Developing culturally-responsive health promotion: insights from cultural experts.

Autor:	Look MA; Department of Native Hawaiian Health in Honolulu, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, USA.; Hālau Mōhala 'Ilima, Kāohao, HI, USA., Maskarinec GG; University of Hawai'I, John A. Burns School of Medicine, Honolulu, HI, USA., de Silva M; Hālau Mōhala 'Ilima, Kāohao, HI, USA., Werner K; Department of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, USA., Mabellos T; Department of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, USA., Palakiko DM; University of Hawai'i, School of Nursing, Ke Ola Mamo, Native Hawaiian Health Care System, Honolulu, HI, USA., Haumea SL; Mauli Ola, Hilo, HI, USA., Gonsalves J; Hui No ke Ola Pono, Native Hawaiian Health Care System, Waikuku, HI, USA., Seabury AA; I Ola Lāhui, Honolulu, HI, USA., Vegas JK; Wai'anae Coast Comprehensive Health Center, Waianae, HI, USA., Solatorio C; Kula no nā Po'e Hawai'i, Honolulu, HI, USA., Kaholokula JK; Department of Native Hawaiian Health, University of Hawai'i, John A. Burns School of Medicine, Honolulu, HI, USA.
Jazyk:	angličtina
Zdroj:	Health promotion international [Health Promot Int] 2023 Apr 01; Vol. 38 (2).
DOI:	10.1093/heapro/daad022
Abstrakt:	Culturally-responsive health promotion initiatives are important to the creation of health equity for Indigenous and minority populations and these initiatives are complex and time-intensive to establish. The knowledge and resources of cultural experts are often pivotal in programs, yet there is minimal research on effective collaborations. The KāHOLO Project demonstrated strong success in the management of uncontrolled hypertension in the high-risk Indigenous population through a 6-month program based on the Hawaiian cultural dance of hula. This program was developed utilizing a community-based participatory research approach and implemented by cultural experts. To better understand the effectiveness of the research endeavor and program, six experienced hula experts and educators who delivered the community-based program were interviewed. As skilled and trusted cultural experts they set a safe supportive learning environment that promoted health and cultural goals. They articulated it was important that the program maintained cultural priorities and integrity. Through the methodical establishment of mutual respect, cooperation on research protocols and requirements was achieved. The development of cultural experts as health allies offers important inroads to the inclusion of minority and Indigenous cultures in health programming. (© The Author(s) 2023. Published by Oxford University Press.)
Databáze:	MEDLINE
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