Partnerships to Overcome Obesity Disparities in Hawaii

描述（由申请人提供）：此申请是一项为期3年的计划拨款，旨在建立社区学术合作伙伴关系，旨在解决夏威夷原住民（NHs）和太平洋人民（PPs）（包括菲律宾人和其他太平洋岛民）与肥胖相关的健康差异。这一伙伴关系名为“改善生活方式干预伙伴关系”（PILI的意思是关系，Ohana的意思是家庭），包括10个社区组织和一组来自夏威夷原住民健康部门的研究人员，他们将在研究过程的各个阶段使用CBPR方法来实施干预措施，以减少NH和PP社区的肥胖差异。在美国，肥胖和超重是公认的公共健康问题，在少数种族/民族人群中，超重的程度更大。在NHs中，估计70%至80%的成年人超重或肥胖。在NHs和PPs中，糖尿病和心脏病（CVD）等与肥胖相关的差异也在增加。心血管疾病和糖尿病的死亡率并没有得到改善，甚至可能还在上升。因此，PILI的奥哈纳计划将制定一项试点干预措施，通过以下具体目标为更明确的假设驱动的5年研究提供初步数据：1)建立一个社区学术行政结构，组织和促进共同学习环境，以实施研究活动，以克服NH和PP社区的健康差距。2)开展社区评估，重点了解肥胖相关的健康差异和潜在的干预措施，以减少这些差异在3种不同类型的社区组织服务NHs和PPs。3)制定一项干预方案，将社区专业知识和科学研究方法的最佳组合整合到一项试点干预措施中，以解决NHs和PPs中减肥的维持问题。4)实施一项试点研究，以确定在接受标准的以个人为重点的行为干预后，与超重/肥胖的NH和PP成年人的标准随访相比，以家庭加社区为重点的干预是否能改善减肥的维持。PILI 'Ohana项目的社区和研究人员坚定地致力于开发一个共同学习的环境，通过发展和培养值得信赖的伙伴关系，进行干预，不仅可以控制肥胖，还可以改善社区的健康。

DESCRIPTION (provided by applicant): This application is a 3-year planning grant to establish community-academic partnerships aimed at obesity related health disparities in Native Hawaiians (NHs) and Pacific Peoples (PPs) which includes Filipinos and other Pacific Islanders. This partnership, entitled Partnerships for Improving Lifestyle Interventions (PILI) 'Ohana Program (Pili meaning relationship and 'ohana meaning family), includes 10 community organizations and a team of researchers from the Dept. of Native Hawaiian Health who will use CBPR approaches in all phases of the research process to implement an intervention to reduce obesity disparities in NH and PP communities. Obesity and overweight are well recognized public health problems in the U.S. and the magnitude of excess weight is greater among racial/ethnic minority populations. Among NHs, 70 to 80% of the adult population is estimated to be overweight or obese. Obesity-related disparities such as diabetes and heart disease (CVD) are also increasing among NHs and PPs. Mortality rates have not improved for CVD or DM for NHs and may even be on the rise. Thus, the PILI 'Ohana Program will develop a pilot intervention that will provide preliminary data for a more definitive hypothesis-driven 5-year research study through the following specific aims: 1) Establish a community-academic administrative structure that will organize and foster a co-learning environment to implement research activities to overcome health disparities in NH and PP communities. 2) Conduct community assessments focused on understanding obesity related health disparities and potential interventions to reduce these disparities across 3 different types of community organizations serving NHs and PPs. 3) Develop an intervention protocol that will integrate the best combination of community expertise and scientific research methods into a pilot intervention that will address maintenance of weight loss in NHs and PPs. 4) Implement a pilot study to determine whether a Family plus Community focused intervention will improve weight loss maintenance compared to Standard follow-up in overweight/obese NH and PP adults after receiving a standard individual focused behavioral intervention. The communities and researchers of the PILI 'Ohana Program are deeply committed to developing a co-learning environment to conduct interventions that will not only control obesity but also improve the health of their communities by developing and nurturing trustworthy partnerships.