Scoping Review of Interventional Studies in Chronic Disease for Native Hawaiian, Pacific Islander, and Filipino Populations in the United States

• Published in: Hawai'i journal of health & social welfare Vol. 82; no. 10 Suppl 1; pp. 58 - 66
• Main Authors: Taafaki, Munirih R, Taira, Deborah, Braun, Kathryn L
• Format: Journal Article
• Language: English
• Published: United States University Clinical, Education & Research Associate (UCERA) 01.10.2023
• Subjects: Asian American Native Hawaiian and Pacific Islander; Chronic Disease; Health Inequities; Humans; Language; Randomized Controlled Trials as Topic; United States; United States; Filipino; Native Hawaiian; health disparities; Pacific Islander; chronic disease; indigenous; Scoping review; intervention; randomized controlled trial
• ISSN: 2641-5224; 2641-5216; 2641-5224

Native Hawaiians (NHs), Pacific Islanders (PIs), and Filipinos experience health disparities in the United States (US) and need interventions that work for them. The purpose of this paper is to present a review of interventions designed to address chronic disease in Native Hawaiian, Pacific Islander, and Filipino populations in the US that were tested for clinical impact through a randomized controlled trial (RCT). Articles were identified through a search of 4 databases, citation chasing, and colleagues. The 23 included articles reported on 21 interventions addressing 4 chronic conditions-cancer, obesity, cardiovascular disease, and diabetes. All projects were guided by advisory groups, and all interventions were theory-based and tailored to the population, with culturally- and language-appropriate educational materials delivered by same-race individuals in familiar church, club, or home settings. About half were tested through cluster RCT. The majority of the interventions were successful, confirming the value of developing and delivering interventions in partnership with community. Given the growing numbers of NHs, PIs, and Filipinos in the US, more investigational studies are needed to develop and test culturally tailored and grounded interventions that meet the health needs of these populations.