Natives Engaged in Alzheimers Research - 'Ike Kupuna

University of Hawaii192 enrolled

Overview

This study will conduct a group randomized trial to test the effects of a hula-based intervention in improving vascular risk factors for ADRD and cognitive complaints and function over 12 months.

This study will conduct a pragmatic group-randomized trial (GRT) with NHPIs aged 50-75 years with at least 1 of 4 modifiable vascular risk factors for ADRD (hypertension, hyperglycemia, obesity, or dyslipidemia) and either SCI or MCI using a wait-list control design to test the effects of the hula-based intervention. The primary outcomes will be vascular risk factors for ADRD and subjective cognitive complaints. Secondary outcomes will include measures of cognitive performance, physical function, and mental health.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

NONE

Enrollment

192

Conditions

Mild Cognitive Impairment Subjective Cognitive Impairment

Interventions

Ola Mau i ka HulaBEHAVIORAL

The first 3 months of the hula-based intervention program was designed and standardized as a culturally-based physical activity (PA) that includes 15 minutes of ADRD education and intervention orientation with 12 weeks of hula lessons. These hula lessons consist of two 60-minute classes per week over 12 weeks. Each hula lesson will consist of 8 participants, providing them with the opportunity to engage-in this social support network. For the remaining 5 months of the Ola Mau i ka Hula Program, hula lessons led by the kumu hula will be reduced to once a month for 60 min. In addition, the intervention group will meet with a community-peer educator weekly over this 5-month period. Each meeting will be 90 minutes in length with 60 minutes of hula practice following the same format as previous classes, and 30 minutes will cover the PILI Lifestyle Plan curriculum and cultural-based cognitive exercises, alternating weekly.

Eligibility

Sex: ALLMin age: 50 YearsMax age: 75 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: 1. self-reported Native Hawaiian or other Pacific Islander ancestry; 2. ages 50+ but not older than 75 (optimal age range for preventing future dementia in people with cognitive impairment, above 75 is not likely to benefit from this study given their advance age); 3. has subjective cognitive impairment (SCI) or mild cognitive impairment (MCI); 4. have a diagnosis of hypertension, diabetes, dyslipidemia, or obesity (body-mass-index ≥ 30 kg/m2); 5. physically able and willing to engage in moderate physical activity necessary for Hula; and 6. physician's approval to participate in moderate physical activity Exclusion Criteria: 1. currently pregnant; 2. already actively practicing Hula at least once per week; or 3. clinical diagnosis of ADRD (mild to severe); or 4. current diagnosed major depressive disorder at moderate or greater stage, or moderate or greater depression on the Center for Epidemiological Studies Depression Scale (CES-D).

Locations (3)

Kula No Na Po'e

Honolulu, Hawaii, United States

RECRUITING

Kokua Kalihi Valley

Honolulu, Hawaii, United States

RECRUITING

Hui No Ke Ola Pono

Wailuku, Hawaii, United States

RECRUITING