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. 2010 Spring;4(1):7-16.
doi: 10.1353/cpr.0.0111.

Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI 'Ohana Pilot project

Marjorie K Mau  1 , Joseph Keawe'aimoku Kaholokula, Margaret R West, Anne Leake, James T Efird, Charles Rose, Donna-Marie Palakiko, Sheryl Yoshimura, Puni B Kekauoha, Henry Gomes
Affiliations

Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI 'Ohana Pilot project

Marjorie K Mau et al. Prog Community Health Partnersh. 2010 Spring.

Abstract

Background: Native Hawaiians (NH) and Other Pacific Islanders (OPI) bear an excess burden of diabetes health disparities. Translation of empirically tested interventions such as the Diabetes Prevention Program Lifestyle Intervention (DPP-LI) offers the potential for reversing these trends. Yet, little is known about how best to translate efficacious interventions into public health practice, particularly among racial/ethnic minority populations. Community-based participatory research (CBPR) is an approach that engages the community in the research process and has recently been proposed as a means to improve the translation of research into community practice.

Objectives: To address diabetes health disparities in NHOPIs, CBPR approaches were used to: (1) culturally adapt the DPP-LI for NHOPI communities; and (2) implement and examine the effectiveness of the culturally-adapted program to promote weight loss in 5 NHOPI communities.

Methods: Informant interviews (n=15) and focus groups (n=15, with 112 NHOPI participants) were completed to inform the cultural adaptation of the DPP-LI program. A team of 5 community investigators and 1 academic research team collaboratively developed and implemented the 12-week pilot study to assess the effectiveness of the culturally adapted program.

Results: A total of 127 NHOPIs participated in focus groups and informant interviews that resulted in the creation of a significantly modified version of the DPP-LI, entitled the PILI 'Ohana Lifestyle Intervention (POLI). In the pilot study, 239 NHOPIs were enrolled and after 12 weeks (post-program), mean weight loss was -1.5 kg (95%CI -2.0, -1.0) with 26% of participants losing > or = 3% of their baseline weight. Mean weight loss among participants who completed all 8 lessons at 12 weeks was significantly higher (-1.8 kg, 95%CI -2.3, -1.3) than participants who completed less than 8 lessons (-0.70 kg, 95%CI -1.1, -0.29).

Conclusion: A fully engaged CBPR approach was successful in translating an evidence based diabetes prevention program into a culturally relevant intervention for NHOPI communities. This pilot study demonstrates that weight loss in high risk minority populations can be achieved over a short period of time using CBPR approaches.

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Figures

Figure 1
Figure 1
Proposed Conceptual Model of Weight Loss for Native Hawaiians and Other Pacific Islanders
See this image and copyright information in PMC

References

    1. Executive Office of the President. Office of Management and Budget. Office of Information and Regulatory Affairs . OMB Publications Office; Washington, D.C.: Oct 30, 1997.
    1. Grandinetti A, Chang HK, Chen R, Fujimoto WY, Rodriguez BL, Curb JD. Prevalence of overweight and central adiposity is associated with percentage of indigenous ancestry among native Hawaiians. Int J Obes Relat Metab Disord. 1999;23(7):733–7. - PubMed
    1. Grandinetti A, Chang HK, Mau MK, Curb JD, Kinney EK, Sagum R, et al. Prevalence of glucose intolerance among Native Hawaiians in two rural communities. Native Hawaiian Health Research (NHHR) Project. Diabetes Care. 1998;21(4):549–54. - PubMed
    1. Mau MK, Grandinetti A, Arakaki RF, Chang HK, Kinney EK, Curb JD. The insulin resistance syndrome in native Hawaiians. Native Hawaiian Health Research (NHHR) Project. Diabetes Care. 1997;20(9):1376–80. - PubMed
    1. Florentina R, Nguyen D, Huang T. In: 2001-2003 State of Hawaii by Ethnicity - Hawaiian Behavioral Risk Factor Surveillance System. Health HSDo, editor. Honolulu: 2004.

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