Overweight (BMI>25)/obesity (Bl /ll>30) and diabetes mellitus (DM), a consequence of obesity, are growing public health crises in the US. The burden of overweight/obesity and DM is greater among Native Hawaiians (NHs), the indigenous people of Hawaii, and other Pacific Peoples (PPs) (e.g., Samoans, Chuukese, Filipinos) compared to the general population. This grant application titled, Partnerships to Improve Lifestyle Interventions (PILI) 'Ghana Dissemination Project, is the continuation of an 8-year community-based participatory research (CBPR) initiative by the PILI 'Ghana Partnership (PGP) to address obesity and related disparities in Hawaii and the larger Pacific. The PGP is comprised of 5 community, academic, and state organizations serving Native Hawaiians and Pacific Peoples (NHs/PPs). Gur CBPR mission is to integrate community wisdom and expertise with scientific methods to eliminate obesity and related disparities in NH/PP communities. Guided by theories of social action, social marketing, and diffusion of innovations, and a novel community-to-community mentoring model (CCMM) developed by our PGP, we will 1) Disseminate the scientific discoveries of the PGP and its lifestyle and diabetes intervention materials across 5 different types of community-based organizations serving Native Hawaiians and Pacific Peoples, 2) Implement the PGP's lifestyle and diabetes interventions across 5 different types of community-based organizations serving Native Hawaiians and Pacific Peoples, and 3) Assist in developing the capacity of community-based organizations serving Native Hawaiians and Pacific Peoples to engage in future health disparities research'using community-based participatory research (CBPR). Using the RE-AIM framework and a mixed-methods approach, we will evaluate our implementation strategies to include the contextual (e.g., type of CBG), organizational (e.g., mission, policies, leadership), individual (e.g., commitment, self-efficacy), and intervention (e.g., skills, motivation, fidelity) characteristics that affect the successful adoption, implementation (to include recruitment, retention, adaptations, and fidelity), and sustainability of the interventions.

Public Health Relevance

The public health relevance of the proposed research are: 1) a better understanding of how to disseminate and implement a healthy lifestyle and diabetes intervention in various community settings for NHs and PPs, 2) an increase In community organizations offering effective healthy lifestyle and diabetes interventions targeted at NH and PP, 3) enhanced capacity of community organizations serving NHs and PPs to engage in future health disparities research using participatory research approaches.

Agency
National Institute of Health (NIH)
Institute
National Institute on Minority Health and Health Disparities (NIMHD)
Type
Resource-Related Research Projects (R24)
Project #
5R24MD001660-10
Application #
8697133
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Dankwa-Mullan, Irene
Project Start
2005-09-30
Project End
2016-02-29
Budget Start
2014-03-01
Budget End
2015-02-28
Support Year
10
Fiscal Year
2014
Total Cost
$458,379
Indirect Cost
$79,698
Name
University of Hawaii
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
965088057
City
Honolulu
State
HI
Country
United States
Zip Code
96822
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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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