Low health literacy affects overall health and is associated with poor chronic disease self-management and medically underserved populations. The purpose of this project was to promote health literacy by utilizing the teach back method to deliver culturally sensitive information to enhance knowledge about the risks, management, and prevention of hypertension among Native Hawaiians and Pacific Islanders in a rural primary care clinic in Northern Oahu. Pender’s Health Promotion Model was used to guide the creation of this intervention and the Institute for Healthcare Improvement Model was used to guide implementation. Item responses on the High Blood Pressure Questionnaire were used to investigate the efficacy of the teach back method in improving hypertension knowledge pre-and post intervention. Responses were analyzed using an Excel spreadsheet for descriptive data. Eight participants identifying as either Native Hawaiian or Pacific Islander aged 35 and over were included in the DNP project. Each answered a questionnaire prior to the intervention, received a one-on-one teach back session, then participated in a telephone interview one week later to complete the post-questionnaire. The results indicated that there was improvement in at least four of the responses from pre to post-intervention. There was no change in four of the item responses as participants had correct knowledge before and after the intervention. Overall, providers should be encouraged to utilize the teach back method when delivering culturally sensitive information to improve their patients’ outcomes.

Thesis (M.A.)--University of Hawaii at Manoa, 1993 / Pacific Islands Studies

Thesis (M.A.)--University of Hawaii at Manoa, 1977 / Pacific Islands Studies

The present study describes the psychometric development and validation of the Hawaiian Ethnocultural Inventory (HEI), an ethnocultural survey of Native Hawaiian ethnic identity that measures the degree to which individuals are knowledgeable of, believe in, and engage in culturally relevant practices of the Hawaiian heritage. Construction of the instrument was influenced by extant research and previous recommendations suggesting that measures of acculturation and ethnic identity include broad categories or factors that assesses specific cultural practices, customs, and beliefs. The HEI was administered to an adult population of Native Hawaiians, N=237. Exploratory factor analysis revealed a five factor structure that included the following: 1) Beliefs in Hawaiian Cultural Practices, 2) Knowledge of Hawaiian Cultural Practices, 3) Frequency of Performing Arts, 4) Frequency of Ocean Traditions, and 5) Frequency of Spiritual and Family Customs. The factors collectively accounted for 61% of the total variance and reliability estimates for the five factors were uniformly high ranging from .85 - .97. Subsequent 1-Way ANOVA's and post-hoc analyses posited significant between group differences between HEI factors and demographic variables. In conclusion, the data provides supporting evidence of the instrument's construct validity and scale reliability as a measure of Native Hawaiian ethnic identity that may be a useful tool for research among Native Hawaiians in an array of health fields. / Thesis (Ph. D.)--University of Hawaii at Manoa, 2002. / Includes bibliographical references (leaves 26-36). / The present study describes the psychometric development and validation of the Hawaiian Ethnocultural Inventory (HEI), an ethnocultural survey of Native Hawaiian ethnic identity that measures the degree to which individuals are knowledgeable of, believe in, and engage in culturally relevant practices of the Hawaiian heritage. Construction of the instrument was influenced by extant research and previous recommendations suggesting that measures of acculturation and ethnic identity include broad categories or factors that assesses [sic] specific cultural practices, customs, and beliefs. The HEI was administered to an adult population of Native Hawaiians, N=237. Exploratory factor analysis revealed a five factor structure that included the following: 1) beliefs in Hawaiian cultural practices, 2) knowledge of Hawaiian cultural practices, 3) frequency of performing arts, 4) frequency of ocean traditions, and 5) frequency of spiritual and family customs. The factors collectively accounted for 61% of the total variance and reliability estimates for the five factors were uniformly high ranging from .85-.97. Subsequent 1-way ANOVA's and post-hoc analyses posited significant between group differences between HEI factors and demographic variables. In conclusion, the data provides supporting evidence of the instrument's construct validity and scale reliability as a measure of Native Hawaiian ethnic identiy that may be a useful tool for research among Native Hawaiians in an array of health fields. / Also available by subscription via World Wide Web / vii, 44 leaves, bound 29 cm

Typescript. / Thesis (Ph. D.)--University of Hawaii at Manoa, 1986. / Bibliography: leaves [500]-528. / Photocopy. / Microfiche. / xix, 528 leaves, bound ill., maps 29 cm

Thesis (Ph. D.)--University of Hawaii at Manoa, 1991. / Includes bibliographical references (leaves 252-268) / Microfiche. / xvi, 268 leaves, bound ill. 29 cm

Thesis (M.A.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 130-138) and glossary. / Photocopy. / v, 138 leaves ill. 28 cm

Thesis (M.A.)--University of Hawaii at Manoa, 2005. / Includes bibliographical references (leaves 79-83). / xi, 83 leaves, bound 29 cm

Typescript. / Thesis (Ph. D.)--University of Hawaii, 1971. / Bibliography: leaves [103]-108. / ix, 108 l graphs, tables

Thesis (M.A.)--University of Hawaii at Manoa, 1994 / Pacific Islands Studies