Pacific Islander Women's Health Spa: Culture specific obesity prevention workshop

Pacific Islander women suffer from a high rate of obesity and obesity-related illnesses such as type 2 diabetes and polycystic ovary syndrome (PCOS). Objective: To develop an obesity prevention intervention specific to Pacific Islander women that results in positive dietary and physical activity behavior changes. Method: A three hour workshop, Health Spa, was developed to be culturally relevant to Pacific Islander women. Because most women are highly motivated by their physical appearance, we introduce the concept of Healthy is Beautiful, relating physical appearance to a healthy lifestyle. The program combines nutrition education with spa-like activities, such as facials and hand scrubs made with cultural foods: sweet potatoes, papaya and coconut. While drinking hibiscus tea, participants learn about the impact of dietary sugar and different types of fat on their skin and weight. They learn the importance of exercise and weight management to reduce the risk of developing PCOS, whose symptoms may include excess facial hair, acne and infertility. Finally, participants create individualized behavior change action plans and are later contacted to provide long-term accountability and support to meet their goals. All educational materials developed were culturally and linguistic appropriate. Results: 73% reported making positive behavior changes in the intake of: sugar, fat, water, fruits and vegetables. Participants found the workshop very valuable and wanted the program available for friends and family members. Conclusion: The program generates cultural pride and provides both the information and the motivation to make the dietary and lifestyle changes needed to reduce the risk of obesity.