Using Native Hawaiian cultural values to strengthen youth resilience, health, and well-being

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This pilot uses a stepped-wedge cluster randomized design to phase community organizations into a referral program connecting youth to Kaiona cultural programs. Participants attend summer (5 hours/day, 4 days/week for 4 weeks) or school-year (2.5 hours/day, 2 days/week for 16 weeks) programs and complete surveys before, immediately after, and at additional follow-ups. The study measures mental health, general well-being, and chronic condition indicators while tracking implementation factors such as fidelity, dosage, and reach. Findings will inform barriers and facilitators for scaling within the Waianae community.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* youth 12 to 25 years of age;
* live in the Wai'anae zip code 96792;
* utilize Waianae Coast Comprehensive Health Center (WCCHC) for their healthcare, including the WCCHC School-based Health Centers;
* assessed by WCCHC providers as being "at-promise" or having a physical or behavioral/mental health concern that may benefit from further support from Kaiona CBO Programs. Conditions may include chronic disease risk factors such as asthma, obesity, diabetes, or prediabetes, as well as behavioral health concerns.

Exclusion Criteria:

* Rather than strict exclusionary criteria, we will rely on the onboarding process that allows for screening for program fit at 4 levels: the referring Pediatric/Behavioral Health provider, the Community Connections Manager, the youth participant/family member, and the receiving CBO. All 4 of these levels will need to assess a potential participant as fit to participate. General considerations include ability to work in groups with other youth, ability to be outdoors for hours at a time, and ability to receive basic instruction and complete basic physical and cognitive tasks associated with the program independently. All 4 layers will also have the opportunity to end the youth's participation in the program at any point if serious safety or health concerns arise for the participant or others involved in the program. If a participant needs to leave a program, the Community Connections Manager will remain engaged with the youth and family to explore other options through the pilot or elsewhere.

Where it's running

• Waianae Coast Comprehensive Health Center
  Waianae, Hawaii, United States Recruiting

Study contacts

• Principal investigator: May M Okihrio, MD, MS — Waianae Coast Comprehensive Health Center
• Study coordinator: Kenny S Ferenchak, MD, MEdT
• Email: kenneth7@hawaii.edu
• Phone: 808-697-3433

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.