The PILI 'Āina Project

Status: Recruiting
Location: See all (2) locations...
Intervention Type: Behavioral, Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

Native Hawaiians' traditional lifestyles and diets ensured the mutual health and well-being of the land and its inhabitants, which stand in stark contrast to the disproportionately high prevalence of diet-related, cardiometabolic diseases they experience today. In this project, the investigators will adapt and test an evidence-based multilevel intervention entitled PILI 'Āina to improve the self-management of prevalent cardiometabolic diseases and reduce risk factors for developing new diet-related illnesses and implement and evaluate the impact and sustainability of community-wide cooking demonstrations. The objectives of this project are to optimize the effectiveness and sustainability of PILI 'Āina, improve diet quality, cardiometabolic markers, promote traditional Native Hawaiian diets, and improve social cohesion.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Age 18+ (looking for older adults)

• Native Hawaiian resident in a participating homestead

• Overweight or obese (BMI ≥ 25 kg/m\^2)

• Prior diagnosis of T2D or pre-diabetes, hypertension, and/or dyslipidemia (LDL cholesterol ≥ 130 mg/dL)

• Capable of 150 minutes of moderate physical activity (e.g., brisk walking) per week

• Willing and able to participate in all aspects of the individual and household-level intervention

• Fluent in written and spoken English

Locations
United States
Hawaii
Kula no nā Po'e Hawai'i
RECRUITING
Honolulu
Kapolei Community Development Corporation
RECRUITING
Kapolei
Contact Information
Primary
Claire Ing, DrPH
clairemt@hawaii.edu
808-692-1042
Backup
Ki'i Aweau
kkaweau@hawaii.edu
808-220-2110‬
Time Frame
Start Date: 2025-02-12
Estimated Completion Date: 2028-01-10
Participants
Target number of participants: 210
Treatments
Experimental: PILI 'Āina
Participants will receive the 3-month adapted Diabetes Prevention Program's Lifestyle Intervention. At 3 months, participants randomized to the PILI 'Āina intervention will receive a 6-month intervention centered around the use of a raised-bed home garden as the means of engaging household members to 1) increase their access to and intake of vegetables, 2) learn culturally relevant ways of preparing/cooking fresh vegetables through hands-on cooking lessons with local experts, and 3) build family cohesion through family bonding activities. The participating households will be given all the equipment and materials (e.g., soil, seeds, instructions, setup of equipment) needed to grow their vegetables using their raised-bed home garden box throughout the entire study. The investigators will provide seeds for the vegetables that can grow in a relatively short period (i.e., within 6 weeks). All lessons will be delivered by a trained community health worker .
Active_comparator: Control
Participants randomized to the control group will receive monthly untailored health education information and links to community resources from the community health worker via United States Postal Service or electronic messaging. Examples include information on food assistance programs, farmers markets, cultural events, and physical activity events.
Sponsors
Leads: University of Hawaii
Collaborators: National Heart, Lung, and Blood Institute (NHLBI)

This content was sourced from clinicaltrials.gov