Enhancing Resilience and Connection: SigBee® Implementation After the Maui Wildfires
Abstract
1. Introduction
1.1. Background
1.2. SigBee®
1.3. Aims
2. Materials and Methods
2.1. Recruitment
2.2. Piloting Organizations
2.3. Procedures
2.4. Survey Measures
2.5. SigBee® Aggregate Data
2.6. Data Analysis
3. Results
3.1. Pre-Implementation
3.2. Post-Implementation
3.3. Correlations
4. Discussion
4.1. Pre-Implementation
4.2. Post-Implementation
4.3. Correlations
4.4. Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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| Gender | Count |
|---|---|
| Male | 0 |
| Female | 21 |
| Non-Binary | 1 |
| Ethnicity | Count |
| Asian/Asian American | 15 |
| Caucasian | 12 |
| Native Hawaiian or Pacific Islander | 7 |
| American Indian | 2 |
| Puerto Rican | 2 |
| Black or African American | 1 |
| Other | 4 |
| Age (years) | Average |
| Mean | 40.45 |
| Occupation Title | Count |
| Case Managers or Disaster Case Managers | 10 |
| Peer Support Specialists | 6 |
| Social Workers | 1 |
| Youth Partners | 1 |
| Clinical Psychologists | 1 |
| Emergency Management | 1 |
| Employment (years) | Count |
| 0–2 | 20 |
| 3–5 | 2 |
| Subscale | Definition | Organization Means (Standard Deviations) | |||
|---|---|---|---|---|---|
| All | Org 1 | Org 2 | Org 3 | ||
| Vision | Self-efficacy and goal setting through sense of hopefulness, planning, and positive outlook. | 8.35 (1.56) | 8.58 (1.73) | 7.83 (1.47) | 8.50 (0.71) |
| Composure | Emotional regulation and the ability to recognize, understand, and act on internal prompts and physical signals. | 7.45 (1.61) | 7.67 (1.67) | 6.83 (1.17) | 8.00 (2.83) |
| Tenacity | Perseverance and hardiness. | 9.15 (1.14) | 9.67 (0.49) | 8.33 (1.63) | 8.50 (0.71) |
| Reasoning | Involves a wider range of higher cognitive traits such as problem-solving, resourcefulness, and growing through adversity, or thriving. | 7.55 (2.14) | 7.75 (2.09) | 7.00 (2.37) | 8.00 (2.83) |
| Collaboration | Relates directly to psychosocial interaction, including secure attachment, support networks, context, and humor. | 8.30 (1.81) | 8.92 (1.56) | 7.17 (1.72) | 8.00 (2.83) |
| Health | Concerns physiological health. | 14.10 (3.58) | 15.15 (2.23) | 11.17 (2.23) | 16.00 (2.83) |
| Domain | Example | Definitions |
|---|---|---|
| Team Connection | 1. “How competent do you feel in your job?” 2. “How well do you know your co-workers?” | Sense of belonging and an indicator of retention. |
| Resilience | 1. “How hopeful do you feel?” 2. “How well do you learn from mistakes?” | The ability to bounce back from adversity can help users create a growth mindset |
| Wellbeing | 1. “How is your energy today?” 2. “How focused are you feeling?” | Physical and mental wellness. |
| Job Confidence | 1. “How well do you feel you know your job?” 2. “How often do you have a sense of purpose at work?” | How confident a user is in their ability to do their job. |
| Organization | Domain | |||
|---|---|---|---|---|
| Confidence | Wellbeing | Connection | Resilience | |
| #1 | 0.07 | 0.93 | 0.29 | 0.18 |
| #2 | −0.37 | 0.54 | −0.056 | −0.36 |
| #3 | 0.39 | 0.35 | 0.69 | 0.57 |
| PR6 Momentum | PR6 Health | PR6 Tenacity | |
|---|---|---|---|
| ITS Cognitive | −0.46 * | −0.51 * | −0.17 |
| ITS Affective | −0.50 * | −0.51 * | −0.08 |
| Month 2 average check-in | 0.39 | −0.49 * | 0.57 ** |
| Month 3 average check-in | 0.41 | 0.43 | 0.57 ** |
| Remain determined facing adversity | 0.66 ** | 0.57 ** | 0.66 ** |
| Well-being month 1 | 0.31 | 0.28 | 0.54 * |
| Well-being month 2 | 0.45 * | 0.49 * | 0.55 * |
| Well-being month 3 | 0.41 | 0.42 | 0.57 ** |
| Confidence month 1 | 0.26 | 0.20 | 0.51 * |
| Confidence month 1 | 0.44 | 0.46 * | 0.57 ** |
| Confidence month 3 | 0.46 * | 0.52 * | 0.53 * |
| Resilience month 1 | 0.43 | 0.45 * | 0.57 ** |
| Resilience month 2 | 0.46 * | 0.52 * | 0.54 * |
| Resilience month 3 | 0.41 | 0.52 * | 0.32 |
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© 2025 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
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Primack, Z.; Chertavian, C.; Palafu, T.; Liu, M.; Goshgarian-Miller, S.; Deakin, A.; Clement, M.; Kaopuiki-Santos, K.; Hartsock, T.; Okamura, K. Enhancing Resilience and Connection: SigBee® Implementation After the Maui Wildfires. Healthcare 2025, 13, 3004. https://doi.org/10.3390/healthcare13233004
Primack Z, Chertavian C, Palafu T, Liu M, Goshgarian-Miller S, Deakin A, Clement M, Kaopuiki-Santos K, Hartsock T, Okamura K. Enhancing Resilience and Connection: SigBee® Implementation After the Maui Wildfires. Healthcare. 2025; 13(23):3004. https://doi.org/10.3390/healthcare13233004
Chicago/Turabian StylePrimack, Zoe, Callum Chertavian, Tessa Palafu, Michelle Liu, Savannah Goshgarian-Miller, Alistair Deakin, Matt Clement, Keala Kaopuiki-Santos, Tia Hartsock, and Kelsie Okamura. 2025. "Enhancing Resilience and Connection: SigBee® Implementation After the Maui Wildfires" Healthcare 13, no. 23: 3004. https://doi.org/10.3390/healthcare13233004
APA StylePrimack, Z., Chertavian, C., Palafu, T., Liu, M., Goshgarian-Miller, S., Deakin, A., Clement, M., Kaopuiki-Santos, K., Hartsock, T., & Okamura, K. (2025). Enhancing Resilience and Connection: SigBee® Implementation After the Maui Wildfires. Healthcare, 13(23), 3004. https://doi.org/10.3390/healthcare13233004

