263342 PILI ‘Ohana Partnership: Translating, testing and refining the Diabetes Prevention Program for Native Hawaiians and Pacific Islanders

Tuesday, October 30, 2012 : 2:30 PM - 2:45 PM

Claire Townsend, MPH , Dept of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
Donna-Marie Palakiko, RN, MS , Native Hawaiian Health Care Sytems, Ke Ola Mamo, Honolulu, HI
Chelsea Okamoto , Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
Arlene Ige, MPH , Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
Joseph Keawe'aimoku Kaholokula, PhD , Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
Puni Kekauoha , Kula no na Po'e Hawaii, Honolulu, HI
Sheryl Yoshimura, RD , Kokua Kalihi Valley, Honolulu, HI
Claire Hughes, DrPH , Department of Native Hawaiian Health, John A Burns School of Medicine, University of Hawaii at Manoa, Honolulu, HI
     
Native Hawaiians and other Pacific Islanders (NHs/PIs) have a high obesity prevalence compared to other ethnic groups. Healthy lifestyle interventions are often less effective for ethnic groups when compared to non-Hispanic whites. To address these disparities, the Partnerships for Improving Lifestyle Interventions (PILI) ‘Ohana Partnership (POP), a community-based participatory research partnership, translated the Diabetes Prevention Program Lifestyle Intervention (DPP-LI) for NHs/PIs. Based on a 3-year pilot study, we describe the steps undertaken to modify the DPP-LI, how we determined whether community researchers (CRs) effectively implemented it, and how we elicited feedback from participants and CRs post-study to refine it. Community Researchers from 5 NH/PI-serving community organizations conducted focus groups, key informant interviews, and surveys with a total of 333 NHs/PPs to inform translation. To examine the intervention's effectiveness, 197 NHs/PIs recruited and enrolled by the CRs. To refine the intervention, 10 CR-facilitated participant focus groups, 1 peer educator focus group, and 4 half-day review sessions with academic researchers and CRs were conducted. Data and perspectives were analyzed to translate the DPP-LI into the PILI Lifestyle Intervention (PLI), resulting in 8 face-to-face group meetings delivered by peer educators over a 12-week period. Intervention results showed significant mean weight loss, decrease in blood pressure, and improvement in physical functioning. Focus group and review session data were analyzed to further refine the PLI. The POP successfully translated the DPP-LI to NH/PI communities and has continued to refine the PLI. The partnership has been successful in receiving multiple grants using the PLI across Hawaii.

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

Learning Objectives:
1. Discuss the process used to translate the Diabetes Prevention Program Lifestyle Intervention to Native Hawaiian and Pacific Islander communities. 2. Describe the results of the peer educator delivered PILI Lifestyle Intervention. 3. Discuss the process used to elicit community research and participant feedback to further refine the translated Diabetes Prevention Program Lifestyle Intervention.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have served as a community PI for 8 years and the community co-director for 5 years for the PILI Ohana Project. I have been with the project since its inception and will continue my involvement as we move the programs toward dissemination.
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.

Back to: 4289.0: Translational research on chronic disease in API populations