Joseph Keawe‘aimoku Kaholokula
Biographic Data
| ID | 123630 |
|---|---|
| NAME | Joseph Keawe‘aimoku Kaholokula |
| GIVEN NAMES | Joseph Keawe‘aimoku |
| FAMILY NAME | Kaholokula |
| SIGNATURE | KAHOLOKULA J K |
| AFFILIATIONS | University of Hawaiʻi at Mānoa |
| ORCID | 0000-0001-5076-6141 |
| VERIFIED | Yes |
| TOTAL WORKS | 45 |
| TOTAL CITATIONS | 65 |
| AUTHOR COUNT | 45 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2005 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 5 |
The adaptation and evaluation of a culturally grounded lifestyle intervention to mitigate the risk of Alzheimer's disease and related dementias in Native Hawaiians and Pacific Islanders: A study proto…
Native Hawaiians and Pacific Islanders (NHPI) have a greater risk of Alzheimer’s disease and other related dementias (ADRD), and at younger ages; yet, they are nearly absent in ADRD research. • A novel culturally-grounded intervention focused on diet, exercise, and social and cognitive engagement can improve the clinical factors of ADRD and prevent or delay its onset in NHPI. • Innovative trial designs to test the feasibility and effectiveness of…
Exploring the Impact of Social Connection Dimensions on Cognitive Impairment in Older Adults: Observational Cohort Study
This study aimed to identify unique social connection factors associated with cognitive impairment among older adults. Longitudinal data from the 2010 to 2020 Health and Retirement Study were used. Discrete-time survival models were applied to examine the impact of the social factors like loneliness, depression, positive and negative support from family and friends, volunteerism, attending sports or social clubs, charity work, and computer use on…
From Race and Ethnicity as Proxy Variables to Measuring What It Means: The Next Evolution of Health Equity Research
A psychometric analysis of the adapted historical loss scale and historical loss associated symptoms scale among native Hawaiian adults
Objectives: The Historical Loss Scale (HLS) and Historical Loss Associated Symptoms Scale (HLASS) are standardized measures that have been accepted and previously validated among North American Indigenous communities and allow researchers to measure the impact of Historical Loss. Evidence of the psychometric properties of this instrument have not been assessed for Native Hawaiians, the Indigenous peoples of Hawai'i. The purpose of this study is t…
Adult Familial Influences on Rural Native Hawaiian and Pacific Islander Youths’ E-Cigarette Use
Background: Over the past decade, youth e-cigarette use has grown into a national epidemic, with Native Hawaiian and Pacific Islander (NHPI) youths’ rates among some of the highest in the nation. Family factors significantly contribute to NHPI youths’ decisions to engage in or resist substance use, yet few studies have specifically examined familial influences on NHPI youths’ substance use decision-making and behaviors. Objective: The objective o…
Exploring Youths’ Offers to Use E-Cigarettes in Rural Hawai‘i: A Test Development and Validation Study
The purpose of this study is to describe the development and initial validation of a survey focused on problematic situations involving e-cigarette use by rural Native Hawaiian and Pacific Islander (NHPI) youths. A 5-phase approach to test development and validation was used. In Phase 1 (Item Generation), survey items were created from a series of focus groups with middle school youths on Hawai'i Island ( N = 69). In Phase 2 (Item Refinement and …
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States, an article from American Journal of Public Health, Vol 114 Issue S1
Racial Misclassification, Discrimination, Consciousness, and Self-Rated Health Among Native Hawaiian and Pacific Islander Adults in the USA
Experiences of Discrimination Among Native Hawaiians and Pacific Islanders Living in the USA
Developing culturally-responsive health promotion: Insights from cultural experts
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-r…
Prevalence of Dementia in American Indians and Alaska Natives Compared to White, Black, and Hispanic Medicare Beneficiaries: Findings from the National Health and Aging Trends Study
Food Insecurity and Blood Pressure in a Multiethnic Population
Food insecurity is a social determinant of health and is increasingly recognized as a risk factor for hypertension. Native Hawaiians bear a disproportionate burden of hypertension and known risk factors. Despite this, the relative effects of food insecurity and financial instability on blood pressure have yet to be investigated in this population. This study examines the relative effects of food insecurity and financial instability on blood press…
Prevalence of cardiovascular disease among Asian, Pacific Islander and multi-race populations in Hawai’i and California
Study findings revealed significant differences in overall CVD, CHD, stroke, and PVD among API subgroups. In addition to elevated risk among Filipino, Native Hawaiian, and Other Pacific Islander groups, the study identified particularly elevated risk among multi-race API groups. Differences in disease prevalence are likely mirrored in other cardiometabolic conditions, supporting the need to disaggregate API subgroups in health research
A Cluster Randomized Controlled Trial Comparing Diabetes Prevention Program Interventions for Overweight/Obese Marshallese Adults
This study compared the effectiveness of two Diabetes Prevention Program (DPP) interventions on weight loss among overweight and obese Marshallese adults. The study was a two-arm cluster randomized controlled trial conducted in 30 churches in Arkansas and Oklahoma. Marshallese adults with a body mass index ≥25 kg/m 2 were eligible for the study. The study sample included 380 participants. Participants received either a faith-based adaptation of t…
Implicit Racial Attitudes and Associations Among Obstetricians in Hawaiʻi: A Pilot Study
Associations between Cultural Identity, Household Membership and Diet Quality among Native Hawaiian, Pacific Islander, and Filipino Infants in Hawaiʻi
Public health efforts to reduce diet-related health disparities experienced by indigenous peoples could be enhanced by efforts to improve complementary infant feeding practices. The latter is possible through interventions informed by cultural determinants. This cross-sectional secondary analysis explored possible determinants of the complementary feeding practices of Native Hawaiian, Pacific Islander, and/or Filipino infants (NHPIF) in Hawai'i, …
Unified in Our Diversity to Address Health Disparities Among Asian Americans, Native Hawaiians, and Pacific Islanders
The COVID-19 pandemic disproportionately impacted Asian Americans, Native Hawaiians, and Pacific Islanders (AA/NHPIs) in the United States. AA/NHPIs have historically been subjected to discrimination, which was exacerbated by the pandemic. To bring attention to their unique concerns, an AA/NHPI Interest Group of the National Institutes of Health Community Engagement Alliance Against COVID-19 Disparities (CEAL) was formed. This article highlights …
Examining the Relationship Between Physical Activity and Self-Efficacy for Exercise Among Overweight and Obese Marshallese Adults
Health outcomes and healthcare utilization of Native Hawaiians and other Pacific Islanders living with HIV in Hawai‘i: A mixed-methods study
Among NHOPI in Hawai'i who are engaged in case management, there appears to be no substantial disparities in either viral load or satisfaction with care compared to other ethnic groups. Despite this, qualitative findings provide insights on how ethnicity and culture may still be playing a role. Addressing all domains of the BMVP is crucial to addressing this
Pasifika prediabetes youth empowerment programme: Evaluating a co‐designed community‐based intervention from a participants’ perspective
This paper provides insights from a community‐centre intervention study that was co‐designed by youth, health providers and researchers. The aims of the paper were to highlight the effectiveness of a co‐designed community centred diabetes prevention intervention, and to determine whether a culturally tailored approach was successful. The study participants ( n = 26) were at risk of developing prediabetes and represented the working age group of P…
Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities
Prejudice, Stigma, and Oppression on the Behavioral Health of Native Hawaiians and Pacific Islanders
The Value of Hawaiʻi 3: Hulihia, the Turning
“Hulihia” refers to massive upheavals that change the landscape, overturn the normal, reverse the flow, and sweep away the prevailing or assumed. We live in such days. Pandemics. Threats to ʻāina. Political dysfunction, cultural appropriation, and disrespect. But also powerful surges toward sustainability, autonomy, and sovereignty. The first two volumes of The Value of Hawaiʻi ( Knowing the Past, Facing the Future and Ancestral Roots, Oceanic Vi…
Ethnic and Gender Differences in 10-Year Coronary Heart Disease Risk: A Cross-Sectional Study in Hawai‘i
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death in the US. In Hawai'i, Filipinos and Native Hawaiians have the highest rates of CVD-related risk factors. CVD risk across these ethnic groups has not been examined. This cross-sectional study examines 10-year CVD risk as determined by the Framingham Risk Score (FRS) across ethnic groups in Hawai'i, controlling for clinical, demographic, and psychosocial factors. METHODS: This …
Implementation outcomes of a culturally adapted diabetes self-management education intervention for Native Hawaiians and Pacific islanders
Clinicaltrials.gov Identifier: NCT01093924 prospectively registered 01.20.09
Social Justice as a Public Health Imperative for Kānaka Maoli
Kānaka Maoli (Native Hawaiians) have experienced drastic changes to their way of life and to the demography of their ancestral homeland over two centuries of US occupation. We review 1) the current social status and health status of Kānaka Maoli; 2) the effects of social status on a person's health status; 3) the major social changes in Hawai'i affecting Kānaka Maoli social standing and well-being; and 4) the empirical studies suggesting a relati…
Special issue introduction: Advancing Native Hawaiian and other Pacific Islander health
Translating Diabetes Prevention Into Native Hawaiian and Pacific Islander Communities: The Pili 'Ohana Pilot Project
A fully engaged CBPR approach was successful in translating an evidence based diabetes prevention program into a culturally relevant intervention for NHOPI communities. This pilot study demonstrates that weight loss in high risk minority populations can be achieved over a short period of time using CBPR approaches
Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: A Pilot Randomized Trial
clinicaltrials.gov Identifier: NCT01995812
Unified in Our Diversity to Address Health Disparities Among Asian Americans, Native Hawaiians, and Pacific Islanders
The COVID-19 pandemic disproportionately impacted Asian Americans, Native Hawaiians, and Pacific Islanders (AA/NHPIs) in the United States. AA/NHPIs have historically been subjected to discrimination, which was exacerbated by the pandemic. To bring attention to their unique concerns, an AA/NHPI Interest Group of the National Institutes of Health Community Engagement Alliance Against COVID-19 Disparities (CEAL) was formed. This article highlights …
The effects of perceived racism on psychological distress mediated by venting and disengagement coping in Native Hawaiians
A Preliminary Study of the Relationship between Perceived Racism and Cardiovascular Reactivity and Recovery in Native Hawaiians
Native Hawaiians, compared to other ethnic groups in Hawai'i, have significantly higher mortality rates and die at a younger average age from cardiovascular disease (CVD). This may be partially explained by elevated cardiovascular responses to racial stressors. Our study examined the degree to which blood pressure (BP) and heart rate (HR) reactivity and recovery, and ratings of subjective distress to racial stressors, differ as a function of Nati…
Developing a Culturally Based Cardiac Rehabilitation Program: The Hela Study
Community-based participatory research (CBPR) principles guided a complex collaboration of multiple communities; although time consuming, inclusive consultations provided valuable information and relationships
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States
Elevating Voice and Visibility: Health Research for American Indian and Alaska Native, Asian American, and Native Hawaiian and Pacific Islander Populations in the United States, an article from American Journal of Public Health, Vol 114 Issue S1
From Race and Ethnicity as Proxy Variables to Measuring What It Means: The Next Evolution of Health Equity Research
Racial Misclassification, Discrimination, Consciousness, and Self-Rated Health Among Native Hawaiian and Pacific Islander Adults in the USA
Experiences of Discrimination Among Native Hawaiians and Pacific Islanders Living in the USA
Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias
Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer's disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010-2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one…
Social Network Characteristics, Social Support, and Cigarette Smoking among Asian/Pacific Islander Young Adults
Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate t…
Ethnic Differences in the Relationship between Depressive Symptoms and Health-Related Quality of Life in People with Type 2 Diabetes
Ethnicity moderated the relationship between depressive symptoms and the health-related quality of life aspects of physical and role-emotional functioning, bodily pain, vitality, and general health perception in people with type 2 diabetes. This relationship was strongest for Filipinos followed by Native Hawaiians and people of mixed-ethnic ancestries
Discussion of Crabbe: Restoring Balance to Hawaii: “Kūpa'a i Ke Kāhua o Hawai'i”
Dr Crabbe presents a broad overview of the sociohistory of Hawaii following western contact and its colonisation by the United States (US). He describes the constant political, societal, and psychological struggles of Kānaka Maoli (native Hawaiians) against the never-ending tides of foreign influences to the shores of Hawaii. Within his sociohistorical overview, three significant issues for Kānaka Maoli are emphasised. One issue is that of ' Āina…
Social Justice as a Public Health Imperative for Kānaka Maoli
Kānaka Maoli (Native Hawaiians) have experienced drastic changes to their way of life and to the demography of their ancestral homeland over two centuries of US occupation. We review 1) the current social status and health status of Kānaka Maoli; 2) the effects of social status on a person's health status; 3) the major social changes in Hawai'i affecting Kānaka Maoli social standing and well-being; and 4) the empirical studies suggesting a relati…
Translating Diabetes Prevention Into Native Hawaiian and Pacific Islander Communities: The Pili 'Ohana Pilot Project
Translating Diabetes Prevention Into Native Hawaiian and Pacific Islander CommunitiesThe PILI 'Ohana Pilot Project Marjorie K. Mau, Joseph Keawe'aimoku Kaholokula, Margaret R. West, Anne Leake, James T. Efird, Charles Rose, Donna-Marie Palakiko, Sheryl Yoshimura, Puni B. Kekauoha, and Henry Gomes What Is the Purpose of the Study? We sought to utilize a fully engaged community-based participatory research (CBPR) approach to culturally adapt the Di…
Translating Diabetes Prevention Into Native Hawaiian and Pacific Islander Communities: The Pili 'Ohana Pilot Project
A fully engaged CBPR approach was successful in translating an evidence based diabetes prevention program into a culturally relevant intervention for NHOPI communities. This pilot study demonstrates that weight loss in high risk minority populations can be achieved over a short period of time using CBPR approaches
Developing a Culturally Based Cardiac Rehabilitation Program: The Hela Study
Community-based participatory research (CBPR) principles guided a complex collaboration of multiple communities; although time consuming, inclusive consultations provided valuable information and relationships
Community-Based Participatory Research Integrates Behavioral and Biological Research to Achieve Health Equity for Native Hawaiians
Native Hawaiians bear a disproportionate burden of type-2 diabetes and related complications compared to all other groups in Hawai'i (e.g., Whites, Japanese, Korean). Distrust in these communities is a significant barrier to participation in epigenetic research studies seeking to better understand disease processes. The purpose of this paper is to describe the community-based participatory research (CBPR) approach and research process we employed…
Considering the Role of Stress in Populations of High-Risk, Underserved Community Networks Program Centers
Stress experienced by the underserved communities represented in the CNPCs is marked by social, biological, and behavioral pathways that increase cancer risk. A case is presented to increase research on sociocultural determinants of health, stress, and cancer risk among racial/ethnic minorities in underserved communities
Biomarkers of Tobacco Smoke Exposure in Racial/Ethnic Groups at High Risk for Lung Cancer
Objectives. We examined biomarkers of tobacco smoke exposure among Native Hawaiians, Filipinos, and Whites, groups that have different lung cancer risk. Methods. We collected survey data and height, weight, saliva, and carbon monoxide (CO) levels from a sample of daily smokers aged 18–35 (n = 179). Mean measures of nicotine, cotinine, cotinine/cigarettes per day ratio, trans 3′ hydroxycotinine, the nicotine metabolite ratio (NMR), and expired CO …
A Community-Based Participatory Research Guided Model for the Dissemination of Evidence-Based Interventions
By establishing co-equal, mutually beneficial relationships at the core of the CCM model, opportunities are created for building critical consciousness, community capacity, and social capital. More research is needed to determine the effectiveness of this model of intervention dissemination which may enhance diffusion of CBPR interventions and empower communities in the process
Social Network Characteristics, Social Support, and Cigarette Smoking among Asian/Pacific Islander Young Adults
Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate t…
Kā-Holo Project: A protocol for a randomized controlled trial of a native cultural dance program for cardiovascular disease prevention in Native Hawaiians
ClinicalTrials.gov: NCT02620709 , registration date November 23, 2015
The effects of perceived racism on psychological distress mediated by venting and disengagement coping in Native Hawaiians
Cultural Dance Program Improves Hypertension Management for Native Hawaiians and Pacific Islanders: A Pilot Randomized Trial
clinicaltrials.gov Identifier: NCT01995812
Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders
CONTEXT: Obesity, diabetes and cardiovascular disease (CVD) have reached epidemic proportions among Native Hawaiians/Pacific Islanders (NHPI). Culturally responsive interventions that account for their interpersonal, sociocultural and socioeconomic realities are a public health priority. OBJECTIVE: To describe cultural adaptation and culturally grounded approaches to developing health interventions for NHPI and to review the culturally responsive…
A Preliminary Study of the Relationship between Perceived Racism and Cardiovascular Reactivity and Recovery in Native Hawaiians
Native Hawaiians, compared to other ethnic groups in Hawai'i, have significantly higher mortality rates and die at a younger average age from cardiovascular disease (CVD). This may be partially explained by elevated cardiovascular responses to racial stressors. Our study examined the degree to which blood pressure (BP) and heart rate (HR) reactivity and recovery, and ratings of subjective distress to racial stressors, differ as a function of Nati…
An examination of the relationship between discrimination, depression, and hypertension in Native Hawaiians
Native Hawaiians bear a disproportionate burden of hypertension. Discrimination and depression are potential hypertension risk factors. Although the relationship between discrimination and depression is well established, how these factors affect hypertension risk in indigenous populations remains unknown. We examined the relationship between discrimination, depression, and hypertension in adult Native Hawaiians. We hypothesized that greater frequ…
Special issue introduction: Advancing Native Hawaiian and other Pacific Islander health
Growing from Our Roots: Strategies for Developing Culturally Grounded Health Promotion Interventions in American Indian, Alaska Native, and Native Hawaiian Communities
Prejudice, Stigma, and Oppression on the Behavioral Health of Native Hawaiians and Pacific Islanders
The Value of Hawaiʻi 3: Hulihia, the Turning
“Hulihia” refers to massive upheavals that change the landscape, overturn the normal, reverse the flow, and sweep away the prevailing or assumed. We live in such days. Pandemics. Threats to ʻāina. Political dysfunction, cultural appropriation, and disrespect. But also powerful surges toward sustainability, autonomy, and sovereignty. The first two volumes of The Value of Hawaiʻi ( Knowing the Past, Facing the Future and Ancestral Roots, Oceanic Vi…
Ethnic and Gender Differences in 10-Year Coronary Heart Disease Risk: A Cross-Sectional Study in Hawai‘i
BACKGROUND: Cardiovascular disease (CVD) is the leading cause of death in the US. In Hawai'i, Filipinos and Native Hawaiians have the highest rates of CVD-related risk factors. CVD risk across these ethnic groups has not been examined. This cross-sectional study examines 10-year CVD risk as determined by the Framingham Risk Score (FRS) across ethnic groups in Hawai'i, controlling for clinical, demographic, and psychosocial factors. METHODS: This …
Implementation outcomes of a culturally adapted diabetes self-management education intervention for Native Hawaiians and Pacific islanders
Clinicaltrials.gov Identifier: NCT01093924 prospectively registered 01.20.09
A Resilience Model of Adult Native Hawaiian Health Utilizing a Newly Multi-Dimensional Scale
Resilience has conventionally focused on an individual's ability to overcome adversity. Recent research expands on this definition, making resilience a multi-dimensional construct. Native Hawaiians experience health disparities compared to the general population of Hawai'i. Despite the pressing need to address health disparities, minimal research examines resilience factors that serve as buffers for adverse experiences of Native Hawaiians. The pu…
Hospital Disparities between Native Hawaiian and Other Pacific Islanders and Non-Hispanic Whites with Alzheimer’s Disease and Related Dementias
Objective: To compare important indicators of quality of care between Native Hawaiians and other Pacific Islanders (NHOPIs) and non-Hispanic Whites (NHWs) with Alzheimer's disease and related dementias (ADRD). Methods: We used the Health Care Cost and Utilization Project, Hawaii State Inpatient Databases, 2010-2014. They included 10,645 inpatient encounters from 7,145 NHOPI or NHW patients age ≥ 50 years, residing in Hawaii, and with at least one…
Medicine (42 works) · Gerontology (31 works) · Pacific islanders (25 works) · Environmental health (23 works) · Public health (22 works) · Psychology (21 works) · Sociology (21 works) · Population (20 works) · Native Hawaiians (18 works) · Ethnic group (17 works)