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Cited by 97Blood Pressure and Hypertension StudiesPhysical Activity and HealthIndigenous Health, Education, and Rights

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

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Kaholokula, Joseph Keawe‘aimoku, Look, Mele, Mabellos, Tricia, Zhang, Guangxiang, de Silva, Mapuana, Yoshimura, Sheryl, Solatorio, Cappy, Wills, Thomas +2 more·2017·Journal of Racial and Ethnic Health Disparities
DOI 10.1007/s40615-015-0198-4PMC PMC5283501
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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.

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  • Ola Hou reduced systolic blood pressure by 10 mmHg more than a waitlist control and improved social functioning and perceptions of ethnic discrimination in Native Hawaiians and Pacific Islanders with hypertension.

    “It was found not only to reduce SBP by 10 mmHg more than in a waitlist control but also to improve social functioning and perceptions of ethnic discrimination (Kaholokula et al., 2015).”

    From Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities (2020) · cites this paper as Kaholokula et al., 2015

    The Results (Primary Outcome Analyses; page unavailable) report about 10 mmHg greater SBP reduction with Ola Hou than with the wait-list control. The Results (Secondary Outcome Analyses; page unavailable) report greater average improvement in social functioning, but the between-group difference was not statistically significant. The paper does not report measuring or improving perceptions of ethnic discrimination. (LLM, conf=0.90)

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Authors
Kaholokula, J. K., Look, M., Mabellos, T., Zhang, G., de Silva, M., Yoshimura, S., Solatorio, C., Wills, T., Seto, T. B., & Sinclair, K. A.
Affiliations
  • University of Hawaiʻi at Mānoa (US)
  • Kōkua Kalihi Valley (US)
  • University of Hawaii Cancer Center (US)
  • Queen's Medical Center (US)
  • University of Washington (US)
Corresponding author
Kaholokula, Joseph Keawe‘aimoku
ORCID
Venue
Journal of Racial and Ethnic Health Disparities
Publisher
Springer Science and Business Media LLC
Published
2015-12-22
Volume
4
Issue
1
Pages
35-46
ISSN
  • 2196-8837 (ISSN-L)
  • 2197-3792
DOI
10.1007/s40615-015-0198-4
PMC
PMC5283501
OpenAlex
W2337378025
Cited by
97
References
56
Citations by year
2026: 6 · 2025: 12 · 2024: 10 · 2023: 12 · 2022: 13 · 2021: 17 · 2020: 7 · 2019: 5 · 2018: 8 · 2017: 5 · 2016: 2
FWCI
3.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Racial and Ethnic Health Disparities (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
Funders
  • National Institute on Minority Health and Health Disparities (P20 MD000173, U54MD007584)
  • National Institutes of Health (G12MD007601)
  • Queen's Health Systems
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Blood Pressure and Hypertension Studies
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Health › Indigenous Health, Education, and Rights
Keywords
hula, Native Hawaiians and Pacific Islanders, antihypertensive therapy, blood pressure reduction, culturally tailored interventions, folk dance, physical activity, self-care education, health-related quality of life, cardiovascular disease, health disparities
MeSH terms
Adult, Aged, Cultural Characteristics, Dancing, Female, Hawaii, Health Promotion, Humans, Hypertension, Male, Middle Aged, Pilot Projects, Program Evaluation, Native Hawaiian or Pacific Islander, Native Hawaiian or Other Pacific Islander, Health Status Disparities

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