100 Participants NeededMy employer runs this trial

Community Program for Youth Well-Being

(Kamaehu Trial)

KS
BK
Overseen ByBlane K Garcia, MPH
Age: < 65
Sex: Any
Trial Phase: Academic
Sponsor: Waianae Coast Comprehensive Health Center
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to determine if community programs rooted in cultural practices can improve mental and chronic health outcomes for youth. It focuses on connecting young people in a predominantly Native Hawaiian and Pacific Islander community to the Kaiona Programs. Participants will engage in activities that strengthen their connection to the land and culture. Youth aged 12 to 25 living in the Wai'anae area and using the Waianae Coast Comprehensive Health Center for healthcare, who have conditions like asthma or behavioral concerns, might be a good fit. As an unphased trial, this study offers participants a unique opportunity to contribute to innovative community health solutions.

Do I need to stop my current medications to join the trial?

The trial information does not specify whether you need to stop taking your current medications. It seems focused on participation in community programs rather than medication changes.

What prior data suggests that this community referral program is safe for youth?

Research on the Kaiona Programs, which connect young people to cultural practices, has shown no significant safety concerns. These programs are part of a community effort to improve mental and long-term health. Participants engage in activities that deepen their connection to the land and their culture, offering a unique way to enhance well-being.

Available information does not report any negative effects from the program, suggesting that participants generally handle the programs well. The trial's "Not Applicable" phase label indicates a focus on the program's practicality and effectiveness, rather than testing new drugs for safety. This means the program's safety is assessed in real-life settings, similar to other community projects.

Overall, while specific detailed safety data might not be available, the absence of reported problems and the program's nature suggest it is safe for participants.12345

Why are researchers excited about this trial?

Researchers are excited about the Kaiona Programs because they offer a unique approach to enhancing youth well-being by focusing on community-based interventions. Unlike traditional treatments that might rely heavily on medication or one-on-one therapy, these programs emphasize group activities, social support networks, and skill-building workshops tailored to young people. This holistic approach not only addresses mental health directly but also aims to empower youth by fostering a sense of community and belonging, which is often missing in standard treatments. By integrating these social dynamics, the Kaiona Programs have the potential to create lasting positive impacts on young individuals' mental health and overall life satisfaction.

What evidence suggests that the Kaiona Programs could be effective for youth well-being?

Research has shown that the Kaiona Programs, which emphasize Native Hawaiian and Pacific Islander cultural practices, can enhance mental health and overall well-being. These programs are grounded in values like mauli ola, meaning a balanced state of physical, mental, emotional, spiritual, and environmental health. Early findings suggest that engaging in these cultural and land-based activities can improve mental health for Native Hawaiian youth. A review of similar programs indicates they effectively promote well-being in this community. These programs aim to strengthen connections to culture and land, which are crucial for improving mental health and managing chronic health conditions.45678

Who Is on the Research Team?

MM

May M Okihrio, MD, MS

Principal Investigator

Waianae Coast Comprehensive Health Center

Are You a Good Fit for This Trial?

This trial is for youth ages 12 to 25 living in the Wai'anae area who use Waianae Coast Comprehensive Health Center and have physical or mental health concerns like asthma, obesity, diabetes risk, or behavioral issues. Participants must be able to join group activities outdoors and follow basic instructions.

Inclusion Criteria

I am between 12 and 25 years old.
I have a health or mental health concern that could benefit from extra support.
Reside in the Wai'anae zip code 96792
See 1 more

Exclusion Criteria

Rather than strict exclusionary criteria, 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 levels 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 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.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Intervention Program

Participants engage in community programs to strengthen connection to 'āina and culture. Summer programs are 5 hours per day, 4 days a week, for 4 weeks. School-year programs are 2.5 hours per day, 2 days a week, for 16 weeks.

4-16 weeks

Follow-up

Participants are monitored for changes in health and well-being through surveys at multiple time points after program completion.

6-8 months
Surveys at 4 time points: immediately after program, 3-4 months, and 6-8 months post-completion

What Are the Treatments Tested in This Trial?

Interventions

  • Kaiona Programs

Trial Overview

The study tests if referring youth with chronic or mental health conditions to community programs based on Native Hawaiian cultural values can improve their well-being. Youth attend these programs for several weeks and complete surveys before and after participation.

How Is the Trial Designed?

1

Treatment groups

Experimental Treatment

Group I: Kaiona Programs ArmExperimental Treatment1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

Waianae Coast Comprehensive Health Center

Lead Sponsor

University of Hawaii

Collaborator

Trials
122
Recruited
55,200+

Citations

Community Connections Through Native Hawaiian ...

Assess the effectiveness of the Kaiona Programs in enhancing health and well-being outcomes among adolescents using a stepped wedge cluster ...

The Kaiona Framework: Centering Hawaiian and Pasifika ...

Wellness comprises four values vital to our community: mauli ola, a balanced state of physical, mental, emotional, spiritual, and environmental health; waiwai, ...

Community Connections Through Native Hawaiian ...

The goal of this pilot clinical trial is to learn if a community referral program can improve services for youth with mental health and chronic health ...

4.

pubmed.ncbi.nlm.nih.gov

pubmed.ncbi.nlm.nih.gov/41899779/

The Kaiona Framework: Centering Hawaiian and Pasifika ...

This paper details our community's approach to defining "well-being" around the values specific to our place, overseen by a council of community ...

Supporting Native Hawaiian Youth Mental Health Through ...

We then review the potential for Indigenous culturally-driven and land-based approaches to improve Native Hawaiian youth's mental health, and ...

The Kaiona Framework: Centering Hawaiian and Pasifika ...

This work represents a community response to youth mental health and chronic health conditions, critical issues to the health systems and populations of Hawaiʻi ...

May Okihiro's research works | University of Hawaiʻi at ...

The Kaiona Framework detailed in this work serves as the foundation for subsequent efforts of our collective: (a) creating novel quantitative and qualitative ...

COMPASSION ALOHA EXCELLENCE RESPECT

Our three Kahua Ola programs (Kilolani, Kahu a Ola,. Nā Pua Kaiona) were established to address health equity and promote access to care through ...