FARM AND RANCH STRESS ASSISTANCE NETWORK (FRSAN) - HAWAII STATE PLAN TO NIFA, FY 2021

• Sponsoring Institution: National Institute of Food and Agriculture
• Project Status: COMPLETE
• Funding Source: OTHER GRANTS
• Reporting Frequency: Annual
• Accession No.: 1027082
• Grant No.: 2021-70035-35371
• Cumulative Award Amt.: $559,606.00
• Proposal No.: 2021-09289
• Project Start Date: Sep 1, 2021
• Project End Date: Aug 31, 2023
• Grant Year: 2022
• Program Code: [FF-L]- IYFC, Admin. Discretionary & Reim. Extension

Recipient Organization
AGRICULTURE, HAWAII DEPARTMENT OF
1428 S KING ST
HONOLULU,HI 968142512

Performing Department
Family & Consumer Sciences

Non Technical Summary
Since the coronavirus (COVID-19) pandemic was declared some 15 months ago and vaccinations becomingavailable in January 2021, the virus has inflicted a distressing toll on the physical well-being of most Hawaii residents. Limited access to healthcare, statewide lockdowns, and the collapse of the tourism industry leading to the highest unemployment rate in the country has also affected everyone's mental health in some way or form. This traumatic chain of events caused mental distress, anxiety, depression, social isolation, and even substance abuse amongst vulnerable residents from children to the elderly. Due to its geographic isolation, Hawaii's farmers, ranchers and allied operators (FRAOs) faced additional challenges from supply chain disruptions and rising transportation costs. It was equally difficult getting farm inputs and farm products from and to markets on the U.S. mainland. Additionally, Hawaii agricultural enterprises were still reeling from a series of devastating natural disasters suffered in 2018, from torrential floods statewide (some hurricane induced), and on the Island of Hawaii, earthquakes, volcanic eruptions, and lava flows. Beyond that, the persistent stress pressures relating to pest/invasive species, product markets, financials, and regulations continue unhinged.With the economy in lockdown from mid-March to mid-October, Hawaii agricultural producers reported losses as high as 40-60% of their product revenues, mostly to local wholesalers and restaurants. Local FRAOs were arguably some of the most mentally stressed residents in the state. Adding to the list of mental health issues, agricultural producers also resonate a crisis mode, economic instability, a loss of control, and all alone in confronting their issues. Finally, reaching out for help may be more challenging beyond their tough, independent, and self-reliant mindsets for local FRAOs as they face additional complications of diverse culture identities and how they were brought up to talk comfortably about mental health issues.This project aims tomitigate the mental trauma inflicted on Hawaii's agricultural producers resulting from the coronavirus pandemic and other lingering effects of anxiety and stress. The focus is on training/educating personnel for outreach, support groups and developing coping skills forFRAOs, as well as creating a social marketing campaign to elevate appreciation and respect ofFRAOs.

Animal Health Component

(N/A)

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
903	6010	3070	40%
802	6030	3070	40%
801	6030	3020	20%

Knowledge Area
801 - Individual and Family Resource Management; 903 - Communication, Education, and Information Delivery; 802 - Human Development and Family Well-Being;

Subject Of Investigation
6010 - Individuals; 6030 - The farm as an enterprise;

Field Of Science
3070 - Psychology; 3020 - Education;

Keywords

farm and ranch stress assistance network (frsan)

hawaii state plan

Goals / Objectives
Goal 1: Understand and Advocate for the Health and Wellbeing of Farmers, Ranchers and Allied Operators (FRAOs)Objective 1. Conduct a FRAOs Needs Assessment between Sept - Dec 2021with at least a 40% response rate that will provide an overall view of FRAOs' physical mental, emotional, and financial wellbeing.Objective 2. Create an iLoveFarmers Social Market Campaign (strengthening support of local efforts) between Sept 2021-Aug 2022 that focuses on elevating public awareness/appreciation of FRAOs, and results in FRAOs feeling more appreciated and esteemed.Goal 2: Reduce the negative impact of stressful situations and equip FRAOs with tools and skills to manage uncertainty and deal with stressors effectivelyObjective 1: Prevention & StrengtheningObjective 1a. Strategize prevention and strengthening effort via design of an effective, easy to navigate webpage that provides important educational materials & resourcesbetween Sept 2021-Aug 2022.Objective 1b. Identify FRAOsupport hotlines and include on the webpage by end of firstquarter.Objective 1c. Develop FRAO wellbeing podcast and include on the webpage by end of first quarter.Objective 1.d. Develop one to two tool kits & modules (content prioritized by the result of needs assessment) to help agricultural producers to cope with risks and uncertainty) between Nov 2021-Aug 2022 to be available on the website. Content areas may include anxiety, stress, effective coping; effective communication styles; financial training; grief and loss; succession planning; problem solving strategies, etc.).Objective 1.e. The tool kits/modules will be translated into select languages for LimitedEnglish Proficient (LEP) agricultural users in Hawaii between March -July 2022.Objective 2: Crisis/Disaster ManagementObjective 2.a. Develop tool kits/modules for crisis/disaster management between Nov 2021-Aug 2022.Objective 2.b. Conduct 5 training/outreach workshops on different islands reaching a total of 200individuals in 4 counties of the state between March-Aug 2022.Objective 3: ResiliencyObjective 3.a. Create and host two FRAOs support groups between Jan-Aug 2022.Objective 3.b. Provide at least one suicide prevention workshop Jan-Aug 2022.

Project Methods
Needs assessment The needs assessment will be conducted as follows: 1) exploring and identifying existing knowledge and information about Hawaii FRAOs' physical, mental, emotional, and financial stress/wellbeing to examine existing knowledge and gaps in knowledge. This will include review of all existing data, literature, government documents, and possible access to databases (e.g., group insurance data on physical health), the different sectors of FRAO and how they are categorized and where they are clustered for possible visualization of mapping purposes; 2) developing the needs assessment tool that will involve reviewing prior and existing needs assessment tools conducted with FRAOs, both in Hawaii and on the mainland, and developing a tool that will be received favorably by FRAOs. The tool will be available both online and written; 3) collecting and gathering information on FRAOs. This will entail a multiple-prong approach that will include collating contact information from various associations, interest groups, Hawaii Farm Bureau, HDOA, etc., having personnel and extension faculty assist with survey penetration and dissemination, as well as contracting with a professional survey agency to assist with reach; 4) organizing and analyzing the data; and 5) utilizing the data to create tool kits, modules/curriculum, training materials, flyers, social media and marketing materials.Evaluation plan: The objective of doing a comprehensive needs assessment is to expand knowledge of FRAOs' needs/issues. The results of the needs assessment will be written up in at least one to two informal and formal publications and presented in visually appealing formats. Through surveys, informal interviews, and/or focus groups with personnel and extension staff, we will assess whether the needs assessment resulted in gains in awareness of FRAOs' needs/issues, and to the extent possible, this led to changes in attitudes and actions to support FRAOs. The results of the needs assessment will shape the development of educational tool kits/modules/curriculum as well as social marketing plan, thus its impact will be assessed in terms of how it shaped development, based on the review of meeting notes and discussion.Social Marketing Perceptual, attitudinal, and societal change is challenging as people don't change beliefs, attitudes, and behaviors easily. Assisting and improving FRAOs' mental health/wellbeing means persuading the public and community to appreciate and respect FRAOs, to see them as esteemed valued members of society. In this regard, developing a social marketing campaign will involve contracting with a social marketing agency and/or Center for Media Services at UHM and UHM's communications department to develop a social marketing product, promoting and placing the product in a way that will advocate for FRAOs' health and wellbeing, directly and indirectly. Evaluation plan: The evaluation plan will involve a process evaluation of documenting the process and review of meeting notes and templates. A pre- and post-survey of children, youth, and lay audience's perception and attitudes of FRAO will be conducted before and after the social marketing campaign is launched.Tools/Resources The project will involve developing a suite of tools/skills to assist FRAOs while at the same time, providing training materials and opportunities for personnel/extension to assist FRAOs. Website: A website will be created and hosted on a professional platform such as wordpress. The design will be clean, simple, aesthetically pleasing and easy to navigate. Hotlines: Both a preventative and crisis hotline will be connected to the website offering assistance 24-hour. Podcast: One podcast episode per month will be developed and placed on the dedicated project website. Modules/curriculum: Based on the results of the needs assessment, at least two modules/curriculum will be developed using platforms such as canvas or moodle. TThese modules will include both written documents, media resources (videos, animation, audio), and will be developed in collaboration with extension partners and professional groups. These online resources will be placed on the dedicated project website, but they will also be available as in-person training materials. Training: In-person training workshops will be provided o FRAOs and to personnel supporting FRAOs concerning topics revealed in the needs assessment. These workshops will likely be about 1-2 hours, and will be designed to be experiential and embodied in terms of uptake and practice. Support Groups: Support groups to provide networking opportunities will be developed for Hawaii FRAOs, to share stories and provide support, both formal and informal. Evaluation plan: Evaluation plan for these tools/resources will include pre-post satisfaction/knowledge change surveys, log of attendance or hits/access of the sites/podcast/resources, as well as focus groups/open-ended interviews.

Progress 09/01/21 to 08/31/23

Outputs
Target Audience:The primary targetaudience is agricultural producers and specifically farmers, ranchers and allied operators (FRAOs) who enduresanxiety, mentalstress and likely subject to mental health issues in the State of Hawaii. The secondary audience is the general agricultural industry, including the agricultural extension services, local academic institutions, agricultural organizations and enterprises, healthcare providers, support groups, planners, policy makers, and interested members of the public. Changes/Problems:No major problems arose, and major changes were not required forthis project.We did encounter some delays and system constraints beyond our control, but these shorcoming did not impede the overall success of the project. Examples of these issues include: Funding lapsed for the voucher program due to fiscal delays, onboarding mental/behavioral health vendors, and verifying appropriate training of providers. The State of Hawaii website system only supports basis tools and the envisioned"bells and whistles" featureswere not implementable. However, there were labor savings. Our contractor effectively securedmeeting places that did not require muchrental feesand incurred lowmaterial costs,resulting in project savings. Additionally, travel and accommodation costs were reduced by shifting some neighbor islands' meetings to Zoom/TEAMS telecomferences. What opportunities for training and professional development has the project provided?The project provided opportunities for training and professional development as follows: Developed the Ag Mental Health Program by establishing11.5 hours training criteria for ag mentors, including QPR (suicide prevention training), Mental Health First Aid (MHFA), Cool Mind, Main Thing, and monthly mental health providers zoom sessions. Recruited andtrained 32 ag mental health mentors across all islands who now serve as peer mental health support. Mentors provided very high marks on the ag peer mental program, and reported that they wish it will continue. Enlist a mental health voucher provider, Elemental Guidance, to provide a training session on family conflict management for our ag mentors. TheNational AgrAbility had asked for a partnership in hosting a regional AgrAbility conference in Hawaii which they have never done before.With funding support from the UH-CTAHR Extension office, 50 farmers/ranchers and allied professionals will be sponsored to attend the conference, to network, and build fellowship around behavioral health resources, business planning, and assistive technology. How have the results been disseminated to communities of interest?The main portals to disseminate results to communities of interest are as follows: Website at UH-CTAHR and HDOA Website: http://manoa.hawaii.edu/sow-well/that continues to be updated with resources, showcasing and providing easy access to the various support hotlines locally andnationally. Webpage: https://hdoa.hawaii.gov/frsan/that will be updated from time to time on the Hawaii Department of Agriculture (HDOA) Website. Disseminated 100 copies of Cool Mind, Main Thing as a stress management tool for ag producers/allied ag professionals at the Hawaii Ag Conference (September2022), Hawaii Farm Bureau Conference (October 2022), and Hawaii Farm Union United Conference (December 2022). Copies are continuing to be disseminated at various ag resource fairs. Extension faculty from four (4) of CTAHR's six (6) academic departments conducted 10 workshops and outreach on all islands. The workshop was entitled Farm Health andFarmers' Wealth: Planning for a more sustainable and stabletomorrow, a 2.5 hr workshop focused on CTAHR-wide resources available to support agriculture professionals in areas identified by the needs assessment respondents. News media coverage in print newspapers,e-news, radio, and webpages including the following: Harlow, C. (2023). Nearly half of young, local farmers experience depression, UH survey finds, Hawaii Public Radio, Jan. 3, 2023. Available at:https://www.hawaiipublicradio.org/local-news/2023-01-03/nearly-half-of-young-local-farmers-experience-depression-uh-survey Teller, S. (2023). Hawaii's agricultural workers are struggling with their mental health. LegalReader.com, Feb. 14, 2023. Available at: https://www.legalreader.com/hawaiis-agricultural-workers-are-struggling-with-their-mental-health/ Local Hawaii farmers struggle with depression, study shows. Filipino Chronicle, Jan. 8, 2023. Available at: https://thefilipinochronicle.com/2023/01/08/local-hawaii-farmers-struggle-with-depression-study-shows/ Knodell, K. (2023). Hawaii farmers battling depression in large numbers, UH study finds. Honolulu Star Advertiser, Jan. 3, 2023. Available at: https://www.staradvertiser.com/2023/01/03/hawaii-news/hawaii-farmers-battling-depression-in-large-numbers-uh-study-finds/ Lyle, B. (2022). Half of Hawaii's younger farmers battle depression. Here's what researchers are doing. Honolulu Civil Beat, Dec. 29, 2022. Available at: https://www.civilbeat.org/2022/12/half-of-hawaiis-younger-farmers-battle-depression-heres-what-researchers-are-doing/ Heaton, T. (2022). This mental health team hopes to help Hawaii's farmers help themselves, May 2, 2022. Available at: https://www.civilbeat.org/2022/05/this-mental-health-team-hopes-to-help-hawaiis-farmers-help-themselves/ Le, T. (2022). Column: University of Hawaii project sows seeds for isles ag future. Honolulu Star Advertiser, Jan. 4, 2022. Available at:https://www.staradvertiser.com/2022/01/02/editorial/island-voices/project-sows-seeds-for-isles-ag-future/ HDOA (2021). Hawaii survey to assess stress on farms and ranches. Hawaii Department of Agriculture, Nov. 1, 2021. Available at: https://hdoa.hawaii.gov/blog/main/sowsurvey/ Lawrence, M. (2023). Understanding and addressing the stress faced by the nation's farmers and ranchers. USDA-NIFA, May 15, 2023. Available at: https://www.nifa.usda.gov/about-nifa/impacts/understanding-addressing-stress-faced-nations-farmers-ranchers Created anddisseminated Malama the Farmer PSA across 17 Hawai'i radio stations, reaching 250,657 people between 18-54 years old, that generated 631,800 gross impressions. The PSA was heard over 600 thousand times. Created and disseminated 1,000 Malama the Farmer stickers and 25 posters at various resource fairs, organizational partners, and by the ag mental health mentors from January 2023-ongoing. What do you plan to do during the next reporting period to accomplish the goals? Nothing Reported

Impacts
What was accomplished under these goals? Goal 1: Understand and Advocate for the Health and Wellbeing of Farmers, Ranchers and Allied Operators (FRAOs) Objective 1.Conduct Comprehensive Needs Assessment Conducted a Hawaii statewide needs assessment on mental health N=408 ag producers responded to the survey N=80 ag producers interviewed This task resulted in the following: Three (3) University of Hawaii's College of Tropical Agriculture and Human Resources (UH-CTAHR) publications: https://manoa.hawaii.edu/sow-well/publications/ Rates of Stress, Depression and Suicide among Hawai`i Agricultural Producers and Allied Professionals Hawai'i Residents' Perception of Farming, Weekly Purchases andWillingness to Spend More for Local Products Reported Stressors andDesired Resources Expressed by Hawai'i Farmers andRanchers Le, Etal (2023). Risk and Protective Factors for Depression & Suicide Among Hawaii Agricultural Producers,Journal of Agromedicine. Le, Et al (2023). Sense of Meaning and Purpose Making Mitigates the Experience of Stress Among Hawaii Farmers,Journal of Agromedicine. Le, Et al (2013).Mental Health of Agricultural Producers from the Family Perspective. Journal of Extension (Under Review). Established a one-year collaborative agreement with HealthTechApp to conduct on-going mental health need assessment pulse: healthtechapps.com. Objective 2.Create an iLoveFarmers Social Market Campaign Developed a "Malama the Farmer" (iLoveFarmers) social market campaign based on responses from 400 local residents on different messaging options. The campaign included: Four (4) Social Marketing Videos featuring Hawai'i farm/ag producers launched on various social media channels (SOW_CTAHR - YouTube), with reach andimpact including: 204,474 views 2.31 average view duration 61% of clip viewed 33,119 reach/impressions Created anddisseminated "Malama the Farmer" PSA across 17 Hawai'i radio stations, reaching 250,657 people between 18-54 years old, that generated 631,800 gross impressions. The PSA was heard over 600 thousand times. Created and disseminated 1,000 "Malama the Farmer" stickers and 25 posters at various resource fairs, organizational partners, and by the ag mental health mentors from Jan 2023-ongoing. Recorded a PSA "Malama the Farmer" message with "OLELO COMMUNITY MEDIA" who disseminatedthe PSA message in May 2023 (Seeds of Well Being PSA - YouTube)Recorded a PSA Malama the Farmer message with "OLELO COMMUNITY MEDIA"who will be disseminating the PSA message in May (Seeds of Well Being PSA - YouTube) Goal 2: Reduce the Negative Impact of Stressful Situations and Equip FRAOs with Tools and Skills Objective 1: Prevention & Strengthening Objective 1a.Strategize Prevention and Strengthening Effort via Design of an Effective, Easy to Navigate Webpage that Provides Important Educational Materials and Resources. Created Seeds of Wellbeing (SOW) website: http://manoa.hawaii.edu/sow-well/ that continues to be updated with resources, showcasing and providing easy access to the various support hotlines locally andnationally. Objective 1b. Identify FRAO Support Hotlines and Include on the Webpage. Resource Hub provides interactive linkages to various resource including local and national hotlines and mental health professionals with ag expertise: https://manoa.hawaii.edu/sow-well/resources/. Objective 1c. Develop FRAO Wellbeing Podcast and Include on the Webpage. Completed 36 podcast episodes https://sow-ctahr.buzzsprout.com. 2,327 podcast downloads recorded as of April 29, 2023. Objective 1.d.Develop one to two tool kits andmodules Podcasts covered crisis/disaster management including pests/invasive management, financial management, and resource management.? Objective 1.e. The tool kits/modules will be translated into select languages for LimitedEnglish Proficient (LEP) agricultural users in Hawaii Collaborated with Gateway Pacific on the translations of Cool Mind, Main Thing resource guide into seven (7) other languages (Olelo Hawai`i, Ilocano, Laotian, Mandarin, Spanish, Thai, Vietnamese). Various language versions have been disseminated at resource fairsand agculture events. Objective 2: Crisis/Disaster Management Objective 2.a. Develop tool kits/modules for crisis/disaster management Created webpage/mobile stress assistance resource called Cool Mind, Main Thing on Articulate platform: https://360.articulate.com/review/content/29ff3b27-331d-4ea6-a423-3b0c439e417b/review Feedback from Cool Mind, Main Thing were very positive (out of N=40, 65% said their understanding of stress increased; 70% can apply what they learned; and 80% found the information to be useful). Objective 2.b. Conduct 5 training/outreach workshops on different islands reaching a total of 200individuals in 4 counties of the state Disseminated 100 copies of Cool Mind, Main Thing as a stress management tool for agricultural producers/allied agricultural professionals at the Hawaii Agriculture Conference (September2022), the Hawaii Farm Bureau Conference (October 2022), and the Hawaii Farm Union United Conference (December 2022). Copies are continuing to be disseminated at various agriculture resource fairs. Extension faculty from four (4) of CTAHR's six (6) academic departments conducted 10 workshops and outreach on all islands. The workshop was entitled Farm Health andFarmers' Wealth: Planning for a more sustainable and stabletomorrow, a 2.5 hr workshop focused on CTAHR-wide resources available to support agriculture professionals in areas identified by the needs assessment respondents. Topics included: Business finance:cash flow, record keeping, succession Production: soil health, variety trials Livestock: pasture health Risk management: farm, tractor, and heat safety Health: Advance health care directives, business and family decision making Total served across all islands: N=107 Evaluation feedback among workshop attendees was very positive including indicating that the information presented was helpful, learning at least one new idea from the workshop, and that they plan to implement at least one strategy. Dr. Le, Co-PI andSOW staff also provided trainings/outreach to Bayer Hawaii, reaching 125 farmworkers. Developed a contract with Elemental Guidance and Well Mind LLC to offer free mental health/behavioral health services via vouchers. Offered 50 continuing education vouchers for mental health professionals to gain knowledge in providing services to the agculture community: AgriSafe's FarmResponse Certified Training. Developed the Ag Mental Health Program Established 11.5 hours training criteria for ag mentors, including QPR (evidence-based, suicide prevention training), Mental Health First Aid (MHFA), Cool Mind, Main Thing, and monthly mental health providers zoom sessions. Selected 32 ag mental health mentors across all islands toserve as peer mental health support. Objective 3: Resiliency Objective 3.a. Create and host two FRAOs support groups Dr. Le, Co-PI,continues to attend the Prevent Suicide Hawaii Task Force monthly meetings.All members of theSOW Team, and the 32 ag mentors are certified on QPR (suicide prevention training) andMHFA. The ag mentors are continuing to provide support via training and one-to-one in the community to prevent mental health challenges including suicide. Objective 3.b. Provide at least one suicide prevention workshop Trained 32 selected ag mental health mentors in workshops across all islands who now serve as peer mental health support. Provide Suicide Prevention Resources include: Ag mentors are trained in QPR, so any FRAOs can contact mentors as a resource; The SOW website, under Resource Hub, provides information to receive immediate care: https://manoa.hawaii.edu/sow-well/need-help/; The interactive Resource Hub also provides information about the variety of different resources, with GIS mapping information as well: https://manoa.hawaii.edu/sow-well/resources/.

Publications

• Type: Other Status: Published Year Published: 2022 Citation: Reported Stressors and Desired Resources Expressed by Hawai`i Farmers and Ranchers (Le, Et al), College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, August 2022.
• Type: Other Status: Published Year Published: 2023 Citation: Hawaii Residents' Perception of Farming, Weekly Purchases and Willingness to Spend More for Local Products (Le, Et al), College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, February 2023.
• Type: Journal Articles Status: Under Review Year Published: 2023 Citation: Le, Et al. Mental Health of Agricultural Producers from the Family Perspective. Journal of Extension.
• Type: Journal Articles Status: Published Year Published: 2023 Citation: Thao N. Le, Wei Zhang, Emma Brown, Jim Crum & Alex Wong (2023): Risks & Protective Factors for Depression & Suicide Among Hawaii Agricultural Producers, Journal of Agromedicine, DOI: 10.1080/1059924X.2023.2226131
• Type: Journal Articles Status: Published Year Published: 2023 Citation: Thao N. Le, Emma Brown & Wei Zhang (2023): Sense of Meaning and Purpose Making Mitigates the Experience of Stress Among Hawaii Farmers, Journal of Agromedicine, DOI: 10.1080/1059924X.2023.2215238
• Type: Other Status: Published Year Published: 2022 Citation: Rates of Stress, Depression, and Suicide among Hawaii Agricultural Producers & Allied Professionals (Le, Et al), College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, July 2022.

Progress 09/01/21 to 08/31/22

Outputs
Target Audience: Hawaii Farmers, Ranchers and Allied Operators (FRAOs) Academic and professional community with interest/work in the agricultural sector Changes/Problems: Nothing Reported What opportunities for training and professional development has the project provided? Project has provided a Mental Health First Aid training/professional development to staff, with intention to offer training opportunity to collaborators and organizations that support FRAOs in the future. Project is providing training opportunities to undergraduate and graduate students in the area of farmer's mental health. How have the results been disseminated to communities of interest? The website, (http://manoa.hawaii/edu/sow-well) is currently the primary avenue of information dissemination including the Resource Hub, and mapping of the need assessment survey. Information is also being disseminated through various social media channels including SOW podcast (buzzsprout.com), Instagram (SOW_CTAHR), Youtube, TikTok. Information about the project has also been shared via listservs of commodity groups, nonprofit organizations, state agencies, public radio stations (KKRC on Kauai), and legislative newsletter. What do you plan to do during the next reporting period to accomplish the goals?Planned activities for the next reporting period under the two goals include: Goal 1. Understand & Advocate Health & Wellbeing of FRAOs Implementation & pilot test of an online Mental Health First Aid Program: "ABC, Cool Mind, Da Kind." Continue to network with mental health/social service providers to identify professionals with ag expertise and include on Resource Hub, and/or assistance with developing tool kits/modules. Participate as a vendor at the 2022 Hawaii Agriculture Conference to disseminate educational materials. Minimum of 300 to 400 completed need assessment surveys, and onepublications/manuscripts on the results of the need assessment. Minimum of 50completed in-depth semi-structured interviews with Primary Ag Producer and key informants, and one preliminary report of the qualitative results. At least 3-4 Ed. Doodles episodes as an educational resource for stress management & disseminate widely on social media channels. Complete 8-10 additional Seed of the Week posts on Instagram & Facebook. Develop 1-2 potential workshop on ag production coupled with stress management module. Collaborating with partners (extension agents; GoFarm; Pacific Gateway, HFB, HFUU, etc.) to field test online modules or in-person workshops on stressors identified from the need assessment. Networking with mental health/social service providers to identify professionals with ag expertise and include on Resource Hub, and/or assistance with developing tool kits/modules. Identifying collaborators to help with translation of educational materials for Limited English Proficiency FRAOs. Goal 2. Reduce Negative Impact of Stress & Equip FRAOs with tools/skills Networking with mental health service providers as potential partners/collaborators to develop tools/modules for crisis management. Networking with mental health service providers as potential partners/collaborators to develop tools/modules/podcast for crisis management. Offer Mental Health First Aid training to allied partners for FRAOs.

Impacts
What was accomplished under these goals? Goal 1. Understand & Advocate Health & Wellbeing of FRAOs Accomplishments under this goal include: Collaborated with the Hawaii Farm Bureau Federation (HFBF) and the Hawaii Farmers Union United (HFUU) to do a hard copy mail out of surveys. To date, 345 need assessment surveys have been completed. Created mapping of survey responses by zip code and commodity group. Contracted with SM Hawaii on the Formative Research Overview which includes a panel study and social marketing plan (messaging, communication channels). SM Hawaii with Anthology completed panel study with 400 local Hawaii residents (Oahu & neighbor islands) regarding local attitudes/perception of Hawaii agriculture,local farming, perception of farmer's stress,weekly spending habit and willingness to buy local and pay more. Developed a comprehensive mental health needs assessment survey, both for primary and 'ohana (family members). Translated the needs assessment survey into 7 different languages (Chinese, Chuukese, Hawaiian, Ilokanao, Thai, Spanish, Vietnamese). Programming the needs assessment in the 8 different languages as a web-based & smart phone format option. Dr. Thao Le, extension team, and staff completed all required human subject training and obtained Institutional Review Board (IRB) certificates. Acquired Human Subjects approval to conduct the needs assessment survey from UH's IRB. Developed semi-structured interview questionnaire and protocol, and acquired approval from UH's IRB. Hired staff including 1 graduate research assistant, 3 part-time site facilitators, and 1 Undergraduate RA. Conducted 50in-depth, semi-structured interviews with ag producers. Conducted preliminary analyses of the need assessment survey, revealing rates of depression/suicide comparable to literature and first responder/public health workers. Developed code book for qualitative anallysis of interviews. Mapped using GIS mapping of the survey responses by zip code & commodity group and displayed on the project website. ?Goal 2. Reduce Negative Impact of Stress & Equip FRAOs with tools/skills Accomplishments under this goal include: http://manoa.hawaii/edu/sow-wellis the designated Seed of Wellbeing (SOW) website andSmart Yields was the selected website vendor. Showcase and provide easy access on SOW website the various support hotlines locally & nationally. Developed SOW podcast Seeds of Wellbeing - SOW (buzzsprout.com), with 11episodes completed. Examples include: Dealing with Holiday Stress, Starting Succession Conversations, Disaster Preparedness. Seehttps://sow-ctahr.buzzsprout.com So far, 433 downloads to date, 164 in the last 30 days. Developed infographics to provide hotline support info and posted on website. Created social media presence including Instagram (sow_ctahr), Youtube, Facebook, Tiktok - example: https://fb.watch/aL6VvUIcKD/. Created Seed of the Week theme, providing tips for wellbeing by cultivating prosocial emotions. To date, 6 seed of the week has been posted on Instagram, Youtube. Reviewed WRASAP & USDA-NIFA current resources/tool kits/modules that may be culturally and linguistically appropriate for Hawaii ag producers. Reviewed possible vendors to develop the social marketing campaign, and identified SM Hawaii as the vendor to conduct a social marketing campaign. Developed 2 infographics to provide information on crisis management hotlines/resources. Dr. Le attends monthly meetings on the Prevent Suicide Hawaii Task force. Provided a comprehensive Resource Hub as a networking of resources in Hawaii, nationally, and online.

Publications

• Type: Other Status: Under Review Year Published: 2022 Citation: "Extension Rates of Stress, Depression, and Suicide among Hawai?i Agricultural Producers & Allied Professionals.(Le, Et al), College of Tropical Agriculture and Human Resources, University of Hawaii at Manoa, Forthcoming.