Research Project

研究项目

• 批准号: 8323990
• 负责人: CLAYTON D K CHONG
• 金额: $ 18.31万
• 依托单位: PAPA OLA LOKAHI
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-01 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8323990
• 关键词: Adjuvant; Affect; Behavior; Body Weight decreased; Breast; Cancer Patient; Chronic; Clinical Trials; Colon; Communities; Diabetes Mellitus; Employee; Endometrium; Family; Funding; Future; Hawaii; Hawaiian population; Health; Heart Diseases; Intervention; Maintenance; Malignant Neoplasms; Obesity; Outcome; Overweight; Pacific Island Americans; Peer Group; Prevalence; Randomized Controlled Trials; Rectum; Research; Research Project Grants; Risk; Technology; Testing; United States National Institutes of Health; Wellness Program; Work; Workplace; base; cancer risk; community based participatory research; design; evidence base; instructor; interest; lifestyle intervention; malignant breast neoplasm; programs; treatment trial; weight loss intervention

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.

夏威夷原住民超重/肥胖的患病率接近 75%。过度肥胖与癌症风险增加和癌症结果不佳有关。我们提出了一项随机对照试验 (RCT)，采用基于社区的参与性研究 (CBPR) 方法，调整和测试基于证据的减肥干预措施，供夏威夷原住民服务组织使用。拟议的为期 5 年的研究以我们之前的两个 NIH 资助项目 C 设计健康工作场所 (DHW) 的研究结果为基础。项目和 PILI 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。该提案将在已表示有兴趣建立工作场所健康计划的夏威夷原住民服务工作场所进行调整和测试。具体来说，我们将 1) 在夏威夷原住民服务组织中调整和实施 PILI 重量损失和 PILI 维护，与员工代表合作，确定如何在工作场所对员工最好地实施干预措施（PILI 重量损失和 PILI 维护统称为 PILI(g)Work）。 2) 在参与 PILI@Work 的员工中，测试 DVD 格式的 PILI Maintenance 是否与团体中的 PILI Maintenance 一样有效地维持完成 PILI Wt Loss 的员工的体重减轻。 成功完成后，我们希望证明减肥后的维持计划可以使用简单的技术（例如 DVD 或同伴小组指导员）持续进行。我们预计这些发现可以推广到其他太平洋岛民社区或全国和更广泛的太平洋地区的其他原住民社区。未来的研究可能包括基于我们当前 PILI@Work 研究的设计和实施，在部落或其他太平洋岛民社区中制定文化定制项目。我们还设想在工作场所使用 DVD 来鼓励有超重、肥胖或其他慢性健康问题风险的员工采取其他健康行为。