Research has indicated that Native Hawaiian youth have significantly higher rates of drug use than their non-Hawaiian counterparts (e.g., Wong, Klingle, &Price, 2004;Mayeda, Hishinuma, Nishimura, Garcia- Santiago, &Mark, 2006), and that these differences are particularly pronounced in rural settings (Lai &Saka, 2005). Despite these findings, there have been very few drug prevention programs developed and evaluated specifically for these youth (Edwards, Giroux, &Okamoto, in press;Rehuher, Hiramatsu, &Helm, 2008). Therefore, the purpose of this exploratory research proposal is to develop and pilot test curricular components of a video-based, culturally-grounded drug prevention program for rural Native Hawaiian youth. This will be accomplished through three specific aims.
AIM 1 is to create 3-5 video vignettes focused on relevant drug related problem situations of rural Hawaiian youth. The vignettes will focus on common and difficult drug offer situations for these youth, as well as the range of responses to each situation, established from prior NIDA- funded research (5 K01 DA019884).
AIM 2 is to develop the accompanying drug prevention curricular components to compliment the video vignettes developed in Aim 1.
AIM 3 is to pilot test the resulting curricular components for program feasibility and measurement, using a combination of focus group interviews with stakeholders (e.g., Hawaiian youth, youth-serving practitioners) and selected classroom implementation within four middle schools. Comparison of the intervention components against four attentional-control schools will be conducted, in order to estimate effect sizes for a future large-scale, randomized controlled trial (to be implemented as part of a future R01 grant).

Public Health Relevance

Because Hawaiians or part-Hawaiians represent the largest Pacific Islander population in the U.S. (Harris &Jones, 2005) and have been shown to have higher rates of alcohol consumption and smoking compared with other ethnic groups (Office of Minority Health, 2009), research focused on drug prevention of these individuals is important to improve public health both in Hawai'i and on the Mainland U.S. This study actively engages rural communities in the development of the curricular components of a drug prevention intervention for Hawaiian youth, promoting the overall utility and effectiveness of those components. Further, the findings from this study will point to the core content of prevention interventions for Hawaiian youth in rural communities, which may be applicable to other ethnic youth populations in Hawai'i and the Pacific Rim, as well as Native youth populations on the Mainland U.S.

National Institute of Health (NIH)
National Institute on Drug Abuse (NIDA)
Planning Grant (R34)
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Special Emphasis Panel (ZRG1-RPIA-K (09))
Program Officer
Crump, Aria
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Hawaii Pacific University
Social Sciences
Schools of Arts and Sciences
United States
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Lauricella, Michela; Valdez, Jessica K; Okamoto, Scott K et al. (2016) Culturally Grounded Prevention for Minority Youth Populations: A Systematic Review of the Literature. J Prim Prev 37:11-32
Helm, Susana; Okamoto, Scott K (2016) Gendered Perceptions of Drugs, Aggression, and Violence. J Interpers Violence :886260516660301
Okamoto, Scott K; Kulis, Stephen; Helm, Susana et al. (2016) An Evaluation of the Ho'ouna Pono Curriculum: A Pilot Study of Culturally Grounded Substance Abuse Prevention for Rural Hawaiian Youth. J Health Care Poor Underserved 27:815-33
Bills, Kaycee; Okamoto, Scott K; Helm, Susana (2016) The Role of Relational Harmony in the Use of Drug-Refusal Strategies of Rural Native Hawaiian Youths. J Ethn Cult Divers Soc Work 25:208-226
Okamoto, Scott K; Kulis, Stephen; Marsiglia, Flavio F et al. (2014) A continuum of approaches toward developing culturally focused prevention interventions: from adaptation to grounding. J Prim Prev 35:103-12
Helm, Susana; Okamoto, Scott; Kaliades, Alexis et al. (2014) Drug offers as a context for violence perpetration and victimization. J Ethn Subst Abuse 13:39-57
Okamoto, Scott K; Helm, Susana; Pel, Suzanne et al. (2014) Developing empirically based, culturally grounded drug prevention interventions for indigenous youth populations. J Behav Health Serv Res 41:8-19
Okamoto, Scott K; Pel, Suzanne; Helm, Susana et al. (2014) Gender differences in the use of drug resistance strategies: an analysis of rural Asian/Pacific Islander youth. Health Promot Pract 15:568-74
Helm, Susana; Okamoto, Scott K (2013) Developing the Ho'ouna Pono substance use prevention curriculum: collaborating with Hawaiian youth and communities. Hawaii J Med Public Health 72:66-9
Okamoto, Scott K; Helm, Susana; McClain, Latoya L et al. (2013) Gender Differences in Preferred Drug Resistance Strategies of Rural Native Hawaiian Youth. Affilia 28:140-152

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