Obesity and overweight are well recognized public health concerns in the US and the magnitude of excess weight is greater among racial/ethnic minority populations. For Native Hawaiians (NHs) and Pacific Peoples (PPs) 70 to 80% of adults are estimated to be overweight or obese. Obesity-related disparities such as diabetes and heart disease (CVD) are also increasing among NHs and PPs. To address obesity and related disparities, a community-based participatory research (CBPR) partnership was formed entitled, the Partnership for Improving Lifestyle Interventions (PILI) 'Ohana Program (Pili meaning relationship and 'Ohana meaning family). The PILI 'Ohana Program (POP) consists of 5 community organizations and the Department of Native Hawaiian Health (DNHH) at the John A. Burns School of Medicine (JABSOM) of the University of Hawai'i (UH). With a 3-year CBPR planning grant from the National Center on Minority Health and Health Disparities (NCMHD), the POP was successful at establishing this community-academic partnership aimed at obesity-related disparities in Hawai'i and in implementing a pilot intervention to address weight loss maintenance (the PILI 'Ohana Intervention) in NHs and PPs, which serves as preliminary data for this application. Thus, this grant application is a 5-year intervention study for the POP 1) to conduct a more definitive study of weight loss maintenance in NHs and PPs and 2) to identify the aspects of the POP's community-academic partnership that fosters a co-learning and co-equal environment.
The specific aims are as follow: 1) To identify the aspects of the PILI 'Ohana (family + community focused) Intervention deemed effective by former participants and community-peer educators of the pilot intervention. 2) To test whether a face-to-face or DVD delivery method of the PILI 'Ohana intervention is effective in improving weight loss maintenance versus a control group in NHs and PPs. 3) To identify the strengths of the PILI 'Ohana Program that supports a co-learning and co-equal environment.
Aim 1 will be addressed using a focus group methodology to gather information from participants of the pilot intervention and the community-peer educators of the intervention.
Aim 2 will be addressed via a 3-arm (2 intervention arms and a control group) randomized control trial (RCT).
Aim 3 will be addressed using an ethnographic approach featuring observational techniques.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Resource-Related Research Projects (R24)
Project #
5R24MD001660-08
Application #
8232958
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Dankwa-Mullan, Irene
Project Start
2005-09-30
Project End
2013-02-28
Budget Start
2012-03-01
Budget End
2013-02-28
Support Year
8
Fiscal Year
2012
Total Cost
$523,344
Indirect Cost
$92,658
Name
University of Hawaii
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
965088057
City
Honolulu
State
HI
Country
United States
Zip Code
96822
Ing, Claire Townsend; Zhang, Guangxing; Dillard, Adrienne et al. (2016) Social Support Groups in the Maintenance of Glycemic Control after Community-Based Intervention. J Diabetes Res 2016:7913258
Townsend, Claire K M; Miyamoto, Robin E S; Antonio, Mapuana et al. (2016) The PILI@Work Program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai'i. Transl Behav Med 6:190-201
Townsend, Claire K M; Dillard, Adrienne; Hosoda, Kelsea K et al. (2015) Community-Based Participatory Research Integrates Behavioral and Biological Research to Achieve Health Equity for Native Hawaiians. Int J Environ Res Public Health 13:ijerph13010004
Kaholokula, Joseph Keawe'aimoku; Kekauoha, Puni; Dillard, Adrienne et al. (2014) The PILI 'Ohana Project: a community-academic partnership to achieve metabolic health equity in Hawai'i. Hawaii J Med Public Health 73:29-33
Townsend, Claire; Takishima-Lacasa, Julie Y; Latner, Janet D et al. (2014) Ethnic and gender differences in ideal body size and related attitudes among Asians, Native Hawaiians, and Whites. Hawaii J Med Public Health 73:236-43
Kaholokula, J K; Wilson, R E; Townsend, C K M et al. (2014) Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: the PILI 'Ohana Project. Transl Behav Med 4:149-59
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Ichiho, Henry M; Tolenoa, Nena; Taulung, Livinson et al. (2013) An assessment of non-communicable diseases, diabetes, and related risk factors in the Federated States of Micronesia, State of Kosrae: a systems perspective. Hawaii J Med Public Health 72:39-48
Ichiho, Henry M; Seremai, Johannes; Trinidad, Richard et al. (2013) An assessment of non-communicable diseases, diabetes, and related risk factors in the Republic of the Marshall Islands, Kwajelein Atoll, Ebeye Island: a systems perspective. Hawaii J Med Public Health 72:77-86

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