Evaluation of Amigas Latinas Motivando el Alma (ALMA): A Pilot Promotora Intervention Focused on Stress and Coping Among Immigrant Latinas

Tran, Anh N.; Ornelas, India J.; Perez, Georgina; Green, Melissa A.; Lyn, Michelle; Corbie-Smith, Giselle

doi:10.1007/s10903-012-9735-y

Cited by 27 publications

(47 citation statements)

References 44 publications

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“…The authors posited that the intervention was in an early stage of development and that an extended version of the treatment could have had yielded significant outcomes. Two studies however, have found that a promotora -led intervention reduced depressive symptoms (Tran et al, 2014; Hovey, Hurtado & Seligman, 2014). In theory, promotora -based interventions offer great potential in breaking down cultural barriers that inhibit treatment utilization in Latinos.…”

Section: Resultsmentioning

confidence: 99%

“…These lay health advisors, community health advocates, and/or patient navigators serve as bridges between Latino community members and health care providers to promote mental health care (Tran et al, 2014). Promotora studies include unique deep structure changes that focus on practical considerations of treatment dissemination within Latino social networks, including the use of peer support to engage and maintain treatment utilization in Latinos (Green et al, 2012).…”

Section: Resultsmentioning

confidence: 99%

“…In these studies, promotoras , or lay health workers, were trained by mental health specialists to de-stigmatize mental health care and build social networks through which individuals seek out treatment. This is in contrast to traditional clinical trials that modify existing treatments and/or depend on external study clinicians who leave varying research footprints in populations of interest (Tran et al, 2014). …”

Section: Resultsmentioning

confidence: 99%

“…These studies should include larger samples, treatment fidelity/supervision, longer follow-up periods, and control groups. Nonetheless, the ongoing and novel work on promotora-assisted interventions are encouraging; as promotoras are inherently embedded within social networks and understand their community’s health needs and cultural values, there is great potential in improving client access to care, reducing mental health stigma, and promoting trust with medical providers and therapists (Tran et al, 2014). In a recent CBT trial for anxiety, lay, bachelor-level providers were able to deliver effective treatment relative to Ph.D. level expert providers under supervision of a licensed provider (Stanley et al, 2014), suggesting the possibility of implementing promotora s alongside treatments that are gaining a strong empirical base in this population, such as PST and IPT.…”

Section: Discussionmentioning

confidence: 99%

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A systematic review of depression psychotherapies among Latinos

Collado

Lim

MacPherson

2016

Clinical Psychology Review

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For decades, the literature has reported persistent treatment disparities among depressed Latinos. Fortunately, treatment development and evaluation in this underserved population has expanded in recent years. This review summarizes outcomes across 36 unique depression treatment studies that reported treatment outcomes for Latinos. Results indicated that there was significant variability in the quality of RCT and type/number of cultural adaptations. The review suggested that there might a relation between cultural adaptations with treatment outcomes; future studies are warranted to confirm this association. Cognitive Behavioral Therapy was the most evaluated treatment (CBT; n = 18, 50% of all evaluations), followed by Problem Solving Therapy (PST; n = 4), Interpersonal Therapy (IPT; n = 4), and Behavioral Activation (BA; n = 3). CBT seems to fare better when compared to usual care, but not when compared to a contact-time matched control condition or active treatment. There is growing support for PST and IPT as efficacious depression interventions among Latinos. IPT shows particularly positive results for perinatal depression. BA warrants additional examination in RCT. Although scarce, telephone and in-home counseling have shown efficacy in reducing depression and increasing retention. Promotora-assisted trials require formal assessment. Limitations and future directions of the depression psychotherapy research among Latinos are discussed.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A systematic review of depression psychotherapies among Latinos

Collado

Lim

MacPherson

2016

Clinical Psychology Review

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“…Inclusion of peers or CHWs in the care team would require adequate training, supervision and support, and the appropriate level of support is still undetermined, especially in the area of mental health care. Lay health workers will need training in establishing clinical boundaries and self-care when working with individuals with mental health needs, though training CHWs in mental health outreach can have a positive impact on mental health outcomes of CHWs as well (93). We recommend research into appropriate supervision, support and self-care when including peers or CHWs in mental health services.…”

Section: Discussionmentioning

confidence: 99%

Directions for Effectiveness Research to Improve Health Services for Late-Life Depression in the United States

Hoeft

Hinton

Liu

et al. 2016

The American Journal of Geriatric Psychiatry

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Considerable progress has been made in the treatment of late-life depression over the past 20 years, yet considerable gaps in care remain. Gaps in care are particularly pronounced for older men, certain racial and ethnic minority groups or those with comorbid medical or mental disorders. We reviewed the peer-reviewed literature and conducted interviews with experts in late-life depression to identify promising directions for effectiveness research to address these gaps in care. We searched PubMed, PsychInfo and CINHAL databases between January 01, 1998 – August 31, 2013 using terms related to late-life depression and any of the following: epidemiology, services organization, economics of care, underserved groups including health disparities, impact on caregivers, and interventions. The results of this selective review supplemented by more current recommendations from national experts highlight three priority research areas to improve health services for late-life depression: focusing on the unique needs of the patient through patient-centered care and culturally sensitive care, involving caregivers outside the traditional clinical care team, and involving alternate settings of care. We build on these results to offer five recommendations for future effectiveness research that hold considerable potential to advance intervention and health services development for late-life depression.

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