A Family and Community Focused Lifestyle Program Prevents Weight Regain in Pacific Islanders

Kaholokula, Joseph Keawe‘aimoku; Mau, Marjorie K.; Efird, Jimmy T.; Leake, Anne; West, Margaret R.; Palakiko, Donna-Marie; Yoshimura, Sheryl R.; Kekauoha, B. Puni; Rose, Charles E.; Gomes, Henry

doi:10.1177/1090198110394174

Cited by 43 publications

(65 citation statements)

References 30 publications

(45 reference statements)

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“…In real-world settings, it is recommended for weight-management programmes to have rolling retention policies and procedures, to enable participants to be captured in the programme and to allow flexibility in their entry and exit. Like other behavioural change programmes in the health arena, for example in smoking (48) or alcohol management (49) , weight management also involves periods of relapse and re-commitment (50)(51)(52) that can be difficult to capture in limited-time research interventions. Our study enabled us to explore, with the participants, how they felt they could manage their programme participation in the face of trying to manage life crises and changes.…”

Section: Discussionmentioning

confidence: 99%

Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Teevale

Taufa

Percival

2015

Public Health Nutr.

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Objective: To explore factors influencing participation and attrition in a family-led weight-management programme for obese Pacific children. Design: Qualitative study used bilingual in-depth interviews at exit and end of an 8-week weight-management programme. Setting: New Zealand. Subjects: Forty-two parents/primary caregivers of obese children who were randomised in the intervention weight-management programme. Results: Programmatic factors that enhanced retention included: simultaneous delivery to both children and parents as participants; delivery of the programme in small group settings at local community venues; enabling trustworthy and accountable relationships; providing resources for travel to venues and regular telephone/text messaging follow-up calls reinforcing programme goals; and day and time scheduling. Suggested programme improvements included having ethnic-specific Island-language delivery and practical sessions like cooking classes and shopping expeditions at local food stores. The research found that unpredictable external life crises like extended family deaths, a change in job shift, family illnesses (both acute and those requiring chronic management) and long-term family visitations affected participation and momentum. A loss of momentum through managing life crises was often difficult to overcome for participants, leading them to drop out of the weight-management programme. Most drop-out participants preferred to defer their programme participation with hopes of re-committing to future programmes at another time. Conclusions: In order for weight-management programmes to be effective, participants must be able to complete them. Identifying factors that predict participation and attrition may serve as a basis for programme improvement.

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Section: Discussionmentioning

confidence: 99%

Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Teevale

Taufa

Percival

2015

Public Health Nutr.

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“…Data for this study comes from 100 Pacific Islander adults (18 years of age and older) who completed one of two POP 9‐month weight loss maintenance interventions (11). As part of the POP lifestyle interventions, all 100 participants completed a 3‐month weight loss program (WLP) to initiate weight loss and were then randomized into either a 6‐month family and community focused weight loss maintenance program, called the PILI Lifestyle Program (PLP; n = 49), or a standard behavioral weight loss maintenance program (SBP; n = 51).…”

Section: Methods and Proceduresmentioning

confidence: 99%

“…Using a CBPR approach, the POP community‐academic partnership conducted a pilot RCT to compare the effectiveness of two 9‐month lifestyle interventions for NHs/PIs who were given a modest goal of losing ≥3% of their baseline body weight. A description of the POP and the results from the RCT has been previously published (10–12). We report here our examination of the sociodemographic, behavioral, and biological factors related to success at achieving ≥3% weight loss in overweight and obese Native Hawaiians, Chuukese, and other Pacific Islanders who completed the 9‐month POP lifestyle interventions.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic, behavioral, and biological variables related to weight loss in native hawaiians and other pacific islanders

Kaholokula

Townsend

Ige

et al. 2013

Obesity

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Native Hawaiians and other Pacific Islanders (NHs/PIs) have a high obesity prevalence compared to other ethnic groups. We examined socio-demographic, behavioral, and biological factors related to ≥3% weight loss in 100 overweight/obese NHs/PIs who completed a lifestyle intervention. Data were from 56 Native Hawaiians, 22 Chuukese, and 22 Other Pacific Islanders who participated in a randomized controlled trial. All completed a 3-month weight loss program (WLP) to initiate weight loss and were then randomized into either a 6-month family/community focused WLP called the PILI Lifestyle Program (PLP; n=49) or a standard behavior WLP (SBP; n=51). We collected baseline, 3- and 9-month follow-up data on socio-demographics, weight (kg), a 6-min. walk test, dietary fat, exercise frequency, and blood pressure. Based on ANCOVA or logistic fit, ethnicity, sex, initial weight loss, fat in diet at baseline, change in systolic blood pressure, and intervention type were significantly associated (p≤.05) with ≥3% weight loss at 9-month follow-up. A logistic regression model indicated that Chuukese (OR=6.04; CI=1.14–32.17) and participants who had more weight loss in the first 3-months (OR=1.47; CI=1.22–1.86) and who were in the PLP (OR=4.50; CI=1.50–15.14) were more likely to achieve ≥3% weight loss [model; χ2 (7, N=100) = 45.50, p < .0001]. The same lifestyle intervention does not benefit all NHs/PIs equally, possibly due to differences in acculturation status and social support. The findings also point to the importance of initial weight loss to sustain motivation toward long-term weight loss maintenance.

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“…For additional details on the PLP, see Mau and colleagues (2010) and Kaholokula and colleagues (2012). 15-16 The PLP was found to be effective in a randomized controlled trial and the POP's focus turned to dissemination. 15-16 However, a dissemination model or framework was needed to guide these efforts.…”

Section: The Pili 'Ohana Projectmentioning

confidence: 99%

“…34 Furthermore, the intervention was tested through a randomized control trial and found to be effective with NH/PP. 16 …”

Section: Elements Of the Ccm Modelmentioning

confidence: 99%

A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions

Delafield¹,

Hermosura²,

Ing³

et al. 2016

Progress in Community Health Partnerships

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Background Dissemination is a principle within community-based participatory research (CBPR); however, published research focuses on the dissemination of findings from CBPR projects but less on dissemination of interventions developed through CBPR approaches. To disseminate an evidence-based lifestyle intervention tailored for Native Hawaiians and Pacific Islanders, the PILI 'Ohana Project (POP), an 11-year CBPR initiative, developed an innovative dissemination model. Objectives The Community-to-Community Mentoring (CCM) model described in this paper extends the application of CBPR values and principles used in intervention development to intervention dissemination. Methods The CCM model combines a CBPR orientation with the Diffusion of Innovation Theory, the Social Cognitive Theory, and key concepts from community organizing and community building to address the multilevel factors that influence uptake of an evidence-based intervention. Grounding the model in CBPR principles provides benefits for intervention dissemination and integrates a focus on community benefits and capacity building. Conclusions By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process.

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A Family and Community Focused Lifestyle Program Prevents Weight Regain in Pacific Islanders

Cited by 43 publications

References 30 publications

Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Acceptability and non-compliance in a family-led weight-management programme for obese Pacific children

Sociodemographic, behavioral, and biological variables related to weight loss in native hawaiians and other pacific islanders

A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions

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