Partnerships to Overcome Obesity Disparities in Hawaii

描述(申请人提供)：此申请是一项为期3年的计划拨款，旨在建立社区-学术合作伙伴关系，旨在解决夏威夷原住民(NHS)和太平洋人民(PPS)(包括菲律宾人和其他太平洋岛民)与肥胖相关的健康差距。这一名为改善生活方式干预伙伴关系(PILI)的Ohana计划(PILI的意思是关系，Ohana的意思是家庭)，包括10个社区组织和一个来自该部的研究团队。夏威夷土著卫生部长将在研究过程的所有阶段使用CBPR方法，以实施干预措施，以减少NH和PP社区的肥胖差距。在美国，肥胖和超重是公认的公共健康问题，在种族/少数民族人群中超重的程度更大。在国民健康保险制度中，据估计，70%至80%的成年人口超重或肥胖。在NHS和PPS中，与肥胖相关的差异，如糖尿病和心脏病(CVD)，也在增加。NHS的心血管疾病或糖尿病的死亡率并没有改善，甚至可能还在上升。因此，PILI的Ohana计划将开发一项试点干预措施，通过以下具体目标为更明确的假设驱动的5年研究提供初步数据：1)建立社区-学术行政结构，组织和促进共同学习环境，以实施研究活动，以克服NH和PP社区的健康差距。2)开展社区评估，重点了解与肥胖相关的健康差距，以及在为NHS和PPS提供服务的3种不同类型的社区组织中减少这些差距的潜在干预措施。3)制定一项干预方案，将社区专业知识和科学研究方法的最佳组合纳入试点干预方案，以解决NHS和PPS的减肥问题。4)实施一项先导性研究，以确定在接受标准的个人重点行为干预后，与标准随访相比，家庭加社区重点干预是否会改善超重/肥胖的NH和PP成年人的减肥效果。PILI‘Ohana计划的社区和研究人员致力于发展一个共同学习的环境，进行干预措施，不仅将控制肥胖，还将通过发展和培育值得信赖的合作伙伴关系来改善他们社区的健康。

DESCRIPTION (provided by applicant): This application is a 3-year planning grant to establish community-academic partnerships aimed at obesity related health disparities in Native Hawaiians (NHs) and Pacific Peoples (PPs) which includes Filipinos and other Pacific Islanders. This partnership, entitled Partnerships for Improving Lifestyle Interventions (PILI) 'Ohana Program (Pili meaning relationship and 'ohana meaning family), includes 10 community organizations and a team of researchers from the Dept. of Native Hawaiian Health who will use CBPR approaches in all phases of the research process to implement an intervention to reduce obesity disparities in NH and PP communities. Obesity and overweight are well recognized public health problems in the U.S. and the magnitude of excess weight is greater among racial/ethnic minority populations. Among NHs, 70 to 80% of the adult population is estimated to be overweight or obese. Obesity-related disparities such as diabetes and heart disease (CVD) are also increasing among NHs and PPs. Mortality rates have not improved for CVD or DM for NHs and may even be on the rise. Thus, the PILI 'Ohana Program will develop a pilot intervention that will provide preliminary data for a more definitive hypothesis-driven 5-year research study through the following specific aims: 1) Establish a community-academic administrative structure that will organize and foster a co-learning environment to implement research activities to overcome health disparities in NH and PP communities. 2) Conduct community assessments focused on understanding obesity related health disparities and potential interventions to reduce these disparities across 3 different types of community organizations serving NHs and PPs. 3) Develop an intervention protocol that will integrate the best combination of community expertise and scientific research methods into a pilot intervention that will address maintenance of weight loss in NHs and PPs. 4) Implement a pilot study to determine whether a Family plus Community focused intervention will improve weight loss maintenance compared to Standard follow-up in overweight/obese NH and PP adults after receiving a standard individual focused behavioral intervention. The communities and researchers of the PILI 'Ohana Program are deeply committed to developing a co-learning environment to conduct interventions that will not only control obesity but also improve the health of their communities by developing and nurturing trustworthy partnerships.