Partnerships to Improve Lifestyle Interventions (PILI) 'Ohana Dissemination Proj

描述（由申请人提供）：超重(BMI 25)/肥胖（BMI 30）和糖尿病（DM）是肥胖的后果，在美国日益严重的公共卫生危机。与一般人群相比，夏威夷原住民（NHs）、夏威夷原住民和其他太平洋民族（PPs）（如萨摩亚人、楚克人、菲律宾人）的超重/肥胖和糖尿病负担更大。这项赠款申请名为“改善生活方式干预伙伴关系（PILI）加纳传播项目”，是PILI加纳伙伴关系（PGP）一项为期8年的社区参与式研究（CBPR）倡议的延续，旨在解决夏威夷和更大太平洋地区的肥胖和相关差异问题。PGP由5个社区、学术和州组织组成，为夏威夷原住民和太平洋人民服务（NHs/PPs）。Gur CBPR的使命是将社区智慧和专业知识与科学方法相结合，以消除NH/PP社区的肥胖和相关差异。在社会行动、社会营销和创新传播理论的指导下，我们的PGP开发了一种新的社区对社区指导模式（CCMM），我们将1)在5种不同类型的社区组织中传播PGP的科学发现及其生活方式和糖尿病干预材料，这些组织为夏威夷原住民和太平洋人民服务；2)在5种不同类型的夏威夷原住民和太平洋居民社区组织中实施PGP的生活方式和糖尿病干预措施；3)利用社区参与研究（CBPR），协助发展夏威夷原住民和太平洋居民社区组织参与未来健康差异研究的能力。使用RE-AIM框架和混合方法方法，我们将评估我们的实施策略，包括上下文（例如，CBG类型），组织（例如，使命，政策，领导），个人（例如，承诺，自我效能），

DESCRIPTION (provided by applicant): Overweight (BMI>25)/obesity (Bl\/ll>30) and diabetes mellitus (DM), a consequence of obesity, are growing public health crises in the US. The burden of overweight/obesity and DM is greater among Native Hawaiians (NHs), the indigenous people of Hawaii, and other Pacific Peoples (PPs) (e.g., Samoans, Chuukese, Filipinos) compared to the general population. This grant application titled, Partnerships to Improve Lifestyle Interventions (PILI) 'Ghana Dissemination Project, is the continuation of an 8-year community-based participatory research (CBPR) initiative by the PILI 'Ghana Partnership (PGP) to address obesity and related disparities in Hawaii and the larger Pacific. The PGP is comprised of 5 community, academic, and state organizations serving Native Hawaiians and Pacific Peoples (NHs/PPs). Gur CBPR mission is to integrate community wisdom and expertise with scientific methods to eliminate obesity and related disparities in NH/PP communities. Guided by theories of social action, social marketing, and diffusion of innovations, and a novel community-to-community mentoring model (CCMM) developed by our PGP, we will 1) Disseminate the scientific discoveries of the PGP and its lifestyle and diabetes intervention materials across 5 different types of community-based organizations serving Native Hawaiians and Pacific Peoples, 2) Implement the PGP's lifestyle and diabetes interventions across 5 different types of community-based organizations serving Native Hawaiians and Pacific Peoples, and 3) Assist in developing the capacity of community-based organizations serving Native Hawaiians and Pacific Peoples to engage in future health disparities research' using community-based participatory research (CBPR). Using the RE-AIM framework and a mixed-methods approach, we will evaluate our implementation strategies to include the contextual (e.g., type of CBG), organizational (e.g., mission, policies, leadership), individual (e.g., commitment, self-efficacy), and intervention (e.g., skills, motivation, fidelity) characteristics that affect the successful adoption, implementation (to include recruitment, retention, adaptations, and fidelity), and sustainability of the interventions.