The University of Hawaiʻi at ����ԴDz�’s is celebrating 10 years of bringing social work, public health and aging together to advance health equity, social justice and community well-being across Hawaiʻi and the Pacific.

Named in 2008 for Native Hawaiian leader Myron B. Thompson, the school united the , , and in 2016, adopting its present name in 2020.

“Each of the units was strong in its own right, but coming together, we’ve seen that they are stronger together than they were apart. Their impact and reach have been magnified,” said Thompson school Dean Alex Ortega. “I see the Thompson school in a much stronger and visible place than it was even three years ago.”

A decade of growth and innovation

Over the past decade, the school has expanded academic opportunities, strengthened workforce development and launched initiatives addressing the needs of Hawaiʻi communities. In the past three years alone, it has hired approximately 20 faculty members across disciplines including environmental health, social and behavioral health and gerontology.

The school has also established workforce development hubs in social work, public health and aging, while expanding access to education through online bachelor’s and master’s degree programs in social work and a master’s degree program in public health.

More milestones

• Workforce development: Expanded paid fieldwork and launched public health pathways via Kauaʻi Community College.
• Community-centered learning: Added courses in trauma-informed care and psychedelic-assisted therapy, alongside the traditional .
• Healthy aging: Launched the Age-Friendly University Initiative and built a campus dementia-friendly garden.
• Overall enrollment growth: Applications to the school have increased over the past several years, with enrollment growing by 46.9%, from 501 students in 2021 – 2022 to 736 students in 2026–2027. This year’s social work cohort is also among the largest in the past five years.

The school’s graduate programs also earned national recognition. In the 2026 U.S. News & World Report Best Graduate Schools rankings, social work ranked No. 51 nationally, while public health ranked No. 89 (tied).

Celebrating 10 years

To mark the milestone, the school hosted its annual dean’s speaker series featuring social work alumnus Jorge Delva, who serves as dean of the Boston University School of Social Work. The talk was followed by a community celebration at Aloha Beer Co. on October 16 with more than 100 students, faculty, staff and community guests in attendance.

As people with HIV live longer, how can they also age well? University of Hawaiʻi at ����ԴDz� researcher Chase Bryer was selected for a national program advancing aging research exploring that question, with a focus on improving care for Native Hawaiian and Pacific Islander kūpuna aging with HIV.

Bryer, a citizen of the Chickasaw Nation, is an assistant professor and gerontologist at the in the . He will join the third cohort of the .

“HIV is no longer a death sentence, and that means we must begin asking different questions about not just how people with HIV can live longer, but how they can thrive later in life,” said Bryer. “Through the CHANGE program, I hope to center the lived experiences and cultural knowledge of kūpuna to help reimagine what HIV and aging care can look like in Hawaiʻi.”

The 18-month national program, supported by the National Institute on Aging, provides mentorship and specialized training in Native aging research. Bryer will receive $50,000 in pilot funding to support community-engaged research on HIV and aging.

Findings could help inform healthcare approaches that support the health and well-being of kūpuna and those aging with HIV.

Centering kūpuna experiences

In partnership with the Hawaiʻi Health & Harm Reduction Center and Lei Pua ʻAla Queer Histories of Hawaiʻi, Bryer will explore pathways to aging well with HIV and culturally grounded approaches to care.

The research team includes Thompson School co-investigators Miquela Ibrao and David Stupplebeen. Together with community partners, they aim to better understand the experiences, needs and priorities of kūpuna aging with HIV.

“What drew me to Hawaiʻi was the opportunity to build meaningful relationships with communities and learn from the knowledge and experiences of kūpuna,” Bryer said. “I look forward to deepening those relationships and conducting research that is responsive to community priorities, with the hope of contributing to more culturally grounded approaches to HIV and aging care here in Hawaiʻi.”

University of Hawaiʻi at ����ԴDz� gerontologist Christy Nishita of the in the Thompson School of Social Work & Public Health has been selected as a by the Eisner Foundation, earning national recognition for her work advancing intergenerational connections and strengthening Hawaiʻi’s communities.

Nishita coordinates and co-founded the , a statewide network of more than 300 organizations dedicated to engaging older adults as contributors, mentors and community leaders. Her work focuses on aging, workforce development and intergenerational programs that strengthen Hawaiʻi‘s communities.

“I am deeply honored to join this inspiring cohort of Eisner Prize Fellows and look forward to creating meaningful intergenerational opportunities that make a lasting difference in Hawaiʻi‘s communities,” said Nishita.

Preparing Hawaiʻi’s future workforce

As part of the fellowship, Nishita will launch her project, Intergenerational Resilience Corps: Wisdom to Workforce, which will bring together kūpuna (older adults) and high school and university students to develop a curriculum and microcredential in aging and community resilience.

By combining the lived experiences of kūpuna with student learning, the initiative will prepare future professionals to better support kūpuna and Hawaiʻi’s communities before, during and after natural disasters.

The project builds on Nishita’s Youth Leaders in Kūpuna Health (YLKH) microcredential program which gave seven high school students hands-on experience working with nursing and activities staff at Arcadia Senior Living this summer. Students learned about aging through a strengths-based approach, created service-learning projects that benefited kūpuna at Arcadia, and earned a ������Ƶ issued . YKLH provides early proof of concept for the intergenerational, workforce-building model Nishita will expand through her Eisner Prize project.

“This cohort reflects just how far the idea of intergenerational connection can stretch: into dance, radio, civic life, disaster resilience, and even role-playing games,” said Trent Stamp, CEO of The Eisner Foundation. “Each of these Fellows is building something rooted in their own community, and we’re proud to support their efforts to bring their vision to life.”

Nishita is one of six fellows selected from a highly competitive national applicant pool for yearlong fellowship, which supports leaders developing innovative approaches to fostering intergenerational connection. Each fellow receives a $10,000 stipend and up to $40,000 in project funding.

The Eisner Prize Fellowship recognizes leaders developing innovative, community-based solutions that foster meaningful connections across generations. Nishita’s project reflects that mission by helping equip the next generation of community professionals with the knowledge and skills to build a more resilient Hawaiʻi.

University of Hawaiʻi at ����ԴDz� public health and nursing alumna Aime Le has been crowned the 74th Cherry Blossom Festival Queen, one of Hawaiʻi’s longest-running ethnic festivals hosted annually by the Honolulu Japanese Junior Chamber of Commerce. Her fellow contestants also voted her Miss Congeniality in recognition of her compassion, professionalism and interpersonal leadership.

“As queen, I serve as a cultural ambassador representing Hawaiʻi through community service, educational outreach and cultural exchange programs locally and internationally,” said Le.

Le earned dual bachelor’s degrees in and in 2020 and a bachelor of science in nursing in 2022. She was also inducted into the Japanese National Honor Society–College Chapter for academic excellence in Japanese language studies.

During her time at ������Ƶ ����ԴDz�, Le participated in student leadership and service organizations including Mortar Board National Honor Society, Hui Ola Pono Public Health Club, HOSA-Future Health Professionals and Atherton YMCA community programs. She also took part in medical mission and service-learning trips to the Philippines and Kauaʻi and completed a rural clinical rotation in Yap, Micronesia.

“My time in Yap further strengthened my appreciation for community-centered healthcare and cross-cultural connection,” Le said.

Supporting kūpuna through community care

Now a nurse practitioner, Le earned her degree in the Adult-Gerontology Primary Care Nurse Practitioner track from the School of Nursing and Dental Hygiene at ������Ƶ ����ԴDz� in spring 2025. In fall 2025 and spring 2026, Le volunteered with the Memory Café at the ������Ƶ ����ԴDz� Center on Aging, a free monthly garden-based program for people living with memory loss and their care partners.

“At the Memory Café, I can help support dementia-friendly spaces for kūpuna and caregivers through nature-based activities, social connection and community engagement,” she said.

Le hopes to continue bridging healthcare, culture and community service throughout her career while advocating for compassionate, inclusive care across generations.

“We are so privileged to have someone like Aime be a part of the Memory Café,” said Christy Nishita, a gerontologist with the Center on Aging. “The combination of her personal qualities and professional training has made her the ideal volunteer. She has helped to nurture not only our garden but also the growth of human relationships among students, staff and community participants. I know she will make a superb Cherry Blossom Festival Queen.”

Three members of the 2026 Cherry Blossom Court also have ������Ƶ ties: Princess Lauren Sayuri Katayama and First Princess Jacqueline Kiemi Osumi are ������Ƶ ����ԴDz� alumnae, while Princess Kiʻilaweau Kakie Aweau is a current public health PhD student.

Researchers at the University of Hawaiʻi at ����ԴDz� are using artificial intelligence and machine learning (AI/ML) to better understand what improves outcomes for individuals receiving treatment for substance use disorders.

A recent study published in analyzed more than 7.9 million publicly available treatment records across the U.S. to identify patterns in services, recovery and outcomes. The research was led by Treena Becker, an assistant researcher with the , and Alberto Gonzalez-Martinez, a ������Ƶ computer scientist.

“We believe our research findings can help states and local organizations better understand how to support people in substance use disorder treatment and their long-term recovery journey at a time when drug overdose deaths continue to be a major public health concern across the U.S.,” Becker said.

Top predictors of positive treatment outcomes

“We developed and used an ensemble machine learning model called Random Forest Model with the aim to predict the 10 most important features that increase the likelihood of positive treatment outcomes,” Becker said.

The analysis found the most important factor associated with positive outcomes was how long an individual remains in treatment, regardless of setting. According to Becker, longer engagement significantly increases the likelihood of reducing or stopping substance use.

Other key factors included treatment accessibility, depending on clinical need, treatment type at entry and at discharge, housing status, participation in self-help groups, employment status and referral source.

Mapping disparities in treatment services

AI/ML tools also allowed researchers to map and visualize the data, revealing patterns difficult to detect using traditional methods. Using the Machine Learning Random Forest Model, the team found that states with the highest overdose death rates tend to have fewer clinically appropriate treatment services available.

“It would have been virtually impossible to analyze so many treatment records without AI/ML assistance,” Becker said.

Based on the findings, Becker recommends that state governments prioritize behavioral health services and work collaboratively to expand access to longer-duration, clinically appropriate treatment programs. Increasing availability—especially in states with limited treatment infrastructure—could significantly improve recovery outcomes nationwide.

Becker, who recently received a pilot project award from (Center for Pacific Innovations, Knowledge and Opportunities), plans to build on the research by examining local data on addiction treatment and recovery among Native Hawaiians and Pacific Islanders.

As artificial intelligence (AI) continues to transform healthcare, a University of Hawaiʻi at ����ԴDz� (COA) researcher is gaining national recognition for advancing data-driven tools that improve the lives of kūpuna.

Jinyoung Jenny Lee has been accepted into the competitive National Institutes of Health (NIH) program: .

Funded by the NIH through the AIM-AHEAD Coordinating Center, the program trains researchers and clinicians to use AI/ML in healthcare, strengthens infrastructure in communities and healthcare systems, and supports multidisciplinary projects that improve health outcomes. FHIR sets standards for the secure exchange of electronic health data.

“Given AI‘s current and future impact on our population’s health, I’m excited to have been selected for this multidisciplinary cohort to learn about accelerating and sustaining the adoption of AI in healthcare and research settings,” Lee said.

Translating data into tools for communities

Lee earned her PhD in public health from ������Ƶ ����ԴDz� and has consistently integrated technological innovation into her work at COA. Her research focuses on program evaluation and data analytics, with an emphasis on making complex data accessible and actionable for communities.

I hope to empower individuals and communities in the practical applications of this emerging and powerful technology.
—Jinyoung Jenny Lee

Among her projects is the creation of the interactive, user-friendly web page , which provides detailed demographic information about �Ჹ�ɲ���ʻ��’s aging population. She has also designed intuitive dashboards using data she collected and analyzed through her evaluation work with community organizations.

“Through my participation in the AIM-AHEAD training program, I hope not only to increase my knowledge and awareness of AI/ML but also to help empower individuals and communities in the practical applications of this emerging and powerful technology,” she said.

This research was, in part, funded by the National Institutes of Health Agreement No. 1OT2OD032581. The views and conclusions contained in this document are those of the authors and should not be interpreted as representing the official policies, either expressed or implied, of the NIH.

The Center on Aging is part of the .

The University of Hawaiʻi at ����ԴDz� has partnered with Gachon University, part of a consortium of five South Korean universities, to advance research and collaboration on aging and population change. Led by the ������Ƶ ����ԴDz� (COA) and the Humanities-Utmost-Sharing System (HUSS), a South Korean government initiative, the agreement fosters mutual learning and international exchange.

South Korea, one of the fastest-aging societies in the world, offers insights valuable to Hawaiʻi and the U.S.During an August visit, a 24-member HUSS delegation explored COA’s dementia-friendly Hoʻōla ʻĀina Pilipili garden and met with staff to learn about aging initiatives in Hawaiʻi.

“The memorandom of understanding (MOU) encourages the exchange of faculty, students, academic information and collaborative research and learning initiatives,” said Jinyoung “Jenny” Lee, COA assistant researcher. “These exchanges will enhance educational outcomes and promote mutual understanding, particularly around population aging, demographic shifts and inclusive community development.”

Hyejoong Kim of Gachon University described factors driving Korea’s population decline, including low birthrates, high housing costs, and the challenges of raising children.

“We now have become a super-aged society. Bolstering resilience and inclusion for diverse generations and environments is central to our vision,” Kim said. “Our aim is to train many students to be experts in population change.”

Kim added that visiting ������Ƶ’s Center on Aging was one of the highlights of the delegation’s trip. The dementia-friendly garden, with its active volunteer engagement, left a strong impression, as such initiatives are rarely found in Korea.

The collaboration aligns with COA’s mission to advance applied, translational and community-engaged research focused on Hawaiʻi and the Asia Pacific region. COA is housed in the .

Anyone passing Krauss Hall in October may have noticed an uncommon campus sight: kūpuna (older adults), mākua (adults) and ōpio (youth) sharing pizza and meaningful conversation. The gathering marked the launch of the University of Hawaiʻi at ����ԴDz�ʻs new Age-Friendly University Initiative, a long-term effort led by the Center on Aging (COA) in the Thompson School of Social Work and Public Health, with campus partners including the ������Ƶ Retirees ʻOhana and the .

Co-planned over several months by a team led by COA gerontologist Christy Nishita and Professor Emeritus Noel Kent of ethnic studies, “Generations in Conversation” served as the initiative’s first step toward building a more inclusive, multigenerational campus. The event followed ������Ƶ ����ԴDz�’s recent acceptance into the global .

“This is an association of higher education institutions around the world that are committed to promoting positive and healthy aging and enhancing the lives of older members, which strongly aligns with the mission and goals of our Center on Aging,” Nishita said.

Conversations that bridge generational divides

Participants of all ages split into pairs and small groups to explore 36 guided questions designed to spark curiosity, deep listening and connection. Facilitator Rob Chang, whose program builds bridges in correctional settings, helped participants quickly find common ground.

“Individuals shared that they had things in common they didn’t consider before with their partner or partners and that they felt comfortable to share,” said Whitney Katsutani, a COA social worker. “Rob also shared about how he does this work with justice-involved individuals and how connection and conversation go beyond the spaces they originate in.”

As COA continues developing age-friendly programming in the coming months, Nishita said events like this lay the foundation for deeper, ongoing intergenerational engagement.

“We start there, and then evolve into conversations of deeper social impact, working toward collaborative involvement in addressing larger community issues together,” she said.

Other ������Ƶ members involved in the Age-Friendly University initiative include Joonyoung Cho, Emanuel Drechsel and Carole Mandryk.

With more than 35,000 Hawaiʻi residents living with Alzheimer’s, and the state’s aging population expected to grow, early detection and brain-healthy habits are crucial. To address this urgent public health issue, a new tool has been developed and launched as part of a statewide collaboration with the University of Hawaiʻi at ����ԴDz�’s (COA) and the Department of Public Health Sciences’ (DPHS)’ Hawaiʻi Health Data Warehouse (HHDW) team in the .

This new interactive online tool, supports the Hawaiʻi 2025 State Plan on Alzheimer’s Disease & Related Dementias, provides real-time, localized data on brain health, cognitive decline, dementia prevalence, risk factors and caregiving across the state.

Real-time data tracks trends, issues

The Healthy Brain Tracker features interactive charts and dashboards by county and demographic group, offering data on cognitive disabilities, dementia rates, risk factors, caregiver roles and more. These tools help users visualize the scope of the issue, identify service gaps, and track trends over time.

“Public health surveillance data, like the kind available in the tracker, is essential for identifying important issues,” said Julia Chosy, an epidemiologist with HHDW. “It helps measure the impact of programs and policy changes, ultimately improving the health of all our local residents.”

Research shows that changes in the brain can begin 20 years or more before symptoms appear, making timely access to information crucial for prevention and intervention.

“Data is very powerful, and we need this kind of data in the public health realm,” said Christy Nishita, a gerontologist at the Center on Aging. “There’s a lot of concern and impact on families, and the numbers are only going to grow because of our population aging.”

The tracker was developed over the past year through COA and DPHS HHDW, the Hawaiʻi Dementia Initiative Data Action Team, and the Hawaiʻi State Department of Health Executive Office on Aging, with funding from the Centers for Disease Control’s Building Our Largest Dementia Infrastructure grant.

With aging populations on the rise worldwide, the University of Hawaiʻi at ����ԴDz�’s (COA) is strengthening ties with Japanese researchers to lead the way in gerotechnology and community-based care for older adults.

Gerontologist and then-Interim Director Christy Nishita, and researcher Jinyoung “Jenny” Lee, were invited to the for meetings and presentations aligned with the 33rd International Biomedical Engineering Seminar. Their visit builds on a 2023 memorandum of understanding aimed at fostering research and innovation to support older adults in Hawaiʻi and Japan.

During the seminar, Nishita presented the center’s efforts to address dementia care, strengthen the eldercare workforce, and reduce social isolation in Hawaiʻi. Lee shared research focused on food security among the state’s diverse aging population.

Cross-cultural collaboration on eldercare

Their joint presentation, “Critical Eldercare Issues in Hawaiʻi and Opportunities for Collaboration,” emphasized Japan’s experience, where 30% of the population is age 65 or older, as a valuable model for Hawaiʻi, which has the nation’s highest life expectancy.

“The Japanese researchers were interested in how we built these relationships with community members,” Lee said. “Much of their research takes place in the lab, while we do community-engaged studies here in Hawaiʻi.”

Japanese researchers expressed interest in the U.S. eldercare policy landscape, including Medicare and Medicaid, and shared emerging tech-based approaches like robotics, AI and virtual reality. They were also intrigued by the , a Hawaiʻi-based network of nearly 300 organizations and 500 members that addresses eldercare through community engagement.

Building age-friendly communities

The visit also included a tour of , an intergenerational gathering space introduced to them by Emi Kiyota, founder of the Ibasho movement. Operated by Keio University and the local government, the space offers both structured activities and informal connection to reduce isolation and build community.

“It was a magical experience,” said Nishita. “We saw real potential to adapt this kind of model to our age-friendly work in Hawaiʻi.”

The visit reinforced the Center on Aging’s commitment to building inclusive, supportive communities for older adults across the Asia-Pacific region through shared learning and innovation.

������Ƶ ����ԴDz�’s Center on Aging is housed in the .

Located along Metcalf Avenue at the University of Hawaiʻi at ����ԴDz� College of Education, is both a garden and an educational hub. In April, it welcomed dozens of visitors who helped test a new inclusivity checklist developed by researchers from the . A initiative, the garden emphasizes ʻāina-based learning and community connection.

The , part of a research study “Exploring the Usability, Appropriateness, and Inclusivity of the Dementia-Friendly Garden Checklist,” is led by Melody Halzel, a PhD student in public health, and Christy Nishita, interim director of the ������Ƶ ����ԴDz� , who serves as principal investigator. The study focuses on accessible garden interventions for older adults and people with disabilities, including those with dementia and their caregivers.

“The use of this checklist is for community sites to identify and remove common barriers to inclusion,” Halzel explained. “The items are aligned with evidence-based research and the ADA-accessibility guidelines to provide recommendations to design and implement accessible garden sites in Hawaiʻi.&rdquo

Research has shown that gardening offers both physical and mental health benefits, particularly for individuals with dementia. However, traditional gardens can be difficult to navigate for older adults and people with limited mobility.

“Gardening can be a calming, non-pharmacological intervention,” said Halzel. “An age-friendly and dementia-friendly accessible garden attempts to eliminate barriers to participation–a goal the checklist was designed to support.”

Checklist walkthrough aims to improve inclusivity

Participants received a checklist with 45 items grouped into categories, such as “accessible entrance,” “garden beds and pathways,” “safety” and “sensory features.” As they walked through the garden, they checked off features they observed, including raised beds or shaded seating, and offered additional feedback.

Hoʻōla ʻĀina Pilipili, once an underutilized space in 2022, now flourishes with native plants like mamaki, a native Hawaiian plant, and kalo, ʻōlena, rosemary, lilikoʻi, cherry tomatoes and more. It features elevated planter boxes, resting areas and wide pathways, all designed with accessibility in mind.

Growing community resource

Attendees took home a clean copy of the checklist, along with a guide detailing how to build accessible gardens, including approximate costs and dimensions for beds, paths, seating and shade.

Support for the garden has come from across ������Ƶ ����ԴDz�. Summer Maunakea, associate professor of curriculum studies in the College of Education, integrates it into her ʻāina-based education classes, while the Center on Aging has offered ongoing guidance to grow the site into a model for other communities.

During the event, organizers previewed the next phase: the development of an age-friendly café and education program, offering a space for learning and connection.

Community work days

Community members are invited to take part in monthly work days this summer at Hoʻōla ʻĀina Pilipili. Held every second Saturday from 8:30 to 10:30 a.m., the gatherings offer opportunities to engage in hands-on garden care, including harvesting, weeding, and preparing herbal teas and lāʻau bundles from plants grown on-site.

A new study by researchers from the University of Hawaiʻi at ����ԴDz� examines how Indigenous communities define elderhood, and how this role supports healthy aging. Led by Yu-Chi Kalesekes Huang and Kathryn Braun of the , the research reviews 20 scholarly publications to shed light on how elders contribute to the well-being of their communities.

Elderhood as a cultural role

The study looks at a range of Indigenous populations, including Inuit, Métis, and First Nations in Canada; Alaska Natives, Native Hawaiians, Samoans, Tongans and Native Americans in the U.S.; Māori in New Zealand; Aboriginal and Torres Strait Islanders in Australia; and the Aymara tribe in Chile.

Published in the , the study identifies six common themes across cultures, finding that an elder is someone who:

• Is respected for living, knowing and teaching traditional knowledge
• Is committed to passing down wisdom to younger generations
• Continues contributing to the community
• Provides a vision for the future rooted in tradition
• Is not necessarily defined by age
• Acts as a care provider

These findings highlight that elderhood is a respected status earned through cultural stewardship, community service and wisdom, rather than age alone. Supporting individuals in attaining this role can promote healthier aging and enhance community resilience.

“We believe the important contribution of this research lies in emphasizing the key role of Indigenous elders in tribes and communities,” said Huang, who also studied the elders of her hometown of Sapulju Village. “For Indigenous peoples, the title of ‘elder’ is earned by playing a continuous role in preserving cultural traditions and enhancing community resilience, which brings benefits to the overall health and well-being of the community. If an older person earns the title of elder, they are seen as having aged successfully and embody the principles of healthy aging.”

The study calls on policymakers and community leaders to embrace culturally grounded approaches that honor the vital role of elders in strengthening the health and resilience of Indigenous communities.

The University of Hawaiʻi at ����ԴDz� is seeking participants for a national research registry aimed at increasing Asian American, Native Hawaiian and Pacific Islander (AANHPI) representation in aging studies. In collaboration with researchers at the University of California San Francisco (UCSF) and the University of California Irvine, ������Ƶ ����ԴDz� is launching a multi-year initiative to expand the CARE 2.0 registry.

Funded by the National Institute on Aging, the project builds upon an earlier UCSF-led initiative called CARE (Collaborative Approach for AANHPI Research and Education). This expanded phase seeks to recruit more AANHPI individuals for aging-related studies while addressing barriers to participation and enhancing community engagement.

“Our team in Hawaiʻi is excited to be part of this national effort to diversify research participation,” said Christy Nishita, interim director of the Center on Aging. “By partnering with community organizations, stakeholders and cultural informants, we aim to increase awareness of the value of aging research and ensure that findings reflect the diverse experiences of AANHPI populations.”

CARE 2.0 eligibility and registration

Participants who join CARE 2.0 may be contacted for research on topics such as brain health and caregiving. Studies vary in commitment, from one-time surveys to long-term data collection, and participation is always voluntary.

Eligibility requirements include:

• Identify as Asian, Asian American, Native Hawaiian or Pacific Islander
• 18 years or older
• Speak English, Cantonese, Mandarin, Hawaiian, Hindi, Ilokano, Japanese, Korean, Samoan, Tagalog or Vietnamese
• Reside in the U.S. or U.S. Associated Pacific Islands
• Willing to be contacted for health research

First-time research participants are encouraged to apply to help address health disparities in AANHPI communities. .

The ������Ƶ Center on Aging will also provide educational resources on healthy aging, including brain health tips and support services for caregivers and those living with dementia. Student volunteers will serve as CARE ambassadors to assist with recruitment while gaining valuable research experience.

Expanding AANHPI research participation

AANHPIs are the fastest-growing racial groups in the United States, yet from 1992 to 2018, less than 1% of the National Institutes of Health’s budget was allocated to AANHPI research. Nishita emphasized that Hawaiʻi’s multiethnic population provides an ideal environment to recruit participants for the CARE 2.0 registry.

“Beyond enrollment, we hope to gain insights into challenges, effective outreach strategies, and opportunities for increasing AANHPI participation in scientific studies on aging,” she said.

Researchers at the University of Hawaiʻi at ����ԴDz�’s are advancing efforts to enrich ʻōlelo Hawaiʻi (Hawaiian language) with new eldercare terms, blending cultural heritage with modern healthcare concepts to ensure the language’s relevance for future generations.

Related ������Ƶ News story: Free Hawaiian language resources help enhance responsible kūpuna care

Their work was recently highlighted in an article published in , authored by PhD student Kepoʻo Keliʻipaʻakaua, program coordinator Shelley Muneoka, and principal investigator Kathryn Braun with the Thompson school’s . Assisted by Kumu Kapili Lyon at the , the initiative aims to preserve and strengthen Native Hawaiian perspectives on aging while ensuring accessibility for future generations.

“From our work so far, we have gained a lot of insights and learned a lot of terms and concepts that are perhaps new to us today, but were commonly understood in the past,” said Keliʻipaʻakaua. “Most importantly, we see how much more remains to be learned.”

Building on decades of efforts to revive ʻōlelo Hawaiʻi, Hā Kūpuna spearheaded three major language projects:

• Glossary featuring 231 Hawaiian terms related to elderhood
• Collection of 109 Hawaiian proverbs and sayings about aging
• Hawaiian-language translation of the children’s book on dementia, Pōmai and Her Papa

New words for modern medical concepts

Since ʻōlelo Hawaiʻi historically lacked specific terms for modern medical concepts such as “Alzheimer’s disease” and “geriatrician,” the research team developed new words through recommended linguistic processes. These processes include combining existing Hawaiian words or adapting words from non-Polynesian languages to Hawaiian spelling.

Some of the new eldercare-related terms include:

• Alzheimer’s Disease: Maʻi ʻAlekahaima
• Dementia: Kemenekia
• Geriatrician: Kauka Kilo Mākule
• Neurologist: Kauka Kilo Lolo
• Health Plan: Palapala Hoʻolālā Ola Pono

Expanding ʻōlelo Hawaiʻi in public health and eldercare strengthens cultural ties to aging while preserving Hawaiian values and traditions. By creating terms that align with the Hawaiian language and worldview, researchers make eldercare discussions more accessible in ʻōlelo Hawaiʻi.

“We are humbled to contribute to understanding elders through the wisdom of our ancestors,” said Keliʻipaʻakaua.“Through this initiative, ʻōlelo Hawaiʻi continues to evolve, honoring the past while adapting to the needs of the present and future.”

The glossary, proverb collection and translated book are accessible through .

For the first time, University of Hawaiʻi at ����ԴDz� researchers have studied how work, volunteering and leisure activities affect brain health in older adults from diverse backgrounds, while also factoring in a genetic risk factor for Alzheimer’s disease. The study, led by the , shows that staying active can help keep the mind sharp with age.

The study is led by Yeonjung Jane Lee, associate professor of social work, and was published in the . Researchers examine the connection between these activities and cognitive functioning, with a focus on the apolipoprotein E (APOE) ε4 allele—a genetic risk factor for Alzheimer’s disease, using data from more than 7,600 participants in the Health and Retirement Study, a nationally representative survey.

Key findings

The study found that working, volunteering and engaging in activities like word games, computer use and socializing improved cognitive health for everyone. However, the benefits depended on genetics. For those without the APOE ε4 allele, part-time work and high-intensity volunteering were most effective.

“Even if someone has the APOE ε4 allele, modifiable factors like cognitively stimulating activities can promote cognitive health,” said Lee. “These findings highlight how integrating such activities into older adults’ lives can support aging well.”

Researchers emphasize the importance of offering accessible activities and resources at the structural level to help reduce the impact of Alzheimer’s disease and other dementias, particularly in diverse populations.

The research was supported by the Kuakini Center of Biomedical Research Excellence-Center for Translational Research on Aging, directed by Bradley Willcox, a geriatric medicine researcher at the ������Ƶ ����ԴDz�’s .

A study by the University of Hawaiʻi at ����ԴDz�’s sheds light on the end-of-life care preferences of Native Hawaiian kūpuna (elders). Led by Assistant Professor Miquela Ibrao, ������Ƶ researchers and ALU LIKE, Inc., the study identifies culturally tailored strategies to honor kūpuna values.

Published in the , the research is based on interviews with kūpuna in rural areas across Hawaiʻi. It highlights four key themes:

Death is not an end but a transition that honors relationality, ancestors and the land.
—Miquela Ibrao

• Cultural traditions in healthcare: Kūpuna often use lāʻau lapaʻau (herbal medicine) and lomilomi (massage) as integral parts of their care.
• Family-centered decisions: ʻOhana (family) plays a crucial role in healthcare choices, extending to deceased ancestors and the ʻāina (land), which are seen as sources of guidance and healing.
• Preference for home-based care: Many kūpuna wish to age and die at home but fear burdening their families. Limited long-term care options in rural areas add to the challenge.
• Trust in providers: Kūpuna value healthcare providers who “talk story” and understand their culture, fostering trust and respect.

“Death is not an end but a transition that honors relationality, ancestors and the land,” said Ibrao. “Decolonizing end-of-life care means respecting cultural beliefs and embracing Indigenous wisdom about healing and living well.”

The researchers recommend cultural humility training for providers, increasing Native Hawaiian representation in healthcare, and including cultural practitioners in care teams. These strategies aim to ensure kūpuna receive compassionate care that aligns with their traditions.

Ha Kūpuna, one of three National Resource Centers for Native Elders funded by the U.S. Administration on Aging, is housed in the .

Three University of Hawaiʻi at ����ԴDz� students are leading the charge to promote brain health on campus, combining their communication expertise with public health advocacy. Kiersten Donahue, McKenzie Kurosu and Jamie Olsen, all senior communication majors in the , partnered with the (COA) to develop a strategic campaign encouraging students to prioritize their brain health.

The students, who named their team the “Mastermind Collective,” approached the project as part of their public relations strategy course taught by Associate Professor Ji-Young Kim. Throughout the semester, they conducted research, collaborated with COA staff, and crafted creative materials designed to connect with their peers. Their campaign features social media messaging, bookmarks with evidence-based brain health tips—such as exercising for 30 minutes daily and getting 8–10 hours of sleep—and stickers with motivational slogans like, “Brain health matters! Fuel it, move it, rest it, you can do it!”

“College students often overlook their brain health because they’re so focused on academics and other stressors,” said Donahue. “We wanted to create a campaign that not only raises awareness but also gives students simple, practical tips they can incorporate into their daily lives.”

It was rewarding to see how communication can inspire healthier habits.
—McKenzie Kurosu

For Kurosu, the project offered a chance to explore the intersection of communication and public health. “Working with the Center on Aging taught me how to identify challenges, pitch solutions and develop long-term campaigns,” she said. “It was rewarding to see how communication can inspire healthier habits.”

Christy Nishita, COA interim director, commended the students for their creativity and professionalism, as well as COA staff Whitney Katsutani and Kevin Kawamoto for also working on the campaign.

“Because brain diseases like Alzheimer’s may develop decades before symptoms appear, raising awareness early is essential,” she said. “This campaign will help us reach students and promote lifelong brain health.”

COA plans to incorporate these materials into an ongoing effort to engage ������Ƶ students in brain health and healthy aging. The center is housed within the .

A new study by researchers at the University of Hawaiʻi at ����ԴDz�’s reveals a concerning trend: methamphetamine poisoning is the leading cause of fatal overdoses among midlife and older adults in Hawaiʻi. The research, published in the August 2024 issue of , highlights an overlooked aspect of the state’s drug crisis.

Between July 2020 and December 2021, 263 drug-related deaths were recorded across the state. Of these, more than half (58.2%) involved individuals aged 50 to 79, with methamphetamine toxicity accounting for 64.3% of those deaths—compared to just 16.4% from opioid poisoning.

The study, conducted by Gursimran K. Sidhu, Tiana M. Fontanilla and Treena S. Becker, found that older adults were more likely to die from methamphetamine poisoning than their younger counterparts, while younger people were more vulnerable to opioid-related deaths. The researchers utilized data from the State Unintentional Drug Overdose Reporting System (SUDORS), a CDC-funded initiative, to analyze these overdose patterns.

In addition to reviewing medical examiner reports, toxicology reports and death investigator narratives, the team also found that many older decedents had a history of cardiovascular disease—a condition that can increase the risk of fatal outcomes in methamphetamine users.

Long-term crisis

“People who use drugs long-term in Hawaiʻi tend to favor methamphetamine, and this trend becomes more lethal as they age,” said Becker.

According to the researchers, many people in midlife and older ages have been using methamphetamine for decades. This chronic drug use, coupled with age-related health issues, makes older adults particularly vulnerable to methamphetamine poisoning. The report suggests that older users often face different risks and barriers to treatment than younger users, including higher levels of stigma.

Targeted intervention

The team called for more research into why older adults continue using methamphetamine, noting that “motives for use in older age are largely unexplored.” Researchers recommend prioritizing screening for substance use disorder (SUD) among older adults in Hawaiʻi and offering tailored treatment.

“There is often stigma and shame surrounding SUD, especially for kūpuna (older adults), which can make it difficult for them to seek help,” Becker said. “Addressing these barriers could be key to reducing deaths in this vulnerable population.”

The Center on Aging is housed in the .

Hawaiʻi is facing a severe shortage of direct care workers, such as nursing assistants and home care aides, who are essential for assisting older adults and individuals with disabilities. These vital workers play a crucial role in providing care both at home and in long-term supportive living environments. Without strategic efforts to recruit, train and retain these workers, the shortage is expected to worsen, threatening the quality of care available to the state’s vulnerable populations.

The University of Hawaiʻi at ����ԴDz�’s is helping address this issue by collaborating with the state’s Executive Office on Aging (EOA) to develop a comprehensive statewide strategic plan. The initiative involves extensive research, including key informant interviews, a thorough review of relevant literature and other consultative methods. The goal is to develop a set of actionable recommendations and strategies aimed at increasing both the quality and quantity of Hawaiʻi’s direct care workforce.

The Center on Aging is playing a crucial role in raising public awareness about this crisis in long-term care…
—Christy Nishita

“Direct care workers are not only invaluable members of both the acute and long-term care systems in Hawaiʻi,” said Christy Nishita, director of the Center on Aging. “They are also indispensable if the state is to provide the kind of services and support that enable residents to age while enjoying the best possible quality of life.”

The plan is expected to be completed in fall 2024, and will be submitted to EOA for further consideration and implementation, which could pave the way for significant public policy planning and development to address the workforce shortage. Building capacity in the direct care workforce requires collaboration across various sectors to enhance recruitment, training and retention strategies.

“The Center on Aging is playing a crucial role in raising public awareness about this crisis in long-term care, and is working in partnership with other stakeholders to find sustainable solutions,” Nishita added.

This initiative is a crucial step toward meeting the increasing demand for direct care services in Hawaiʻi, ensuring the well-being and quality of life for its aging population and individuals with disabilities.

The Center on Aging is housed in the .

In an effort to enhance eldercare in Hawaiʻi, researchers from the University of Hawaiʻi at ����ԴDz� joined a study tour to Fukuoka city in March. The tour aimed to explore the region’s innovative (PDF), a cross-sector initiative that’s transforming aging services in Japan.

The Hawaiʻi delegation included Christy Nishita and Jinyoung (Jenny) Lee from the Center on Aging, who observed and learned about the innovative program supported by the Fukuoka Council for Designing Society in Aging Asia. The plan, “100 Actions to Achieve a Healthy Social Model Anticipating the Era of 100 Years of Life,” seeks to create a collaborative regional society that integrates new ideas from private enterprises and universities into government policies, fostering community-building initiatives that enhance the well-being of both individuals and society. This approach is based on the understanding that the demographic shift toward an older population will impact everyone.

“The way Japan is addressing its aging population offers valuable lessons for us in Hawaiʻi, where our own population is also aging,” said Nishita, director of the Center on Aging. “Currently, about 20% of Hawaiʻi’s population is aged 65 and over, and this number is expected to rise as the baby boom generation continues to age.”

Some of the many strategies that the project is putting into action include promoting expansion of digital health and monitoring systems, developing greater opportunities for older adults to remain engaged in their communities to avoid social isolation, and training more caregivers to provide compassionate and efficient care to people living with symptoms of dementia.

During the tour, the group engaged with city leaders and advocates who are championing the goals of the Fukuoka 100 Plan.

The Fukuoka 100 Plan, named to represent a hundred initiatives responding to population aging and the increasing number of centenarians in Japan, has been developed over many years. It leverages the strengths of various sectors including healthcare, social welfare, information and communications technology, housing, community, education and retail to create comprehensive design and planning models.

Nishita, Lee and their colleagues returned to Hawaiʻi with valuable insights and strategies for enhancing eldercare infrastructure in their communities.

The Center on Aging is housed in ������Ƶ ����ԴDz�’s .