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Title: WINCART Let's Move Physical Activity Program Toolkit


Abstract: The Weaving an Islander Network for Cancer Awareness, Research and Training (WINCART) Center culturally adapted an evidence-based program to promote physical activity among Pacific Islanders (PIs). The program is based on Instant Recess, which has been shown to promote physical activity in workplaces. The WINCART Center created the Let’s Move Program for use in PI community settings (such as churches, social and cultural groups), with an emphasis on reaching Samoans, Tongans, Chamorros, Marshallese, and Native Hawaiians. Using resources from the National Cancer Institute, WINCART developed the Let’s Move 10-minute exercise break to represent the cultures of the Pacific Islands.

The four pillars of the Program are to: 1) identify a site champion 2) engage in the 10-minute exercise video at every group meeting, 3) establish a group policy to promote physical activity, and 4) provide an environment that supports physical activity.

After an organizational and individual evaluation of the pilot Let’s Move Program in 2013 (N=8 community and faith-based organizations, and n=101 individuals), the WINCART Center developed the Let’s Move Physical Activity Program Toolkit, with the goal of further introducing physical activity in PI community settings in California and beyond.

Included in the Let’s Move Physical Activity Program Toolkit:
• WINCART Let’s Move! Flyer
• WINCART Let's Move! Physical Activity Video DVD (also available online:
• Organization policy change agreement
• 8 ways to reduce cancer posters (in-language)
• Let's stretch! posters;
• Certificate of completion (for participating organizations that implement the Let's Move program)
• Pre- and post-tests for participating organizations and individuals


Type of Product: PDF document


Year Created: 2014


Date Published: 11/3/2014

Author Information

Corresponding Author
Mandy LaBreche
California State University, Fullerton
Department of Health Science
800 N. State College Blvd.
Fullerton, CA 92831
United States
p: 657-278-3499
alabreche@fullerton.edu

Authors (listed in order of authorship):
Mandy LaBreche
California State University, Fullerton

Mary Anne Foo
OC Asian & Pacific Islander Community Alliance

Zul Surani
University of Southern California

Harold Custodio
California State University, Fullerton

Melevesi Fifita Talavou
Pacific Islander Health Partnership

Lola Sablan-Santos
Guam Communications Network

Victor Kaiwi Pang
Pacific Islander Health Partnership

Dorothy Vaivao
Samoan National Nurses Association

Vanessa Tui'one May
Tongan Community Service Center

Tupou Toilolo
Union of Pan Asian Communities

Paula Healani Palmer
Claremont Graduate University

Sora Park Tanjasiri
California State University, Fullerton

Product Description and Application Narrative Submitted by Corresponding Author

What general topics does your product address?

Public Health


What specific topics does your product address?

Cancer, Chronic disease, Community engagement, Community health , Community-based education, Cultural competency , Health behavior, Health disparities, Health education , Health equity, Overweight/obesity, Partnership building , Physical activity/exercise, Prevention, Race & health, Program evaluation, Community-based participatory research


Does your product focus on a specific population(s)?

Hawaiian/Pacific Islander, Native Hawaiian or other Pacific Islander


What methodological approaches were used in the development of your product, or are discussed in your product?

Community-academic partnership, Community-based participatory research , Qualitative research


What resource type(s) best describe(s) your product?

Evidence-based practice, Manual/how to guide, Training material


Application Narrative

1. Please provide a 1600 character abstract describing your product, its intended use and the audiences for which it would be appropriate.*

The Weaving an Islander Network for Cancer Awareness, Research and Training (WINCART) Center culturally adapted an evidence-based program to promote physical activity among Pacific Islanders (PIs). The program is based on Instant Recess, which has been shown to promote physical activity in workplaces. The WINCART Center created the Let’s Move Program for use in PI community settings (such as churches, social and cultural groups), with an emphasis on reaching Samoans, Tongans, Chamorros, Marshallese, and Native Hawaiians. Using resources from the National Cancer Institute, WINCART developed the Let’s Move 10-minute exercise break to represent the cultures of the Pacific Islands.

The four pillars of the Program are to: 1) identify a site champion 2) engage in the 10-minute exercise video at every group meeting, 3) establish a group policy to promote physical activity, and 4) provide an environment that supports physical activity.

After an organizational and individual evaluation of the pilot Let’s Move Program in 2013 (N=8 community and faith-based organizations, and n=101 individuals), the WINCART Center developed the Let’s Move Physical Activity Program Toolkit, with the goal of further introducing physical activity in PI community settings in California and beyond.

Included in the Let’s Move Physical Activity Program Toolkit:
• WINCART Let’s Move! Flyer
• WINCART Let's Move! Physical Activity Video DVD (also available online:
• Organization policy change agreement
• 8 ways to reduce cancer posters (in-language)
• Let's stretch! posters;
• Certificate of completion (for participating organizations that implement the Let's Move program)
• Pre- and post-tests for participating organizations and individuals


2. What are the goals of the product?

WINCART created the Let’s Move Physical Activity Program Toolkit intended for use by PI community and faith-based organizations and groups with the long term goal of reducing obesity-related cancers among PIs, and the shorter term objective of increasing the frequency of moderate and vigorous physical activity among PI adults in community settings.

Through the Let’s Move Physical Activity Program Toolkit, the WINCART Center endeavors to address on of the primary causes of obesity and cancer health disparities among PI populations, lack of physical activity.


3. Who are the intended audiences or expected users of the product?

The WINCART Let’s Move Physical Activity Program Toolkit is intended for use by community and faith-based organizations and social and cultural groups, specifically organizations or groups that serve Chamorro, Marshallese, Native Hawaiian, Samoan, and Tongan adults.

The Let’s Move Physical Activity Program Toolkit serves as a comprehensive implementation guide for organizations and groups, regardless of their previous experience with implementing physical activity programs within their organization.

Once individuals are introduced to the Let’s Move Program, they are also encouraged to do the video at home, at work, or with their families and friends, in addition to educating others about the importance of physical activity to promote overall good health, prevent the onset of cancer, and improve and prolong cancer survivorship.


4. Please provide any special instructions for successful use of the product, if necessary. If your product has been previously published, please provide the appropriate citation below.

Key components of the Let’s Move Physical Activity Program Toolkit are to 1) identify a “Program Champion,” a leader in the organization or group who motivates membership to engage in physical activity, and 2) the 10-minute exercise break video. This video is available in DVD or online. All Let’s Move Program materials are available on the WINCART website. It is helpful for the organization to have the technology (laptop, DVD player, projector, or computer) and space to do the video.

Organizations or groups should be structured so that they meet at least once per month.

LaBreche, A. K. (2013, November). The WINCART Let’s Move for Pacific Islander communities: An evidence-based 10 minute exercise break. Oral session presented at the American Public Health Association’s 141st Annual Meeting and Exposition, Boston, MA.


5. Please describe how your product or the project that resulted in the product builds on a relevant field, discipline or prior work. You may cite the literature and provide a bibliography in the next question if appropriate.

Obesity and Cancer Health Disparities in Pacific Islanders: The PI population experiences high obesity and low physical activity levels. Data from the 2009 California Health Interview Survey (CHIS) revealed that 32% of PIs in California were obese and 38% were overweight (8). National data found that 48.5% Native Hawaiians and Pacific Islanders (NHPIs) are overweight, and 34.7% are obese, further concluding that NHPIs are 30% more likely to be obese than non-Hispanic Whites (5).

Instant Recess: WINCART created the Let’s Move Physical Activity Program Toolkit by adapting the evidence-based program, Instant Recess. Benefits of engaging in 10-minutes of moderate to vigorous exercise on a daily basis at the worksite include increasing awareness of physical activity importance (6), improvements in academic and work performance (5,6), participation in vigorous physical activity (4), and reduction in clinical disease risk indicators (5, 7).

Program Adaptation: Adaption of Instant Recess was based on NCI’s guidelines: Using What Works and Research-Tested Intervention Program Adaptation Guidelines. Cultural adaptation was informed by cultural-tailoring recommendations in health promotion (8,9) to incorporate images, music and settings that are relevant to PI communities.

Utilizing CBPR: The principles of CBPR were used in the development and testing of the WINCART Let’s Move Program (10), including partnerships between community members and academic researchers in all phases of research. A review of evidence-based practices including UCLA’s Instant Recess program was conducted by all partners. WINCART’s academic partners trained the community partners on evidence-based practices, communication models, and NCI toolkit development. Community partners implemented the Let’s Move Program and worked closely with academic partners to analyze the evaluate data.

Benefits: Higher levels of recreational physical activity of postmenopausal women was associated with a 14% decreased risk of breast cancer (12). Higher physical activity levels are associated with reduced risk for mortality of certain cancers. Physical activity has been found to increase cancer survivorship, significantly associated with mortality risk reduction for colorectal cancer (14), a 6% lower mortality risk for breast cancer (12) and an overall reduction in both mortality rates and cancer recurrence of colon cancer (14).


6. Please provide a bibliography for work cited above or in other parts of this application. Provide full references, in the order sited in the text (i.e. according to number order). .

(1) California Health Interview Survey, CHIS 2009. Los Angeles, CA: UCLA Center for Health Policy Research, January 2009.

(2) Moy, KL. Cardiovascular disease risk profiles in adolescent and young adult Pacific Islanders (In press)

(3) CDC 2012. Summary Health Statistics for U.S. Adults: 2011. Table 31. Available from http://www.cdc.gov/nchs/data/series/sr_10/sr10_256.pdf

(4) Yancey AK, McCarthy WJ, Taylor WC, Merlo A, Gewa C, Weber MD, Fielding, JE. The Los Angeles lift off: A sociocultural environmental change intervention to integrate physical activity into the workplace. Preventive Medicine, 2004;38:848-856.

(5) Barr-Anderon DJ, AuYoung M, Whitt-Glover MC, Glenn BA, Yancey AK. Integration of short bouts of physical activity into organizational routine: A systematic review of the literature. America Journal of Preventive Medicine, 2011;40(1):76-93.

(6) Yancey AK, Lewis LB, Jones Guinyard J, Sloane DC, Miller Nascimento L, Galloway-Gilliam L, McCarthy WJ. Putting promotion into practice: The African Americans building a legacy of health organizational wellness program. Health Promotion Practice, 2006;7(3):233S-264S.

(7) Glazer NL, Lyass A, Esliger DW, Blease SJ, Freedson PS, Massaro JM, Vasan RS. Sustained and shorter bouts of physical activity are related to cardiovascular health. Medicine & Science in Sports and Exercise, 2012; 45(1):109-115.

(8) Kreuter MW, Lukwago SN, Bucholtz DC, Clark CM, Sanders-Thompson V. Achieving cultural appropriateness in health promotion programs: targeted and tailored approaches. Health Education & Behavior, 2002;30(2):133-146.

(9) Betancourt JR, Green AR, Carrillo JE, Ananneh-Firempong O 2nd. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. Public Health Reports, 2003;118(4):293-302.

(10) Tanjasiri SP, Tan JH, Palmer PH, Foo MA, Hannemann M, Lee C, Sablan-Santos L, Sripipatana A. Developing a community-based collaboration to reduce cancer health disparities among Pacific Islanders in California. Pacific Health Dialogue, 2007;14(1):119-172.

(11) Bardia A, Hartmann LC, Vacchon CM, Vierkant RA, Wang AH, Olson JE, Sellers TA, Cerhan JR. Recreational physical activity and risk of postmenopausal breast cancer based on hormone receptor status. Archives of Internal Medicine, 2006;166(22):2478-2483.

(12) Holmes MD, Chen WY, Feskanich D, Kroenke CH, Colditz GA. Physical activity and survival after breast cancer diagnosis. Journal of the American Medical Association, 2005 293(20):2479-2486.

(13) Meyerhardt JA, Giovannucci EL, Holmes MD, Chan AT, Chan JA, Golditz GA, Fuchs CS. Physical activity and survival after colorectal cancer diagnosis. Journal of Clinical Oncology, 2006;24(22):3527-3534.

(14) Meyerhardt JA, Haseltine C, Niedzwiecki D, Hollis D, Saltz LB, Mayer RJ, Thomas J, Nelson H, Whittom T, Hantel A, Schilsky RL, Fuchs CS. Impact of physical activity on cancer recurrence and survival in patients with stage III colon cancer: Findings from CALGB 89803. Journal of Clinical Oncology, 2006;24(22):3535-3541.


7. Please describe the project or body of work from which the submitted product developed. Describe the ways that community and academic/institutional expertise contributed to the project. Pay particular attention to demonstrating the quality or rigor of the work:

  • For research-related work, describe (if relevant) study aims, design, sample, measurement instruments, and analysis and interpretation. Discuss how you verified the accuracy of your data.
  • For education-related work, describe (if relevant) any needs assessment conducted, learning objectives, educational strategies incorporated, and evaluation of learning.
  • For other types of work, discuss how the project was developed and reasons for the methodological choices made.

The Weaving an Islander Network for Cancer Awareness, Research, and Training (WINCART) Center is a unique community-based participatory effort to reduce cancer health disparities among Pacific Islanders (PIs) in Southern California. The WINCART Center is comprised of two academic institutions (California State University, Fullerton and Claremont Graduate University) and six PI-serving community-based organizations (Guam Communications Network, Orange County Asian and Pacific Islander Community Alliance, Pacific Islander Health Partnership, Samoan National Nurses Association, Tongan Community Service Center/Special Service for Groups, Inc., and Union of Pan Asian Communities).

WINCART’s mission is to promote healthy PI communities through increasing cancer awareness, collaborative research programs, and providing valuable leadership and training opportunities. The WINCART Let’s Move Program fits into the following aims of the WINCART Center:
• Develop and implement programs to increase cancer awareness among PI from primarily five populations in Southern California: Chamorros, Marshallese, Native Hawaiians, Samoans and Tongans.
• Facilitate the development of research grants that address the cancer needs of PI, with a focus on primary (obesity and tobacco) prevention, access and navigation, and survivorship.

The WINCART Center uses a community-based participatory research approach in all Center projects, including the WINCART Let’s Move Program. All WINCART academic and community partners are treated as equal partners in the development, implementation, evaluation, and dissemination of cancer research and educational activities. The WINCART Center is guided by a Steering Committee that is made up of representatives from PI community-based organizations, cancer researchers, and cancer clinical providers. Specifically, the WINCART Center Steering Committee is responsible for key decisions and actions related to the overall direction and implementation of network activities, including setting policies, providing core and project guidance, and supporting project-centered activities.

The WINCART Center is divided into four Cores – 1) Administrative Core, 2) Community Outreach Core, 3) Research Core, and 4) Training Core. The WINCART Let’s Move Program and Toolkit are products of the Community Outreach Core, The overarching goal of the Community Outreach Core is to facilitate an increase in knowledge of, access to, and use of beneficial biomedical and behavioral procedures in cancer disparities.

Since its inception in 2005, WINCART has achieved the following:
• Conducted needs assessments on substance abuse behaviors, health communications, and acculturation among young adult PIs
• Led a pilot study that explored knowledge, attitudes, and behaviors towards biospecimen donation among adult PIs
• Provided cancer-related patient navigation services to PI community members to help bridge the gap between cancer education and improved patient care
• Conducted outreach at various PI venues to promote cancer screening, healthy and active living, and biospecimen research and clinical trials
• Informed policymakers on the need for PI-specific data and resources for reducing cancer disparities and improving health status
• Mentored and training trainees at the masters, pre-doctoral, and post-doctoral career level to conduct cancer disparities research in PI population
• Developed and implemented a culturally-attuned, online tobacco cessation program for young adult PI smokers to address the high disparity in tobacco use
• Developed, implemented, and evaluated the Let’s Move Program, a physical activity program designed to encourage Pacific Islander groups and organizations to engage in regular physical activity

Together, we are working to promote community education, research, and training Southern California’s PI communities.


8. Please describe the process of developing the product, including the ways that community and academic/institutional expertise were integrated in the development of this product.

WINCART used the National Cancer Institutes (NCI’s) Using What Works framework (http://cancercontrol.cancer.gov/use_what_works/start.htm) to culturally adapt the Instant Recess program using a CBPR process. Following the Using What Works framework (see a-h, below), a series of meetings were held with WINCART community and academic partners to complete the following steps to adapt the original program:

a) Determine the needs of Pacific Islander (PI) communities and how this physical activity program addresses those needs – Previous studies that explored physical activity and rates of overweight/obesity in PIs helped inform WINCART to focus on obesity prevention and physical activity promotion in PI community-based settings.

b) Review the Instant Recess Program and its materials with PI communities for feedback on its appropriateness – WINCART aimed to create a low-medium impact physical activity video for PI adults that incorporated movements, music, and people from the Pacific Islands. The WINCART Center Steering Committee voted to model the WINCART Let’s Move Program after the Instant Recess Program.

c) Define the extent of adaptation needed and potential ways to implement the new program and develop “mock-up” versions of the adapted products – The program components (or “Waves”) of the Let’s Move Program are:
Wave 1: Identify of a site champion: WINCART Partners urged for the importance of having a leader from every organization or group to lead the Let’s Move Program and encourage their membership to engage in physical activity. WINCART coined this person as the “Site Champion.” Wave 2: Show the 10-mimnute exercise break video: WINCART planned to culturally adapt the Instant Recess model into a 10-minute exercise break video that incorporated the movements, music, and people of the Pacific Islands. Whereas the Instant Recess program focused its implementation in workplaces, the Let’s Move Program targeted groups of adult PIs through social and cultural clubs, organizations, and faith-based groups. WINCART Partners identified a PI filmmaker and a PI dance group who were contracted to develop the WINCART Let’s Move 10-minute exercise break video.
Establish a policy to promote physical activity: The policy component is a commitment form that organizations and groups can use document their commitment to the Let’s Move Program. This form was created by the WINCART Community Health Educator and reviewed and approved by all WINCART partners.
Provide an environment that supports physical activity: WINCART tailored the NCI’s “8 Ways to Prevent Cancer” posters to be in-language (Chamorro, English, Marshallese, Native Hawaiian, Samoan, and Tongan) and to have a PI-themed design. One of the ways to prevent cancer is to “get at least 30 minutes of physical activity each day.” WINCART Community Partners took the lead on translating the posters and the WINCART Community Outreach Core worked with a graphic designer to create the three Islander-inspired designs. Electronic copies of the posters are available on the WINCART website.

d) Work with expert advisors to ensure that the adapted products maintain the accuracy of the originals – The WINCART Center utilized both community and academic expertise (who participate on WINCART’s Center Steering Committee) throughout the entire program adaptation process and were gathered at WINCART Meetings on a monthly basis.

e) Pilot test the adaptation in community setting – Six of the WINCART community partner organizations conducted a mini-pilot within their own organizations to gather feedback on the Let’s Move Program. Mini-pilot participants shared that, while they appreciated that the Program was tailored to meet the needs of their PI community, the 10-minute exercise break video was too advanced.

f) Modify the adapted program and products based on pilot test feedback – Through a series of meetings with WINCART, PI Physical Activity Leaders, and PI filmmaker, the exercise break routine was re-choreographed and filmed to include slower and more fluid movements, with more upper body movements and less complicated footwork.

g) Implement the Let’s Move Program – The Let’s Move Program was pilot-tested with eight PI organizations and groups in Southern California between January 2013-August 2013. PI organizations and groups were recruited through WINCART Community Partners and WINCART Community Health Educator. The long-term goal of the Let’s Move Program is the reduction of obesity-related cancers among PIs. The shorter-term objective is increasing the frequency of moderate and vigorous physical activity among PI adults in community settings.

h) Evaluate the effectiveness of Let’s Move Program – Evaluation results of the pilot implementation of the Let’s Move Program revealed that 1) the program was easily implementable in PI organizations and groups (n=8) with varying levels of capacity and experience in implementing physical activity programs; and 2) individual participants (n=101) were able to increase their physical activity levels and intended to continue to engage in physical activity in the future.

The Let’s Move Physical Activity Program Toolkit is a 7-page booklet that serves to, 1) introduce interested community groups to a culturally-adapted and evidence-based physical activity program for PI communities; and 2) guide interested community groups to successfully implement the program within their organization or group. The toolkit development process was led by WINCART’s Community Outreach Core and Community Health Educator in close collaboration with all WINCART Partners. The content of the Toolkit reads at a 12th grade reading level, which is appropriate given our anticipated audience includes community leaders, community health educators, and directors of community-based organizations and faith-based groups.

In November 2013, the Toolkit was mass printed, and distributed to PI organizations and groups via WINCART’s national community-level dissemination efforts, with a special focus on states with large populations of PIs.


9. Please discuss the significance and impact of your product. In your response, discuss ways your product has added to existing knowledge and benefited the community; ways others may have utilized your product; and any relevant evaluation data about impact, if available. If the impact of the product is not yet known, discuss its potential significance.

Our pilot evaluation results explored organizational capacity and individual behaviors. Pre and post organizational surveys (N=8) were completed by each organization or group’s Program Champion. The Let’s Move Pilot Program was implemented in eight PI community organizations, notably social clubs and churches. Prior to the Let’s Move Program, only one organization had a physical activity program and none of the organizations had ever implemented an evidence-based physical activity program. Through regular technical assistance and dissemination of the Let’s Move Program materials, n=101 PI adults participated in the Let’s Move Pilot Program. At the baseline, 52% of participants were not physically active. Participants increased the number of days they engaged in medium-intensity physical activity from 2.09 to 2.90 days/week. Post-pilot, 82% of participants indicated that they intended to continue to engage in physical activity for at least the next 6 months. With technical assistance and the identification of Program Champions, organizations with varying levels of capacity were able to successfully implement the Let’s Move Program at their sites. In designing a program that recognized the unique cultural elements of the PI communities, positive outcomes included changes in behavior and attitude towards physical activity.

After the pilot project, WINCART conducted a widespread dissemination to PI associations, organizations, and churches in Utah, Washington, Oregon, and Hawaii. Eleven organizations were trained to implement the Let’s Move Program. Three organizations participated on a initial training webinar and another eight organizations were trained in-person by WINCART’s Community Health Educator to conduct the program. Feedback from this implementation phase found that all were able to implement the program easily because the physical activity was appropriate for all ages, and the moves were culturally appropriate and appealing. In addition to the PI community organizations and churches interested in implementing WINCART’s Let’s Move Program, schools in Orange County, CA requested the toolkit to implement as an obesity prevention and healthy behaviors tool. Two hundred toolkits were disseminated to schools in Orange County, CA. Schools with high concentrations of Asian and PI families are implementing the program and disseminating the information from our toolkit. A follow-up survey on satisfaction, program implementation, and individual change will be conducted.

The Let’s Move Physical Activity Video received a second place award in the multi-media materials category at the 23rd Annual Public Health Education and Health Promotion (PHEHP) Public Health Materials Contest at the American Public Health Association’s 141st Annual Meeting and Exposition in Boston, MA in November 2013. WINCART presented on the pilot program goals and outcomes of the Let’s Move Physical Activity Program in a session hosted by PHEHP at the 2013 APHA Meeting.


10. Please describe why you chose the presentation format you did.

The WINCART Center decided to develop a Toolkit because of its versatility. We have an electronic version of the tool. We also have a printed version of the Toolkit (includes hardcopy DVD of the 10-minute exercise break video) that is given to participating sites in the region; disseminated at meetings, conferences, and events; and available via all WINCART community and academic partners. We did find that many of the PI organizations and churches preferred to have the DVD on hand since internet access was intermittent and not always available. Having the DVD was easier because all had access to some type of DVD player.

The WINCART Center believes that a Toolkit is an effective way of packaging all of the materials and products that comprise the WINCART Let’s Move Program. It also serves as an implementation guide, to help interested organizations and groups to introduce, implement, and evaluate the Program.

The Toolkit format also allowed us to continue with the PI-inspired branding of both the Let’s Move Program and the WINCART Center. Additionally, we were able to feature specific Program Champions and organizations and groups who had inspirational success stories, as a way to motivate groups that are just getting started with the Program.


11. Please reflect on the strengths and limitations of your product. In what ways did community and academic/institutional collaborators provide feedback and how was such feedback used? Include relevant evaluation data about strengths and limitations if available.

WINCART community and academic partners worked closely to develop the Let’s Move Program and Toolkit. Community members identified physical activity as a vital issue to prevent cancer and obesity in the community. Community members asked the academic partners for evidence-based practices that could be adapted for the PI communities. Academic partners identified Dr. Toni Yancey of the University of California, Los Angeles and her Instant Recess program as an-evidence based practice and model to utilize. Review by both community and academic partners of the Instant Recess program, its theory and model base, and intervention was conducted. Community members then worked with a local dance group to adapt the Instant Recess moves into culturally appropriate and meaningful moves for the PI communities. An initial video was produced and community partners field-tested it in the community and found it to be too challenging for older adults, so the moves were adapted again and a new video was produced and tested and found to be appropriate and enjoyable. Academic partners helped create an organizational and individual evaluation for groups and individuals that implemented the WINCART Let’s Move program and community partners provided input on the appropriateness of the organizational and individual evaluation tools. Community partners and WINCART’s Community Health Educator implemented the Let’s Move program at various PI organizations and churches and academic partners helped take the lead in the evaluation and analysis of the data obtained.

Individual participant feedback from the pilot evaluation revealed what participants liked and did not like. Specific to the Let’s Move Video, participants indicated that they liked that movements represented PI culture and dance, in addition to the video being simple, fun, and high intensity. Some participants felt that the video was too short, too slow, and too feminine. Some suggestions for improving the video included making a more masculine version of the video, a longer routine, and a more intense video (faster movements, option to add in weights). Despite some critical feedback, 91.6% of participants (n=101) said they would recommend the Let’s Move Physical Activity Program to family and friends. In response to the pilot evaluation feedback, the WINCART Center plans to make the original Let’s Move Physical Activity Video (was consumer-tested and found to be too fast, advanced and intense) into the Let’s Move Physical Activity Video – Level II available for PI communities in the near future.


12. Please describe ways that the project resulting in the product involved collaboration that embodied principles of mutual respect, shared work and shared credit. If different, describe ways that the product itself involved collaboration that embodied principles of mutual respect, shared work and shared credit. Have all collaborators on the product been notified of and approved submission of the product to CES4Health.info? If not, why not? Please indicate whether the project resulting in the product was approved by an Institutional Review Board (IRB) and/or community-based review mechanism, if applicable, and provide the name(s) of the IRB/mechanism.

The principles of community based participatory research (CBPR) were used in the development, testing, and dissemination of the WINCART Let’s Move Program. These CBPR principles included close partnerships between community members and academic researchers in all phases of study design, intervention development, collection and interpretation of data, and the dissemination of results. Development of the Let’s Move Physical Activity Program and Toolkit involved a series of meetings with the WINCART Center and physical activity experts, to maximize cultural sensitivity and appropriateness of all materials.

The final product, the Let’s Move Physical Activity Program Toolkit, was reviewed and approved by WINCART Center Steering Committee, which consists of academic, community, and clinical partners. Additionally, all community and academic partners of the WINCART Center reviewed the application and provided feedback in the phases leading up to the final submission.

The WINCART Let’s Move Program was IRB approved by California State University, Fullerton (Application Number HSR-13-0289) on August 7, 2013.