Community Connections Through Native Hawaiian Cultural Values to Strengthen Youth Resilience, Health, and Well-Being

This study is testing a community referral program called Kaiona Programs. These programs use Native Hawaiian cultural values and activities based in nature ('āina-based) to help youth. The goal is to see if connecting youth to these programs can improve their mental health and chronic health conditions, such as asthma or obesity. Researchers want to understand the best way for a health center to link youth with these cultural programs and if participating helps youth with their health and well-being. You might be able to join if you are 12 to 25 years old, live in the Wai'anae zip code (96792), use Waianae Coast Comprehensive Health Center (WCCHC) for your healthcare, and have a health concern that could benefit from extra support. The study plans to enroll 100 participants, but its current recruitment status is unclear.

Study design
This is an interventional pilot clinical trial that aims to enroll 100 participants. It uses a stepped wedge cluster randomized trial design.
What's involved
You would participate in a community program that strengthens connection to land and culture. Summer programs are 5 hours per day, 4 days a week, for 4 weeks. School-year programs are 2.
Compensation
Not stated in the trial record.
Follow-up
Your responses will be measured at enrollment, immediately after the program (within 1-2 weeks), 3-4 months after program completion, and 6-8 months after program completion.

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NCT07536256

Community Connections Through Native Hawaiian Cultural Values to Strengthen Youth Resilience, Health, and Well-Being

Recruiting
NAAges 12–25InterventionalTreatment
Waianae Coast Comprehensive Health Center
~100 participants
Updated 2026-04-17 on ClinicalTrials.gov
What's tested:Community Referral to Kaiona Programs

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Change from Baseline in Kaiona Survey Participant Responses
Measured over 4 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, 3-4 months after program completion, and 6-8 months after program completion
+4 more outcomes measured
Chronic Disease
Adolescent Asthma
Obesity & Overweight
Youth Mental Health
Youth Obesity
Prediabetes
Asthma
1 sites across 1 states
Hawaii1
  • May M Okihrio, MD, MS · PRINCIPAL_INVESTIGATOR · Waianae Coast Comprehensive Health Center

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Eligibility criteria

Inclusion

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.
  • Change from Baseline in Kaiona Survey Participant Responses4 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, 3-4 months after program completion, and 6-8 months after program completion

    The Kaiona Survey is an instrument developed to measure health and wellness based on local community values, embodied in the Kaiona Framework. In this framework, wellness is embodied by four values: mauli ola, a balanced state of physical, mental, emotional, spiritual, and environmental health; waiwai, abundance and prosperity; pilina, mutually sustaining relationships; and ea, self-determination and agency.

  • Change from Baseline in Harvard Adolescent Flourishing Measure3 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, and 6-8 months after program completion

    The Harvard Adolescent Flourishing Measure is a 12-item survey to measure adolescent well-being around 5 domains - happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue, and close social relationships.

  • Change from Baseline in PHQ-9 Modified for Adolescents Survey3 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, and 6-8 months after program completion

    The PHQ-9 Modified for Adolescents Survey (PHQ-A) is a 13-item self-administered tool to screen and measure severity of depression based on the DSM-IV criteria. 3 items specifically screen for suicidal ideation or thoughts of self-harm.

  • Change from Baseline in Pediatric Symptom Checklist3 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, and 6-8 months after program completion

    The Pediatric Symptom Checklist is a 17-item screening survey for youth 11 years and older to facilitate recognition of cognitive, emotional, and behavioral concerns.

  • Change from Baseline in Positive Childhood Experiences Score3 time points: Baseline at enrollment, immediate endpoint within 1-2 weeks of completion of intervention program, and 6-8 months after program completion

    The Positive Childhood Experiences Score (PCE) is a 7-item survey to retrospectively assess positive childhood experiences, especially interpersonal experiences that serve as assets and resources for developing children.