265518 Implementing PEARLS (the Program to Encourage Active and Rewarding Lives for Seniors) to older immigrants: A pilot study using trained interpreters

Tuesday, October 30, 2012 : 3:06 PM - 3:18 PM

Lesley Steinman, MSW, MPH , Health Promotion Research Center, University of Washington, Seattle, WA
Background: PEARLS is an evidence-based depression care management program for homebound elders. Exclusion of non-English speaking clients is a major barrier to implementing PEARLS at a local area agency on aging (AAA), as 30% of their client population speak other languages.

Aims: To test PEARLS delivery with Russian- and Somali-speaking elders using trained interpreters. These two immigrant communities represent two of the largest ethnic groups at the AAA. We selected an interpreter model for feasibility reasons (the AAA cannot sustain training native language counselors for the 80+ languages spoken by their clients).

Methods: Interpreters received a brief training on PEARLS and study protocol. PEARLS materials were translated and back-translated, and minor modifications were made to improve cultural appropriateness. In addition to monitoring program effectiveness (depression outcomes and client satisfaction), we assessed feasibility and acceptability of using interpreters through a brief qualitative interview with clients and interpreters.

Results: 179 clients (55 Russian and 124 Somali) were pre-screened for PEARLS eligibility between May and October 2009. 31 were screened at home and 20 clients (10 Russian and 10 Somali) enrolled. 17 clients completed PEARLS, reporting similar outcomes as the original research trial: 76% response (decrease PHQ-9 ≥ 50%) and 82% remission (no longer met criteria for clinical depression). Clients are satisfied with PEARLS and find the interpreter model acceptable.

Implications: Preliminary findings suggest PEARLS can be delivered using interpreters to reach clients with limited English proficiency. The AAA is encouraged by these findings and has continued implementing PEARLS with their Russian clients.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Diversity and culture
Planning of health education strategies, interventions, and programs
Public health or related research

Learning Objectives:
1. Identify key components of the PEARLS program. 2. Describe common barriers to implementing the PEARLS program. 3. Describe a pilot study for adapting PEARLS to be delivered using medically trained interpreters. 4. Describe adaptations for reaching Russian- and Somali-speaking elders, including common barriers to mental health treatment and strategies for overcoming them.

Keywords: Depression, Immigrants

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been a research coordinator on multiple federally-funded grants focused on healthy aging and mental health. I am particularly interested in the dissemination and implementation of evidence-based programs to reach all older adult communities.
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.