230248 Minor Depression & Chronic DISEASE AMONG Latinos: Translating RESEARCH Into PRACTICE

Wednesday, November 10, 2010

Jaime Corvin, PhD, MSPH , Global Health, Univeristy of South Florida, Tampa, FL
Dinorah Martinez Tyson, PhD, MPH, MA , Florida Mental Health Institute, University of South Florida, Tampa, FL
Claudia X. Aguado Loi, MPH , Florida Mental Health Institute, University of South Florida, Tampa, FL
Moya Alfonso, MSPH, PhD , Jiann Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA
Linda Callejas, MA , College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Julio Herrera , College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Phyllis Panzano, PhD , Decision Support Services, Inc., Columbus, OH
Maria Serrano, BS , Hispanic Services Council, Tampa, FL
Peter Toyinbo, PhD, MBChB, MSPH, MA , College of Behavioral and Community Sciences, University of South Florida, Tampa, FL
Maria Pinzon, MA , Hispanic Services Council, Tampa, FL
Junius Gonzales, MD, MBA , Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, FL
Problem: Evidence based chronic disease self-management programs (CDSMPs) have reported success in improving health outcomes. Yet few attempt to address the complex issues associated with the co-occurrence of minor depression and chronic illness. With co-occurrence rates of depression and chronic illnesses (e.g. CVD, diabetes) reported as high as 30%, translation of health behavior research into practice is vital to improved health outcomes. This multiphase, community-based participatory research study was designed to better understand the needs and preferences of Latinos living with chronic illness and minor depression (ICDs), their families, and key stakeholders (i.e. service providers). Methods: This study employed a mixed methods design including: a) focus groups with ICDs (n=5) and family members (n=4) and b) semi-structured interviews followed by a survey with key stakeholders (n=31) to obtain views on living with chronic illness, barriers and facilitators to self-management, and the potential for adapting an evidence based CDSMP. Thematic analysis allowing for emergent themes was employed for qualitative data. Descriptive statistics were performed to summarize survey data Results: Analysis identified perspectives on the needs of Latinos suffering from the co-occurrence of chronic illness and minor depression in managing their illnesses. Results suggested necessary elements for the successful adoption of CDSMP, including delivery by trusted community partners and cultural relativity for encouraging sustainable health promoting practices. Additionally, results indicate challenges and risks to adoption by key stakeholders that must be addressed. Conclusion: Findings will guide the adaptation of ‘Tomando,' an evidence based CDSMP, for Latinos with chronic illness and minor depression.

Learning Areas:
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research
Social and behavioral sciences
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Evaluate the use of a CBPR approach for informing the adaptation of evidence-based interventions for Latinos; Discuss barriers and facilitators to self-management for Latinos living with both chronic disease and minor depression. Understand potential risks and challenges faced by service providers when attempting to adopt new interventions. Discuss the potential for adaptation of an evidence based chronic disease self management program, Tomando control de su Salud, for Latinos with both a chronic illness (i.e. cardiovascular disease or diabetes) and minor depression.

Keywords: Evidence Based Practice, Chronic Diseases

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a co-Investigator and the Program Director for this program. I oversee research on chronic disease self management and have conducted multiple, funded studies in this area.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5168.0: Improving Latino health