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/肥胖的患病率几乎为75％。过度肥胖与癌症和癌症预后不良的风险增加有关。我们提出了一项随机对照试验（RCT），以使用基于社区的参与性研究（CBPR）方法来适应和测试夏威夷本地夏威夷服务组织中的基于证据的减肥干预措施。拟议的5年研究通过我们之前的两个NIH资助的项目C The Healthy Worksite（DHW）的发现提供了信息。项目和Pili生活方式干预（PILI）。 Pili已经在夏威夷夏威夷土著社区进行了改编和测试。该提案将在夏威夷当地的工作人员中调整和测试，他们表示有兴趣建立工作地点健康计划。具体来说，我们会的 1）在夏威夷当地服务组织中适应和实施pili wt损失和pili维护，与员工代表合作，确定如何最好地与工作人员中的员工（pili wt损失和pili维护）一起实施干预措施，将其称为pili（g）工作）。 2）在参加Pili@Work的员工中，测试DVD格式的Pili维护是否与Pili Vaintenance的效果一样有效，以维持完成PILI WT损失的员工的体重减轻。 成功完成后，我们希望证明使用简单技术（例如DVD或同行小组讲师）可以维持减肥后的维护计划。我们希望这些发现可以推断到其他太平洋岛民社区，也许可以推断出全国和更广泛的太平洋地区。未来的研究可能包括根据我们当前的PILI@工作研究的设计和实施，在部落或其他太平洋岛民社区中进行了文化范围的计划。我们还设想在工作场所使用DVD，以鼓励有超重，肥胖或其他慢性健康状况的员工之间的其他健康行为。