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"Caminando y socializando con Happy Older Latinos are Active (HOLA)": Results of a randomized clinical trial to promote health and prevent depression and anxiety in older Latinos.
Journal of Consulting and Clinical Psychology ( IF 4.5 ) Pub Date : 2024-12-02 , DOI: 10.1037/ccp0000923
Daniel E Jimenez,Emily J Ross,Elliott R Weinstein,David Martinez Garza,Joseph F Signorile,Doris Perdomo-Johnson,Claudia Martinez

OBJECTIVE This study sought to evaluate the feasibility, acceptability, and preliminary efficacy of the Happy Older Latinos are Active (HOLA) health promotion intervention in a group of older Latinos who were at risk for developing major depressive disorder or generalized anxiety disorder. METHOD Sixty older Latinos age 60+ with subthreshold depression or anxiety were randomized to receive either HOLA (n = 30) or enhanced psychoeducation through fotonovela control (n = 30). The primary outcomes of interest were feasibility, acceptability, and reduction in depression and anxiety symptom severity. Outcome measures were administered at baseline and at the end of the intervention. RESULTS Within a year, the enrollment target was met with < 5% of eligible participants refusing randomization. The randomization scheme produced equal numbers of participants randomized to each condition. Four participants (6.7%; HOLA = 1; control = 3) were lost to follow-up, 69% of the HOLA sessions were attended, and participants reported high satisfaction with the intervention. Finally, compared with control, a significant proportion of participants in HOLA experienced a clinically significant reduction in their anxiety symptoms (60% vs. 26.7%). CONCLUSIONS Findings highlight the feasibility, acceptability, and significant impact the HOLA intervention can have in reducing psychological distress because it is responsive, respectful, and specific to the needs of older Latinos. Furthermore, using a community health worker to deliver a health promotion intervention to prevent common mental disorders in older Latinos is an innovative approach for reducing disease burden in a population living with high disparities in accessing and engaging in mental health services. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译:


“Caminando y socializando con Happy Older Latinos are Active (HOLA)”:一项促进老年拉丁裔健康并预防抑郁和焦虑的随机临床试验的结果。



目的 本研究旨在评估 Happy Older Latinos are Active (HOLA) 健康促进干预在一组有患重度抑郁症或广泛性焦虑症风险的老年拉丁裔中的可行性、可接受性和初步疗效。方法 60 名年龄在 60+ 岁、患有阈下抑郁或焦虑症的拉丁裔人被随机分配接受 HOLA (n = 30) 或通过 fotonovela 对照 (n = 30) 接受强化心理教育。感兴趣的主要结局是可行性、可接受性以及抑郁和焦虑症状严重程度的减轻。在基线和干预结束时进行结局测量。结果 在一年内,达到了入组目标,< 5% 的合格参与者拒绝随机分组。随机化方案产生了相同数量的参与者,随机分配到每种情况。四名参与者 (6.7%;HOLA = 1;对照 = 3) 失访,参加了 69% 的 HOLA 会议,参与者报告对干预非常满意。最后,与对照组相比,很大一部分 HOLA 参与者的焦虑症状在临床上显着减轻 (60% vs. 26.7%)。结论 研究结果强调了 HOLA 干预在减少心理困扰方面的可行性、可接受性和重大影响,因为它具有响应性、尊重性和针对老年拉丁裔的需求。此外,利用社区卫生工作者提供健康促进干预措施以预防老年拉丁裔的常见精神障碍是一种创新方法,可以减轻在获得和参与心理健康服务方面存在高度差异的人群的疾病负担。 (PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
更新日期:2024-12-02
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