HIGHLIGHTS
What is the primary question addressed by this study?
Can PEARLS, a brief, home-based intervention focused on problem solving treatment and behavioral activation for low-income older adults living with depression, improve social connectedness for underserved older populations?
What is the main finding of this study?
PEARLS participants significantly improved on all three social connectedness constructs (social interactions and satisfaction with social support; perceived isolation; loneliness) six-months after PEARLS enrollment. Though most improvements persisted during early COVID-19 pandemic, additional supports may be needed for older persons with complex health and social needs.
What is the meaning of the finding?
PEARLS is a promising intervention for increasing social connectedness among underserved older adults living with depression.
Aim
Initiatives aimed at reducing the duration of untreated psychosis (DUP) attempt to increase the community's level of psychosis literacy. Most of these efforts, however, have failed to reduce DUP. One plausible explanation is that the campaigns do not actually increase psychosis literacy. To date, there have been few efforts to assess whether the campaign messaging does indeed increase psychosis literacy prior to or during the campaign. This study evaluated whether the message of the La CLAve DUP reduction program delivered during the campaign increased the psychosis literacy of a U.S. Latinx community.
Methods
The sample consisted of 81 Latinx community residents aged 15–84. Two community health educators of the La CLAve campaign facilitated workshops using a narrative film to initiate a conversation in the community about the signs of psychosis and the importance of professional help‐seeking early in the illness course. Psychosis literacy was assessed via questionnaires pertaining to a hypothetical vignette administered before and after the workshops.
Results
The psychosis literacy of participants increased after the workshops in several domains. Participants' knowledge of multiple psychotic symptoms, self‐efficacy in their ability to recognize psychosis in others, and correct attributions of a hypothetical vignette's psychotic symptoms significantly increased. No changes were observed in recommendations for professional help‐seeking.
Conclusions
These findings provide support for the effectiveness of the La CLAve messaging in increasing psychosis literacy of U.S. Latinx community residents. Evidence‐based campaign messaging is needed to increase the success of DUP reduction programs especially among underserved communities.
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