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/肥胖的患病率几乎达到75%。过度肥胖与癌症风险增加和癌症预后不良有关。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，对夏威夷土著服务组织使用的循证减肥干预措施进行调整和测试。拟议的5年研究是由我们以前的两个NIH资助的项目C设计健康的工作场所（DHW）的结果。皮利Lifestyle Intervention（皮利）皮利已经在夏威夷的夏威夷土著社区进行了调整和测试。这项建议将在夏威夷土著服务的工作场所进行调整和测试，这些工作场所表示有兴趣建立工作场所健康计划。具体来说，我们将 1)在夏威夷土著服务组织中调整和实施皮利Wt Loss和皮利Maintenance，与员工代表合作，确定如何最好地对工作场所的员工实施干预（皮利Wt Loss和皮利Maintenance一起称为皮利（g）Work）。 2)在参与皮利@Work的员工中，测试DVD格式的皮利维护在维持完成皮利体重减轻的员工的体重减轻方面是否与集团皮利维护一样有效。 在成功完成后，我们希望证明减肥后的维护计划可以使用简单的技术来维持，例如DVD或同伴小组教练。我们希望这些发现可以外推到其他太平洋岛民社区，或者全国和更广泛的太平洋地区的其他土著社区。未来的研究可能包括基于我们目前皮利@Work研究的设计和实施的部落或其他太平洋岛民社区的文化定制计划。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风险的员工采取其他健康行为。