title: The PILI@Work Program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai'i.
abstract: A previously translated Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was adapted for delivery as a worksite-based intervention, called PILI@Work, to address obesity disparities in Native Hawaiians/Pacific Islanders. This study examined the effectiveness of PILI@Work and factors associated with weight loss at post-intervention. Overweight/obese employees of 15 Native Hawaiian-serving organizations received the 3-month component of PILI@Work. Assessments included weight, systolic/diastolic blood pressure, physical activity and functioning, fat intake, locus of weight control, social support, and self-efficacy. Weight, systolic/diastolic blood pressure, physical functioning, physical activity frequency, fat intake, family support, and eating self-efficacy improved from pre- to post-intervention. Regression analysis indicated that worksite type, decreased diastolic blood pressure, increased physical activity, and more internalized locus of weight control were significantly associated with 3-month weight loss. PILI@Work initiated weight loss in Native Hawaiians/Pacific Islanders. DPP-LI translated to worksite settings and tailored for specific populations can be effective for addressing obesity.
authors.affiliation: Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA. clairemt@hawaii.edu.
authors.forename: Claire K M
authors.initials: CK
authors.lastname: Townsend
authors.affiliation: Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA.
authors.forename: Robin E S
authors.initials: RE
authors.lastname: Miyamoto
authors.affiliation: Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA.
authors.forename: Mapuana
authors.initials: M
authors.lastname: Antonio
authors.affiliation: Office of Biostatistics & Quantitative Health Sciences John A Burns School of Medicine, University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Guangxing
authors.initials: G
authors.lastname: Zhang
authors.affiliation: Native Hawaiian Health Program, Queen's Health Systems, Honolulu, HI, USA.
authors.forename: Diane
authors.initials: D
authors.lastname: Paloma
authors.affiliation: Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA.
authors.forename: DeAnna
authors.initials: D
authors.lastname: Basques
authors.affiliation: Office of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI, USA.
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Braun
authors.affiliation: Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawai'i at Mānoa, 677 Ala Moana Blvd, Suite 1016, Honolulu, HI, 96813, USA.
authors.forename: Joseph Keawe'aimoku
authors.initials: JK
authors.lastname: Kaholokula
mesh_terms: D000328:Adult; D003150:Community Health Workers / Q000458:organization & administration*; D003920:Diabetes Mellitus / Q000208:ethnology / Q000517:prevention & control*; D005260:Female; D006254:Hawaii; D006266:Health Education; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D044468:Native Hawaiian or Pacific Islander; D009765:Obesity / Q000208:ethnology / Q000517:prevention & control*; D009786:Occupational Health Services / Q000458:organization & administration; D015397:Program Evaluation; D012044:Regression Analysis; D040242:Risk Reduction Behavior; D061217:Weight Reduction Programs / Q000458:organization & administration*
keywords: DPP translation; Native Hawaiians; Overweight/obesity; Worksite wellness interventions