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Updated: May 21, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
04:24

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

Developing a culturally based cardiac rehabilitation program: the HELA study

Mele A Look1, Joseph Keawe Kaholokula, Amy Carvhalo

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

Progress in Community Health Partnerships : Research, Education, and Action
|May 31, 2012
PubMed

Insights

This study developed a culturally sensitive cardiac rehabilitation (CR) program using hula, a Native Hawaiian dance, to improve heart health for Pacific Islanders. Integrating community and clinical insights ensured an effective, culturally relevant intervention.

Area of Science:

  • Public Health
  • Cardiovascular Health
  • Cultural Interventions

Background:

  • Heart disease significantly impacts Native Hawaiians and Pacific Islanders.
  • A cardiac rehabilitation (CR) program integrating hula, a traditional dance, was developed.
  • Cultural practices enhance health intervention outcomes, requiring cultural sensitivity.

Purpose of the Study:

  • To outline the framework and methods for incorporating diverse community perspectives into a hula-based CR intervention.
  • To ensure equitable integration of scientific-clinical and patient-cultural knowledge.

Main Methods:

  • Employed specific strategies for equitable knowledge integration.
  • Utilized multiple methods, including consultations and a flow diagram, for intervention design.
  • Applied Community-Based Participatory Research (CBPR) principles.

Main Results:

  • Hula's multidimensional benefits for CR were identified through patient and cultural consultations.
  • Clinical consultations provided exercise prescription and patient monitoring guidelines.
  • Integrated findings directed the intervention's requirements and future development.

Conclusions:

  • CBPR facilitated collaboration across multiple communities.
  • Inclusive consultations, though time-intensive, yielded valuable insights and strengthened relationships.
  • The hula-based CR intervention design was informed by diverse community perspectives.
Abstract

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