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

描述(由申请人提供)：超重(BMI&>25)/肥胖(Bl\/11&>30)和糖尿病(DM)是肥胖的后果，在美国，公共卫生危机日益严重。与一般人口相比，夏威夷土著居民(NHS)、夏威夷土著居民和其他太平洋民族(如萨摩亚人、楚克人、菲律宾人)超重/肥胖和糖尿病的负担更重。这一赠款申请名为“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)为期8年的社区参与性研究(CBPR)倡议的继续，目的是解决夏威夷和大太平洋地区的肥胖和相关差距问题。PGP由5个社区、学术和州级组织组成，为夏威夷原住民和太平洋人提供服务(NHS/PPS)。GUR CBPR的使命是将社区的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距。在社会行动、社会营销和创新扩散理论的指导下，以及我们的PGP开发的新型社区到社区指导模式(CCMM)的指导下，我们将1)在5种不同类型的服务于夏威夷土著和太平洋人民的社区组织中传播PGP及其生活方式和糖尿病干预材料的科学发现，2)在5种服务于夏威夷土著和太平洋人民的不同类型的社区组织中实施PGP的生活方式和糖尿病干预措施，以及3)利用社区参与性研究(CBPR)帮助服务于夏威夷土著和太平洋人民的社区组织发展参与未来健康差距研究的能力。使用RE-AIM框架和混合方法方法，我们将评估我们的实施战略，以包括上下文(例如，CBG的类型)、组织(例如，使命、政策、领导力)、个人(例如，承诺、自我效能)、 以及影响干预措施成功采用、实施(包括招募、保留、适应和忠诚度)和可持续性的干预措施(例如，技能、动机、忠诚度)特征。

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.