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Translating Research into Practice: Employing Community-Based Mixed Methods Approaches to Address Chronic Disease and Depression Among Latinos

The Journal of Behavioral Health Services & Research volume 44, pages 574–589 (2017)Cite this article

Abstract

The co-occurrence of depression and chronic diseases is often under-recognized, under-treated, and under-studied. Among Latinos, complex structural and cultural barriers exist which complicate the translation of chronic disease self-management programs (CDSMP) for this population. To better understand those barriers and deliver a CDSMP designed to best meet local needs, a community-based, mixed methods study was designed. Formative research was conducted through focus groups with Latinos with chronic illness and minor depression (ICD) and family members to obtain insight into perceived needs and interviews with stakeholders to assess barriers and facilitators to the adoption of CDSMPs. Analytic Hierarchy Process was employed to determine core elements of a CDSMP for ICDs, family members, and the promotores who deliver these programs. Findings guided the transcreation of a CDSMP. This study offers a promising model for enhancing the effects of evidence-based interventions and emphasizes the importance of meeting differing needs within the local population.

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Acknowledgments

The study could not have been completed without the hard work of our dedicated community partners including Hispanic Services Council, Fundación Familia Sana, the members of our Community Advisory Board, and the promotores who delivered the intervention: Edris Sandoval, Irmarie Virella, Maria Serano, and Lorraine Ellington. This work was supported by a grant from the Center for Disease Control and Prevention [5R18MN000004-02; Gonzales/Corvin (PI) 9/30/08 – 12/31/2012]. The title of the grant was Chronic Illness and Minor Depression: Community and CDSMP. This study represents a three-phase feasibility trial of adapting an evidence-based intervention to meet the needs of Latinos struggling with co-morbid chronic illness and minor depression.

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Authors and Affiliations

  1. Department of Global Health, University of South Florida, College of Public Health, Tampa, FL, 33612, USA

    Jaime Corvin PhD, MSPH, CPH & Isabella Chan MA, MPH

  2. Department of Community and Family Health, University of South Florida, College of Public Health, Tampa, FL, 33612, USA

    Claudia Aguado Loi PhD & Dinorah Martinez Tyson PhD

  3. Jiann-Ping Hsu College of Public Health, Georgia Southern University, Statesboro, GA, 30460, USA

    Moya Alfonso PhD

  4. Hispanic Services Council, Tampa, FL, 33612, USA

    Pinzon Maria PhD

  5. University of North Carolina, Chapel Hill, NC, 27514, USA

    Junius Gonzales MD, MBA

Authors
  1. Jaime Corvin PhD, MSPH, CPH
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  2. Claudia Aguado Loi PhD
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  3. Moya Alfonso PhD
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  4. Dinorah Martinez Tyson PhD
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  5. Isabella Chan MA, MPH
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  6. Pinzon Maria PhD
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  7. Junius Gonzales MD, MBA
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Corresponding author

Correspondence to Jaime Corvin PhD, MSPH, CPH.

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Cite this article

Corvin, J., Aguado Loi, C., Alfonso, M. et al. Translating Research into Practice: Employing Community-Based Mixed Methods Approaches to Address Chronic Disease and Depression Among Latinos. J Behav Health Serv Res 44, 574–589 (2017). https://doi.org/10.1007/s11414-016-9525-8

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  • DOI: https://doi.org/10.1007/s11414-016-9525-8

Keywords

  • Focus Group
  • Chronic Illness
  • Analytic Hierarchy Processing
  • Minor Depression
  • Latino Community

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