Source: UNIV OF HAWAII submitted to
CHILDREN'S HEALTHY LIVING DIETETICS SCHOLARSHIP PROGRAM (CHLD)
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
TERMINATED
Funding Source
Reporting Frequency
Annual
Accession No.
1015856
Grant No.
2018-38413-28140
Project No.
HAWN-14-240
Proposal No.
2017-09294
Multistate No.
(N/A)
Program Code
KF
Project Start Date
May 15, 2018
Project End Date
May 14, 2023
Grant Year
2018
Project Director
Revilla, M. K.
Recipient Organization
UNIV OF HAWAII
3190 MAILE WAY
HONOLULU,HI 96822
Performing Department
Hum Nutrition, Food & Anim Sci
Non Technical Summary
CHLD will address the USDA MSP area of emphasis to increase diversity in the Food and Agricultural workforce by increasing the number of underrepresented Native Hawaiians (NH) receiving baccalaureate degrees in dietetics at the University of Hawai'i at M?noa (UHM). Through an enhanced student learning experience reflecting Hawaiian values CHLD will accomplish the following objectives: 1) Establish a sustainable pipeline for recruiting, NH students into dietetics; 2) Matriculate 5 NH scholars into dietetics; 3) Support 5 NH scholars to maintain good academic standing and on-time progress to dietetics degree completion; 4) Implement a mentored summer experiential learning opportunity in child obesity prevention; 5) Develop the leadership capacities of 5 NH scholars through participation in research, service learning, and professional meetings; 6) Enhance the pipeline of qualified NH students into internships, graduate programs, or employment in a dietetics related area. CHLD consists of 4 years of degree program and specialized training in dietetics and child obesity prevention, 6 academic semesters of service learning, and a specialized experiential learning summer field experience. All scholars will have a faculty mentor and complete leadership training throughout CHLD. Upon graduation, all CHLD Scholars will have a guaranteed spot in the UHM Dietetics Individualized Supervised Practice Pathway Program. CHLD will facilitate 5 underrepresented NH scholars to sit for the Dietetic Registration Examination in 5 years. CHLD's integrated approach will lead to 5 NH dietetic professionals with exceptional place-based child obesity prevention skills that will contribute to a regional effort to promote health and well-being.
Animal Health Component
0%
Research Effort Categories
Basic
(N/A)
Applied
(N/A)
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
70360101010100%
Knowledge Area
703 - Nutrition Education and Behavior;

Subject Of Investigation
6010 - Individuals;

Field Of Science
1010 - Nutrition and metabolism;
Goals / Objectives
1) Establish a sustainable pipeline for recruiting underrepresented, Native Hawaiian (NH) students into the dietetics undergraduate degree by Fall 20182) Matriculate 5 NH scholars into CHLD by Fall 20193) Support 5 NH scholars to maintain good academic standing and on-time progress to BS Dietetics degree completion by Spring 2023 through an integrated, culturally relevant dietetics training that includes advising, mentoring and leadership development4) Implement a mentored summer experiential learning opportunity in child obesity prevention by Summer 20225) Develop the leadership capacities (e.g., self-efficacy, problem-solving, and critical thinking skills) of 5 NH scholars through participation in research, service learning, and professional meetings6) Enhance the pipeline of qualified NH students into internships, graduate programs, or employment in a dietetics related area by Spring 2023
Project Methods
CHLD will leverage partnerships with NH serving organizations and high schools in Hawai'i to provide a pipeline into CHLD. Recruitment activities will include outreach to high schools, health career pathway programs, and other student serving organizations to expose students to the breadth and scope of dietetics. Outreach will include video clips on local RDNs. Materials will also be circulated to academic counselors. CHLD will partner with UHM Admissions, CTAHR Academic Advisors, and the UHM NH Student Services Center for other recruitment opportunities. To ensure success during the application process and the selection of a cadre of qualified scholars, CHLD will assist interested students to complete their application through application workshops.Recruitment will focus on students who are residents of Hawai'i and who have a commitment to residing in Hawai'i. This will increase the number of NH applicants, based on previous experience with CHL. CHLD recruitment will occur Summer 2018 - Fall 2018.Selection. The application will be posted on the Training/Education section of the CHL website (www.chl-pacific.org) by August 1, 2018 (applications due by January 1, 2019). Students will submit an application, a current resume, two letters of recommendation, and a personal statement. Applicants will be ranked by: 1) commitment to a career in dietetics and child obesity prevention, 2) leadership potential, 3) motivation to complete the program, and 4) NH community commitment and engagement. Based on the recommended strategy to increase student body diversity (29) and success (33), incoming freshman to dietetics will be the target as these students will have sufficient time to complete the program as a learning community. To increase the chances for success and, in alignment with degree entry requirements, students must have a minimum 3.0 GPA.Applications will be reviewed and ranked by the CHLD Selection Committee, composed of the Program Directors, mentors, and service learning organization leads, starting January 15, 2019. The CHLD Selection Committee will identify the top 5 applicants. Applicants will be notified by February 15, 2019 and must confirm by March 15, 2019. If less than 5 applicants accept admission, the next ranked applicant will be notified of acceptance. All 5 scholars will start in Summer 2019 with the Eia M?noa freshman bridge program and CHLD orientation.CHLD will apply an integrated curriculum to training students. Students will complete both the dietetics undergraduate degree along with the Children's Healthy Living Summer Institute pathway to provide them specialized training in child health. Students will also complete ethics training, cultural competency and safety training, anthropometry standardization training, a specialized learning field experience and multiple service learning experiences. Students will also develop their own leadership style over the course of the program. All students will be paired up with a mentor for the duration of their degree. A peer-to-peer mentoring group will also be formed to foster a family dynamic between the students. Students will attend one local conference every year and will present the findings of their specialized field experience. Upon graduation, all students will be guaranteed a spot in the programs Individualized Supervised Practice Pathway.Evaluation will occur at the start, mid-point, and end of every semester to continually evaluate the program and student.

Progress 05/15/18 to 05/14/23

Outputs
Target Audience:The primary target audience is Native Hawaiian students enrolled in the CHLD program working towards a Bachelor's of Science degree in Dietetics. In addition, Native Hawaiian students in high school or in other majors who may be interested in pursuing a degree in dietetics. Changes/Problems:Y5 We were unable to fill the two remaining scholar positions in the last year of the program. Maintaining the enrollment of all five scholar positions were difficult due to COVID, the drop out of previous scholars, and a limited pool of potential applicants who met the program requirements. The population of ethnic minorities in the United States is increasing, however, the ethnic distribution of nutrition and dietetics professionals does not reflect this growth (Hernandez et al., 2017). In the Hernandez study, one barrier to increasing diversity in dietetics is the perception that the academic and internship requirements were difficulty to attain or complete. Another barrier for minority students in this profession is often they have to relocate to a different part of the United States which has not always been feasible. In addition, the field of nutrition and dietetics has seen a decrease in students enrolled in programs due to the new implementation of obtaining a Master's degree in order to be eligible for the Registered Dietitian exam starting in January 2024. When WIC employees who were enrolled in a dietetics program were surveyed if they would like to become an RDN after this new graduate requirement, only 27% of participants indicated yes (Hernandez et al., 2017). Although we provided academic stipends and financial compensation for school-related supplies and other costs every semester, a majority of the scholars throughout the program still maintained part-time employment in addition to their academic commitments. This could have contributed to the drop out of scholars that we experienced since we could not fully cover the financial burden of university costs while being in the program. Even with the turnover of scholars in CHLD we have stayed connected with previous scholars. Updates we would like to share: MR graduated with an AA in liberal arts at Hawaii Community College in May 2022. She planned to enroll in the culinary program at the same institution, however, due to low enrollment, the program was cancelled. She decided to gain experience in the culinary field and was recently employed as a pastry chef at a high-end restaurant in Kona, Hawaii. Outside of her work, MR started her own small business selling special order cakes and desserts. VR is working as a CNA at a skilled nursing facility in California and recently changed her major to nursing. She is finishing her prerequisites at a local community college and plans to transfer to a California state university for her bachelor's in nursing. NV holds an associate's degree in Communications and is pursuing a bachelor's degree in Hospitality with a focus on food and beverage management from a California state university. This upcoming summer, he will be pursuing a culinary internship at a luxury resort in California. NV is expected to graduate with his degree in Fall 2023. TF continues to progress in the Dietetics program at the University of Hawaii at Manoa and is expected to graduate this semester. KS is continuing a degree in biological engineering at the University of Hawaii at Manoa. KA is working in the restaurant industry at a local hotel resort. We were unable to contact AH. Y4 In Fall 2021, the majority of activities were virtual with the exception of the service learning. In Spring 2022, with restrictions relaxing we were able to do a mix of face to face and virtual activities with a majority of service learning being done in person. We have done our best to support scholars in this unpredictable environment. Our one scholar, who started in the original group of CHLD, dropped out of CHLD due to health and financial reasons but continues to complete the degree in dietetics. She is expected to graduate in Spring 2023. Two other scholars left the program due to change in degree (Molecular Biosciences and Bioengineering) and institution (Esthetician School). Since CHLD still supports a majority of Native Hawaiian students enrolled in Dietetics/Pre-Dietetics at UHM. We have been unable to find replacements for the program. The Native Hawaiian dietetic undergraduate student who served as the peer coordinator for the program since it started bringing in scholars in AY 2019-2020 transitioned into the CHLD coordinator (CGY). She was awarded admissions into the PhD in Nutritional Sciences and a Graduate Assistantship with the CHL Food Systems Training Program starting in Fall 2022. She will continue to serve as the CHLD coordinator while completing this training (in addition to the Individualized Supervised Practice Pathway). Y3 Despite the challenges of COVID19 with courses transitioning to online the current group of scholars seem to be performing well in their coursework. We implemented all CHLD activities virtually in AY 20-21. A benefit of this has been that it allowed for scholars to participate in the virtual Food and Nutrition Conference and Expo in October 2020. Weekly hui sessions continue to be delivered online which has worked generally well given the circumstances. We have been creative with the online huis doing virtual cooking sessions and lunches. We have done our best to support scholars virtually but unfortunately the far-reaching impacts of COVID19 was difficult to overcome for our original group of scholars in which 4 out of the 5 scholars dropped out of UHM. We were fortunate to have a senior dietetic student serve as peer coordinator for the program in AY 2020-2021 to replace the coordinator who departed the program in summer 2020. This dietetic student is graduating in May and will be transitioning into the coordinator upon matriculation into the MS Nutritional Sciences and Individualized Supervised Practice Pathway in fall 2021. Continuing to have the support from this student, who is also Native Hawaiian, is instrumental in informing our current scholars on what to expect in the degree pathway. Y2 During this grant year, majority of the scholars continued to struggle with Math, Chemistry and Biology. The program has been focused on directing them to available resources and assisting with refining their study skills. One student considered leaving the program at the end of the semester due to the challenges of these basic courses to pursue culinary training. A major shift in the program during this year was the COVID-19 pandemic. Due to the closure of the university and the shelter-in-place, we have had to cancel all in-person activities and conduct weekly hui online. COVID19 has a significant impact on our scholars academically and personally. Our scholars are grateful to be home with their families where they feel it is safer but were anxious with the situation. Our scholars had to make significant adaptations to continue their studies in less than ideal environments for all of their courses to move 100% online (e.g., unreliable access to the internet, households filled with multiple family members and lack of space to study). Lastly, due to unforeseen circumstances the coordinator's employment for the program concluded mid-May 2020. Y1 The major challenge that we have faced has been in getting enough qualified scholarship applicants. A reason why this may be occurring is because high school students are unaware of what a dietitian is and what role they play in the healthcare field. To address this issue, a dietetics infographic was created and attached to the CHLD program scholarship flyer as it was circulated. This infographic explained the different career opportunities, as well as steps needed to become a registered dietitian nutritionist. We also have been very active at college and career fairs to increase the visibility of dietetics to high school students. We have had to push back our scholarship deadline multiple times to find five applicants that fit the criteria for the CHLD scholarship program. What opportunities for training and professional development has the project provided?Y5 This past year the CHLD scholars and coordinator were able to attend the Food and Nutrition Conference and Expo in Orlando, Florida. At this professional conference, the scholars were able to explore the different career paths and areas of nutrition and dietetics. Here they were able to network with other students and professionals in the field. For the end of semester fall gathering, an alumni of the Dietetics program at University of Hawaii at Manoa led the scholars, coordinator, and faculty of CHLD through a cooking workshop using cultural starch, 'ulu (breadfruit). During this cooking workshop, we learned how to prepare both a vegan and vegetarian 'ulu alfredo sauce and 'ulu brownies. This experience provided insight to the scholars on how to use traditional Native Hawaiian starches to create a popular dish (see website for photos: https://www.chl-pacific.org/training/chl-dietetics-scholars-program/) The CHLD coordinator engaged in Maternal Child Health (MCH) training this year to become eligible to test for the Certified Lactation Consultant credentials. She has completed her course work training and plans to take the exam in May 2023. CHLD funds were used to support the coordinator to attend an Academy of Nutrition and Dietetics Asian American and Pacific Islander webinar Unpacking Size, Diversity, Culture, and Nutrition: Weight-Inclusive Care for AAPI Providers. This webinar was supportive of a diversity group of Registered Dietitians on the panel, with one being Native Hawaiian. Y4 The Department of Human Nutrition, Food and Animal Sciences (HNFAS) sponsored a dietetics preceptor, faculty, intern, and student training on diversity, specifically exploring biases that can negatively impact student and patient outcomes (May 13, 2022). Y3 The project facilitated the provision of a Health Equity and Determinants of Health training to the Hawaii Affiliate of the Academy of Nutrition and Dietetics. In addition, the faculty of CHLD are working on organizing a workshop on using Health Equity Language. A member of the CHLD team, the Dietetics Program Director, presented, "Approaches to Enhance DIversity in Health Profession Education Programs: A Case Study on Opportunities to Increase Native Hawaiian Student Success in Dietetics," at the Health Professions Education Conference 2021. The oral presentation was delivered virtually to educators in medical, nursing, psychology, pharmacy and other health professions. It provided a framework for attendees to develop strategies and initiatives to address diversity. A link to the program brochure is here: https://drive.google.com/file/d/1mVyPkae19uimhwuYurUEHmKF5J8T_WjC/view?usp=sharing Y2 The CHLD team has participated in a college fair on 1/31/2020 representing the dietetics field and career opportunities to spread awareness. Y1 The CHLD team participated in four professional health career panels for high school students aspiring to one day join the health and medical field. Three members of CHLD assisted in sharing their experiences and knowledge with high school students of all ages. CHLD team members have also participated in multiple career fairs representing the dietetics field and career opportunities to spread awareness. How have the results been disseminated to communities of interest?Y5 All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared with the Dietetics advisory council and the Hawaii Academy of Nutrition and Dietetics board. Y4 All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared in the UHM Dietetics Program Fall 2021 and Spring 2022 newsletter issues. Results were shared in the report made for the recent Dietetics Accreditation visit (April 24 -26, 2022). Y3 All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared at a virtual Native Hawaiian Dietetics Council meeting on 5/14/2020, the UHM Dietetics Program Fall 2020 newsletter, and the virtual Dietetics Council/Native Hawaiian Dietetics Council meeting on 4/28/21. Y2 All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared at two Native Hawaiian Dietetics Council meetings (5/22/2019 and 12/13/2019). Y1 The results have been circulated through multiple ways. First, the Dietetics Program has a Native Hawaiian Dietetics Council which includes 10 members. The council members range in expertise and include a Native Hawaiian undergraduate student, a recent Native Hawaiian graduate of the Supervised Practice program, Native Hawaiian dietitians (2), a Native Hawaiian food service manager, high school nutrition teacher, a director of an undergraduate program in allied health, a director of an undergraduate program in nursing, a Native Hawaiian community health coordinator, and a Native Hawaiian community researcher. A dietetics infographic as well as a scholarship flyer were created to aid in recruitment efforts. Recruitment activities have included outreach to high schools, health career pathway programs, and other student serving organizations such as UHM Native Hawaiian Student Services. All information about the scholarship is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). The application was completed on the ScholarsApp (https://scholarsapp.com/scholarship/childrens-heath-living-dietetics-scholarship/) which played an essential role in disseminating the scholarship out to high school students, college counselors, and parents across the US. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Objective 1 Y5 CHLD coordinator (CGY) and University of Hawaii at Manoa (UHM) faculty, LH, hosted one senior and five junior students from Kapolei High School during a campus visit. Six female students identified as either Native Hawaiian (NH) mixed race or White mixed race. For the Food Science and Human Nutrition (FSHN) and Dietetics (DTCS) programs, CGY and LH led a demonstration of how to use poi in a parfait. CHLD worked with the Waianae Coast Comprehensive Health Center (WCCHC) on their monthly wellness workshops to encourage interest about nutrition in the community. A total of 88 participants attended three workshops of which 24 were male and 64 female. 60% of the participants identified as NH or Other Pacific Islander, 14% Asian, 8% White, 3% Hispanic or Latino, and 15% Other/Mixed. 21 participants were aged 60 and up, 46 aged between 18-59, 12 were less than 18 years old, and 9 did not answer. CHLD leadership team attended two high school career fairs at Waipahu High School and Kamehameha Schools to expose students to the FSHN and DTCS majors at UHM. Over 100 students were in attendance for both events. The UHM B.S Dietetics program has been approved by the UH Board of Regents for established status, from provisional, as a new standalone degree program. Y4 CHLD faculty did a webinar about the FSHN and DTCS tracks that UHM offers and how CHLD is a supporting program of recruiting NH students into dietetics. In addition, CHLD submitted a grant to the Academy of Nutrition and Dietetics, which was not selected for funding. Y3 There were limited in-person recruitment activities due to COVID-19 pandemic restrictions to encourage NH students into dietetics. Y2 We connected with nutrition high school teachers to discuss opportunities for continued partnership and participated in college career fairs to encourage interest for nutrition and dietetics. Y1 We have partnered with two organizations to coordinate dietetic-related field trips and health career fairs for middle and high school aged youth. Objective 2 Y5 CHLD supported three NH undergraduate students pursuing a degree in Dietetics. Two of the scholars graduated Fall 2022 with their BS in Dietetics. The third scholar changed her major to Public Health and could no longer be supported by CHLD. The two open scholar positions remained vacant and did not have scholars enrolled Spring 2023. Y4 Two scholars dropped during the academic year. There were three scholars in the program. Y3 Five scholars matriculated into the pre-dietetics degree in Fall 2019. Four of the five scholars from 2019 to 2020 dropped out of UHM as a result of COVID. The program replaced all four positions. Y2 Five scholars matriculated into the pre-dietetics degree in Fall 2019. Y1 Three scholars accepted the scholarship and began the degree in Fall 2019. We continued to review applicants for the remaining two spots. Objective 3 Y5 Scholars continue to progress with semester milestones in mentorship and advising, monthly check-in meetings with the CHLD team, completing required coursework, and meet with college academic advisors every semester. A pre, mid, and post evaluation is completed by the scholars every semester. An instructor mid-semester check-in was also conducted in the fall and spring semester to monitor academic progress. Pre-semester evaluations in both semesters measured the scholars' perceptions of how prepared they felt for the coming semester. On a scale of 1 to 4-where 1 = Not prepared and 4 = Prepared-scholars indicated they felt Moderately prepared (M = 3.13, SD = 0.68). Mid-semester evaluations allowed the CHLD team to get a pulse on the scholars' semester progress and mitigate any situations before the end of semester. Post-semester evaluations were reflective in nature. Overall-on a four point scale where 1 = Disagree and 4 = Agree-scholars felt that CHLD provided them with a positive educational experience (M = 4.00; SD = 0.00). Y4 Scholars continued to progress with semester milestones in mentorship and advising, monthly check-in meetings with the CHLD team, completing required coursework, and meet with the college academic advisors every semester. Y3 Scholars continued to engage in required academic work and CHLD responsibilities every semester. CHLD promoted resources available from the NHSS program and UHM. Y2 Orientation/welcome sessions have been held with the scholars and their family at the start of every semester. Y1 Scholars participated in an integrated curriculum to promote NH values that was designed specifically for this grant while they worked towards the completion of the required of coursework for a Bachelors of Science degree in Dietetics at UHM. Objective 4 Y5 The three scholars completed their 100-hour summer experiential learning opportunity in child obesity prevention. Their portfolios are viewable on the CHLD website: https://www.chl-pacific.org/training/chl-dietetics-scholars-program/ Y4 All scholars implement their summer field experience in 2022. Y3 Preparation for this objective will take place in AY 2021-2022. Y2 This objective will take place in year three of the grant. Y1 This objective took place in year two and three of the grant. Objective 5 Y5 A NH consultant (JNO) conducted leadership sessions in one hui once a semester since Spring 2020. JNO guided the scholars through indigenous values and perspectives of research using Kanaka Oiwi Methodologies: Moolelo and Metaphors. All scholars completed service learning experiences in the fall semester on research. Each scholar was paired with a CHLD faculty member to assist in their current research studies. Their experiences with each research study was presented at our end of semester viewable on website:https://www.chl-pacific.org/training/chl-dietetics-scholars-program/. Scholars participated in the Food and Nutrition Conference and Expo. Two scholars attended in-person with CGY and one scholar participated virtually (See website for photos https://www.chl-pacific.org/training/chl-dietetics-scholars-program/) Y4 All scholars completed service learning experiences in the fall and spring semester, participated in two virtual conferences, and gained experience in food service and research through extracurricular jobs. Y3 Two of the scholars assumed board positions on the Food Science and Human Nutrition Student Council. Y2 JNO began conducting culturally-tailored leadership sessions in one hui a semester which started in Spring 2020. Y1 We worked with our team and other NH supporting programs across the UHM campus and community to plan our leadership training over the four years of the degree program. Objective 6 Y5 A member of the CHLD team is the Dietetics Program Director at the University of Hawaii at Manoa and also directs the Individualized Supervised Practice Pathway (ISPP), and another member is Chair of the Graduate Program where the ISPP is housed. Completion of the ISPP programs results in eligibility for the registration examination for dietitians. The two graduated scholars applied for admission into graduate programs with dietetic internships in the spring 2023. Information on the program was shared with working dietitians in the community through an advisory council and the annual spring conference for the Hawaii Affiliate of the Academy of Nutrition and Dietetics. Y4 We continued to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. Y3 We continued to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. Y2 We continued to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. Y1 We continued to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state.

Publications

  • Type: Journal Articles Status: Published Year Published: 2023 Citation: Fialkowski, M.K., Sandlin, M.R., Kai, J., Ng-Osorio, J., Custodio, R.C., Odom, S.K., Boyd, J.K., Medina, C., Takahashi, D., and Esquivel, M.K. 2023. An Exploratory Mixed Method Cross-sectional Study to Identify Opportunities to Increase Enrollment and Retention of Native Hawaiian Students in an Undergraduate Dietetic Program. J Acad Nutr Diet. 2023 Apr;123(4):577-592.e5. doi: 10.1016/j.jand.2022.08.127. Epub 2022 Aug 21. PMID: 36002112.


Progress 05/15/21 to 05/14/22

Outputs
Target Audience:The primary target audience is Native Hawaiian students enrolled in the CHLD program working towards a Bachelor's of Science degree in Dietetics. In addition, Native Hawaiian students in high school or in other majors are encouraged to pursue a degree in dietetics. Changes/Problems: The current group of scholars are at various time points in the dietetics degree which has allowed for a nice exchange of experience and support across the group. In Fall 2021, the majority of activities were virtual with the exception of the service learning. In Spring 2022, with restrictions relaxing we were able to do a mix of face to face and virtual activities with a majority of service learning being done in person. We are hoping to be predominantly face to face in AY 2022-2023. We have done our best to support scholars in this unpredictable environment. Our one scholar (Forsythe), who started in the original group of CHLD, dropped out of CHLD due to health and financial reasons but continues to complete the degree in dietetics. She is expected to graduate in Spring 2023. Two other scholars left the program due to change in degree (Stennsgaard - Molecular Biosciences and Bioengineering) and institution (Arasato - Esthetician School). Even with the turnover of scholars enrolled in CHLD we have managed to stay connected with previous scholars and have received updates we would like to share. Ramirez will be graduating with an AA in liberal arts at Hawaii Community College and will be working towards an AA in culinary arts at the same institution. Ready moved to California to be with her family. She completed CNA school so that she could work in the hospital setting. She has been taking classes at a local Community College to allow her to transition into a Dietetics Degree program in the area of California that she resides. Howard is taking Hawaiian Studies classes at Honolulu Community College and works at Kokua Kalihi Valley. Villareal is balancing school and work in preparation to make the transfer to a California state school to major in Communications. Since CHLD still supports a majority of Native Hawaiian students enrolled in Dietetics/Pre-Dietetics at UHM we have been unable to find replacements for the program. We have initiated the process of contacting students admitted for Fall 2022 into UHM and the degree program but have only received interest from one student to date. As admissions decisions are confirmed we will continue to follow-up with newly admitted students for interest in joining CHLD. One important point to note is that the Native Hawaiian dietetic undergraduate student who served as the peer coordinator for the program since it started bringing in scholars in AY 2019-2020 transitioned into the CHLD coordinator (Young). She is currently working towards an MS in Nutritional Sciences and completing the Individualized Supervised Practice Pathway. She also was just awarded admissions into the PhD in Nutritional Sciences and a Graduate Assistantship with the CHL Food Systems Training Program starting in Fall 2022. She will continue to serve as the CHLD coordinator while completing this training (in addition to the Individualized Supervised Practice Pathway). It is so valuable for the scholars to receive support from the CHLD Coordinator as she can play a pivotal role in informing our current scholars on what to expect in the degree pathway and what their future potential could be. What opportunities for training and professional development has the project provided?The Department of Human Nutrition, Food and Animal Sciences (HNFAS) is sponsoring a dietetics preceptor, faculty, intern, and student training on diversity, specifically exploring biases that can negatively impact student and patient outcomes (May 13, 2022). How have the results been disseminated to communities of interest? All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared in the UHM Dietetics Program Fall 2021 and Spring 2022 newsletter issues. Results were shared in the report made for the recent Dietetics Accreditation visit (April 24 -26, 2022). What do you plan to do during the next reporting period to accomplish the goals? Weekly hui sessions will continue to be held addressing various topics that will benefit the student's career and academic goals. Welcome back sessions will continue to be held at the start of every semester with scholars. One hui will be focused on culturally grounded leadership development. Due to the improvement in the situation with regard to COVID, fall semester activities are planned to be done face to face but the program will be prepared to transition back to virtual if needed. The CHLD co-Director will continue to coordinate one hui session a semester. Coordination of the weekly hui will be done by the CHLD Coordinator. Service learning will continue to occur every semester. The theme for the fall semester is research. Standardization in anthropometric measurements for children was delayed as a result of COVID19 and it is undetermined as to if it will be able to occur in the fall. Scholars will take specialized courses online in Summer 2022. All scholars will be completing a course in culture and child health. One scholar will take a second course to enhance their professional and research skills, including completing ethics training. Scholars will continue to meet with the CHLD program program director, the dietetics program director, and a coordinator monthly. They will also continue to meet with the academic advisors every semester. The scholars will continue working towards completing the required coursework for a Bachelor of Science degree in Dietetics at UHM. The program will continue to evolve and seek opportunities to support the scholar's degree completion. The scholars will prepare and submit their reports from their summer 2022 experiential learning opportunity.

Impacts
What was accomplished under these goals? Objective 1. Establish a sustainable pipeline for recruiting underrepresented, Native Hawaiian (NH) students into the dietetics undergraduate degree by Fall 2018 The program submitted a Diversity Promotion Grant to the Academy of Nutrition and Dietetics to implement intercession activities to encourage high school student interest in the field. Although not selected for funding for this cycle we were encouraged to re-apply at the next cycle. CHLD PD Revilla will be teaching a special section of FSHN 185: The Science of Human Nutrition in a sheltered section that is tuition free for Native Hawaiian students in summer 2022 sponsored by the UHM Native Hawaiian Student Services program. See program events for other pipeline related recruitment activities Objective 2. Matriculate 5 NH scholars into CHLD by Fall 2019 Five scholars matriculated into the pre-dietetics degree in Fall 2019. Four of the five scholars from 2019 to 2020 dropped out of UHM as a result of COVID. The program replaced all four positions in 2020 - 2021. However, one student dropped at the end of spring 2021 and 2 during fall 2022. There are currently 3 scholars in the program. Two scholars are in their fourth semester in CHLD and 1 scholar is in their second semester in CHLD. There are currently no eligible students to fulfill the open positions. The program is looking to fill the position in 2022-2023 AY. Objective 3. Support 5 NH scholars to maintain good academic standing and on-time progress to BS Dietetics degree completion by Spring 2023 through an integrated, culturally relevant dietetics training that includes advising, mentoring and leadership development Orientation/welcome sessions have been held with the scholars and at the start of every semester. End of semester sessions have been held with the scholars and at the end of every semester to allow for students to share their experiences over the semester. Scholars have been participating in weekly "hui" (group) meetings which are focused on promoting the Hawaiian values of kuleana (responsibility), onipaa (working together), and lokahi (collaboration) into their studies. In hui scholars have assessed their core values, learned how to build an academic and professional portfolio together, learned about the social determinants of health, engaged in activities to encourage relationship building with their instructors, developed additional study skills, learned about additional resources to acquire scholarship and funding opportunities, and were exposed to other opportunities in the field of dietetics. We have held hui both virtually and in-person with most guest speakers participating virtually. Guest speakers have served as an opportunity to expose students to the breadth of the field. Guest speakers have spoken on how to build upon a research proposal, preparing for a food emergency, the different types of leaders an individual can be, the environment of pediatric and eating disorder nutrition, and post-graduation pathways and opportunities in the field of dietetics. The program co-director runs one session of hui every semester. The CHLD coordinator manages the weekly hui. The CHLD coordinator has been working on goal setting (academic, personal, wellness) with scholars. Monthly check-in meetings are held with the program director and the dietetics program director (who coordinates the service learning), and the coordinator (graduate student). The scholars have been working towards completing the required coursework for a Bachelor of Science degree in Dietetics at UHM. The scholars meet with the college academic advisors every semester. CHLD also promotes resources available from the Native Hawaiian Student Services (NHSS) program. CHLD has also worked with the scholars on the preparation and submission of scholarship applications for the 2021-2022 school year. A pre, mid, and post evaluation is completed by the scholars every semester. An instructor mid-semester check-in was also conducted in the fall and spring semester to monitor academic progress. As of Spring 2022 end-of-term, Scholars agreed on a 4-point Likert scale that the CHLD program provides them with a positive education experience (M = 4.00; SD = 0.00). Qualitative responses indicated that the CHLD program provides them with the resources-such as technical assistance with progress, mentor guidance, and guest speakers-and opportunities-such as service learning and networking-to be successful in pursuing their degree. Objective 4. Implement a mentored summer experiential learning opportunity in child obesity prevention. All scholars have successfully gained approval to implement their summer field experience in 2022. One scholar will be working with Roots Program at Kokua Kalihi Valley on gluten friendly recipes for children using traditional food. Another scholar has proposed a nutrition and gardening activity in partnership with the YMCA. The last scholar has identified a 4-H partner to deliver a nutrition and cooking activity with program youth. Objective 5. Develop the leadership capacities (e.g., self-efficacy, problem-solving, and critical thinking skills) of 5 Native Hawaiian scholars through participation in research, service learning, and professional meetings. A Native Hawaiian consultant (Dr. Ng-Osorio) conducts culturally-tailored leadership sessions in 1 hui once a semester. Dr. Ng-Osorio led lessons on the different types of leaders an individual can become and how cultural identity can play an important role in leadership. The scholars have been provided with summer reading to prepare them for their training next academic year. All scholars have completed service learning experiences in the fall and spring semester. The fall semester's theme was on aina. Two students completed their service learning at the Sustainable and Organic Agricultural Program and one with the Roots Program at Kokua Kalihi Valley. During the spring, the service learning theme was food service. Two students completed their service learning at the Lanakila Meals on Wheels Program and one student at the Campus dining facility. Scholars participated in the virtual Food and Nutrition Conference and Expo in October 2021 and the Lahui Hawai'i Research Center Student Conference in March 2022. One scholar, Lianne Aukai, is an undergraduate research assistant for the Exploring Dietary Diversity in Native Hawaiian infants' study (Revilla is the PI). Scholar, Jade Makua, is gaining food service experience at a local food establishment outside of school. Kiari Aveiro, a first-year scholar, is the food ambassador at Roots Cafe located in Kokua Kalihi Valley Health Center. Objective 6. Enhance the pipeline of qualified Native Hawaiian students into internships, graduate programs, or employment in a dietetics related area by Spring 2023. We continue to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. A member of the CHLD team is the Dietetics Program Director at the University of Hawaii at Manoa and also directs the Individualized Supervised Practice Pathway (ISPP). Completion of the ISPP programs results in eligibility for the registration examination for dietitians. She will be working with us to facilitate the scholarship awardees placement into a Dietetic Internship and/or the ISPP Program that will be combined with a MS degree, upon completion of their Bachelor's Degree in Dietetics. Two of the scholars are scheduled to graduate in Fall 2022 and are planning on starting graduate coursework in Fall 2022 during the last semester of their undergraduate degree and applying for admission into a MS program to start in Spring 2023. We will work closely with scholars to support preparation for standardized testing (GRE) for their MS program applications as well.

Publications

  • Type: Journal Articles Status: Published Year Published: 2022 Citation: Joo, K.A., Fialkowski, M.K., Esquivel, M., and Haumea, S.L. 2022. Hawaii Registered Dietitian Nutritionist 2019-2020 Workforce Assessment. Hawaii J Health Soc Welf. 2022 Apr;81(4 Suppl 2):31-38. PMID: 35495070; PMCID: PMC9036456.
  • Type: Conference Papers and Presentations Status: Other Year Published: 2022 Citation: Esquivel, M.K. and Revilla, M.K.F. 2022. Serving the Lahui through Food and Nutrition: Dietetics Careers and Opportunities at the University of Hawaii at Manoa. Mauli Ola Malamalama Webinar. March 11, 2022.


Progress 05/15/20 to 05/14/21

Outputs
Target Audience:The primary target audience is Native Hawaiian students enrolled in the CHLD program working towards a Bachelor's of Science degree in Dietetics. In addition, Native Hawaiian high school students are encouraged to pursue a degree in dietetics. Changes/Problems: Despite the challenges of COVID19 with courses transitioning to online the current group of scholars seem to be performing well in their coursework. They performed well in Fall 2020 and are on pace to perform well in Spring 2021. Grades are not released until Mid-May. The current group of scholars are at various time points in the dietetics degree (2 first year, 1 second year, and 2 third year) which has allowed for a nice exchange of experience and support across the group. Due to COVID19 we implemented all CHLD activities virtually in AY 20-21. A benefit of this has been that it allowed for scholars to participate in the virtual Food and Nutrition Conference and Expo in October 2020. In normal circumstances this would have never been allowed due to the expense of travel. Weekly hui sessions continue to be delivered online which has worked generally well given the circumstances. We have been creative with the online huis doing virtual cooking sessions and lunches. However, the students miss the face to face interaction and not being able to bond with each other. Most of the scholars have not met each other, or the program directors in person, which is unfortunate. We have done our best to support scholars virtually but unfortunately the far reaching impacts of COVID19 was difficult to overcome for our original group of scholars in which 4 out of the 5 scholars dropped out of UHM. However, we were successfully able to find other students eligible for the program. CHLD is currently supporting a majority of Native Hawaiian students enrolled in Dietetics/Pre-Dietetics at UHM. We were fortunate to have a senior dietetic student serve as peer coordinator for the program in AY 2020-2021 to replace the coordinator who departed the program in summer 2020. This dietetic student is graduating in May and will be transitioning into the coordinator upon matriculation into the MS Nutritional Sciences and Individualized Supervised Practice Pathway in fall 2021. Continuing to have the support from this student, who is also Native Hawaiian, is instrumental in informing our current scholars on what to expect in the degree pathway. What opportunities for training and professional development has the project provided? The project has facilitated the provision of a Health Equity and Determinants of Health training to the Hawaii Affiliate of the Academy of Nutrition and Dietetics. In addition, the faculty of CHLD are working on organizing a workshop on using Health Equity Language. A member of the CHLD team, the Dietetics Program Director, presented, "Approaches to Enhance DIversity in Health Profession Education Programs: A Case Study on Opportunities to Increase Native Hawaiian Student Success in Dietetics," at the Health Professions Education Conference 2021. The oral presentation was delivered virtually to educators in medical, nursing, psychology, pharmacy and other health professions. It provided a framework for attendees to develop strategies and initiatives to address diversity. A link to the program brochure is here: https://drive.google.com/file/d/1mVyPkae19uimhwuYurUEHmKF5J8T_WjC/view?usp=sharing How have the results been disseminated to communities of interest?All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared at a virtual Native Hawaiian Dietetics Council meeting on 5/14/2020, the UHM Dietetics Program Fall 2020 newsletter, and the virtual Dietetics Council/Native Hawaiian Dietetics Council meeting on 4/28/21. What do you plan to do during the next reporting period to accomplish the goals? Weekly hui sessions will continue to be held addressing various topics that will benefit the students' career and academic goals. Welcome back sessions will continue to be held at the start of every semester with scholars. One hui will be focused on culturally grounded leadership development. Due to the improvement in the situation with regard to COVID, more activities are planned to be done face to face but the program will be prepared to transition back to virtual if needed. The CHLD co-Director will continue to coordinate one hui session a semester. Coordination of the weekly hui will be done by the CHLD Coordinator. Service learning will continue to occur every semester. Due to COVID19, service learning may still occur virtually in AY 2021-2022. Standardization in anthropometric measurements for children was delayed as a result of COVID19 and it is undetermined as to when it can occur. Scholars will take specialized courses online in Summer 2021. All five scholars will be completing a course in foundations of childhood obesity prevention. The four new scholars will take a second course to enhance their professional and research skills, including completing ethics training. Scholars will continue to meet with the CHLD program director, the dietetics program director, and a coordinator monthly. They will also continue to meet with the academic advisors every semester. The scholars will continue working towards completing the required coursework for a Bachelor of Science degree in Dietetics at UHM. The program will continue to evolve and seek opportunities to support the scholars' degree completion. The scholars will prepare and submit their proposals for the summer experiential learning opportunity in summer 2022.

Impacts
What was accomplished under these goals? Objective 1. Establish a sustainable pipeline for recruiting underrepresented, Native Hawaiian (NH) students into the dietetics undergraduate degree by Fall 2018 During this past year, as a result of COVID, there has been limited face to face recruitment activities to encourage NH students into dietetics. Activities have been limited to virtual recruitment. Objective 2. Matriculate 5 NH scholars into CHLD by Fall 2019 Five scholars matriculated into the pre-dietetics degree in Fall 2019. Four of the five scholars from 2019 to 2020 dropped out of UHM as a result of COVID. The program has since replaced all four positions and there are currently 5 scholars in the program. One scholar is completing their fourth semester in CHLD, 2 scholars are in their second semester in CHLD, and 2 scholars are in their first semester in CHLD. Objective 3. Support 5 NH scholars to maintain good academic standing and on-time progress to BS Dietetics degree completion by Spring 2023 through an integrated, culturally relevant dietetics training that includes advising, mentoring and leadership development Virtual orientation/welcome sessions have been held with the scholars and at the start of every semester. This spring semester the scholars prepared a meal together virtually as the major activity of the welcome session. At the end of the semester a virtual luncheon was held. Scholars have been participating in weekly "hui" (group) meetings which are focused on promoting the Hawaiian values of kuleana (responsibility), onipaa (working together), and lokahi (collaboration) into their studies. In hui scholars have assessed their core values, learned about opportunities for identifying a mentor, learned about budgeting, engaged in activities to encourage relationship building with their instructors, learned about their genealogy, developed additional study skills, learned additional tricks to navigating the learning management system used by the university, were exposed to other opportunities in the field of dietetics. The scholars have started their service learning experiences virtually. This spring they are all doing a service learning project related to farm to school programs and conducting qualitative research. We have been working on goal setting (academic, personal, wellness) with students. Due to COVID19 no field trips have occurred but guest speakers have virtually presented to continue to expose students to the breadth of the field. The scholars have been working towards completing the required coursework for a Bachelor of Science degree in Dietetics at UHM. Monthly check-in meetings are held with the program director and the dietetics program director (who coordinates the service learning), and the peer coordinator (senior dietetic students). The program co-director runs one session of hui every semester. The peer coordinator manages the weekly hui and goal setting with scholars. The scholars meet with the college academic advisors every semester. CHLD also promotes resources available from the Native Hawaiian Student Services (NHSS) program. CHLD has also worked with the scholars on the preparation and submission of scholarship applications for the 2021-2022 school year. A pre, mid, and post evaluation is completed by the scholars every semester. An instructor mid-semester check-in was also conducted in the fall and spring semester. Objective 4. Implement a mentored summer experiential learning opportunity in child obesity prevention. Preparation for this objective will take place in AY 2021-2022. Objective 5. Develop the leadership capacities (e.g., self-efficacy, problem-solving, and critical thinking skills) of 5 Native Hawaiian scholars through participation in research, service learning, and professional meetings. A Native Hawaiian consultant (Dr. Ng-Osorio) conducts culturally-tailored leadership sessions in 1 hui a semester. The scholars have been provided with summer reading to prepare them for their training next academic year. Scholars Makua and Stensgaard have assumed board positions on the Food Science and Human Nutrition Student Council (Treasurer and Vice President, respectively) Objective 6. Enhance the pipeline of qualified Native Hawaiian students into internships, graduate programs, or employment in a dietetics related area by Spring 2023. We will continue to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. A member of the CHLD team is the Dietetics Program Director at the University of Hawaii at Manoa and also directs the Individualized Supervised Practice Pathway (ISPP). Completion of the ISPP programs results in eligibility for the registration examination for dietitians. She will be working with us to facilitate the scholarship awardees placement into a Dietetic Internship and/or the ISPP Program that will be combined with a MS degree, upon completion of their Bachelor's Degree in Dietetics.

Publications


    Progress 05/15/19 to 05/14/20

    Outputs
    Target Audience:The primary target audience is Native Hawaiian students enrolled in the CHLD program working towards a Bachelor's of Science degree in Dietetics. In addition, encouraging Native Hawaiian high school students to pursue a degree in dietetics. Changes/Problems:Majority of the scholars continue to struggle with basic Math, Chemistry and Biology. The program has been focused on directing them to available resources and assisting with refining their study skills. Three of the scholars will most likely need to re-take these courses. One student is considering leaving the program at the end of the semester due to the challenges of these basic courses to pursue culinary training. We are working to provide this student with resources and connect them with other individuals that have a background in dietetics and Culinology to show the value of both. This student could achieve training in both of these disciplines in the University of Hawaii System. Due to COVID19 we have had to cancel a number of activities Participation in two college and career fairs as well as a campus visit by a nutrition class from a local public high school (related to objective 1). Field trips planned for the second half of the semester have been canceled (assisted living facility) (related to Objective 3 and 5) Participation in one of their leadership development experiences, the Hawaii Academy for Nutrition and Dietetics Spring Conference (related to Objective 5) Weekly hui sessions moved online due to COVID19 which has posed challenges as all of the scholars have moved home and are attending hui online, from multiple time zones with various levels of internet access. We have also had to adjust the content of the weekly huis since previously planned field trips and other activities could no longer occur (related to Objective 3 and 5). However, the experience that the program has with online learning has also made the transition for the hui online manageable. In addition, since the programming that the scholars will be participating in during the summer is through the CHL Summer Institute which is already offered online, that transition will not be impacted. COVID19 has a significant impact on our scholars academically and personally. Our scholars are grateful to be home with their families where they feel it is safer but are anxious with the situation that is rapidly evolving. Our scholars have had to make significant adaptations to continue their studies in less than ideal environments for all of their courses to move 100% online (e.g., unreliable access to the internet, households filled with multiple family members and lack of space to study). In addition, many of our scholars are concerned about the well-being of their family members who may be older or at a higher risk due to other health concerns which makes it difficult to focus on school. One of our scholars has contemplated leaving school due to the challenges of moving completely online. As a program we are doing our best to support our students virtually but it has been difficult to reach all of the students. Due to unforeseen circumstances the coordinator for the program will no longer be working with us effective mid-May 2020. We are in the process of requesting approval to do a casual hire over the summer to assist us with preparing for the 2020-2021 AY as well as finding a permanent coordinator that will start by the start of fall 2020. However, due to COVID19 all hiring has been frozen on campus. To make the situation more complex, the CHLD Program Director (Revilla) will be on maternity leave starting mid-summer. We are working to determine a contingency plan. What opportunities for training and professional development has the project provided?In addition to what has been shared previously, the CHLD team has participated in a college fair on 1/31/2020 representing the dietetics field and career opportunities to spread awareness. How have the results been disseminated to communities of interest?All information on the program is posted on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). Results and efforts of the program have been shared at three Native Hawaiian Dietetics Council meetings (5/22/2019, 12/13/2019, and 5/14/2020). What do you plan to do during the next reporting period to accomplish the goals?Weekly hui sessions will continue to be held addressing various topics that will benefit the students career and academic goals. Welcome back orientations will continue to be held at the start of every semester with scholars and their families. One - two huis will be focused on culturally grounded leadership development. The CHLD co-Director will continue to coordinate one hui session a semester. The CHLD Graduate Coordinator and Undergraduate Peer Coordinator will continue to coordinate the weekly hui. Service-learning will begin in Fall 2020 with a focus on research and Spring 2021 with a focus on policy. Students will also become standardized anthropometric measurements for children in Fall 2020 to align with their service learning research experience. Scholars will take two specialized courses online in Summer 2020. One course will be to enhance their profession and research skills, including completing ethics training. The second course will be on learning the basics of doing anthropometry and dietary assessment in children. Scholars will continue to meet with the CHLD program director and the dietetics program director monthly. They will also continue to meet with the academic advisors every semester. The scholars will continue working towards completing the required coursework for a Bachelors of Science degree in Dietetics at UHM. The program will continue to evolve and seek opportunities to support the scholars degree completion.

    Impacts
    What was accomplished under these goals? Objective 1. Enhance the pipeline of qualified Native Hawaiian students into internships, graduate programs, or employment in a dietetics related area by Spring 2023. We will continue to leverage opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. A member of the CHLD team is the Dietetics Program Director at the University of Hawai'i at Manoa and also directs the Individualized Supervised Practice Pathway (ISPP). Completion of the ISPP programs results in eligibility for the registration examination for dietitians. She will be working with us to facilitate the scholarship awardees placement into the ISPP Program that will be combined with a MS degree, upon completion of their Bachelor's Degree in Dietetics. Objective 2. Develop the leadership capacities (e.g., self-efficacy, problem-solving, and critical thinking skills) of 5 Native Hawaiian scholars through participation in research, service learning, and professional meetings. A Native Hawaiian consultant has been hired to run culturally-tailored leadership sessions in 1 - 2 hui a semester starting in Spring 2020. This semester the focus of that session is on servant leadership using the Hawaiian Alii (royalty) as examples. Objective 3. Implement a mentored summer experiential learning opportunity in child obesity prevention. This objective will take place in year three of the grant. Objective 4. Support 5 NH scholars to maintain good academic standing and on-time progress to BS Dietetics degree completion by Spring 2023 through an integrated, culturally relevant dietetics training that includes advising, mentoring and leadership development All scholars were provided a laptop purchased by the program through funds provided by the CHL Summer Institute but only three scholars ended up needing the laptops. Orientation/welcome sessions have been held with the scholars and their family at the start of every semester. During the spring semester, the scholars prepared the meal for their family to showcase the skills they have learned so far in the program. Scholars have been participating in weekly "hui" (group) meetings which are focused on promoting the Hawaiian values of kuleana (responsibility), onipa'a (working together), and lokahi (collaboration) into their studies. In hui scholars have assessed their core values, learned about opportunities for identifying a mentor, learned about budgeting, engaged in activities to encourage relationship building with their instructors, learned about their genealogy, developed additional study skills, learned additional tricks to navigating the learning management system used by the university, were exposed to other opportunities in the field of dietetics. The scholars have also worked on creating tokens of appreciation to provide to guests speakers for the program. We have also been focusing on building relationships (pilina) with their group and have been working on developing a program protocol which includes aspects of the Hawaiian culture such as chanting. Scholars have been exposed to the community through program organized field trips to a community health center, a museum, and historic cultural sites. The scholars have been working towards completing the required coursework for a Bachelors of Science degree in Dietetics at UHM. Monthly check-in meetings are held with the program director and the dietetics program director. The program co-director runs one session of hui every semester. A Native Hawaiian Graduate Student serves as the coordinator for CHLD and a Native Hawaiian Dietetics Undergraduate (Upperclassmen) has been brought on to the team to serve as a Peer Coordinator. The peer coordinator runs tutoring sessions for the Scholars. The scholars meet with the college academic advisors every semester. CHLD also promotes resources available from the Native Hawaiian Student Services (NHSS) program. CHLD has also worked with the scholars on the preparation and submission of scholarship applications for the 2020-2021 school year. A pre, mid, and post evaluation is completed by the scholars every semester. In spring 2020, an instructor mid-semester check-in was also implemented. Objective 5. Matriculate 5 NH scholars into CHLD by Fall 2019 Five scholars matriculated into the pre-dietetics degree in Fall 2019. All five scholars are currently in their second semester. Objective 6. Establish a sustainable pipeline for recruiting underrepresented, Native Hawaiian (NH) students into the dietetics undergraduate degree by Fall 2018 We have participated in college career fairs to encourage interest for nutrition and dietetics. We have connected with the private and public nutrition High School teachers to discuss opportunities for continued partnership. We did two guest lectures at nutrition class for Juniors and Seniors at Kamehameha Schools- Kapalama Campus. Kamehameha Schools is a private school which serves and educates 6,900 students of Native Hawaiian ancestry on Oahu, Maui and Hawaii Island and at 30 preschool sites statewide. Information on the program continues to be shared with working dietitians in the community through an advisory council.

    Publications


      Progress 05/15/18 to 05/14/19

      Outputs
      Target Audience:During the 2018 year, the primary target audience has been Native Hawaiian high school seniors with a focus on residents of Hawaii who have a commitment to residing in Hawaii and plan on attending the University of Hawaii at Manoa. CHLD has focused on leveraging partnerships with Native Hawaiian serving organizations and high schools across the state as well as abroad from the continental US. The recruitment efforts to reach this target group have consisted of circulating materials such as flyers and infographics to academic counselors and colleagues, attending career fairs and panels, and using a scholarship company called ScholarsApp. Changes/Problems:The major challenge that we have faced has been in getting enough qualified scholarship applicants. A reason why this may be occurring is that high school students are unaware of what a dietitian is and what role they play in the healthcare field. A dietetics infographic was created and attached to the CHLD program scholarship flyer during circulation. This infographic explained the different career opportunities, as well as steps needed to become a registered dietitian nutritionist. We also have been very active at college and career fairs to increase the visibility of dietetics to high school students. We have had to push back our scholarship deadline multiple times to find five applicants that fit the criteria for the CHLD scholarship program. What opportunities for training and professional development has the project provided?Thus far, the CHLD team has participated in four professional health career panels (2/7/2019- Nanakuli Public Library, 2/9/2019- University of Hawaii John A. Burns School of Medicine, 2/12/2019- University of Hawai'i John A. Burns School of Medicine, 2/21/2019-Hawaii Pacific University) for high school students aspiring to one day join the health and medical field. Three members of CHLD assisted in sharing their experiences and knowledge with high school students of all ages. CHLD team members have also participated in multiple career fairs (4/12/2019- Waianae Intermediate School, 4/20/2019- University of Hawaii John A. Burns School of Medicine) representing the dietetics field and career opportunities to spread awareness. How have the results been disseminated to communities of interest?The results were circulated in multiple ways. First, the Dietetics Program has a Native Hawaiian Dietetics Council which includes ten members. The council members range in expertise and include a Native Hawaiian undergraduate student, a recent Native Hawaiian graduate of the Supervised Practice program, Native Hawaiian dietitians (2), a Native Hawaiian food service manager, high school nutrition teacher, a director of an undergraduate program in allied health, a director of an undergraduate program in nursing, a Native Hawaiian community health coordinator, and a Native Hawaiian community researcher. A dietetics infographic, as well as a scholarship flyer, were created to aid in recruitment efforts. Recruitment activities have included outreach to high schools, health career pathway programs, and other student serving organizations such as UHM Native Hawaiian Student Services. All information about the scholarship is on the Training/Education section of the Children's Healthy Living website (http://www.chl-pacific.org/chl-dietetics-scholars-program). The application is available on the ScholarsApp (https://scholarsapp.com/scholarship/childrens-heath-living-dietetics-scholarship/) which played an essential role in disseminating the scholarship out to high school students, college counselors, and parents across the US. Information on the program was shared with working dietitians in the community through a presentation at the annual spring conference for the Hawaii Affiliate of the Academy of Nutrition and Dietetics, the professional organization for Dietitians in the state of Hawaii. What do you plan to do during the next reporting period to accomplish the goals?During the next reporting period, several objectives and goals will be accomplished. The students will begin their undergraduate degree programs in Fall of 2019. Scholars will participate in an integrated curriculum to promote the Hawaiian values such as kuleana (responsibility), onipaa (working together), and lokahi (collaboration) that is being designed specifically for this grant. The scholars will also be working towards completing the required of coursework for a Bachelors of Science degree in Dietetics at UHM. We will also be planning out their service learning rotation for the sophomore year as well as the Pacific Island study abroad in partnership with NHSS. Regular monitoring and evaluation will occur along with frequent scholar and mentor meetings.

      Impacts
      What was accomplished under these goals? Objective 1. Establish a sustainable pipeline for recruiting underrepresented, Native Hawaiian (NH) students into the dietetics undergraduate degree by Fall 2018 - We have done several things to enhance the pipeline of students into the undergraduate program. We have partnered with the Pacific Area Health Education Center based at the John A. Burns School of Medicine to participate in their college health career fairs for middle and high school aged youth with interest in health careers. We have also connected with the Hawaii State Department of Education's Career and Technical Education Resource Teacher to coordinate field trips related to dietetics between high school students interested in the field. Approximately 25% of public school students are Native Hawaiian. One member of the research team will be working as the food and nutrition teacher at Kamehameha Schools- Kapalama Campus. Kamehameha Schools is a private school which serves and educates 6,900 students of Native Hawaiian ancestry on Oahu, Maui and Hawaii island and at 30 preschool sites statewide. Information on the program was shared with working dietitians in the community through an advisory council and the annual spring conference for the Hawaii Affiliate of the Academy of Nutrition and Dietetics, the professional organization for Dietitians in the state of Hawaii. Objective 2. Matriculate 5 NH scholars into CHLD by Fall 2019 - In process. We have three scholars who have accepted the scholarship and will begin the degree in Fall 2019. We are continuing to review applicants for the remaining two spots. Objective 3. Support 5 NH scholars to maintain good academic standing and on-time progress to BS Dietetics degree completion by Spring 2023 through an integrated, culturally relevant dietetics training that includes advising, mentoring and leadership development - All scholars will get a laptop purchased by the program through funds provided by the CHL Summer Institute. Scholars will participate in an integrated curriculum to promote the Hawaiian values such as kuleana (responsibility), onipaa (working together), and lokahi (collaboration) that is being designed specifically for this grant. In the subsequent year, the curriculum will focus on building relationships (pilina) with their group (hui). Also, the scholars will also be working towards completing the required of coursework for a Bachelors of Science degree in Dietetics at UHM. Mentoring for scholars will occur at multiple levels. They will have a Native Hawaiian faculty mentor in nutrition and dietetics (CHLD Program Director), mentoring by the Dietetics Program Director (CHLD Co-I), and a Native Hawaiian Graduate Student who will serve as the coordinator for CHLD. Scholars will also be meeting with the college academic advisors every semester. CHLD will also be partnering with the Native Hawaiian Student Services (NHSS) program to ensure they are aware of the resources available to them to support them in their degree program. Objective 4. Implement a mentored summer experiential learning opportunity in child obesity prevention. - This objective will take place in year two and three of the grant. We will be partnering with the NHSS program at the University of Hawaii at Manoa to implement this experience. The focus of this experience will be placing scholars in community organizations in the state through an internship program implemented by NHSS. Objective 5. Develop the leadership capacities (e.g., self-efficacy, problem-solving, and critical thinking skills) of 5 Native Hawaiian scholars through participation in research, service learning, and professional meetings. - We are working with our team and other Native Hawaiian supporting programs across the University of Hawaii at Manoa campus and community to plan our leadership training over the four years of the degree program. Through our partnership with NHSS, we will be doing a research-based service learning experience the scholars junior year and potentially a Pacific Island study abroad experience during the summer after their Freshmen year. Leadership training will occur throughout. Examples of training will include scholars leading an ohana (family) night each year for the Na Pua Noeau program. Scholars will be attending the Spring conference of the Hawai?i Affiliate of the Academy of Nutrition and Dietetics each year. Objective 6. Enhance the pipeline of qualified Native Hawaiian students into internships, graduate programs, or employment in a dietetics-related area by Spring 2023. - We will continue to leverage these opportunities to enhance the pipeline of students gaining employment in the field of dietetics in our state. A member of the CHLD team is the Dietetics Program Director at the University of Hawaii at Manoa and also directs the Individualized Supervised Practice Pathway (ISPP). Completion of the ISPP programs results in eligibility for the registration examination for dietitians. She will be working with us to facilitate the scholarship awardees placement into the ISPP Program that will be combined with a MS degree, upon completion of their Bachelor's Degree in Dietetics. As noted previously, information on the program was shared with working dietitians in the community through an advisory council and the annual spring conference for the Hawaii Affiliate of the Academy of Nutrition and Dietetics, the professional organization for Dietitians in the state of Hawaii.

      Publications

      • Type: Websites Status: Published Year Published: 2018 Citation: Children's Healthy Living Program. 2018. http://www.chl-pacific.org/chl-dietetics-scholars-program
      • Type: Websites Status: Published Year Published: 2018 Citation: Children's Healthy Living Dietetics Scholarship. 2018. https://scholarsapp.com/scholarship/childrens-heath-living-dietetics-scholarship/