Evaluation of a Fotonovela to Increase Depression Knowledge and Reduce Stigma Among Hispanic Adults
- First Online:
- 875 Downloads
Fotonovelas—small booklets that portray a dramatic story using photographs and captions—represent a powerful health education tool for low-literacy and ethnic minority audiences. This study evaluated the effectiveness of a depression fotonovela in increasing depression knowledge, decreasing stigma, increasing self-efficacy to recognize depression, and increasing intentions to seek treatment, relative to a text pamphlet. Hispanic adults attending a community adult school (N = 157, 47.5 % female, mean age = 35.8 years, 84 % immigrants, 63 % with less than high school education) were randomly assigned to read the fotonovela or a low-literacy text pamphlet about depression. They completed surveys before reading the material, immediately after reading the material, and 1 month later. The fotonovela and text pamphlet both produced significant improvements in depression knowledge and self-efficacy to identify depression, but the fotonovela produced significantly larger reductions in antidepressant stigma and mental health care stigma. The fotonovela also was more likely to be passed on to family or friends after the study, potentially increasing its reach throughout the community. Results indicate that fotonovelas can be useful for improving health literacy among underserved populations, which could reduce health disparities.
KeywordsHispanic Depression Fotonovela Stigma Knowledge Attitudes Intentions Health disparities Health literacy Narrative
- 2.Cabassa LJ, Molina GB, Baron M. Depression fotonovela: development of a depression literacy tool for Latinos with limited English proficiency. Health Promot Pract. in press.Google Scholar
- 7.Delgado PL, Alegria M, Canive JM, Diaz E, Escobar JI, Kopelowicz A, Oquendo MA, Ruiz P, Vega WA. Depression and access to treatment among US hispanics: review of the literature and recommendations for policy and research. Focus. 2006;4:38–47.Google Scholar
- 8.Estremera DY, Arevalo M, Armbruster J, Kerndt P. Parece que va a Llover. Compadre, Ponte el Sombrero (It Looks Like Rain. Put on Your Hat, My Friend): an HIV/STD risk awareness fotonovela for Latino day laborers. 2002. American Public Health Association, 130th annual meeting, 11 Nov 2002.Google Scholar
- 16.Kutner M, Greenberg E, Jin Y, Paulsen C. The health literacy of America’s adults: results from the 2003 National Assessment of Adult Literacy (NCES 2006–483). Washington (DC): U.S. Department of Education, National Center for Education Statistics; 2006.Google Scholar
- 19.Lorig K, Stewart A, Ritter P, Gonzalez V, Laurent D, Lynch J. Outcome measures for health education and other health care interventions. Thousand Oaks: Sage Publications; 1996.Google Scholar
- 21.Miranda PY, Schulz AJ, Israel BA, González HM. Context of entry and number of depressive symptoms in an older Mexican-origin immigrant population. J Immigr Minority Health. 2010. epub ahead of print, http://www.springerlink.com/content/188032l33jw7l87m/fulltext.pdf.
- 27.Singhal A, Rogers E. Entertainment-education: a communication strategy for social change. Mahwah: Lawrence Erlbaum Associates; 1999.Google Scholar
- 28.Singhal A, Njogu K, Bouman M, Elias E. Entertainment-education and health promotion: a cross-continental journey. In: Singhal A, Dearing JW, editors. Communication of innovations: a journey with Ev Rogers. Thousand Oaks: Sage; 2006. p. 199–229.Google Scholar