'Ai Pono Cooking Demonstrations

NCT06526650 | Recruiting

• 2 other identifiers: PILI 'Āina 3R01HL168858
• Study Type: interventional
• Target: 1,780
• Locations: 1 country
• Sites: 2

Brief 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.

Conditions

Overweight and Obesity; Type 2 Diabetes; Hypertension; Dyslipidemias

Outcome Measures

Primary Outcomes (3)

• Family Environment

  Three subscales, Cohesion, Expressiveness, and Conflict, assess the degree of commitment and support family members provide for one another, the extent to which family members are encouraged to express their feelings directly, and the amount of openly expressed anger and conflict among family members.

  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

• Social Cohesionn

  4-item subscale of the neighborhood level stressors which asks about perceived shared values and trust.

  Baseline, 1-year, 2-year, 3-year, 4-year

Secondary Outcomes (3)

• Diet Self-Efficacy

  Baseline, 1-year, 2-year, 3-year, 4-year

• Food Literacy

  Baseline, 1-year, 2-year, 3-year, 4-year

• Social Support

  Baseline, 1-year, 2-year, 3-year, 4-year

Other Outcomes (9)

• Cultural Identity

  Baseline, 1-year, 2-year, 3-year, 4-year

• Demographic Data- Date of Birth

  Baseline, 1-year, 2-year, 3-year, 4-year

• Demographic Data- Biological Sex

  Baseline, 1-year, 2-year, 3-year, 4-year

Study Arms (1)

Aim 3: Community Level Intervention

OTHER

Aim 3 is community-driven, supports the overall goal of the PILI 'Āina project, allows all members of the community to benefit, and is strongly promoted within the community. The investigators will design and implement 'Ai Pono, a community-level component that can operate in tandem with PILI 'Āina. This component will not be tested in the group-randomized trial. Instead, all 7 communities will implement 'Ai Pono for the full study period.

Other: 'Ai Pono

Interventions

'Ai Pono OTHER

"Hands-on Cooking and Cultural Lessons" These lessons will be widely advertised. Each 2-hour presentation will involve hands-on cooking demonstrations and tastings, accompanied by lessons on the cultural significance of featured food items. Demonstrations will link the consumption of vegetables (e.g., sweet potato, breadfruit, kalo) to Native Hawaiian (NH) history and traditional beliefs to help participants rediscover their heritage through the meals they prepare.

Aim 3: Community Level Intervention

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age 18+ (looking for older adults)
• Native Hawaiian resident in a participating homestead
• Overweight or obese (BMI ≥ 25 kg/m\^2)
• Prior diagnosis of type 2 diabetes 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

You may not qualify if:

• No children
• Pregnancy
• Serious illness such as cancer or chronic pain that may contraindicate full participation

Sponsors & Collaborators

• University of Hawaii: lead
• American Heart Association: collaborator
• National Heart, Lung, and Blood Institute (NHLBI): collaborator
• National Institutes of Health (NIH): collaborator

Study Sites (2)

Kula no na Poe Hawaii

Honolulu, Hawaii, 96813, United States

RECRUITING

Kapolei Community Development Coalition

Kapolei, Hawaii, 96707, United States

RECRUITING

MeSH Terms

Conditions

Diabetes Mellitus, Type 2; Hypertension; Dyslipidemias; Overweight; Obesity

Condition Hierarchy (Ancestors)

Diabetes Mellitus; Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Vascular Diseases; Cardiovascular Diseases; Lipid Metabolism Disorders; Overnutrition; Nutrition Disorders; Body Weight; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Claire Ing, DrPH

  Principal Investigator

  PRINCIPAL INVESTIGATOR

• Kulani DeSimone, B.S.

  Graduate Assistant

  STUDY CHAIR

Central Study Contacts

Claire Ing, DrPH

CONTACT

8086921042; clairemt@hawaii.edu

Ki'i Aweau

CONTACT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 7, 2024
• First Posted: July 30, 2024
• Study Start: February 12, 2025
• Primary Completion (Estimated): June 1, 2028
• Study Completion (Estimated): August 1, 2028
• Last Updated: March 4, 2026

Record last verified: 2025-04

Locations

US (2)