Hawai‘i Journal of Health & Social Welfare A Journal of Pacific Health & Social Welfare May 2020, Volume 79, No. 5, Supplement 1, ISSN 2641-5216 HAWAI‘I IDEA CENTER FOR PEDIATRIC AND ADOLESCENT CLINICAL TRIALS 3 Bruce Shiramizu MD; May M. Okihiro MD; Jessica S. Kosut MD; Brian H. Wu MD; Akshatha Akshatha MD; Charles Neal, Jr. MD, PhD; Annette Amiotte RN; Andrea Siu MPH; Men-Jean Lee MD; Venkataraman Balaraman MBBS; and David Easa MD A QUALITY IMPROVEMENT PROJECT TO OPTIMIZE FLUORIDE VARNISH USE IN A PEDIATRIC OUTPATIENT CLINIC WITH MULTIPLE RESIDENT PROVIDERS 7 Scarlett Carmen Johnson MD and Gina Marie French MD PEDIATRIC SIMULATION TRAINING FOR EMERGENCY PRE-HOSPITAL PROVIDERS IN HAWAI‘I: AN INTER-PROFESSIONAL CURRICULUM COLLABORATION AND UPDATE 13 Jannet J. Lee-Jayaram MD; Mark Kunimune EMT-P; Kristine M. Hara BAS, RRT; Leaugeay C. Barnes MS, NRP; and Benjamin W. Berg MD TELEHEALTH DELIVERY OF OUTPATIENT PEDIATRIC SURGICAL CARE IN HAWAI‘I: AN OPPORTUNITY ANALYSIS 19 Nicole R. Laferriere MD; Michele Saruwatari BA; Xuan-Lan Doan MD; Kelli B. Ishihara MD; Devin P. Puapong MD; Sidney M. Johnson MD; and Russell K. Woo MD THE NEW KEIKI PROGRAM REDUCES BMI Z-SCORES AMONG OVERWEIGHT AND OBESE CHILDREN AND BMI AMONG THEIR ADULT CAREGIVERS IN HAWAI‘I 24 Malia A.L. Shimokawa MD; Andrea M. Siu MPH; So Yung Choi MS; and James Davis PhD BENEFITS OF ORAL HEALTH EDUCATION AT WOMEN, INFANT, AND CHILDREN (WIC) CLINIC VISITS: ASSESSMENTS OF PARENT’S ORAL HEALTH BELIEFS, BEHAVIORS AND DENTAL ACCESS IN O‘AHU, HAWAI‘I 32 Deborah Mattheus PhD; Maureen Shannon PhD; and Eunjung Lim PhD METHAMPHETAMINE USE IN PREGNANT WOMEN IN HAWAI‘I: A CASE SERIES 40 Jennifer M. Chin MD and Marguerite L. Bartholomew MD KEIKI PRODUCE PRESCRIPTION (KPRX) PROGRAM FEASIBILITY STUDY TO REDUCE FOOD INSECURITY AND OBESITY RISK 44 Monica K. Esquivel PhD; Alicia Higa BS; Moulika Hitchens MA; Cherese Shelton BS; and May Okihiro MD WELLNESS CURRICULUM IN THE PEDIATRIC CLERKSHIP 50 Eryn N. Nakashima BS; Cori X.Y. Sutton BS; Loren G. Yamamoto MD, MPH, MBA; and Kyra A. Len MD THE STATE OF PEDIATRIC RESEARCH IN HAWAI‘I: A COMPARATIVE BIBLIOMETRIC ANALYSIS 55 Jonathan S. Young PhD and Alicia G. Turlington MD DISSEMINATED CAT SCRATCH DISEASE IN PEDIATRIC PATIENTS IN HAWAI‘I 64 Scarlett Carmen Johnson MD; Jessica Kosut MD; and Natascha Ching MD YOUTH VOICE IN SUICIDE PREVENTION IN HAWAI‘I 71 Tran Trinh BS and Deborah Goebert DrPH THE HAWAI‘I CHILD AND ADOLESCENT PSYCHIATRY RESOURCES FOR PRIMARY CARE: AN EVIDENCE-INFORMED TOOL TO IMPROVE QUALITY OF CARE 76 Rachel Sy-Layug DO; Jillian Yoshimoto DO; Deborah Goebert DrPH; Anthony P.S. Guerrero MD; and Daniel Alicata MD PROTECTING YOUTH IN THE MENTAL HEALTH SERVICE SETTINGS 80 George K. Makini, Jr. MD; Earl S. Hishinuma PhD; Anthony P.S. Guerrero MD; and Deborah A. Goebert DrPH ANTIBIOTIC PRACTICE CHANGE TO CURTAIL LINEZOLID USE IN PEDIATRIC HOSPITALIZED PATIENTS IN HAWAI‘I WITH UNCOMPLICATED SKIN AND SOFT TISSUE INFECTIONS 87 Cheryl Okado MD and Tori Teramae BS A COMPARISON OF LENGTH OF HOSPITALIZATION AND COSTS IN OBESE AND NON-OBESE PEDIATRIC PATIENTS AT A SINGLE HOSPITAL IN HONOLULU 91 Kara Wong Ramsey MD; James Davis PhD; and May Okihiro MD A QUALITATIVE EVALUATION OF THE IMPACTS OF A STRENGTH-BASED AND YOUTH-DRIVEN APPROACH TO SUICIDE PREVENTION IN RURAL AND MINORITY COMMUNITIES IN HAWAI‘I 96 Mapuana C.K. Antonio DrPH; Jane J. Chung-Do DrPH; Deborah A. Goebert DrPH; Kris Bifulco MPH; and Antonia R.G. Alvarez PhD, LMSW TWO CASES OF INFANT BOTULISM PRESENTING WITH ALTERED MENTAL STATUS 101 Marian August DO and Mitchell Hamele MD MAPPING THE TRENDS OF KAWASAKI DISEASE IN HAWAI‘I FROM 1996 TO 2018 104 Trenton J. Dawson AB; Cindy T. Vuong BS; Shani C.Y. Ma BS; Chad R. Russell BS; Marian E. Melish MD; and Andras Bratincsak MD, PhD PATIENT SAFETY INITIATIVE USING PEER OBSERVATIONS AND FEEDBACK INSPIRE COLLEGIAL WORKPLACE CULTURE 112 Jennifer R. Di Rocco DO, MEd; Cheryl K. Okado MD; Chieko Kimata PhD, MPH, MBA; and Shilpa J. Patel MD AN INTERIM REPORT ON THE PROVISION OF PRENATAL CARE FOR PREGNANT MOTHERS EXPERIENCING HOMELESSNESS IN HAWAI‘I 118 Nicole Kurata MD; Le’a Minton CNM; Dante Del Priore; Dynaka Merino AS; Corrie Miller DO; and Men-Jean Lee MD PEDIATRIC CODE BLUE: HOW PREPARED ARE WE? A SELF-EFFICACY ASSESSMENT PROJECT 122 Prashant J. Purohit MBBS, FAAP; Laurie Yamamoto BSN, CCRN, CPN; Len Y. Tanaka MD; Konstantine Xoinis MD; John Harrington MD; Rupert Chang MD; and Andrew Feng MD TYPE, TIMING, AND DIVERSITY OF COMPLEMENTARY FOODS AMONG NATIVE HAWAIIAN, PACIFIC ISLANDER, AND FILIPINO INFANTS 127 Marie K. Fialkowski PhD, RDN; Jacqueline Ng-Osorio DrPh, MPH; Jessie Kai MS; Keala Swafford BS; Gemady Langfelder; Christina G. Young; John J. Chen PhD; Fengqing Maggie Zhu PhD; and Carol J. Boushey PhD, MPH, RDN CHRONIC ESOPHAGITIS AND GASTRITIS AFTER INGESTION OF BOX JELLYFISH (CLASS CUBOZOA) 135 Benjamin R. Smith MD and Catherine M. Sampert DO HAWAI‘I JOURNAL OF HEALTH & SOCIAL WELFARE, MAY 2020, VOL 79, NO 5, SUPPLEMENT 1 2 Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials Bruce Shiramizu MD; May M. Okihiro MD; Jessica S. Kosut MD; Brian H. Wu MD; Akshatha Akshatha MD; Charles Neal, Jr. MD, PhD; Annette Amiotte RN; Andrea Siu MPH; Men-Jean Lee MD; Venkataraman Balaraman MBBS; and David Easa MD Abstract Introduction As one of 17 clinical sites of the Environmental influences on Child Health This special issue of the Hawai‘i Journal of Health and Social Outcomes (ECHO) IDeA States Pediatric Clinical Trials Network (ISPCTN), the Welfare on Pediatric Health and Research in Hawai‘i is spon- Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials (HIPACT) was sored by the Hawai‘i Institutional Development Award (IDeA) established in 2016 to participate in community-valued and scientifically-valid multi-center pediatric clinical trials to improve health and well-being of diverse Center for Pediatric and Adolescent Clinical Trials (HIPACT) multi-ethnic populations of Hawai‘i. Hawai‘i is home to large populations of program to provide a cross sectional landscape of the research, diverse rural and underserved populations, including indigenous Hawaiian training, education, treatment, policy and social issues related communities and immigrant populations of Pacific Islanders and Asians. to maternal-child health in Hawai‘i. The National Institutes of Many of these communities experience significant health disparities, made Health (NIH) established the IDeA program in 1993 to enhance worse by their geographic isolation and many socio-economic factors. In ad- biomedical research activities in states that have had historically dition to providing opportunities for children and their families to participate low NIH grant funding success rates.1 The program currently in clinical trials, HIPACT’s goal is to provide opportunities for junior faculty of the John A. Burns School of Medicine (JABSOM), University of Hawai‘i supports competitive research in 23 states and Puerto Rico at Mānoa, to acquire knowledge about and to develop skills in clinical trials. through 4 distinct components: Centers of Biomedical Research HIPACT’s partners include the Hawai‘i Pacific Health with Kapi‘olani Medical Excellence, which targets junior faculty research mentoring; Center for Women and Children, and Waianae Coast Comprehensive Health IDeA Networks of Biomedical Research Excellence, which Center. HIPACT builds on the experiences gained through partnerships with targets undergraduate student research development; IDeA the Mountain West IDeA Clinical and Translational Research-Infrastructure Program Infrastructure for Clinical and Translational Research Network, and Research Centers in Minority Institutions Translational Research (IDeA-CTR), which supports broad clinical and translational Network. Apart from participating in ECHO ISPCTN-sponsored studies, HIPACT junior faculty serve as committee members, Working Group leaders, Protocol research; and IDeA co-funding, which provides support to NIH Study Principal Investigators (PI) and site study PIs with ECHO ISPCTN. R15 or R01 applicants whose proposal received excellent rat- Through participation in ECHO ISPCTN, HIPACT has successfully increased ing through the peer review process but fall short of the NIH the number of pediatric and maternal-fetal medicine faculty involved in the Institute or Center pay line. conduct of clinical trials. As the western-most IDeA-eligible state, Hawai‘i is home to Keywords large populations of diverse rural and underserved multi-ethnic populations including indigenous Hawaiian communities and pediatric clinical trials, network, clinical research other immigrant populations of Pacific Islanders and Asians who suffer geographic isolation locally, resulting in significant Abbreviations health inequities. Paradoxically, while 43% of the nation’s children come from communities such as these, research in ACT NOWS = Advancing Clinical Trials in Neonatal Opioid Withdrawal pediatric health disparities is lagging disappointingly behind. Syndrome CE = Current Experience This is especially important in communities where the burden DCOC = Data Coordinating and Operations Center of disease is high and often begins in childhood. In Hawai‘i, ECHO = Environmental influences on Child Health Outcomes the prevalence of pediatric asthma is among the highest in the ESC = Eat, Sleep, Console nation; nearly 20% of Native Hawaiian children have asthma. HIPACT = Hawai‘i IDeA Center for Pediatric and Adolescent Clinical Trials Native Hawaiian and Other Pacific Islander (NHOPI) children HPH = Hawai‘i Pacific Health have high rates of obesity and associated metabolic abnormalities IDeA = Institutional Development Award that are likely factors in the high rates of diabetes, cardiovascular IRB = Institutional Review Board ISPCTN = IDeA States Pediatric Clinical Trials Network disease, and cancer seen in NHOPI adults. While health dispari- JABSOM = John A. Burns School of Medicine ties research has targeted children of African and Latin American NHOPI = Native Hawaiian and other Pacific Islander descent, few clinical trials have focused on children from these NIH = National Institutes of Health NHOPI populations.