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Kā-HOLO Project: a protocol for a randomized controlled trial of a native cultural dance program for cardiovascular disease prevention in Native Hawaiians
- Source :
- BMC Public Health, BMC Public Health, Vol 17, Iss 1, Pp 1-12 (2017)
- Publication Year :
- 2017
- Publisher :
- Springer Science and Business Media LLC, 2017.
-
Abstract
- Background As a major risk factor for cardiovascular and cerebrovascular disease (CVD), hypertension affects 33% of U.S. adults. Relative to other US races and ethnicities, Native Hawaiians have a high prevalence of hypertension and are 3 to 4 times more likely to have CVD. Effective, culturally-relevant interventions are needed to address CVD risk in this population. Investigators of the Kā-HOLO Project developed a study design to test the efficacy of an intervention that uses hula, a traditional Hawaiian dance, to increase physical activity and reduce CVD risk. Methods A 2-arm randomized controlled trial with a wait-list control design will be implemented to test a 6-month intervention based on hula to manage blood pressure and reduce CVD risk in 250 adult Native Hawaiians with diagnosed hypertension. Half of the sample will be randomized to each arm, stratified across multiple study sites. Primary outcomes are reduction in systolic blood pressure and improvement in CVD risk as measured by the Framingham Risk Score. Other psychosocial and sociocultural measures will be included to determine mediators of intervention effects on primary outcomes. Assessments will be conducted at baseline, 3 months, and 6 months for all participants, and at 12 months for intervention participants only. Discussion This trial will elucidate the efficacy of a novel hypertension management program designed to reduce CVD risk in an indigenous population by using a cultural dance form as its physical activity component. The results of this culturally-based intervention will have implications for other indigenous populations globally and will offer a sustainable, culturally-relevant means of addressing CVD disparities. Trial registration ClinicalTrials.gov: NCT02620709 , registration date November 23, 2015.
- Subjects :
- Adult
Male
Gerontology
Native Hawaiian or Other Pacific Islander
common
Population
Psychological intervention
030204 cardiovascular system & hematology
Hawaii
law.invention
Study Protocol
03 medical and health sciences
0302 clinical medicine
Clinical Protocols
Randomized controlled trial
Risk Factors
law
Native Hawaiians
Humans
Medicine
030212 general & internal medicine
Dancing
Risk factor
Cerebrovascular disease
education
Hula
education.field_of_study
Cultural Characteristics
Framingham Risk Score
business.industry
lcsh:Public aspects of medicine
common.demographic_type
Public Health, Environmental and Occupational Health
lcsh:RA1-1270
Health Status Disparities
Cardiovascular disease
3. Good health
Cardiovascular Diseases
Hypertension
Female
business
Psychosocial
Program Evaluation
Subjects
Details
- ISSN :
- 14712458
- Volume :
- 17
- Database :
- OpenAIRE
- Journal :
- BMC Public Health
- Accession number :
- edsair.doi.dedup.....a1bc36cc1f9850f3cc3378cb59837308
- Full Text :
- https://doi.org/10.1186/s12889-017-4246-3