TY - JOUR
T1 - An Efficacy Trial of the Ho‘ouna Pono Drug Prevention Curriculum
T2 - An Evaluation of a Culturally Grounded Substance Abuse Prevention Program in Rural Hawai‘i
AU - Okamoto, Scott K.
AU - Kulis, Stephen S.
AU - Helm, Susana
AU - Chin, Steven Keone
AU - Hata, Janice
AU - Hata, Emily
AU - Lee, Awapuhi
N1 - Funding Information:
This study was funded by the National Institutes of Health/National Institute on Drug Abuse (R01 DA037836-01A1), with supplemental funding from the College of Health and Society Scholarly Endeavors Program, Hawai‘i Pacific University. Data analysis for this study was supported in part by the National Institutes of Health/National Institute on Drug Abuse (R01 DA038657) and the National Institutes of Health/National Institute on Minority Health and Health Disparities (R01 MD006110). We declare no other conflicts of interest in the publication of this study. We acknowledge Wilda Cielo and Nikolas Herrera for their assistance with data collection and management. A version of this article was presented at the 27th Annual Society for Prevention Research Conference in San Francisco, California.
Publisher Copyright:
© 2019 American Psychological Association
PY - 2019
Y1 - 2019
N2 - This study reports on the drug use outcomes in an efficacy trial of a culturally grounded, school-based, substance abuse prevention curriculum in rural Hawai‘i. The curriculum (Ho‘ouna Pono) was developed through a series of preprevention and pilot/feasibility studies funded by the National Institute on Drug Abuse, and focuses on culturally relevant drug resistance skills training. The present study used a dynamic wait-listed control group design (Brown, Wyman, Guo, & Peña, 2006), in which cohorts of middle/intermediate public schools on Hawai‘i Island were exposed to the curriculum at different time periods over a 2-year time frame. A total of 486 youth participated in the study. Approximately 90% of these youth were 11 or 12 years of age at the start of the trial. Growth curve modeling over 6 waves of data was conducted for alcohol, marijuana, cigarettes/e-cigarettes, crystal methamphetamine, and other hard drugs. The findings for alcohol use were contrary to the hypothesized effects of the intervention, but may have been a reflection of a lack equivalence among the cohorts in risk factors that were unaccounted for in the study. Despite this issue, the findings also indicated small, statistically significant changes in the intended direction for cigarette/e-cigarette and hard drug use. The present study complements prior pilot research on the curriculum, and has implications for addressing Native Hawaiian and Pacific Islander health disparities.
AB - This study reports on the drug use outcomes in an efficacy trial of a culturally grounded, school-based, substance abuse prevention curriculum in rural Hawai‘i. The curriculum (Ho‘ouna Pono) was developed through a series of preprevention and pilot/feasibility studies funded by the National Institute on Drug Abuse, and focuses on culturally relevant drug resistance skills training. The present study used a dynamic wait-listed control group design (Brown, Wyman, Guo, & Peña, 2006), in which cohorts of middle/intermediate public schools on Hawai‘i Island were exposed to the curriculum at different time periods over a 2-year time frame. A total of 486 youth participated in the study. Approximately 90% of these youth were 11 or 12 years of age at the start of the trial. Growth curve modeling over 6 waves of data was conducted for alcohol, marijuana, cigarettes/e-cigarettes, crystal methamphetamine, and other hard drugs. The findings for alcohol use were contrary to the hypothesized effects of the intervention, but may have been a reflection of a lack equivalence among the cohorts in risk factors that were unaccounted for in the study. Despite this issue, the findings also indicated small, statistically significant changes in the intended direction for cigarette/e-cigarette and hard drug use. The present study complements prior pilot research on the curriculum, and has implications for addressing Native Hawaiian and Pacific Islander health disparities.
KW - culturally grounded prevention
KW - efficacy
KW - Native Hawaiian
KW - substance abuse
KW - youth
UR - http://www.scopus.com/inward/record.url?scp=85069821749&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069821749&partnerID=8YFLogxK
U2 - 10.1037/aap0000164
DO - 10.1037/aap0000164
M3 - Article
AN - SCOPUS:85069821749
VL - 10
SP - 239
EP - 248
JO - Asian American Journal of Psychology
JF - Asian American Journal of Psychology
SN - 1948-1985
IS - 3
ER -