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 'Ä€ina 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 'Ä€ina, improve diet quality, cardiometabolic markers, promote traditional Native Hawaiian diets, and improve social cohesion.
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Family Environment
Timeframe: Baseline, 1-year, 2-year, 3-year, 4-year
Nutrition Environment
Timeframe: Baseline, 1-year, 2-year, 3-year, 4-year
Social Cohesionn
Timeframe: Baseline, 1-year, 2-year, 3-year, 4-year