The pili '?INA project

Active Project Grant Awarded Last action

Award ID
R01HL168858
Recipient
Awarding agency
Obligated
$4,801,097

Award facts

Assistance listing
93.837 Cardiovascular Diseases Research
Completion date 68% complete
Place of performance
Honolulu, HI 96813, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Native hawaiians have the highest prevalence of cardiometabolic diseases of any population in hawai'i. Diet is strongly implicated as a cause of these disparities. Native hawaiians historically consumed a diet rich in fish, fresh fruits, and vegetables, but westernization led to profound shifts in food systems. The hawaiian homes commission act established a land base for native hawaiians to engage in subsistence living and practice their culture. However, today only 20% of native hawaiian homesteaders consume at least 1 serving of vegetables per day compared with 73% of other native hawaiians. Homesteaders also have twice the prevalence of diet- related diseases (obesity, diabetes, hypertension, dyslipidemia) than other native hawaiians. We have developed a multilevel intervention to promote healthy eating, weight loss, and cardiovascular health for overweight/obese native hawaiian adults entitled "pili 'aina." at the individual-level pili 'aina provides 3 months of culturally tailored education based on the diabetes prevention program's lifestyle intervention. The education aims to improve self-management of prevalent cardiometabolic disease (type 2 diabetes, hypertension, and dyslipidemia) and to reduce risk factors for developing new diet-related illness. Pili 'aina also includes a 6- month household-level component that provides home garden materials and training as a means of connecting with traditional NH culture, values, and lifestyle in the home environment. A pilot study of pili 'aina was well- received by participants, with 100% retention over 9 months and promising results for cardiometabolic outcomes. We will now conduct a group-randomized controlled trial of pili 'aina on 7 o'AHU homesteads. First, we will interview the past pili 'aina pilot participants to refine the intervention to better support year-round home gardening and a traditional native hawaiian diet. Second, we will conduct a group-randomized controlled trial to test the efficacy of pili 'aina compared to a control group among 180 adult homesteaders with overweight/obesity who have at least 1 other cardiometabolic disease. Data collection will occur at baseline and 3, 9, and 12 months. Primary outcomes are diet quality, adiposity, hemoglobin A1C, blood pressure, and lipids. Secondary outcomes are behavioral and psychosocial factors (e.g., physical activity, self-efficacy) that might mediate effects on primary outcomes. Third, a community-level program will feature traditional cooking and tasting events on all 7 homesteads. Our specific aims are to 1) refine the pili 'aina intervention to optimize its effectiveness for improving diet and managing diet-related cardiometabolic diseases on native hawaiian homesteads; 2) test the efficacy of pili 'aina compared to a control group for improving diet, biomarkers, and behavioral and psychosocial risk factors among homesteaders with diet-related cardiometabolic diseases; and 3) evaluate the ability of community-wide food demonstrations to promote traditional diets and improve social cohesion on native hawaiian homesteads. Results will address the american heart association's call for evidence-based programs to improve diet at the household level for preventing cardiovascular disease.

Transactions

Action Obligated Date
Amendment $583,251
Amendment $597,981
Amendment $47,809
Amendment $47,809
Amendment $537,845
Amendment $537,845
Amendment $537,845
Amendment $636,904
Amendment $636,904
Original award $636,904

Subawards

Subrecipient Amount Awarded
Kula No NA Po'e Hawai'i The PILI Aina Project $120,087
Kapolei Community Development Corporation $115,936
Washington State University $26,815
Washington State University $53,094
Kula No NA Po'e Hawai'i $139,879
Kapolei Community Development Corporation $114,296
Kapolei Community Development Corporation $127,322
Kula No NA Po'e Hawai'i $116,871

Quick answers

Who received award R01HL168858?

R01HL168858 was awarded to University Of Hawaii by National Heart Lung and Blood Institute (National Institutes of Health) on July 1, 2023.

How much is award R01HL168858 worth?

$4,801,097 has been obligated on R01HL168858.

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