Evidence map›Paper›PMID 42559556›Full record

ArticleTranslational issues in psychological science2026

Bridging Culture and Prevention: Facilitators of Success in a Culturally Grounded Drug Prevention Program for Rural Hawaiian Youth.

Zoe Primack, Tessa Palafu, Savannah Goshgarian-Miller, Michelle Liu, Callum Chertavian, Cerila C Rapadas, Reilynn Yamane, Katlyn J An, Steven Keone Chin, Scott K Okamoto and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Translational issues in psychological science, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Zoe PrimackThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Tessa PalafuThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Savannah Goshgarian-MillerThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Michelle LiuThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Callum ChertavianThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Cerila C RapadasThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Reilynn YamaneThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.
Katlyn J AnUniversity of Hawai'i at Mānoa Cancer Center, Population Sciences in the Pacific Program, 701 Ilalo St., Honolulu, HI 96813, USA.
Steven Keone ChinUniversity of Hawai'i at Mānoa Cancer Center, Population Sciences in the Pacific Program, 701 Ilalo St., Honolulu, HI 96813, USA.
Scott K OkamotoUniversity of Hawai'i at Mānoa Cancer Center, Population Sciences in the Pacific Program, 701 Ilalo St., Honolulu, HI 96813, USA.
Kelsie H OkamuraThe Baker Center for Children and Families, 53 Parker Hill Ave., Boston MA 02120, USA.

Funding

Tracking and Evaluation CoreU54GM138062 · NIGMS · UNIVERSITY OF HAWAII AT MANOA · PI SHIKUMA, CECILIA M. · 2021 to 2025
$15.5M
Community-driven drug prevention implementation strategies for Native Hawaiian and Pacific Islander youth in rural Hawai'iDP1DA061311 · NIDA · UNIVERSITY OF PENNSYLVANIA · PI Kelsie Okamura · 2024 to 2026
$2.5M
The Implementation, Adoption, and Sustainability of Ho'ouna PonoR34DA046735 · NIDA · HAWAII PACIFIC UNIVERSITY · PI OKAMOTO, SCOTT KIYOSHI · 2019 to 2021
$812k
NIDA NIH HHS DP1 DA061311NIDA NIH HHS L60 DA059132NIDA NIH HHS R34 DA046735NIGMS NIH HHS U54 GM138062
6 · The paper itself

Abstract

Culturally grounded substance use prevention programs for Native Hawaiian and Pacific Islander (NHPI) youth highlight ecological and historical contexts that traditional interventions overlook. Guided by the Consolidated Framework for Implementation Research (CFIR), this study examined implementation facilitators of Ho'ouna Pono (HP), a culturally grounded school-based drug prevention program, for rural, Native Hawaiian middle school students on Hawai'i Island. A 27-item survey based on CFIR domains (Intervention Characteristics, Outer Setting, Inner Setting, Characteristics of Individuals, and Process) was developed by Okamoto et al. 2024 from 22 interviews with educational staff from the Hawai'i Department of Education. Two hundred and four respondents provided demographic information and ranked their top three HP program facilitators. Findings indicated that intervention characteristics, such as HP's place-based approach and developmental appropriateness, were the strongest facilitators across all roles and regions. Schools in geographically isolated areas were more likely to endorse intervention-driven facilitators, whereas those in more populated regions were concerned with administrative and district alignment. Teachers were particularly enthusiastic about a flexible curriculum that allowed for autonomy in delivery. These findings highlight the significant implications for guiding the development and implementation of culturally grounded prevention programs.

Indexed as

implementation facilitatorsNative HawaiiansPacific Islanderssubstance use prevention

Identifiers

PMID42559556
PMCPMC13441222

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.