Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2021
A Cultural Dance Program Improves Hypertension Control and Cardiovascular Disease Risk in Native Hawaiians: A Randomized Controlled Trial.
Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 37 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Peau o le Vasa: Accelerating the Currents of Health Advances for Pasifika People
Live Healthy Chicago - Community Pilot
Who cites it
37 citing papers in PubMed, 5 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Group dance interventions for community dwelling older adults to prevent and treat sarcopenia: a mixed methods systematic review.GeroScience · 2026Pooled it
- Part 1: A Systematic Review to Describe Existing Cultural Adaptations in Lifestyle, Nutrition, and Physical Activity Programs for Native Hawaiian, CHamoru, and Filipino Populations.International journal of environmental research and public health · 2025Pooled it
- Group-delivered interventions for lowering blood pressure in hypertension: a systematic review and meta-analysis.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025Pooled it
- Does dance therapy benefit the improvement of blood pressure and blood lipid in patients with hypertension? A systematic review and meta-analysis.Frontiers in cardiovascular medicine · 2024Pooled it
- Health effects of Indigenous language use and revitalization: a realist review.International journal for equity in health · 2022Pooled it
- Epidemiology and determinants of cardiovascular disease in Indigenous populations.Nature reviews. Cardiology · 2026Review
- Exploring Long-Term Exercise and Fitness Maintenance Using Group Versus Individual Training in a Diverse Group of Breast Cancer Survivors.Healthcare (Basel, Switzerland) · 2026Article
- Evaluating Culturally Adapted Cardiac Rehabilitation: A Mixed Methods Review.Journal of immigrant and minority health · 2026Review
- Review
- Differential gastrointestinal mortality in Native Hawaiian/Pacific Islander and Asian subgroups in the U.S.: a cross-sectional analysis of national mortality surveillance data 2018-2023.Lancet regional health. Americas · 2026Article
- Advancing brain health equity with Indigenous peoples: A critical imperative.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026Review
- Study protocol for a randomized controlled trial of a culturally adapted cardiovascular dance intervention in Mapuche women with obesity.Frontiers in public health · 2026Article
- Culturally and regionally relevant physical activity for public health promotion in a global context: nature of the evidence and definition development from a narrative review.BMJ public health · 2026Review
- Engagement in Culturally and Regionally Relevant Physical Activity (Hula, Outrigger Paddling, Spearfishing and Surfing) in the State of Hawai'i over the Lifecourse: A cross-sectional analysis.Research square · 2025Article
- Culturally relevant physical activity in Hawai'i: outrigger canoeing across an adapted social-ecological model.Health promotion international · 2025Article
- The adaptation and evaluation of a culturally grounded lifestyle intervention to mitigate the risk of Alzheimer's disease and related dementias in Native Hawaiians and Pacific Islanders: A study protocol.SSM. Mental health · 2025Article
- Growing kalo (taro) to promote culture and health in the Continental US.Frontiers in public health · 2025Article
- Revealing 'Eha: A Qualitative Project on Historical Trauma Experiences Among Wāhine.Behavioral sciences (Basel, Switzerland) · 2024Article
- Article
- Cardiovascular Disease Mortality Among Native Hawaiian and Pacific Islander Adults Aged 35 Years or Older, 2018 to 2022.Annals of internal medicine · 2024Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
Abstract
backgroundNative Hawaiians have higher hypertension (HTN) and cardiovascular disease (CVD) rates than non-Hispanic whites, calling for culturally responsive interventions to close this gap. PURPOSE: We tested the effects of a 6-month behavioral intervention, a cultural dance program based on hula (the customary dance of Hawai'i), for improving blood pressure (BP) and CVD risk among Native Hawaiians with uncontrolled HTN.
methodsIn a randomized controlled trial, we tested the effects of the hula-based intervention among 263 Native Hawaiians with uncontrolled HTN (systolic ≥ 140 or ≥ 130 mmHg if diabetes) and no CVD at enrollment. All participants received a brief culturally tailored heart health education before random assignment to the hula-based intervention (n = 131) or the education-only waitlist control (n = 132). Intervention received hula lessons and group-based activities for 6 months. Control received only 1-week education through 6 months.
resultsIntervention yielded greater reductions in systolic (-15.3 mmHg) and diastolic (-6.4 mmHg) BP than control (-11.8 and -2.6 mmHg, respectively) from baseline to 6 months (p < .05). At 6 months, 43% of intervention participants compared to 21% of controls achieved a HTN stage <130/80 mmHg (p < .001). The 10-year CVD risk reduction was two times greater for the intervention group than the control group based on the Framingham Risk Score calculator. All improvements for intervention participants were maintained at 12 months.
conclusionsThis trial represents one of the few rigorously conducted examinations of an Indigenous practice leveraged for health promotion, with implications for other ethnic populations.
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What OpenQuestion holds
Registered trials
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.