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Prog Community Health Partnersh. 2012 Spring;6(1):103-10. doi: 10.1353/cpr.2012.0012.

Developing a culturally based cardiac rehabilitation program: the HELA study.

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1
University of Hawai'i, School of Medicine, USA.

Abstract

BACKGROUND:

Heart disease disproportionately affects Native Hawaiians and other Pacific people. In response, researchers proposed and communities endorsed, developing a cardiac rehabilitation (CR) program based on the hula, a Native Hawaiian dance form. The utilization of cultural practices in health interventions can improve outcomes and increase enrollment and retention, but requires sensitivity and understanding.

OBJECTIVE:

This paper provides the conceptual framework and methods used for integration of multiple communities' perspectives to inform the design of a hula-based CR intervention.

METHODS:

Specific strategies and processes were established to ensure the equity of scientific-clinical and patient- cultural knowledge and perspectives. Multiple methods were used and a flow diagram defined steps for the intervention development.

RESULTS:

Patient and cultural consultations provided information about the multidimensional benefits of hula and its use in a CR intervention. Clinical and scientific consultations provided specific guidelines for exercise prescription and patient monitoring. Integrating findings from all consultations identified important direction and requirements.

CONCLUSIONS:

Community-based participatory research (CBPR) principles guided a complex collaboration of multiple communities; although time consuming, inclusive consultations provided valuable information and relationships.

PMID:
22643794
PMCID:
PMC3524268
DOI:
10.1353/cpr.2012.0012
[Indexed for MEDLINE]
Free PMC Article
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