261471 Entertainment-Education? A Fotonovela?: A New Strategy to Increase the Self-Efficacy to Seek Mental Health Treatment among Immigrant Latinas

Wednesday, October 31, 2012 : 8:45 AM - 9:00 AM

Maria Hernandez, LCSW, PhD Candidate , School of Social Welfare, University of California, Berkeley, Berkeley, CA
Among Latinos, women indicate a greater risk for depression than men and its prevalence increases as Latinas acculturate. Several barriers, such as stigma and low health literacy, separate Latinas from treatment. A fotonovela titled Secret Feelings, a form of entertainment-education, may be one strategy for effectively increasing mental health knowledge and the likelihood to seek depression treatment among immigrant Latinas at risk for depression and low health literacy. Immigrant Latinas in a large urban setting, not enrolled in treatment, were selected to participate in a study utilizing an experimental pretest- posttest control group design. Changes in levels of depression knowledge, stigma, and self-efficacy to seek treatment were compared between women (n = 75) exposed to the fotonovela and women (n = 65) exposed to treatment as usual. Independent samples t-tests results indicate significant posttest differences in depression knowledge (t = -7.0017, p < .000) and antidepressant stigma (t = 3.1306, p < .0023) between control and experimental group participants. Fisher's exact test results imply a more significant improvement in self-efficacy to identify symptoms of depression (p < .000) and to locate depression treatment (p < .000) among members of the experimental group, compared to control group participants. Results also indicate acceptable Cronbach's alphas for scales used to capture the response to the fotonovela, including the identification with story/characters subscale (.94) and the engagement with story/characters subscale (.88). Findings support health policies calling for implementation of culturally competent literacy tools in community settings to better educate immigrants about the importance of mental health treatment.

Learning Areas:
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
To define health literacy and its connection to immigrant mental health needs. To list effective strategies used to engage the Latino community in mental health education seminars. To learn new methods of adapting print education materials for immigrant groups.

Keywords: Health Education, Immigrant Women

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conducted this study. I am presenting my dissertation work.
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: 5101.0: Immigrant health