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Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: the PILI 'Ohana
J K Kaholokula1, R E Wilson1, C K M Townsend1
1Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, 677 Ala Moana Boulevard, Suite 1016B, Honolulu, HI 96813 USA.
Translational Behavioral Medicine
|June 7, 2014
Summary
The Diabetes Prevention Program Lifestyle Intervention (DPP-LI) effectively reduced weight and improved health for Native Hawaiians/Pacific Islanders. Culturally tailored programs within community settings showed the best results.
Area of Science:
- Public Health
- Preventive Medicine
- Health Disparities
Background:
- Native Hawaiians/Pacific Islanders face high rates of overweight and obesity.
- Lifestyle interventions are crucial for managing these health issues in vulnerable populations.
Purpose of the Study:
- To evaluate the effectiveness of a translated Diabetes Prevention Program Lifestyle Intervention (DPP-LI).
- To identify factors associated with weight loss in Native Hawaiian/Pacific Islander adults.
Main Methods:
- A 3-month community-based intervention involving 239 adults.
- Measurements included weight, blood pressure, physical functioning, exercise frequency, and dietary fat intake.
- General linear modeling was used to analyze predictors of weight loss.
Main Results:
- Significant improvements were observed in weight, blood pressure, physical functioning, exercise, and diet.
- Community-based organizations (CBOs) with predominantly Native Hawaiian and ethnically homogenous groups achieved greater weight loss.
- Baseline weight and CBO characteristics predicted weight loss outcomes.
Conclusions:
- The translated DPP-LI is effective for Native Hawaiians/Pacific Islanders.
- Socio-cultural, socio-economic, and CBO-specific contextual factors enhance intervention effectiveness.
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