Evidence map›Paper›PMID 29843522›Full record

ReviewAnnals of human biology2018

Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders.

Joseph Keawe'aimoku Kaholokula, Claire Townsend Ing, Mele A Look, Rebecca Delafield, Ka'imi Sinclair

Open access · greenAbstract readReview
In one paragraph

Review in Annals of human biology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 80 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
80citing papers in PubMed, 2 pooled it
6.5field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

80 citing papers in PubMed, 2 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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20 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Joseph Keawe'aimoku Kaholokulaa Department of Native Hawaiian Health , John A. Burns School of Medicine, University of Hawai'i at Mānoa , Honolulu , HI , USA.
Claire Townsend Inga Department of Native Hawaiian Health , John A. Burns School of Medicine, University of Hawai'i at Mānoa , Honolulu , HI , USA.
Mele A Looka Department of Native Hawaiian Health , John A. Burns School of Medicine, University of Hawai'i at Mānoa , Honolulu , HI , USA.
Rebecca Delafielda Department of Native Hawaiian Health , John A. Burns School of Medicine, University of Hawai'i at Mānoa , Honolulu , HI , USA.
Ka'imi Sinclairb Initiative for Research and Education to Advance Community Health (IREACH) , Washington State University , Seattle , WA , USA.
University of Hawaiʻi at Mānoa · USWashington State University · US

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI JoAnn Umilani Tsark · 2017 to 2026
$59.5M
RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI HEDGES, JERRIS ROBERT, MOKUAU, NOREEN · 2012 to 2018
$21.1M
UNDERSTANDING AND REDUCING ETHNIC DISPARITIES IN PREVENTABLE HOSPITALIZATIONSP20MD000173 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MAU, MARJORIE K. LEIMOMI MALA · 2002 to 2017
$21.0M
PILI 'Ohana Project: Partnerships to Overcome Obesity Disparities in Hawai'iR24MD001660 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI KAHOLOKULA, JOSEPH KEAWE'AIMOKU · 2005 to 2015
$6.3M
Training ProgramU54CA153459 · NCI · PAPA OLA LOKAHI · PI BRAUN, KATHRYN LENZNER · 2010 to 2015
$4.5M
The KaHOLO Project: Preventing Cardiovascular Disease in Native HawaiiansR01HL126577 · NHLBI · UNIVERSITY OF HAWAII AT MANOA · PI KAHOLOKULA, JOSEPH KEAWE'AIMOKU · 2015 to 2019
$3.9M
NCI NIH HHS U54 CA153459NHLBI NIH HHS R01 HL126577NIMHD NIH HHS P20 MD000173NIMHD NIH HHS R24 MD001660NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54 MD007601
6 · The paper itself

Abstract

contextObesity, diabetes and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural and socioeconomic realities are a public health priority.

objectiveTo describe cultural adaptation and culturally grounded approaches to developing health interventions for NHPI and to review the culturally responsive approaches used by, and outcomes from, two long-standing community-based participatory research projects (CBPR) in Hawai'i: PILI 'Ohana and KāHOLO Projects.

methodsA literature review of 14 studies from these two projects was done to exemplify the methods applied to culturally adapting existing evidence-based interventions and to developing novel interventions from the 'ground up' to address health disparities in NHPI. Of the 14 studies reviewed, 11 were studies of the clinical and behavioural outcomes of both types of interventions.

resultsBoth culturally adapted and culturally grounded approaches using community-based assets and NHPI cultural values/practices led to establishing sustainable and scalable interventions that significantly improved clinical measures of obesity, diabetes and hypertension.

conclusionSeveral recommendations are provided based on the lessons learned from the PILI 'Ohana and KāHOLO Projects. Multidisciplinary and transdisciplinary research using CBPR approaches are needed to elucidate how human biology is impacted by societal, environmental and psychological factors that increase the risk for cardiometabolic diseases among NHPI to develop more effective health promotion interventions and public health policies.

Indexed as

Cardiovascular DiseasesCommunity-Based Participatory ResearchDiabetes MellitusHawaiiHealth PromotionHumansNative Hawaiian or Pacific IslanderObesitycardiometaboliccardiovascular diseasediabeteshealth promotioninterventionNative HawaiiansobesityPacific Islanders

Identifiers

PMID29843522
PMCPMC6002761
OpenAlexW2807346404

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.