To Test the Effectiveness and Implementation Approach of a 3-month PILI Pasifika Program Lifestyle Program With Components of Social Determinants of Health Activities in Real-world Settings (Clinical and Non-clinical Settings) Across 3 Years

Dietary Questionnaire

A 5-item will be used to estimate the frequency and types of food a participant consumed in the past month. Taken directly from Common Survey IV, the dietary questionnaire consists of 5 items, documenting how many times per week in the past month participants have consumed specific types of food. The responses range from Never, 1-2 times per week, 3-4 times per week, 5-6 times per week, More than 6 times per week, and Don't know.

Time frame: Assessment data will be collected at baseline, 3-month follow-up, and 9-month follow-up.

Brief Physical Activity Questionnaire

A 2-item physical activity questionnaire will be used to briefly assess average physical activity behavior per week and the duration of the physical activity.

Time frame: Assessment data will be collected at baseline, 3-month follow-up, and 9-month follow-up.

Food Literacy Form

An 11-item questionnaire on food literacy will be used to ask participants' food literacy in regard to planning, managing, selecting, preparing, and eating healthy foods. 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.

Time frame: Assessment data will be collected at baseline, 3-month follow-up, and 9-month follow-up.

Well-Being Questionnaire

A 6-item questionnaire used to briefly assess satisfaction of well-being in standard of living, health, past and present achievements in life, personal relationships, safety, and feeling of belonging.

Time frame: Assessment data will be collected at baseline, 3-month follow-up, and 9-month follow-up.

Food Insecurity Form

A 7-item questionnaire on food literacy will be used to assess participants' food literacy in regard to planning, managing, selecting, preparing, and eating healthy foods. 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.

Time frame: Assessment data will be collected at baseline, 3-month follow-up, and 9-month follow-up.

Food Access Form

An 11-item food access questionnaire will be used to assess household food access and the frequency with which households experience food-related challenges. Responses of "All the time (every day)", "Pretty often (3-6x per week)", "Once in a while (1-2x per week)", "Hardly at all (\<1x per week)", and "Never". Higher scores indicate lower levels of food access.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Food Access SDOH Form

A 5-item form on food access will be used to assess household food access over the past 12 months, including food availability, affordability, and ability to obtain balanced meals.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Medical Care Access SDOH Form

A 5-item measure to assess medical healthcare access and utilization, source of care, insurance coverage, cost-related delays, provider availability, and health literacy.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Dental Care SDOH Form

A 3-item measure to assess barriers to dental care.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Housing SDOH Form

A 4-item measure to assess housing situation.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Transportation and Environment SDOH Form

A 4-item measure to assess transportation access and neighborhood environment.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Social and Emotional Health SDOH Form

A 4-item measure to assess psychosocial well-being, social connectedness, perceived stress, and perceived safety.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.

Health Literacy SDOH Form

An 18-item measure to assess health literacy.

Time frame: Assessment data will be collected at baseline and 3-month follow-up.