title: Translating the Diabetes Prevention Program in Native Hawaiian and Pacific Islander communities: the PILI 'Ohana Project.
abstract: Native Hawaiians/Pacific Islanders experience a high prevalence of overweight/obesity. The Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was translated into a 3-month community-based intervention to benefit these populations. The weight loss and other clinical and behavioral outcomes of the translated DPP-LI and the socio-demographic, behavioral, and biological factors associated with the weight loss were examined. A total of 239 Native Hawaiian/Pacific Islander adults completed the translated DPP-LI through four community-based organizations (CBOs). Changes from pre- to post-intervention assessments in weight, blood pressure, physical functioning, exercise frequency, and fat in diet were measured. Significant improvements on all variables were found, with differences observed across the four CBOs. CBOs with predominately Native Hawaiian and ethnically homogenous intervention groups had greater weight loss. General linear modeling indicated that larger baseline weight and CBO predicted weight loss. The translated DPP-LI can be effective for Native Hawaiians/Pacific Islanders, especially when socio-cultural, socio-economic, and CBO-related contextual factors are taken into account.
authors.affiliation: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, 677 Ala Moana Boulevard, Suite 1016B, Honolulu, HI 96813 USA.
authors.forename: J K
authors.initials: JK
authors.lastname: Kaholokula
authors.affiliation: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, 677 Ala Moana Boulevard, Suite 1016B, Honolulu, HI 96813 USA.
authors.forename: R E
authors.initials: RE
authors.lastname: Wilson
authors.affiliation: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, 677 Ala Moana Boulevard, Suite 1016B, Honolulu, HI 96813 USA.
authors.forename: C K M
authors.initials: CK
authors.lastname: Townsend
authors.affiliation: Biostatistics and Data Management Core, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI USA.
authors.forename: G X
authors.initials: GX
authors.lastname: Zhang
authors.affiliation: Biostatistics and Data Management Core, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI USA.
authors.forename: J
authors.initials: J
authors.lastname: Chen
authors.affiliation: Kōkua Kalihi Valley Comprehensive Family Services, Honolulu, HI USA.
authors.forename: S R
authors.initials: SR
authors.lastname: Yoshimura
authors.affiliation: Kula no nā Po'e Hawai'i, Honolulu, HI USA.
authors.forename: A
authors.initials: A
authors.lastname: Dillard
authors.affiliation: Kōkua Kalihi Valley Comprehensive Family Services, Honolulu, HI USA.
authors.forename: J W
authors.initials: JW
authors.lastname: Yokota
authors.affiliation: Ke Ola Mamo, Native Hawaiian Health Care System O'ahu, Honolulu, HI USA.
authors.forename: D M
authors.initials: DM
authors.lastname: Palakiko
authors.affiliation: Hawai'i Maoli of the Association for Hawaiian Civic Clubs, Honolulu, HI USA.
authors.forename: S
authors.initials: S
authors.lastname: Gamiao
authors.affiliation: Hawai'i Maoli of the Association for Hawaiian Civic Clubs, Honolulu, HI USA.
authors.forename: C K
authors.initials: CK
authors.lastname: Hughes
authors.affiliation: Kula no nā Po'e Hawai'i, Honolulu, HI USA.
authors.forename: B K
authors.initials: BK
authors.lastname: Kekauoha
authors.affiliation: Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, 677 Ala Moana Boulevard, Suite 1016B, Honolulu, HI 96813 USA.
authors.forename: M K
authors.initials: MK
authors.lastname: Mau
keywords: Behavioral medicine; Diabetes Prevention Program; Effectiveness research; Evidence-based lifestyle intervention; Native Hawaiian health; Obesity; Translational research; Weight loss