'Ai Pono Cooking Demonstrations
NCT Number: NCT06526650
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Type 2 Diabetes|Hypertension|Dyslipidemias|Overweight and Obesity
Interventions: OTHER: 'Ai Pono
Sponsor: University of Hawaii
Collaborators: National Institutes of Health (NIH)|American Heart Association|National Heart, Lung, and Blood Institute (NHLBI)
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 1780
Study Design: Allocation: NA|Intervention Model: SINGLE_GROUP|Masking: NONE|Primary Purpose: TREATMENT
Start Date: 2024-07
Completion Date: 2027-11

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.

Primary Outcome Measures: Neighborhood Environment, Neighborhood environment will be measured by the 17-item modified Neighborhood Level Stressors Scale, which assesses participants' perceptions of 4 neighborhood dimensions (i.e., walkability, availability of healthy food, safety, and social cohesion). The responses and scores range from 1-strongly disagree, 2-somewhat disagree, 3- neutral, 4-somewhat agree, 5-strongly agree. Higher scores indicate low neighborhood level stressors., Baseline, 1-year, 2-year, 3-year, 4-year|Nutrition Environment, The perceived 9-item nutrition environment will be measured by the Gustafson Perceived Nutrition Environment Measures questionnaire, which examines perceived access and availability of healthy foods within \~1 mile of the participant's home, and the availability and affordability of produce in the participant's primary food store. The responses and scores vary depending on the question including 0- disagree, 1-agree, and 0-not important, 1-slightly important, 2-moderately important, 3- important, 4-very important. Higher scores indicate higher perceived access and availability of food., Baseline, 1-year, 2-year, 3-year, 4-year
Secondary Outcome Measures: Diet Self-Efficacy, The 11-item Diet Self Efficacy Scale will measure self-efficacy in avoiding tempting high caloric food and managing social and internal cues and negative emotions. The responses and scores range from 1-strongly disagree, 2-somewhat disagree, 3-neutral, 4-somewhat agree, and 5-strongly agree. Higher scores indicate greater self-efficacy with diet., Baseline, 1-year, 2-year, 3-year, 4-year|Food Literacy, Food literacy, defined as the ability to make healthy food choices in different settings and situations, will be assessed by the 11-item self-perceived food literacy scale, which encompasses knowledge, skills, and behaviors pertinent to planning, selecting, preparing, and eating healthy food. The responses and scores range from 1-not at all/never, 2-disagree, 3-slightly disagree, 4- slightly agree, 5-yes/always. Higher scores indicate greater food literacy., Baseline, 1-year, 2-year, 3-year, 4-year|Social Support, Social support for a healthy diet will be measured as the perceived support that people who make dietary changes receive from family and friends. An 11-item questionnaire on social support will be used to ask participants' perceived level of support from friends and family regarding diet choices. The responses and scores range from 1-strongly disagree, 2-somewhat disagree, 3-neutral, 4-somewhat agree, and 5-strongly agree. Higher scores indicate greater social support., Baseline, 1-year, 2-year, 3-year, 4-year
Other Outcome Measures: Cultural Identity, Cultural factors will be measured by the 4-item Cultural Identity Scale that will assess the degree of identification with NH cultural heritage. The responses and scores range from 0-not at all knowledgeable, 1- somewhat not knowledgeable, 2-neutral or no response, 3-somewhat knowledgeable, and 4-very knowledgeable. Higher scores indicate greater cultural identity., Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Date of Birth, Date of birth:

* Month
* Day
* Year, Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Biological Sex, Biological Sex:

* Female
* Male, Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Marital status, Marital Status:

* Never married
* Currently married
* Divorced or separated
* Widow/widower
* Domestic partnership/other, Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Employment, Employment:

* Full time
* Part-time
* Unemployed
* Self-employed
* Retired
* Unable to work/other
* Household caretaker, Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Education, Education:

* Less than high school
* High school diploma/General Education Diploma (GED)
* Some college/technical training
* College degree
* Graduate/professional degree, Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Ethnic ancestry, Ethnic Ancestry:

* Caucasian
* Chinese
* Filipino
* Hawaiian
* Latino
* Japanese
* Korean
* Marshallese
* Micronesian (specify)
* Native American
* Portuguese
* Samoan
* Other (specify), Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Household income, Household Income:

* Under $49,999
* $50,000-$74,999
* $75,000-$99,999
* $100,000-$124,999
* Over $125,000

Household income will be classified according to the US Census Bureau's poverty threshold by using a dichotomous variable. Participation in public assistance programs (e.g., Temporary Assistance for Needy Families, Supplemental Nutrition Assistance Program) will also be recorded., Baseline, 1-year, 2-year, 3-year, 4-year|Demographic Data- Household Composition, Household Composition:

1. Who lives in the participant's house full-time? (50% or more time spent in-house)

* Parents
* Children
* Grandparents/great-grandparents
* Other family members

  a. Of those people, what are their ages and genders?
* Male: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs
* Female: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs
* Number of other/non-binary: 17 years and under, 18-29 yrs, 30-39 yrs, 40-39 yrs, 50-59 yrs, 60+ yrs, Baseline, 1-year, 2-year, 3-year, 4-year