INCORPORATING CULTURE: HULA AND ITS EFFECT ON BLOOD PRESSURE AT WAIMĀNALO HEALTH CENTER

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dc.contributor.advisorMobley, Joseph
dc.contributor.authorFukuyama, Allyson
dc.contributor.departmentNursing Practice
dc.date.accessioned2024-07-02T23:42:53Z
dc.date.available2024-07-02T23:42:53Z
dc.date.issued2024
dc.description.degreeD.N.P.
dc.identifier.urihttps://hdl.handle.net/10125/108414
dc.subjectNursing
dc.titleINCORPORATING CULTURE: HULA AND ITS EFFECT ON BLOOD PRESSURE AT WAIMĀNALO HEALTH CENTER
dc.typeThesis
dcterms.abstractThe Framingham Heart Study stands as the longest-running epidemiological study in the United States, spanning over 70 years since its initiation in 1948. However; many studies have begun to expand the framework that the Framingham Heart Study established through the integration of cultural adaptation. These studies have found that culture has a direct and pivotal impact on both modifiable and non-modifiable risk factors. This is crucial for Native Hawaiians and Pacific Islanders (NHPI), who suffer disproportionately from cardiovascular disease (CVD) as compared to many other ethnic groups in Hawai’i. Waimānalo Health Center has focused on cultural practice integrations through providing services like lomilomi, ho’oponopono, and the hula program. This study aims to evaluate the effect of incorporating hula and culturally competent heart health education on systolic blood pressures (SBP) and patient satisfaction with their providers. The culturally centered education was focused on supplementing interventions from providers such as decreasing sodium intake, increasing activity levels, and medication adherence. Participants were enrolled in a weekly one hour hula class for 15 weeks, received six 10 minute lectures on hypertension management, and an educational handout. Pre- and post- intervention surveys evaluated perceptions on blood pressure health, perceptions on blood pressure management strategies, and perceptions on the efficacy of hula on blood pressure. Overall, perceptions worsened, however there was a sampling error due to a small sampling size. Both perceptions on the efficacy of hula improved as well as systolic blood pressures improved on average 14 mmHg.
dcterms.extent32 pages
dcterms.languageen
dcterms.publisherUniversity of Hawai'i at Manoa
dcterms.rightsAll UHM dissertations and theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission from the copyright owner.
dcterms.typeText
local.identifier.alturihttp://dissertations.umi.com/hawii:12244

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