PILI Pasifika Program for Cardiometabolic Conditions

This trial tests a lifestyle program designed to help Native Hawaiian and Pacific Islander individuals manage weight, blood pressure, and other health conditions like diabetes and high cholesterol. The program, called the PILI Pasifika Program, includes weekly lessons and activities for three months, delivered by Community Health Workers. Researchers are testing it in two ways—Enhanced Facilitation and Standard Facilitation—to determine which is more effective and sustainable. Suitable participants have one or more conditions such as being overweight, having diabetes, high blood pressure, or high cholesterol, and can engage in moderate physical activity. As an unphased trial, this study offers a unique opportunity to contribute to research that could enhance community health programs.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Research has shown that the PILI Pasifika Program (PPP) provides a safe way for Native Hawaiian and Pacific Islander participants to improve their lifestyle. This program encourages better eating and increased exercise, tailored to fit their culture with the assistance of community health workers.

Earlier studies tested the PPP, adapting it from a diabetes prevention program. Participants completed the program without serious health issues, indicating its safety and ease of use. Both the Enhanced and Standard versions effectively improved health habits, demonstrating their safety and benefits.

Researchers are excited about the PILI Pasifika Program because it offers a culturally tailored approach to managing cardiometabolic conditions, unlike standard options like medication and diet changes alone. The program involves community health workers who provide personalized support and activities that address social determinants of health, which can lead to more effective and sustainable lifestyle changes. The Enhanced Facilitation arm offers even more tailored guidance and problem-solving, aiming to improve the program's fit across diverse settings, potentially leading to better health outcomes for participants.

Research has shown that the PILI Pasifika Program (PPP) successfully helps Native Hawaiian and Pacific Islander (NHPI) communities improve their health. Studies have found that it aids in weight loss and enhances blood pressure, physical activity, and diet. The program stands out because Community Health Workers lead it, offering advice that respects cultural traditions. In this trial, participants will join either the Standard Facilitation or the Enhanced Facilitation group. In the Enhanced Facilitation, these workers receive extra support to assist participants more effectively. Overall, PPP has led to positive lifestyle and health changes, particularly in weight loss and physical abilities.¹²⁵⁶⁷