PILI 'Ohana Project: Partnerships to Overcome Obesity Disparities in Hawai'i

描述（由申请人提供）：肥胖和超重是美国公认的公共卫生问题，超重的程度在种族/少数民族人群中更大。对于夏威夷原住民（NH）和太平洋民族（PP），估计70%至80%的成年人超重或肥胖。与肥胖相关的差异，如糖尿病和心脏病（CVD），也在NH和PP之间增加。为了解决肥胖和相关的不平等问题，建立了一个以社区为基础的参与性研究伙伴关系，名为"改善生活方式干预伙伴关系“Ohana方案（皮利是指关系，”Ohana“是指家庭）。皮利'Ohana计划（POP）由5个社区组织和夏威夷原住民健康部（DNHH）组成。夏威夷大学伯恩斯医学院（JABSOM）。在国家少数民族健康和健康差异中心（NCMHD）为期3年的CBPR规划拨款下，POP成功地建立了这种社区-学术合作伙伴关系，旨在解决夏威夷与肥胖相关的差异，并在NH和PP中实施了一项试点干预措施，以解决减肥维持（皮利'Ohana干预），这是该应用程序的初步数据。因此，这项拨款申请是POP的一项为期5年的干预研究：1）对NHS和PP的减肥维持进行更明确的研究，2）确定POP的社区-学术伙伴关系的各个方面，以促进共同学习和共同平等的环境。具体目标如下：1）确定试点干预措施的前参与者和社区同伴教育者认为皮利'Ohana（以家庭+社区为重点）干预措施有效的方面。2)为了测试皮利'Ohana干预的面对面或DVD交付方法是否能有效改善NH和PP中对照组的减肥维持。3)确定皮利'Ohana计划支持共同学习和共同平等环境的优势。目标1将采用焦点小组方法，从试点干预措施的参与者和干预措施的社区同伴教育者那里收集信息。目标2将通过一项3组（2个干预组和1个对照组）随机对照试验（RCT）来解决。目标3将采用以观察技术为特色的人种学方法来解决。

DESCRIPTION (provided by applicant): 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.