The ICT trail expansion could lead to improved health outcomes by offering additional space for exercise, recreation, and active transportation.

Expanding The Indianapolis Cultural Trail: A Health Impact Assessment