Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI 'Ohana Pilot project.
Translating diabetes prevention into native Hawaiian and Pacific Islander communities: the PILI 'Ohana Pilot project.
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DOI：
10.1353/cpr.0.0111
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发表时间：
2010
期刊：
影响因子：
--
通讯作者：
Gomes H
中科院分区：
文献类型：
--
作者：
Mau MK;Keawe'aimoku Kaholokula J;West MR;Leake A;Efird JT;Rose C;Palakiko DM;Yoshimura S;Kekauoha PB;Gomes H
夏威夷原住民(NHS)和其他太平洋岛民(OPIS)承受着糖尿病健康差距的额外负担。为了解决这一问题，基于社区的参与性研究(CBPR)方法被用于：1)从文化上--使糖尿病预防计划生活方式干预(DPP-LI)适用于诺皮社区；以及2)在5个诺皮社区实施和检查适应文化的计划以促进减肥的有效性。。调查者访谈(n=15)和焦点小组(n=15,112名诺皮参与者)被完成，以告知DPP-LI计划的文化适应情况。一个由5名社区调查人员和1名学术研究团队组成的团队共同开发和实施了这项为期12周的试点研究，以评估这一适应文化的计划的有效性。共有127名NHOPI参加了焦点小组和线人访谈，结果创建了一个大大修改的DPP-LI版本，名为PILI‘Ohana生活方式干预(POLI)。在先导性研究中，239名NHOPI入选，12周后(计划后)，平均体重减轻为−1.5公斤(95%CI−2.0，−1.0)，其中26%的参与者≥减重为基线体重的3%。12周时完成全部8节课的受试者平均体重减轻(−1.8 kg，95%CI−2.3，−1.3)显著高于少于8节课的受试者(−0.70 kg，95%CI−1.1，−0.29)。全面参与的CBPR方法成功地将基于证据的糖尿病预防计划转化为对诺皮社区的文化相关干预。这项初步研究表明，使用CBPR方法可以在短时间内实现高危少数群体的减肥。
Native Hawaiians (NHs) and Other Pacific Islanders (OPIs) bear an excess burden of diabetes health disparities. To address this, Community-based Participatory Research (CBPR) approaches were used to: 1) culturally-adapt the Diabetes Prevention Program Lifestyle Intervention (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. . Informant interviews (n=15) and focus groups (n=15, 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. 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 ≥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). 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.