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 #
3R24MD001660-05S1
Application #
7911417
Study Section
Special Emphasis Panel (ZMD1-RN (01))
Program Officer
Goodwin, Paula
Project Start
2009-09-18
Project End
2012-09-17
Budget Start
2009-09-18
Budget End
2012-09-17
Support Year
5
Fiscal Year
2009
Total Cost
$600,000
Indirect Cost
Name
University of Hawaii
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
965088057
City
Honolulu
State
HI
Country
United States
Zip Code
96822
Kaholokula, Joseph Keawe'aimoku; Ing, Claire Townsend; Look, Mele A et al. (2018) Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. Ann Hum Biol 45:249-263
Ing, Claire Townsend; Miyamoto, Robin E S; Fang, Rui et al. (2018) Comparing Weight Loss-Maintenance Outcomes of a Worksite-Based Lifestyle Program Delivered via DVD and Face-to-Face: A Randomized Trial. Health Educ Behav 45:569-580
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
Delafield, Rebecca; Hermosura, Andrea Nacapoy; Ing, Claire Townsend et al. (2016) A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions. Prog Community Health Partnersh 10:585-595
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
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
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
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

Showing the most recent 10 out of 33 publications