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Pacific Islanders' perspectives on heart failure management
Joseph Keawe'aimoku Kaholokula1, Erin Saito, Marjorie K Mau
1University of Hawai'i at Mānoa, John A. Burns School of Medicine, Department of Native Hawaiian Health, Honolulu, USA. kaholoku@hawaii.edu
Patient Education and Counseling
|December 11, 2007
Summary
Pacific Islanders with heart failure utilize spiritual beliefs and family support but face barriers like mistrust and poor knowledge. Tailoring interventions to their socio-cultural context is key for better adherence.
Area of Science:
- Cardiology
- Medical Anthropology
- Public Health
Background:
- Heart failure (HF) management in diverse populations requires understanding cultural nuances.
- Pacific Islanders represent a unique demographic with distinct health beliefs and practices.
Purpose of the Study:
- To explore health beliefs, attitudes, practices, and social/family dynamics influencing heart failure treatment among Pacific Islanders.
- To identify barriers and facilitators for effective heart failure care in this population.
Main Methods:
- Four focus groups conducted with 36 Native Hawaiians and Samoans diagnosed with heart failure and their family caregivers.
- Thematic data analysis employed to categorize findings into health beliefs, preferred practices, social support, and care barriers.
Main Results:
- Common coping mechanisms included illness avoidance, hopelessness, and reliance on spiritual beliefs.
- Cultural preferences varied, with Samoans favoring physicians and Native Hawaiians preferring traditional healing methods.
- Informational and tangible-instrumental social support were crucial; barriers included poor HF knowledge, mistrust of physicians, financial constraints, and time demands.
Conclusions:
- Psychosocial and socio-cultural factors significantly impact Pacific Islanders' recruitment, retention, and adherence to heart failure interventions.
- Improving interventions necessitates providing clear HF information, involving extended families, and enhancing physician-patient relationships within their socio-cultural framework.
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