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Randomized Controlled Trial
. 2017 Feb;4(1):35-46.
doi: 10.1007/s40615-015-0198-4. Epub 2015 Dec 22.

Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial

Joseph Keawe'aimoku Kaholokula  1 , Mele Look  2   3 , Tricia Mabellos  2 , Guangxiang Zhang  2 , Mapuana de Silva  3 , Sheryl Yoshimura  4 , Cappy Solatorio  5 , Thomas Wills  6 , Todd B Seto  7 , Ka'imi A Sinclair  8
Affiliations
Randomized Controlled Trial

Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial

Joseph Keawe'aimoku Kaholokula et al. J Racial Ethn Health Disparities. 2017 Feb.

Abstract

Objective: Native Hawaiians and Pacific Islanders (NHPI) bear an unequal burden of hypertension and cardiovascular disease. Hula, the traditional dance of Hawaii, has shown to be a culturally meaningful form of moderate-vigorous physical activity for NHPI. A pilot study was done in Honolulu, Hawaii, to test a 12-week hula-based intervention, coupled with self-care education, on blood pressure management in NHPI with hypertension in 2013.

Method: NHPI with a systolic blood pressure (SBP) ≥140 mmHg were randomized to the intervention (n = 27) or a wait-list control (n = 28). Blood pressure, physical functioning, and eight aspects of health-related quality of life (HRQL) were assessed.

Results: The intervention resulted in a reduction in SBP compared to control (-18.3 vs. -7.6 mmHg, respectively, p ≤ 0.05) from baseline to 3-month post-intervention. Improvements in HRQL measures of bodily pain and social functioning were significantly associated with SBP improvements in both groups.

Conclusion: Using hula as the physical activity component of a hypertension intervention can serve as a culturally congruent strategy to blood pressure management in NHPI with hypertension.

Trial registration: clinicaltrials.gov Identifier: NCT01995812.

Keywords: Blood pressure; Community-based participatory research; Hula; Hypertension; Native Hawaiian and Pacific Islanders.

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Conflict of interest statement

All authors declare that they have no conflict of interest. Ethical Approval All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed Consent Informed consent was obtained from all individual participants included in the study.

Figures

Fig. 1
Fig. 1
CONSORT diagram of Ola Hou i ka Hula study participation
See this image and copyright information in PMC

References

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