January 19, 2016

The PILI@Work Program: a translation of the diabetes prevention program to Native Hawaiian-serving worksites in Hawai‘i

Claire K. M. Townsend, Ing Dr.P.H., Robin E. S. Miyamoto, Psy.D., Mapuana Antonio, M.P.H., Guangxing Zhang, Ph.D., Diane Paloma, Ph.D., DeAnna Basques, M.P.H., Kathryn L. Braun, Dr.P.H. and Joseph Keawe‘aimoku Kaholokula, Ph.D.

Translational Behavioral Medicine: Practice, Policy, and Research

A previously translated Diabetes Prevention Program Lifestyle Intervention (DPP-LI) was adapted for delivery as a worksite-based intervention, called PILI@Work, to address obesity disparities in Native Hawaiians/Pacific Islanders. This study examined the effectiveness of PILI@Work and factors associated with weight loss at post-intervention. Overweight/obese employees of 15 Native Hawaiian-serving organizations received the 3-month component of PILI@Work. Assessments included weight, systolic/diastolic blood pressure, physical activity and functioning, fat intake, locus of weight control, social support, and self-efficacy. Weight, systolic/diastolic blood pressure, physical functioning, physical activity frequency, fat intake, family support, and eating self-efficacy improved from pre- to post-intervention. Regression analysis indicated that worksite type, decreased diastolic blood pressure, increased physical activity, and more internalized locus of weight control were significantly associated with 3-month weight loss. PILI@Work initiated weight loss in Native Hawaiians/Pacific Islanders. DPP-LI translated to worksite settings and tailored for specific populations can be effective for addressing obesity.

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