218574 PILI ‘Ohana Project: A CBPR Approach to Eliminate Obesity Disparities in Hawai‘i

Monday, November 8, 2010

Joseph Keawe'aimoku Kaholokula, PhD , John A Burns School of Medicine, Department of Native Hawaiian Health, University of Hawaii, Honolulu, HI
Donna Marie Palakiko, MS, RN , Ke Ola Mamo, Honolulu, HI
Sheryl Yoshimura, BS, RD , Kokua Kalihi Valley, Honolulu, HI
Puni Kekauoha , Kula no na Po'e Hawai'i, Honolulu, HI
Charles Rose , Hawaii Maoli, Honolulu, HI
Claire Townsend, MPH , Dept of Native Hawaiian Health, University of Hawaii, Honolulu, HI
Introduction: Overweight and obesity are growing epidemics in the U.S. For Native Hawaiians (NHs) and other Pacific Peoples (PPs), the prevalence of overweight/obesity (BMI >25) is among the highest at 75.2%. Thus, obesity-related conditions are major health problems in these populations. The PILI ‘Ohana CBPR partnership (POP) was formed to address obesity disparities in Hawai‘i and is comprised of researchers from 4 community organizations and the University of Hawai‘i. Results/Discussion: The community partners conducted an obesity related needs/assets assessment of their communities. This informed the design of a weight loss maintenance intervention, called the PILI Lifestyle Program (PLP). PLP was compared with a standard behavioral weight loss maintenance program (SBP) in a CBPR, non-blinded, pilot randomized controlled trial. Among PLP participants who completed at least half of the sessions, PLP participants were 5.1-fold (95% CI=1.06-24; p=0.02) more likely to have maintained their weight loss than SBP participants. Conclusions: POP successfully designed, implemented, and tested the efficacy of a community-informed, -based, and -led weight loss maintenance program for NHs and PPs. The results indicated that significant weight loss maintenance was achievable. The PLP shows promise in reducing the obesity-related disparities among NHs and PPs and demonstrates the communities' capacity to engage in scientific research. Current Activities: POP received another 5 years of funding from the NCMHD to test the efficacy of an 18-month culturally-tailored intervention delivered face-to-face or via DVD compared to a control group. The importance of CBPR in eliminating obesity disparities will be highlighted based on the lessons learned.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the results of a community-based participatory research approach to conducting an obesity related needs and assets assessment. Discuss the importance of a community-based participatory research approach in eliminating obesity disparities in Native Hawaiians and other Pacific Peoples.

Keywords: Community-Based Public Health, Hawaiian Natives

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principle investigator of the PILI 'Ohana Project and work in conjunction with the community principle investigators and project coordinator who are listed as co-authors on this abstract.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.