Chronic Diseases
nutrition icon The Healthy Hawai‘i Evaluation Team provides evaluation services and support for projects that focus on preventing and managing chronic conditions, including obesity, diabetes, cancer, asthma, heart disease, and stroke. HHET also provides evaluation support for policy and systems change efforts in health care systems as they relate to the management of these chronic conditions.
HHET evaluation work focuses on policies, systems, and environmental changes that relate to reducing the burden of chronic disease among a variety of priority populations including:
- Native Hawaiians
- Other Pacific Islanders
- Filipinos
- Youth
- Medicaid Beneficiaries
Chronic disease evaluation projects are conducted across the four primary sectors of Community Design and Access, Education, Health Care, and Worksite.
Featured Project
Hawai‘i Journal of Health & Social Welfare: “Roadmap to a healthier and more equitable Hawaiʻi: Solutions to root causes at the intersections of chronic disease and COVID-19,” October 2021
Chronic Disease
- Saiki, K., Shalaby, A., Nett, B., Ching, L., Domingo, J. L. B., Valera, J. D., Randall, R., Keliikoa, L. B., & McGurk, M. D. (2024). Recruitment and Retention in the National Diabetes Prevention Program Lifestyle Change Program in Two Federally Qualified Health Centers in Rural Hawaiʻi. Preventing Chronic Disease, 21, E85. (Article)
- Talana, A. L. E., Quensell, M. L., Peltzer, N. K., Thompson, M. D., Stupplebeen, D., Pirkle, C. M., & Keliikoa, L. B. (2024). Examining Mental Health and Economic Consequences During the COVID-19 Pandemic Among Filipino Residents in Hawai‘i: May – Oct 2020. Hawai’i Journal of Health & Social Welfare, 83(1), 16–24. (Summary)
- Pirkle, C.M., Saiki, K.N., Yamauchi, J., & Irvin, L.H. (2021). Advancing Health Equity in Hawai'i: Critical Reflections on COVID-19, Chronic Conditions, and Health Disparities. Hawai‘i Journal of Health & Social Welfare.80(10 Suppl 2):3-5. (Summary)
- Sentell T, Choi SY, Ching L, Keliikoa LB, Corriveau E, Pirkle CM. (2020). Prevalence of selected chronic conditions among children, adolescents, and young adults in acute care settings in the state of Hawai‘i. Preventing Chronic Disease. (Summary)
- Agner J, Pirkle C, Irvin L, Maddock, JE, Buchthal OV, Yamauchi J, Starr R, Sentell T. (2020). The Healthy Hawai‘i Initiative: Insights from two decades of building a culture of health in a multicultural state. BMC Public Health (Summary)
- Rodericks, R., Vu, U., Holmes, J. R., Ryan, J., Sentell, T., & Saka, S. (2018). Insights in Public Health: Data Highlights from the Hawai'i Youth Risk Behavior Survey: Links Between Academic Achievement and Health Behaviors. Hawai'i Journal of Medicine & Public Health, 77(11), 297–304. (Summary)
Heart Disease/Stroke
- Thompson, M. D., Wu, Y. Y., Nett, B., Ching, L. K., Taylor, H., Lemmen, T., Sentell, T. L., McGurk, M. D., & Pirkle, C. M. (2023). Real-World Evaluation of an Automated Algorithm to Detect Patients With Potentially Undiagnosed Hypertension Among Patients With Routine Care in Hawai’i. Journal of the American Heart Association, 12(24), e031249–e031249. (Summary)
- Stupplebeen DA, Pirkle CM, Sentell TL, Nett BM, Ilagan LSK, Juan B, Medeiros J, Keliikoa LB. (2020). Self-measured blood pressure monitoring: A descriptive study of program implementation at 5 community health centers in Hawaiʻi. Preventing Chronic Disease. (Summary)
Diabetes
- Stupplebeen, D., Pirkle, C., Domingo, J.L., Nett, B., Sentell, T., & Keliikoa, L.B. (2020). Adaptions to the national diabetes prevention program lifestyle change curriculum by Hawai‘i Federally Qualified Health Centers: A qualitative descriptive Study. BMJ Open. 10:e037577. (Summary)
- Sinclair-White, B., Nett, B., Ilagan, L., Cacal, S.L., Vu, U., Ching, L.K., Pirkle, C.M., Keliikoa, L.B. (2020). Insights in Public Health: Development, Implementation, and Evaluation of the Prevent Diabetes, Hawai‘i Campaign. Hawaii Journal of Medicine & Public Health, 79(3):86-90. (Summary)
- Stupplebeen D, Sentell TL, Ching L, Nett B, Taylor H, Lemmen T, Pirkle C. (2019). Electronic medical record algorithm to identify undiagnosed (pre)diabetes: A case study from Hawai'i. Innov Aging. 2 (Suppl1): S934. (Summary)
- Pirkle, C. M., Vu, N. D., Ilagan, L. S. K., Cacal, S. L., Stupplebeen, D. A., & Nett, B. (2019). Greater community-clinical linkages and attention to patient life stage: Recommendations to improve diabetes self-management education in Hawaii. Hawaii Journal of Medicine & Public Health, 78(6Suppl 1): 70-77. (Summary)
Obesity
- Keliikoa, L. B., Choi, S. Y., Beckelman, T., Chase-Brunelle, T., Cacal, S. L., Ching, L. K., Sentell, T. L., & Pirkle, C. M. (2021). Racial and ethnic disparities in obesity prevalence among children, adolescents, and young adults receiving inpatient care in Hawai‘i, 2015–2016. Preventive Medicine Reports, 24, 101542–. (Summary)
Health Systems
- Sentell, T. L., Ching, L., Cacal, S. L, & Rowan, K. (2019). Community-clinical linkages within health care in Hawaii: History, innovation, and future directions. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 3-5. (Summary)
- Stupplebeen, D., Barnett-Sherrill, A. T., & Sentell, T. L. (2019). Community health workers in Hawaii: A scoping review and framework analysis of existing evidence. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 6-14. (Summary)
- Stupplebeen, D. A., Sentell, T. L., Pirkle, C. M., Juan, B., Barnett-Sherrill. A. T., Humphry, J. W., Yoshimura, S. R. Kieman, J., Hartz, C. P., & Keliikoa, L. B. (2019). Community health workers in action: Community-clinical linkages for diabetes prevention and hypertension management at 3 community health centers. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 15-22. (Summary)
- Trinacty, C. M., Lawall, E., Ashton, M., Taira, D., Seto, T. B., & Sentell, T. L. (2019). Adding social determinants in the electronic health record in clinical care in Hawaii: Supporting community-clinical linkages in patient care. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 46-51. (Summary)
- Kim, J. K., Garrett, L., Latimer, R., Nishizaki, L. K., Kimura, J. A., Taira, D., & Sentell, T. (2019). Ke ku’una na’au: A native Hawaiian behavioral health initiative at the Queen’s medical center. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 83-89. (Summary)
- Irvin, L., & Sentell, T. L. (2019). Community-clinical linkages supported by the centers for disease control and prevention: The Hawaii department of health perspective. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 102-103. (Summary)
- Cacal, S. L., Spock, N., Quensell, M. L., Sentell, T. L., & Stupplebeen, D. A. (2019). Legislative definitions of community health workers: Examples from other states to inform Hawaii. Hawaii Journal of Medicine & Public Health, 78(6Suppl1): 23-29. (Summary)
Chronic Disease
- Formative Evaluation of Asthma Services and Programming using the EXHALE Framework (Summary)
- Evaluation Brief for Hawai'i's Centers for Disease Control 1815 Year 4 Activities (Summary)
- Media and Social Marketing Evaluation Toolkit and Data Monitoring Dashboard (Summary)
- HHIC Data Analysis on Youth and Chronic Disease (Appendix) (Supplemental Table)
- Medication Therapy Management (MTM) Bay Clinic (Summary)
- The Centers for Disease Control and Prevention's 1815 Project Year 3 Activities (Summary)
Heart Disease/Stroke
- 2022 Hawaiʻi Stroke Coalition Symposium Survey Results (Summary)
- City and County of Honolulu EMS Perspectives on Transportation and Stroke Care (Summary)
- Evaluation of a Clinical Algorithm to Identify Undiagnosed Hypertension within the Queen’s Clinically Integrated Physician Network (Summary)
- Hawai‘i's Paul Coverdell National Acute Stroke Program Centers for Disease Control 2102 Evaluation and Performance Measure Plan and Year 1 Implementation Brief (Summary)
- Hawai‘i's Paul Coverdell National Acute Stroke Program Centers for Disease Control 2102 Year 1 Evaluation of Strategy C2 to Create a Statewide Integrated Data System for Stroke (Summary)
- Hawai‘i's Paul Coverdell National Acute Stroke Program Centers for Disease Control 2102 Year 1 Evaluation of Strategy C6 to Implement Stroke Patient Care Protocols for Transitions between EMS and Hospitals (Summary)
- Hawai‘i's Paul Coverdell National Acute Stroke Program Centers for Disease Control 2102 Year 1 Evaluation of Strategy C7 to Strengthen Partnerships among Organizations that Provide Resources for those at Risk of Stroke (Summary)
- Landscape Analysis of Current Self-Measured Blood Pressure Activities at Selected Federally Qualified Health Centers in Hawaiʻi (Summary)
- Hawai‘i Trains and Utilizes CHWs and Non-Physician Team Members to Decrease High Blood Pressure Through Self-Monitor Blood Pressure Support (Summary)
Diabetes
- Highlighting the journey: Participants’ Perspectives on the Hāmākua-Kohala Health and Wahiawā Health Centers Diabetes Prevention Program (DPP) efforts (Summary)
- Preparation Efforts by Three Hawaiʻi Organizations to Implement the Online Hawaiʻi Diabetes Prevention Program (Summary)
- Do Diabetes Prevention Programs Help People to Lose Weight in Hawaiʻi? (Summary)
- Improving Diabetes Self-Management Education and Support in Hawaiʻi (Summary)
- How Federally Qualified Health Centers in Hawai‘i ‘Bring the Program to Life’: Adaptations to the National Diabetes Prevention Program Lifestyle Change Program Curriculum (Summary)
Cancer
- Process Evaluation of BCCCP Outreach Strategies Utilizing a Descriptive Case Study Approach (Summary)
- Formative Evaluation of Colorectal Cancer Screening Practices at Two Hawaiʻi Rural Community Health Centers and One Urban Hospital (Summary, Brief Report)
- Survivorship Services at Hawai‘i Commission on Cancer (COC) Accredited Sites (Summary)
- Breast and Cervical Cancer Control Program (BCCCP): Use of Evidence-Based Recruitment Strategies (Summary)
- Breast and Cervical Cancer Control Program (BCCCP): Provider Strategies to Engage Women in Screening (Summary)
- Summary of Neighbor Island and rural cancer survivors’ needs and challenges (Summary)
- Hawai‘i Cancer Survivors’ Needs and Challenges Survey Brief Report (Summary)
- Hawaiʻi Comprehensive Cancer Coalition Stakeholder Satisfaction Evaluation (Summary)
Health Systems
- CDC 2109: Community Health Workers for COVID-19 Response and Resilience Partner Overarching Evaluation Report (Summary)
- Training, Deployment, and Engagement of Community Health Workers: A Process Evaluation of Community Orgs partnering with HIPHI for CDC 2109 (Summary)
- Kapi‘olani Community College Community Health Worker Program Alumni Evaluation for CDC 2109 (Summary)
- Piloting Comprehensive Medication Management Service at 2 Private Practices on Oʻahu (Summary)
- CDC 2109 Year 2 Evaluation Projects for Kapiolani Community College’s Community Health Worker Program (Summary)
- Hawai'i's Centers for Disease Control 2109 Community Health Workers for COVID Response and Resilient Communities Year 1 Evaluation Activities (Summary)
- Healthy Hawai‘i Strategic Plan Team-Based Care Objectives Needs Assessment (Summary)
- A Formative Evaluation of a Pilot Project to Implement Clinical Workflows for Patients who have been Identified by an Automated Algorithm for Potentially Undiagnosed Prediabetes, Diabetes, or Hypertension (Summary)
- Leveraging Health Information Technology to Identify Undiagnosed (Pre)Diabetes from a Large Health System’s Population Health Management Tool: A Case Study from Hawaiʻi (Summary)
- Uniform Data System Measures in Community Health Centers in Hawai‘i: Documenting Challenges and Opportunities (Summary)
- Hawai‘i Community Health Workers Making an Impact in Their Communities to Combat High Blood Pressure and Prediabetes (Impact Statement) (Summary)
- Community Health Workers in Hawaiʻi: A scoping review and framework analysis of existing evidence (Summary) (Document Library)
Chronic Diseases
- Zhang, W., Shek, D., Moir, S., Irvin, L., Yamauchi, J., & Pirkle, C. (2021, Oct 25). Chronic Disease, Social Inequities & COVID 19 Connecting the Dots for Health Equity [Webinar presentation]. Zoom, Honolulu, HI, United States. (Presentation)
- Sentell, T., Choi S.Y., Ching L., Uchima O., Keliikoa L.B., Irvin L., Pirkle C. Potentially preventable hospitalizations for chronic conditions among children and young adults in Hawai‘i. American Public Health Association Annual Meeting & Expo. Virtual, November 2020. (Summary)
- Sentell, T., Choi S.Y., Ching L., Quensell M., Keliikoa L.B., Corriveau E., Pirkle C. Prevalence of selected chronic conditions among children, adolescents, and young adults in acute care settings in Hawai‘i. World Congress on Public Health. Virtual, October 2020. (Summary)
- Agner J, Pirkle C, Irvin L, Maddock, JE, Buchthal OV, Yamauchi J, Starr R, Sentell T. Building a Culture of Health: Insights from 18 Years of a Multisector, Theory-Based, Statewide Program to Prevent Chronic Disease in Hawaiʻi. IUHPE World Conference. Rotorua New Zealand. April 2019. (Abstract) (Summary)
Heart Disease/Stroke
- Thompson, M. D., Wu, Y. Y., Nett, B., Ching, L. K., Taylor, H., Lemmen, T., Sentell, T. L., McGurk, M. D., & Pirkle, C. M. Real-World Evaluation of an Automated Algorithm to Detect Patients With Potentially Undiagnosed Hypertension Among Patients With Routine Care in Hawai’i. American Public Health Association Annual Meeting & Expo. Atlanta, GA. November 2023 (Poster)
Diabetes
- Stupplebeen D, Sentell TL, Ching L, Nett B, Taylor H, Lemmen T, Pirkle C. Electronic medical record algorithm to identify undiagnosed (pre)diabetes: A case study from Hawai'i. Gerontological Society of America 2019 Scientific Meeting. Austin, TX. November 2019. (Summary)
- Vu ND, Sentell T, PirkleCM. Challenges for Small Capacity Diabetes Self-Management Education Service Providers in Hawaiʻi. Poster Presentation. American Public Health Association Annual Meeting & Expo. Philadelphia, PA. November 2019. (Summary)
- Sentell T, Pirkle C, Camara SA, Ylli, Nett B. Applying a Life-course Perspective to the Social Ecological Model: Identifying Needs, Gaps, Successes, and Goals in Public Health Practice, Research, and Policy. IUHPE World Conference. Rotorua New Zealand. April 2019. (Abstract)
Health Systems
- Keliikoa, LB., Quensell, M., Taylor, H., Hinsdale, J., Lemmen, T., Nett, B., Watanabe, K., Ching, L., Sentell, T., & Pirkle, C. (December 2021). Implementing clinical workflows for patients who have been identified by an automated algorithm for potentially undiagnosed prediabetes, diabetes, or hypertension: A formative evaluation [Poster presentation]. Virtual, 14th Annual Conference on the Science of Dissemination and Implementation. (Summary)
- Keliikoa LB, Domingo JL, Nett B, Roberts R, Hartz C, Valera J, Aea D, Chang-Hiu S, Yoshimura S, Sentell TL, Pirkle CM, Cacal SL, & Stupplebeen DA. Culturally-relevant program implementation in Hawaiʻi Federally-Qualified Health Centers: Facilitators and barriers faced by community health workers in chronic disease prevention and management. Poster Presentation. Annual Conference on the Science of Dissemination and Implementation in Health. Arlington, VA. December 2019. (Summary)
Note: HHET members at the time of project participation are listed in bold.