A5086757166- Bone fractures and treatments
- Obesity, Physical Activity, Diet
- Hip disorders and treatments
- Hip and Femur Fractures
- Orthopaedic implants and arthroplasty
- Community Health and Development
- Orthopedic Surgery and Rehabilitation
- Shoulder Injury and Treatment
- Child Nutrition and Water Access
- Health Policy Implementation Science
- Shoulder and Clavicle Injuries
- Musculoskeletal Disorders and Rehabilitation
- Elbow and Forearm Trauma Treatment
- Osteomyelitis and Bone Disorders Research
- Early Childhood Education and Development
- Mobile Health and mHealth Applications
- Nutritional Studies and Diet
- Food Security and Health in Diverse Populations
- Total Knee Arthroplasty Outcomes
- Health disparities and outcomes
- Neurogenetic and Muscular Disorders Research
- School Health and Nursing Education
- Bone Tumor Diagnosis and Treatments
- Venous Thromboembolism Diagnosis and Management
- Orthopedic Infections and Treatments
University of Hawaiʻi at Mānoa
2015-2025
University of Hawaii System
2017-2025
University of South Carolina
2011
Hôpital Albert Michallon
1988
Centre Hospitalier Universitaire de Grenoble
1988
Université Grenoble Alpes
1988
Hôpital Nord
1987
Pacific Islanders have among the highest rates of obesity and type 2 diabetes in world. Targeting children is critical for primary prevention.To prevent young child overweight to improve health US-Affiliated region via Children's Healthy Living Program.In this multijurisdictional, multilevel, multicomponent community randomized clinical trial, where all evaluable were analyzed according random assignment their community, hierarchical difference-in-difference models accounted randomization,...
This article reports on the development of group model-building workshops for understanding children's nutrition and health as a complex adaptive system. A community-based system dynamics approach was used to conduct in 5 United States-Affiliated Pacific jurisdictions part Children's Healthy Living Food Systems project from October 2022 March 2023. Workshops were cofacilitated by local teams using facilitation guide with series structured small-group exercises or "scripts" evaluated pre-post...
Multi-level multi-component (MLMC) strategies have been recommended to prevent and reduce childhood obesity, but results of such trials mixed. The present work discusses lessons learned from three recently completed MLMC interventions inform future research policy addressing obesity. B’more Healthy Communities for Kids (BHCK), Children’s Living (CHL), Health Local Community (SoL) had distinct cultural contexts, global regions, study designs, intervened at multiple levels the socioecological...
Background: Objective measurement of physical activity with accelerometers is a challenging task in community-based intervention research. Challenges include distribution and orientation to monitors, nonwear, incorrect placement, loss equipment. Data collection among participants from disadvantaged populations may be further hindered by factors such as transportation challenges, competing responsibilities, cultural considerations. Methods: Research staff distributed provided an that was...
Addressing complex chronic disease prevention, like childhood obesity, requires a multi-level, multi-component culturally relevant approach with broad reach. Models are lacking to guide fidelity monitoring across multiple levels, components, and sites engaged in such interventions. The aim of this study is describe the fidelity-monitoring Children's Healthy Living (CHL) Program, multi-level intervention five Pacific jurisdictions. A rubric was developed. About halfway during intervention,...
Abstract Health literacy is understudied in the US-Affiliated Pacific (USAP), where local populations have historically experienced social marginalization and disproportionate health inequities caused by determinants of (SDOH). This cross-sectional study analyzed several SDOH indicators—acculturation, use food assistance programs demographic characteristics (race ethnicity, household income, primary language spoken at home educational attainment)—and their relationship to among 1305...
In 1981 and 1982, 58 patients (61 hips) received an isoelastic noncemented femoral component a bipolar cup for nontraumatic hip disease. Three were lost to follow-up 8 died, leaving 47 (51 review after minimum of 5 years. There seven failures--two infections, four technical errors, one migration acetabular component. Of the remaining 44 hips, 42 scored good or better at review.
<h3>Importance</h3> Few obesity prevention trials among children have demonstrated sustainable outcomes in the long term. <h3>Objectives</h3> To sustain a community-wide decrease prevalence of overweight and young US-affiliated Pacific region. <h3>Design, Setting, Participants</h3> In Children's Healthy Living community-randomized clinical trial, hierarchical modeling comparing change intervention control communities accounted for community randomization (community clustering with...
The Children's Healthy Living study provided dietary intake information for understudied Native Hawaiian and Other Pacific Islander (NHOPI) young children.Our objective was to describe food group macronutrient intakes of NHOPI children in the US-Affiliated region (USAP), overall by jurisdiction, income level, metabolic status.We evaluated 2-8-y-olds (n = 3520) a cross-sectional cluster sampled using 2 d records completed caregivers tools, quantified specially developed composition table...
We present a case of bilateral Salter-Harris type II epiphyseal injury to the proximal tibial epiphysis that occurred during gentle exercise. The mechanism and likely contribution preexisting Osgood-Schlatter disease are discussed.
The US Affiliated Pacific region's childhood obesity prevalence has reached epidemic proportions. To guide program and policy development, a multi-site study was initiated, in collaboration with partners from across the region, to gather comprehensive information on regional prevalence. environmental cultural diversity of region presented challenges recruiting for implementing shared community-based, public health research program. This paper presents strategies used recruit families young...
Abstract Objective: To examine children’s sugar-sweetened beverage (SSB) and water intakes in relation to implemented intervention activities across the social ecological model (SEM) during a multilevel community trial. Design: Children’s Healthy Living was multilevel, multicomponent trial that reduced young child obesity (2013–2015). Baseline 24-month cross-sectional data were analysed from nine arm communities. Implemented targeting SSB increased consumption coded by SEM level (child,...
The Children's Healthy Living (CHL) program, a collaboration among Pacific Land Grant Colleges, was developed and implemented with 27 communities across the US affiliated region in 24 month community randomized intervention trial to prevent young child obesity. multilevel, multisite, community‐based consisted of 4 cross‐cutting functions (initiate or strengthen school wellness policies; partner advocate for environmental change; promote CHL messages; local capacity building) 20 activities...
Abstract Increased community collective efficacy (CE), defined as social cohesion among neighbors and their willingness to intervene for common good, is associated with improved health outcomes. However, processes increase CE estimate its dose within an intervention are not well understood. The 2 year Children’s Healthy Living (CHL) aimed improve child behaviors known affect obesity. We used data from CHL examine association a successful outcome CHL—reduction in children’s recreational...