Substance-Related Disorders Clinical Trial
Official title:
The Development and Evaluation of the Ho'Ouna Pono Drug Prevention
The purposes of this study are to complete the development of a video-enhanced, school-based
drug prevention program for rural Hawaiian youth (Ho'ouna Pono) using community-based
participatory research principles and practices, and to test the efficacy and adoption of
the full intervention across all middle/intermediate schools on Hawai'i Island. These
purposes will be accomplished through three specific aims. AIM 1 (Year 1) is to complete the
Ho'ouna Pono drug prevention curriculum initially developed and validated in a NIDA-funded
pilot/feasibility study (R34 DA031306). To date, five professionally filmed video vignettes
depicting drug-related problem situations specific to rural Hawaiian youth and seven
interactive classroom lessons have been created, implemented in randomly selected
intervention schools, and preliminarily evaluated using a pre-test, post-test control group
design. Aim 1 enhances and builds upon this work by producing two new video vignettes,
re-editing a "Behind the Scenes" video, developing new classroom curricular components, and
synthesizing the new content with the existing curriculum. AIM 2 (Years 2-3) is to evaluate
the fully conceived curriculum across all middle/intermediate schools on Hawai'i Island (N =
15) using a dynamic wait-listed control group design (Brown, Wyman, Guo, & Peña, 2006).
Using this design, schools will be randomly assigned to four cohorts, and cohorts will be
randomly assigned to receive the curriculum at designated times staggered across the
two-year evaluation period. All participating youth will be measured at six designated time
points across the two-year evaluation period. Because of the staggered implementation of the
curriculum, intervention effects will differ by cohort, and earlier time points will include
control schools for the initial cohorts receiving the intervention. All participating youth
will receive pre-tests prior to curriculum implementation and post-tests upon curriculum
completion, with youth attending schools in Cohorts 1-3 receiving follow-up evaluations. AIM
3 (Year 4) is to assess community, systemic, and curricular factors related to the
implementation, adoption, and sustainability of the curriculum within public
middle/intermediate schools on Hawai'i Island.
The present study is the result of seven consecutive years of NIDA-funded pre-prevention and
translational pilot/feasibility drug prevention research focused on rural Hawaiian youth and
communities. The overall outcome of this study will be an empirically supported, culturally
grounded drug prevention curriculum relevant to Native Hawaiian and Pacific Islander youth.
This study addresses the lack of prevention interventions for Native Hawaiians and other
Pacific Islanders (NHOPIs) and indigenous youth populations, and directly contributes to the
development of an indigenous prevention science (Okamoto, Helm, et al., 2014). It has
implications for informing indigenous, Pacific Islander, and rural health disparities and
health equity promotion.
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