A systematic review of culturally focused interventions for Native Hawaiian youth
Keywords:
Kānaka Maoli, Native Hawaiian, Indigenous, Youth, Intervention, Program, Culture, Self DeterminationAbstract
Native Hawaiians are a resilient nation with a rich history and culture with specific health and wellbeing needs and disparities, particularly for youth. This study presents a review of published literature focusing on culturally focused interventions for Native Hawaiian youth to better understand key components, service gaps, and concerns that may improve future health interventions tailored to Native Hawaiian youth that protect and promote positive health outcomes, a sense of agency, and self-determination. The purpose of this article is to (a) present a review of the literature focusing on culturally focused interventions as it relates to health and wellbeing of Native Hawaiian youth and (b) identify limitations and gaps to promote future research. This systematic review focuses on 19 distinct culturally focused interventions geared toward Native Hawaiian youth. The findings provide a summary of culturally focused interventions geared toward Native Hawaiian youth including interventions’ aims, components (youth participants description and methods), outcomes, and cultural components, while exposing gaps in the literature. Most interventions were education and substance use/misuse prevention oriented, on the island of O‘ahu, geared toward older youth, and qualitative in nature. The cultural components utilized in the interventions varied in description and type. All of the studies reported positive results to support the effectiveness of the intervention. This review enriches the field of study for researchers (past, present, and future) by building awareness, encouraging collaboration, and identifying where culturally focused intervention efforts are underdeveloped or nonexistent to provide direction for future interventions.
References
Abe, Y., Barker, L., Chan, V., Eucogco, J., & Abe, Y. (2016). Culturally responsive adolescent pregnancy and sexually transmitted infection prevention program for middle school students in Hawai’i. American Journal of Public Health (1971), 106(S1), S110–S116. http://search.proquest.com/docview/1835387320/
Abel, S., Stockdale-Frost, A., Rolls, R., & Tipene-Leach, D. (2015). The wahakura: a qualitative study of the flax bassinet as a sleep location for New Zealand Māori infants. New Zealand Medical Journal, 128(1413), 12–19.
Akeo, N., Bunyan, E., Burgess, K., Eckart, D., Evensen, S., Hirose-Wong, S., Majit-Gorion, S., Takeshita, C., Takeshita, I., Vasconcellos, C., & Akeo, N. (2008). Hui Malama o ke Kai: mobilizing to prevent youth violence and substance use with passion, common goals, and culture. American Journal of Preventive Medicine, 34(3), S67–S71. https://doi.org/10.1016/j.amepre.2007.12.013
Antonio, M. C. K., Burrage, R. L., Park, M. N., Lee, P., Keli‘ipio, S. K., Mason, T., Enos, K., Riley, K., Viscone, P. M., and Mokuau, N. (2020). Changing the story: Strategies for guiding Native Hawaiian youth to success. https://onipaa.org/media/W1siZiIsIjIwMjEvMDEvMTQvMDJfMjRfMzdfNDI1X0xUX01CVFNTV19Db2xsYWJvcmF0aXZlX1JlcG9ydF9DaGFuZ2luZ190aGVfU3RvcnkucGRmIl1d/LT%20%26%20MBTSSW%20Collaborative%20Report-Changing%20the%20Story.pdf?sha=d0c7f7d6
Antonio, M. C. K., & Chung-Do, J. J. (2015). Systematic review of interventions focusing on Indigenous adolescent mental health and substance use. American Indian and Alaska Native Mental Health Research, 22(3), 36-56. doi: http://dx.doi.org/10.5820/aian.2203.2015.36
Antonio, M. C. K., Chung-Do, J. J., Braun, K. L. (2015). Systematic review of interventions focusing on indigenous pre- adolescent and adolescent healthy lifestyle changes. AlterNative An International Journal of Indigenous Peoples, 11(2), 147-163.
Antonio, M. C. K. and Chung-Do, J. J. and Goebert, D. A. and Bifulco, K. and Alvarez, A. R. G. (2020). A qualitative evaluation of the mpacts of a strength-based and youth-driven approach to suicide prevention in rural and minority communities in Hawai’i. Hawai’i Journal of Health & Social Welfare, 79(5 Suppl 1), 96–100. http://search.proquest.com/docview/2409193519/
Boland, A., Cherry, M. G., & Dickson, R. (2014). Doing a systematic review: A student's guide. Thousand Oaks, CA: Sage Publications.
Botvin, G. J., Schinke, S. P., Epstein, J. A., & Diaz, T. (1994). Effectiveness of culturally focused and generic skills training approaches to alcohol and drug abuse prevention among minority youths. Psychology of Addictive Behaviors, 8(2), 116–127.
Broughton, J. R., Lawrence, H. P., & Jamieson, L. (2016). Tikanga Māori (Māori Customary Practices) in Oral Health Research. Journal of Health Care for the Poor and Underserved, 27(1), 101–109. https://doi.org/10.1353/hpu.2016.0031
Burrage, R. L., Antone, M. M., Kaniaupio, K. N., & Rapozo, K. L. (2021). A culturally informed scoping review of Native Hawaiian mental health and emotional well-being literature. Journal of Ethnic & Cultural Diversity in Social Work, 30(1-2), 13-25.
Capp, K., Deane, F. P., & Lambert, G. (2001). Suicide prevention in Aboriginal communities: application of community gatekeeper training. Australian and New Zealand Journal of Public Health, 25(4), 315–321. https://doi.org/10.1111/j.1467-842X.2001.tb00586.x
Chandler, M. J., & Lalonde, C. E. (2008). Cultural continuity as a protective factor against suicide in First Nations youth. Horizons, 10(1), 68-72.
Community Snapshot for Native Hawaiian Race/Ethnicity (DOH) - Community Profiles.” Hawaii Health Data Warehouse, 2020, http://ibis.hhdw.org/ibisph-view/community/snapshot/report/CommunityInd/RacEthDOH/2.html?PageName=. Accessed 20 October 2020.
Edwards, C., Giroux, D., & Okamoto, S. K. (2010). A review of the literature on Native Hawaiian youth and drug use: implications for research and practice. Journal of Ethnicity in Substance Abuse, 9(3), 153-172.
Fialkowski, M., DeBaryshe, B., Bersamin, A., Nigg, C., Leon Guerrero, R., Rojas, G., Areta, A., Vargo, A., Belyeu-Camacho, T., Castro, R., Luick, B., & Novotny, R. (2014). A community engagement process identifies environmental priorities to prevent early childhood obesity: The Children’s Healthy Living (CHL) program for remote underserved populations in the US affiliated Pacific Islands, Hawaii and Alaska. Maternal & Child Health Journal, 18(10), 2261–2274. https://doi-org.eres.library.manoa.hawaii.edu/10.1007/s10995-013-1353-3
Garcia, B., Agustin, M., Okihiro, M., & Sehgal, V. (2019). Empowering ’Ōpio (Next Generation): Student Centered, Community Engaged, School Based Health Education. Hawai’i Journal of Health & Social Welfare, 78(12 Suppl 3), 30–34. http://search.proquest.com/docview/2338065430/
Helm, S., Lee, W., Hanakahi, V., Gleason, K., Mccarthy, K., & Haumana, K. (2015). Using Photovoice with youth to develop a drug prevention program in a rural Hawaiian community. American Indian and Alaska Native Mental Health Research (Online), 22(1), 1–26. https://doi.org/10.5820/aian.2201.2015.1
Helm, S., & Okamoto, S. K. (2013). Developing the Ho’ouna Pono substance use prevention curriculum: collaborating with Hawaiian youth and communities. Hawai’i Journal of Medicine & Public Health, 72(2), 66–69.
Hishinuma, E. S., Chang, J. Y. and Sy, A., Greaney, M. F., Morris, K. A., Scronce, A. C., Rehuher, D., & Nishimura, S. T. (2009). Hui Mālama O Ke Kai: A positive prevention‐based youth development program based on native Hawaiian values and activities. Journal of Community Psychology, 37(8), 987-1007.
Jamieson, L. M., Paradies, Y. C., Gunthorpe, W., Cairney, S. J., & Sayers, S. M. (2011). Oral health and social and emotional well-being in a birth cohort of Aboriginal Australian young adults. BMC Public Health, 11(1), 656–656. https://doi.org/10.1186/1471-2458-11-656
Kaholokula, J. K., Hermosura, A. H., & Antonio, M. C. (2019). Physical wellbeing of Native Hawaiians, the Indigenous people of Hawai‘i. In Routledge Handbook of Indigenous Wellbeing (1st ed., Vol. 1, pp. 44–57). Routledge. https://doi.org/10.4324/9781351051262-6
Kaholokula, J. K., Ing, C. T., Look, M. A., Delafield, R., & Sinclair, K. (2018). Culturally responsive approaches to health promotion for Native Hawaiians and Pacific Islanders. Annals of Human Biology, 45(3), 249–263. https://doi.org/10.1080/03014460.2018.1465593
Kaholokula, J. K., Miyamoto, R. E. S., Hermosura, A. H., & Inada, M. (2020). Prejudice, Stigma, and Oppression on the Behavioral Health of Native Hawaiians and Pacific Islanders. In Prejudice, Stigma, Privilege, and Oppression (pp. 107–134). Springer International Publishing. https://doi.org/10.1007/978-3-030-35517-3_7
Kana’iaupuni, S. (2008). He Pūko's Kani 'Āina: Mapping student growth in Hawaiian-focused charter schools. Journal of American Indian Education, 47(3), 31–52.
Kim, R., & Jackson, D. (2009). Outcome evaluation findings of a Hawaiian culture-based adolescent substance abuse treatment program. Psychological Services, 6(1), 43–55. https://doi.org/10.1037/a0014750
Kim, B., Omizo, M., & Dandrea, M. (1998). The effects of culturally consonant group counseling on the self-esteem and internal locus of control orientation among native american adolescents. The Journal for Specialists in Group Work, 23(2), 145–163. https://doi.org/10.1080/01933929808411387
Kim, R., Withy, K., Jackson, D., Sekaguchi, L., & Kim, R. (2007). Initial assessment of a culturally tailored substance abuse prevention program and applicability of the risk and protective model for adolescents of Hawai’i. Hawaii Medical Journal, 66(5), 118–123. http://search.proquest.com/docview/70613257/
Kūkulu Kumuhana Planning Committee. (2017). Creating radical and new knowledge to improve Native Hawaiian wellbeing. Lili’uokalani Trust.
Luning, R., & Yamauchi, L. (2010). The influences of indigenous heritage language education on students and families in a Hawaiian language immersion program. Heritage Language Journal, 7(2), 46–75. http://search.proquest.com/docview/854553958/
Manaseri, H., Roberts, K., Barker, L., & Tom, T. (2019). Pono Choices: Lessons for school leaders from the evaluation of a teen pregnancy prevention program. Journal of School Health, 89(4), 246–256. https://doi.org/10.1111/josh.12733
Manaseri, H., Uehara, D., & Roberts, K. (2014). Making Pono Choices: a collaborative approach to developing a culturally responsive teen pregnancy and sexually transmitted infections prevention curriculum in Hawai’i. Matern Child Health J 18(10), 2332–2340. https://doi.org/10.1007/s10995-013-1395-6
Martin, K. L., & Walter, M. (2017). The Story of LSIC: It’s All About Trust and Vision. In Indigenous Children Growing Up Strong (pp. 41–60). Palgrave Macmillan UK. https://doi.org/10.1057/978-1-137-53435-4_3
Maslow, G. R., & Chung, R. J. (2013). Systematic review of positive youth development programs for adolescents with chronic illness. Pediatrics, 131(5), e1605.
McCubbin, L. D. (2003). Resilience among Native Hawaiian adolescents: Ethnic identity, psychological distress and well-being [Unpublished doctoral dissertation]. The University of Wisconsin – Madison
McMullin, J. (2005). The call to life: Revitalizing a healthy Hawaiian identity. Social Science & Medicine, 61(4), 809–820. https://doi.org/10.1016/j.socscimed.2004.08.051
Medeiros, S. M. & Tibbetts, K. A. (2008). Ho'omau i nā 'Ōpio: Findings from the 2008 pilot-test of the youth development and assets survey. Honolulu, HI: Kamehameha Schools Research and Evaluation Division. https://www.ksbe.edu/assets/research/collection/08_0195_medeiros.pdf
Moher, D., Liberati, A., Tetzlaff, J., & Altman, D. G. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLoS Medicine, 6, e1000097. https://doi.org/10.1371/journal.pmed.1000097
Mokuau, N., Braun, K., Wong, L., Higuchi, P., & Gotay, C. (2008). Development of a family intervention for Native Hawaiian women with cancer: A pilot study. Social Work, 53(1), 9-19. https://doi.org/10.1093/sw/53.1.9
Nasir, B., Kisely, S., Hides, L., Ranmuthugala, G., Brennan-Olsen, S., Nicholson, G. C., Gill, N. S., Hayman, N., Kondalsamy-Chennakesavan, S., & Toombs, M. (2017). An Australian Indigenous community-led suicide intervention skills training program: community consultation findings. BMC Psychiatry, 17(1), 219–219. https://doi.org/10.1186/s12888-017-1380-5
Native Hawaiian Health Care Act of 1988. § 8, 3 U.S.C. (1988). Retrieved from: https://uscode.house.gov/view.xhtml?path=/prelim@title42/chapter122&edition=prelim
Okamoto, S., Helm, S., Ostrowski, L., & Flood, L. (2018). The validation of a school-based, culturally grounded drug prevention curriculum for Rural Hawaiian youth. Health Promotion Practice, 19(3), 369-376.
Okamoto, S., Kulis, S., Helm, S., Chin, S., Hata, J., Hata, E., & Lee, A. (2019). An efficacy trial of the Ho‘ouna Pono drug prevention curriculum: An evaluation of a culturally grounded substance abuse prevention program in rural Hawai‘i. Asian American Journal of Psychology, 10(3), 239–248. https://doi.org/10.1037/aap0000164
Okamoto, S., Helm, S., Chin, S., Hata, J., Hata, E., & Okamura, K. (2020). The implementation of a culturally grounded, school‐based, drug prevention curriculum in rural Hawai‘i. Journal of Community Psychology, 48(4), 1085–1099. https://doi.org/10.1002/jcop.22222
Okamoto, S., Kulis, S., Helm, S., Lauricella, M., & Valdez, J. (2016). An evaluation of the Ho'ouna Pono curriculum: A pilot study of culturally grounded substance abuse prevention for rural Hawaiian youth. Journal of Health Care for the Poor and Underserved, 27(2), 815-833. https://doi.org/10.1353/hpu.2016.0061
Okamoto, S., Kulis, K., Marsiglia, S., Holleran Steiker, F., & Dustman, F. (2014). A continuum of approaches toward developing culturally focused prevention interventions: From adaptation to grounding. The Journal of Primary Prevention, 35(2), 103-112. https://doi.org/10.1007/s10935-013-0334-z
Omizo, M., Omizo, S., & Kitaoka, S. (1998). Guided affective and cognitive imagery to enhance self-esteem among Hawaiian children. Journal of Multicultural Counseling and Development, 26(1), 52–62. https://doi.org/10.1002/j.2161-1912.1998.tb00183.x
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016). Rayyan-a web and mobile app for systematic reviews. Systematic Reviews, 5(1), 210–210. https://doi.org/10.1186/s13643-016-0384-4
Pukui, M. K. (1983). 'Ōlelo no'eau: Hawaiian proverbs & poetical sayings. Honolulu, HI: P. B. Bishop Museum.
Roberts, K., & Hitchcock, C. (2018). Impact of culturally aligned supports on Native Hawaiian high school students' college attendance: A qualitative perspective. Community College Journal of Research and Practice, 42(4), 245–257. https://doi.org/10.1080/10668926.2017.1284698
Scanlan, K. R. L. (2013). The relationship of cultural affiliation and cultural congruency to depression, anxiety, and psychological well-being among Native Hawaiian college students [Unpublished doctoral dissertation]. Columbia University.
Sotero, M. M. (2006). A conceptual model of historical trauma: Implications for public health practice and research. Journal of Health Disparities Research and Practice, 1(1), 93-107.
Spielman, R. M., Jenkins, W. J., & Lovett, M. D. (2020). Psychology: Lifespan Development. https://openstax.org/details/books/psychology-2e?Book%20details
Sy, A., Greaney, M., Nigg, C., & Hirose-Wong, S. (2015). Developing a measure to evaluate a positive youth development program for Native Hawaiians: The Hui Mālama o ke Kai rubrics of Hawaiian values. Asia-Pacific Journal of Public Health, 27(2), NP1517–NP1528. https://doi.org/10.1177/1010539511427760
Takishima-Lacasa, J., & Kameoka, V. (2019). Adapting a sexually transmitted infection prevention intervention among female adolescents in Hawai'i. Health Promotion Practice, 20(4), 608–615. https://doi.org/10.1177/1524839918769592
Tharp, R. (1982). The effective instruction of comprehension: Results and description of the Kamehameha Early Education Program. Reading Research Quarterly, 17(4), 503–527. https://doi.org/10.2307/747568
Thomas, R., Teel, T., & Bruyere, B. (2014). Seeking excellence for the land of paradise: Integrating cultural information into an environmental education program in a rural Hawai’ian community. Studies in Educational Evaluation, 41, 58–67. https://doi.org/10.1016/j.stueduc.2013.09.010
Thurber, K. A., Olsen, A., Guthrie, J., McCormick, R., Hunter, A., Jones, R., Maher, B., Banwell, C., Jones, R., Calabria, B., & Lovett, R. (2018). “Telling our story... Creating our own history”: caregivers’ reasons for participating in an Australian longitudinal study of Indigenous children. International Journal for Equity in Health, 17(1), 143–143. https://doi.org/10.1186/s12939-018-0858-1
Trinidad, A. (2014). Critical Indigenous Pedagogy of Place: How Centering Hawaiian Epistemology and Values in Practice Affects People on Ecosystemic Levels. Journal of Ethnic and Cultural Diversity in Social Work, 23(2), 110–128. https://doi.org/10.1080/15313204.2014.903136
Trinidad, A. (2009). Toward kuleana (responsibility): A case study of a contextually grounded intervention for Native Hawaiian youth and young adults. Aggression and Violent Behavior, 14(6), 488–498. https://doi.org/10.1016/j.avb.2009.07.008
Withy, K., Lee, W., & Renger, R. (2007). A practical framework for evaluating a culturally tailored adolescent substance abuse treatment programme in Molokai, Hawaii. Ethnicity & Health, 12(5), 483–496. https://doi.org/10.1080/13557850701616920
Wu, Y., Uchima, O., Browne, C., & Braun, K. (2019). Healthy Life Expectancy in 2010 for Native Hawaiian, White, Filipino, Japanese, and Chinese Americans Living in Hawai’i. Asia-Pacific Journal of Public Health, 31(7), 659–670. https://doi.org/10.1177/1010539519875614
Yamauchi, L. A., Billig, S. H., Meyer, S., and Hofchire, L. (2006). Student outcomes associated with service-learning in a culturally relevant high school program. Journal of Prevention & Intervention in the Community, 32(1-2), 149–164. https://doi.org/10.1300/J005v32n01_10
Yamauchi, L.A., & Brown, L. (2007). Promoting personal and career development among at-risk Hawaiian youth: Effects of the Hawaiian Studies program on program graduates. Multicultural Learning and Teaching, 2(2), 45–64. https://doi.org/10.2202/2161-2412.1021
Yamauchi, L.A., Lau-Smith, J., & Luning, R. (2008). Family involvement in a Hawaiian language immersion program. School Community Journal, 18(1), 39–60. http://search.proquest.com/docview/195465130/
Yamauchi, L.A., & Purcell, A. K. (2009). Community involvement in a place-based program for Hawaiian high school students. Journal of Education for Students Placed at Risk (JESPAR), 14(2), 170–188. https://doi.org/10.1080/10824660902854458
