RecruitingNot ApplicableNCT06526273

PILI 'Āina Household

The PILI 'Āina Project

Sponsor

University of Hawaii

Enrollment

210 participants

Start Date

Feb 12, 2025

Study Type

INTERVENTIONAL

Conditions

Hypertension Type 2 Diabetes Overweight and Obesity Dyslipidemias

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

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study is testing a household-based wellness program for Native Hawaiian adults living in homestead communities who have cardiometabolic conditions such as pre-diabetes, type 2 diabetes, high blood pressure, or high cholesterol. The program, called PILI 'Āina Household, aims to improve healthy habits and manage these conditions within the family unit. **You may be eligible if...** - You are 18 or older (older adults especially sought) - You are a Native Hawaiian resident living in a participating homestead community - You are overweight or obese (BMI of 25 or above) - You have been diagnosed with type 2 diabetes, pre-diabetes, high blood pressure, or high LDL cholesterol - You are able to do moderate physical activity (such as brisk walking) for 150 minutes per week - You are fluent in written and spoken English **You may NOT be eligible if...** - You do not have children in your household - You are pregnant - You have a serious illness such as cancer or chronic pain that prevents full participation Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

BEHAVIORALPILI 'Āina

Participants will receive the 3-month adapted Diabetes Prevention Program's Lifestyle Intervention. These lessons will be delivered by a trained community health worker. 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. Participants 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. They will receive seeds for the vegetables that can grow in a relatively short period (i.e., within 6 weeks).

OTHERControl

Participants will receive the 3-month adapted Diabetes Prevention Program's Lifestyle Intervention. These lessons will be delivered by a trained community health worker based on previously tested materials and protocols. At 3 months, 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.