"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.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of consulting and clinical psychology 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

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Abstract

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).

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“Caminando y socializando让快乐的拉丁美洲老年人活跃起来（HOLA）”一项促进拉丁美洲老年人健康和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HOLA健康促进干预在一组有发展为重度抑郁障碍或广泛性焦虑障碍风险的拉美裔老年人中的可行性、可接受性和初步疗效。方法：60名年龄在60岁以上且患有阈下抑郁或焦虑的老年拉美裔患者随机分为HOLA组（n = 30）和福托诺维拉对照组（n = 30）。研究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果测量。结果：在一年内，满足了入组目标，< 5%的符合条件的参与者拒绝随机化。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。4名参与者(6.7%；Hola = 1；对照组= 3)失去随访，69%的HOLA会议被参加，参与者报告对干预的高满意度。最后，与对照组相比，HOLA参与者的显著比例经历了焦虑症状的临床显着减轻（60%对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、可接受性和显著影响，因为它是响应性的、尊重的，并且针对拉丁美洲老年人的需求。此外，利用社区卫生工作者提供促进健康的干预措施，以预防拉丁裔老年人常见的精神障碍，这是一种创新方法，可以减少在获得和参与精神卫生服务方面存在巨大差距的人口的疾病负担。（PsycInfo Database Record (c) 2024 APA，版权所有）。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.