Ola Hou i ka Hula: Hula and Hypertension (Ola Hou)

• ClinicalTrials.gov Identifier: NCT01995812
• Recruitment Status: Completed
• First Posted: November 27, 2013
• Last Update Posted: November 27, 2013
• Sponsor: University of Hawaii
• Information provided by (Responsible Party): Joseph Keawe'aimoku Kaholokula, University of Hawaii

Study Description

Brief Summary:

Physical activity is an important lifestyle modification for individuals with high blood pressure. It is part of national cardiac care guidelines for hypertension management that recommends, along with prescribing medication, lifestyle modification be promoted for improved dietary intake, and participation in about 150 minutes of moderate exercise a week. Native Hawaiians and other Pacific peoples (NHPP) have among the highest risk for the heart disease, with mortality rates twice other ethnic groups. In many minority populations, including NHPP, hypertension develops at an early age, is more severe and is less likely to be controlled. Despite the ability of physical activity to reduce blood pressure, the majority of U.S. population, do not meet physical activity recommendations and new interventions that can improve accessibility and adherence, particularly among at-risk minority populations are needed.

In this research, Hypertension and Hula: Ola Hou Pilot Study, we plan to evaluate a culturally relevant intervention that uses hula and is consistent with the goals of recommended physical activity for improved lifestyle - moderate-intensity, prolonged physical activity cumulatively at about 150 minutes per week. Hula, the traditional dance form of Native Hawaiians, is commonly practiced in Hawai'i as a cultural practice, form of creative expression, and exercise that is structured on controlled, rhythmic movements. Combining aspects of meditation, music, self-awareness with low-impact aerobic exercise, traditional hula may be particularly suitable to individuals with limited mobility and fitness and within the recommended paradigm for exercise training and secondary prevention of coronary artery disease (CAD). We anticipate a hula and heart health education program will be particularly appealing to Native Hawaiians and other Pacific people (NHPP) including Pacific Islanders and Filipino who suffer from a significant disparity in cardiovascular health.

Specifically, we will determine if individuals with poorly managed hypertension and randomized to a 12-week hula and heart health education intervention will demonstrate better blood pressure levels, functional capacity, and exercise tolerance (6-minute walk test) than individuals randomized to a usual care group. We will also assess if the individuals in the hula intervention report better health-related quality of life, stress management, perceptions of discrimination, and exercise self efficacy.

Condition or disease	Intervention/treatment	Phase
Hypertension	Behavioral: Hula and heart health education	Not Applicable

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 59 participants
• Allocation: Randomized
• Intervention Model: Crossover Assignment
• Masking: None (Open Label)
• Primary Purpose: Treatment
• Official Title: Ola Hou i ka Hula: A Pilot Study to Investigate Hula and Hypertension Control
• Study Start Date: March 2012
• Actual Primary Completion Date: March 2013
• Actual Study Completion Date: May 2013

Arms and Interventions

Arm	Intervention/treatment
Experimental: Hula and heart health education; 12 weeks of hula classes, 2 times a week for one hour. An additional 3 hours of heart health education was given to participants	Behavioral: Hula and heart health education
No Intervention: Control group

Outcome Measures

Primary Outcome Measures :

1. Reduction of systolic blood pressure in hypertensive participants [ Time Frame: 3 months ]

Secondary Outcome Measures :

1. Health-related quality of life [ Time Frame: 3 months ]
   Additional surveys given to participants to measure psychosocial factors.

Eligibility Criteria

• Ages Eligible for Study: 18 Years and older (Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Criteria

Inclusion Criteria:

• Adult (age > 18) with blood pressure >140/90 or >130/80 if also diagnosed with diabetes
• Under a physicians care for hypertension for at least 6 months
• Prescribed 2-3 hypertension medications
• Independently ambulatory
• Approval of participation from primary care physician or cardiologist

Exclusion Criteria:

• Prescribed more than 4, or only 1 hypertension medication
• Severe cognitive dysfunction precluding informed consent and understanding of hula
• Pregnancy at time or during the study period

Contacts and Locations

Locations

United States, Hawaii

University of Hawaii, John A Burns School of Medicine, Department of Native Hawaiian Health

Honolulu, Hawaii, United States, 96813

Sponsors and Collaborators

University of Hawaii

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Kaholokula JK, Look M, Mabellos T, Zhang G, de Silva M, Yoshimura S, Solatorio C, Wills T, Seto TB, Sinclair KA. Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: a Pilot Randomized Trial. J Racial Ethn Health Disparities. 2017 Feb;4(1):35-46. doi: 10.1007/s40615-015-0198-4. Epub 2015 Dec 22.

• Responsible Party: Joseph Keawe'aimoku Kaholokula, Chair and Associate Professor, University of Hawaii
• ClinicalTrials.gov Identifier: NCT01995812
• Other Study ID Numbers: Ola Hou i ka Hula
• First Posted: November 27, 2013
• Last Update Posted: November 27, 2013
• Last Verified: November 2013

Additional relevant MeSH terms:

Hypertension; Vascular Diseases; Cardiovascular Diseases