Research Project

夏威夷原住民中超重/肥胖的患病率接近75%。过度肥胖与癌症风险增加和癌症预后不良有关。我们提出了一项随机对照试验（RCT），采用基于社区的参与式研究（CBPR）方法，适应和测试一种基于证据的减肥干预措施，用于夏威夷土著服务组织。这项为期5年的研究是基于我们之前两个由美国国立卫生研究院资助的项目——设计健康工作场所（DHW）的研究结果。项目和生活方式干预（PILI）。PILI已经在夏威夷的夏威夷原住民社区进行了调整和测试。该提案将在夏威夷原住民服务的工作场所进行调整和测试，这些工作场所表示有兴趣建立工作场所健康计划。具体来说，我们将

Prevalence of overweight/obesity in Native Hawaiians is almost 75%. Excess adiposity is associated with increased risks of cancer and poor cancer outcomes. We propose a randomized control trial (RCT) to adapt and test an evidence-based weight loss intervention for use in Native Hawaiian-serving organizations in Hawai'i, using a community-based participatory research (CBPR) approach. The proposed 5-year study is informed by findings from our two previous NIH-funded projects CThe Designing Healthy Worksites (DHW) . Project and The PILI Lifestyle Intervention (PILI). PILI already has been adapted and testing in Native Hawaiian communities in Hawaii. This proposal would adapt and test it in Native Hawaiian-serving worksites who have expressed an interest in establishing worksite wellness programs. Specifically, we will 1) Adapt and implement PILI Wt Loss and PILI Maintenance in Native Hawaiian-serving organizations, working with employee representatives to determine how the intervention can be best implemented with employees in worksites (PILI Wt Loss and PILI Maintenance together wdll be called PILI(g)Work). 2) Among employees participating in PILI@Work, to test whether PILI Maintenance in DVD format is as effective as PILI Maintenance in Group in maintaining weight loss for employees who complete PILI Wt Loss. Upon successful completion, we hope to demonstrate that maintenance programs after weight-loss can be sustained using simple technology, such as DVDs or peer group instructors. We expect that these findings can be extrapolated to other Pacific Islander communities or perhaps other Native communities nationwide and in the broader Pacific. Future studies could include culturally-tailored programs in tribal or other Pacific Islander communities based on the design and implementation of our current PILI@Work study. We also envision use of DVDs at the workplace to encourage other healthy behaviors among employees at risk for overweight, obesity, or other chronic health conditions.