Comparing Weight Loss–Maintenance Outcomes of a Worksite-Based Lifestyle Program Delivered via DVD and Face-to-Face: A Randomized Trial

Ing, Claire Townsend; Miyamoto, Robin E. S.; Fang, Rui; Antonio, Mapuana; Paloma, Diane; Braun, Kathryn L.; Kaholokula, Joseph Keawe‘aimoku

doi:10.1177/1090198118757824

Cited by 12 publications

(29 citation statements)

References 42 publications

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“…Fifteen studies were conducted in the USA -Hawai'i [43][44][45][46][47][48][49][50][51][52][53][54][55], California [56] and Arkansas [57], as well as its associated territories of American Samoa [58,59] and the Marshall Islands [60]. Seven were based in New Zealand [61][62][63][64][65][66][67] including one in Australia [68] and one in Samoa [69].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Interventions focused mainly on a single health condition or specific behaviour. Ten studies increased awareness and targeted health behaviour change in people with diabetes [45, 48, 50, 57-60, 62, 64, 68] and eight studies targeted weight loss [43,44,46,47,51,54,63,67]. Others targeted chronic disease selfmanagement [52], and health-related behaviour [66], hypertension [53,65], smoking cessation [69], heart failure [55], renal disease [61], physical activity [56], and physical activity and nutrition combined [49].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Thirteen studies were adapted for Native Hawaiian's and Pacific Islanders living in Hawai'i [43][44][45][46][47][48][49][50][51][52][53][54][55], four were adapted for Samoans residing in American Samoa [58,59], Australia [68] and Samoa [69], and two studies were adapted for Marshallese Islanders living in Arkansas [57] and the Marshall Islands [60]. Ten studies [43,44,46,47,53,54,56,57,67,68] stated they used a CBPR approach where research leads partnered with Pacific communities and organisations who informed the cultural and community adaptation of programmes. While most interventions were delivered in English, seven studies offered a bilingual approach: one study offered English, Chuukese and Samoan [44], one offered English, Tongan and Samoan [62] and five offered English and Samoan [58,59,63,68,69].…”

Section: Intervention Elementsmentioning

confidence: 99%

“…Thirteen studies delivered their interventions alongside community-based organisations [43-46, 48, 49, 51-53, 56, 59-61], three were based in churches [62,63,68], three were delivered in participants workplaces [47,54,64] and one in a community location [67]. Two studies visited participants in their homes [55,65] and two used mobile phones with one using an app [66] and the other delivering short message service (SMS) behaviour change messages to participants [69].…”

Section: Intervention Elementsmentioning

confidence: 99%

“…The intensity, duration, and time between intervention sessions varied. One study ran for a week [69], eight studies lasted twelve weeks [43, 45-48, 51, 53, 66], with others lasting six-eight weeks [52,56,57,67], four months [60], six months [44,64,68], nine months [54], twelve months [49,50,55,58,59,63,65] and two years [61,62]. Each session lasted between one to two and a half hours.…”

Section: Intervention Elementsmentioning

confidence: 99%

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The characteristics of behaviour change interventions used among Pacific people: a systematic search and narrative synthesis

et al. 2021

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Background Pacific people living in New Zealand, Australia, United States, and the Pacific region continue to experience a disproportionately high burden of long-term conditions, making culturally contextualised behaviour change interventions a priority. The primary aim of this study was to describe the characteristics of behaviour change interventions designed to improve health and effect health behaviour change among Pacific people. Methods Electronic searches were carried out on OVID Medline, PsycINFO, PubMed, Embase and SCOPUS databases (initial search January 2019 and updated in January 2020) for studies describing an intervention designed to change health behaviour(s) among Pacific people. Titles and abstracts of 5699 papers were screened; 201 papers were then independently assessed. A review of full text was carried out by three of the authors resulting in 208 being included in the final review. Twenty-seven studies were included, published in six countries between 1996 and 2020. Results Important characteristics in the interventions included meaningful partnerships with Pacific communities using community-based participatory research and ensuring interventions were culturally anchored and centred on collectivism using family or social support. Most interventions used social cognitive theory, followed by popular behaviour change techniques instruction on how to perform a behaviour and social support (unspecified). Negotiating the spaces between Eurocentric behaviour change constructs and Pacific worldviews was simplified using Pacific facilitators and talanoa. This relational approach provided an essential link between academia and Pacific communities. Conclusions This systematic search and narrative synthesis provides new and important insights into potential elements and components when designing behaviour change interventions for Pacific people. The paucity of literature available outside of the United States highlights further research is required to reflect Pacific communities living in New Zealand, Australia, and the Pacific region. Future research needs to invest in building research capacity within Pacific communities, centering self-determining research agendas and findings to be led and owned by Pacific communities.

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Section: Study Characteristicsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Intervention Elementsmentioning

confidence: 99%

Section: Intervention Elementsmentioning

confidence: 99%

Section: Intervention Elementsmentioning

confidence: 99%

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The characteristics of behaviour change interventions used among Pacific people: a systematic search and narrative synthesis

et al. 2021

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Cost Effectiveness of a Cultural Physical Activity Intervention to Reduce Blood Pressure Among Native Hawaiians with Hypertension

Railey

Muller

Noonan

et al. 2021

PharmacoEconomics Open

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Objective The aim of this study was to calculate the costs and assess whether a culturally grounded physical activity intervention offered through community-based organizations is cost effective in reducing blood pressure among Native Hawaiian adults with hypertension. Methods Six community-based organizations in Hawai'i completed a randomized controlled trial between 2015 and 2019. Overall, 263 Native Hawaiian adults with uncontrolled hypertension (≥ 140 mmHg systolic, ≥ 90 mmHg diastolic) were randomized to either a 12-month intervention group of hula (traditional Hawaiian dance) lessons and self-regulation classes, or to an education-only waitlist control group. The primary outcome was change in systolic blood pressure collected at baseline and 3, 6, and 12 months for the intervention compared with the control group. Incremental cost-effectiveness ratios (ICERs) were calculated for primary and secondary outcomes. Non-parametric bootstrapping and sensitivity analyses evaluated uncertainty in parameters and outcomes. Results The mean intervention cost was US$361/person, and the 6-month ICER was US$103/mmHg reduction in systolic blood pressure and US$95/mmHg in diastolic blood pressure. At 12 months, the intervention group maintained reductions in blood pressure, which exceeded reductions for usual care based on blood pressure outcomes. The change in blood pressure at 12 months resulted in ICERs of US$100/mmHg reduction in systolic blood pressure and US$93/mmHg in diastolic blood pressure. Sensitivity analyses suggested that at the estimated intervention cost, the probability that the program would lower systolic blood pressure by 5 mmHg was 67 and 2.5% at 6 and 12 months, respectively. Conclusion The 6-month Ola Hou program may be cost effective for low-resource community-based organizations. Maintenance of blood pressure reductions at 6 and 12 months in the intervention group contributed to potential cost effectiveness. Future studies should further evaluate the cost effectiveness of indigenous physical activity programs in similar settings and by modeling lifetime costs and quality-adjusted life-years. Trial Registration Number NCT02620709.

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Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

Kaholokula

Ing

Look

et al. 2018

Annals of Human Biology

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Context Obesity, diabetes, and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural, and socioeconomic realities is a public health priority. Objective To describe cultural adaptation and cultural grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai‘i: PILI ‘Ohana and KāHOLO Projects. Methods A literature review of 14 studies from these two projects were done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the “ground up” to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioral outcomes of both types of interventions. Results Both cultural adapted and cultural grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes, and hypertension. Conclusion Several recommendations are provided based on the lessons learned from the PILI ‘Ohana and KāHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental, and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies.

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Comparing Weight Loss–Maintenance Outcomes of a Worksite-Based Lifestyle Program Delivered via DVD and Face-to-Face: A Randomized Trial

Cited by 12 publications

References 42 publications

The characteristics of behaviour change interventions used among Pacific people: a systematic search and narrative synthesis

The characteristics of behaviour change interventions used among Pacific people: a systematic search and narrative synthesis

Cost Effectiveness of a Cultural Physical Activity Intervention to Reduce Blood Pressure Among Native Hawaiians with Hypertension

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders

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