Kūkākūkā Discussion Sessions for Health

Overseen By Yoko Takahashi, MD

Age: 18+

Sex: Male

Trial Phase: Academic

Sponsor: University of Hawaii

Disqualifiers: Under 18, Not proficient in English, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

600 Participants Needed

Trial Summary

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

What data supports the effectiveness of Kūkākūkā Discussion Sessions as a treatment?

The research highlights the importance of patient engagement and communication in healthcare, which are key components of Kūkākūkā Discussion Sessions. Studies show that improving communication and involving patients in their care can lead to better healthcare outcomes and increased patient satisfaction. ^{1 2 3 4 5}

How is the Kūkākūkā Discussion Sessions treatment different from other treatments for this condition?

Kūkākūkā Discussion Sessions are unique because they incorporate cultural elements and community support, focusing on the integration of physical, mental, emotional, and spiritual well-being, which is not typically emphasized in standard treatments. This approach is particularly tailored to the cultural values and perspectives of Native Hawaiian communities, making it distinct from conventional Western treatments. ^{6 7 8 9 10}

What is the purpose of this trial?

The Ku Ola Project: The goal of this study is to determine if community-based discussion groups and small educational sessions enhance health awareness and behaviors among Native Hawaiian men. The study will examine if these interventions improve participants' health knowledge, attitudes, and self-efficacy while fostering local networks to support ongoing health promotion. Participants will engage in group discussions and educational sessions designed to build capacity and encourage healthy lifestyle choices.

Research Team

Kevin Cassel, DrPH, MPH

Principal Investigator

University of Hawaii Cancer Research Center

Eligibility Criteria

This trial is for Native Hawaiian men interested in improving their health. Participants should be willing to engage in community-based discussion groups and educational sessions aimed at enhancing health awareness, attitudes, and behaviors.

Inclusion Criteria

Able to read and understand English

Hawaii residency

I identify as male.

Exclusion Criteria

Any medical condition or situation that, in the investigator's judgment, would make continued participation not in the participant's best interest

I am under 18 years old.

I am not fluent in English.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Educational & Behavioral Intervention

Participants engage in Kū Ola kūkākūkā discussion group modules, complete pre- and post-test surveys, draft a commitment contract, and undergo cancer screening where applicable.

6 months

Multiple sessions (in-person)

Follow-up

Participants are monitored for adherence to commitment contracts and receive follow-up support.

6 months

Treatment Details

Interventions

• Kūkākūkā Discussion Sessions

Trial Overview The Ku Ola Project tests whether group discussions and small educational sessions can boost health knowledge and self-efficacy among Native Hawaiian men. It also aims to create local support networks for sustained health promotion.

Participant Groups

Group I: Educational & Behavioral Intervention Experimental Treatment 1 Intervention

Participants take part in Kū Ola kūkākūkā (discussion group) modules-each a 2-hour session integrating a health topic (e.g., colorectal, lung, oro/nasopharyngeal cancer) with Hawaiian cultural content-complete pre- and post-test surveys, draft a commitment contract, and, where applicable, undergo cancer screening and receive follow-up support.

Who Is Running the Clinical Trial?

University of Hawaii

Lead Sponsor

Trials

122

Recruited

55,200+

Findings from Research

A quality improvement program aimed at enhancing medication education for post-acute neurosurgical patients led to increased patient satisfaction scores, highlighting the importance of effective communication about medications and their side effects.

The program utilized strategies like patient handouts, nurse education, and the 'teach back' method, which proved successful in reinforcing understanding and improving patient experiences related to medication management.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Using evidence to improve satisfaction with medication side-effects education on a neuro-medical surgical unit. Ahrens, SL., Wirges, AM.[2022]

In Sweden, 93 national quality registers now include patient-reported outcome measures (PROMs) or patient-reported experience measures (PREMs), highlighting their importance in understanding treatment effects from the patient's perspective.

These measures are being used to enhance clinical practices, such as improving shared decision-making and care plans, and there are plans to expand their use for quality improvement in the future.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Patient-reported outcomes in the Swedish National Quality Registers. Nilsson, E., Orwelius, L., Kristenson, M.[2022]

Patient-centered outcome measurement is crucial for assessing the quality, effectiveness, and value of care in the evolving US healthcare system, emphasizing the importance of understanding disease impact.

The paper highlights how using outcome measurement tools in neurosurgery can enhance practice-based learning and quality improvement, ultimately demonstrating the value of neurosurgical interventions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcome science in practice: an overview and initial experience at the Vanderbilt Spine Center. McGirt, MJ., Speroff, T., Godil, SS., et al.[2022]

Interviews with six kumu hula from five Hawaiian Islands revealed strong support for using hula in cardiovascular disease (CVD) intervention programs, highlighting its deep connections to health and well-being.

The kumu hula emphasized the importance of maintaining hula's cultural integrity in clinical interventions, suggesting that when done respectfully, hula can serve as an effective holistic approach to improving overall health and wellness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Kumu hula perspectives on health. Look, MA., Maskarinec, GG., de Silva, M., et al.[2018]

References

1. Netherlands pubmed.ncbi.nlm.nih.gov

Participatory continuous improvement. [2019]

2. United States pubmed.ncbi.nlm.nih.gov

Using evidence to improve satisfaction with medication side-effects education on a neuro-medical surgical unit. [2022]

3. England pubmed.ncbi.nlm.nih.gov

Patient-reported outcomes in the Swedish National Quality Registers. [2022]

4. United States pubmed.ncbi.nlm.nih.gov

Incorporating Patient-Reported Outcomes Into Health Care To Engage Patients And Enhance Care. [2022]

5. United States pubmed.ncbi.nlm.nih.gov

Outcome science in practice: an overview and initial experience at the Vanderbilt Spine Center. [2022]

6. United States pubmed.ncbi.nlm.nih.gov

Kumu hula perspectives on health. [2018]

7. United States pubmed.ncbi.nlm.nih.gov

Voices of Native Hawaiian kupuna (elders) living with chronic illness: "knowing who I am". [2022]

8. United States pubmed.ncbi.nlm.nih.gov

Talking Story: Using Culture to Educate Pacific Islander Men about Health and Aging. [2020]

9. United States pubmed.ncbi.nlm.nih.gov

Case report from the field: integrating Hawaiian and Western healing arts in Papakolea. [2016]

10. England pubmed.ncbi.nlm.nih.gov

A Maori perspective of health. [2021]