Kā-HOLO Project: a protocol for a randomized controlled trial of a native cultural dance program for cardiovascular disease prevention in Native Hawaiians

BMC Public Health

Study Protocol

Hyeong Jun Ahn¹  Joseph Keawe‘aimoku Kaholokula²  Tricia Mabellos²  Todd B. Seto²  Mele A. Look³  Māpuana de Silva⁴  Ka‘imi A. Sinclair⁵  Dedra Buchwald⁵  Thomas A. Wills⁶ 

[1] Department of Complementary and Integrative Medicine, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, USA;Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, USA;Department of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai‘i at Mānoa, Honolulu, USA;Hālau Mōhala ‘Ilima, Kailua, USA;Hālau Mōhala ‘Ilima, Kailua, USA;Initiative for Research and Education to Advance Community Health (IREACH), Washington State University, Seattle, USA;University of Hawai‘i Cancer Center, Honolulu, USA;

关键词: Hypertension;    Cardiovascular disease;    Cerebrovascular disease;    Native Hawaiians;    Randomized controlled trial;   

DOI  :  10.1186/s12889-017-4246-3

 received in 2017-03-11, accepted in 2017-04-07,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundAs 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.MethodsA 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.DiscussionThis 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 registrationClinicalTrials.gov: NCT02620709, registration date November 23, 2015.

【 授权许可】

CC BY   
© The Author(s). 2017