Approved topic

1
Understanding depression in low income Latino
older adults A community study P.I., Holly
Kiger, RN, MN, V.P. Clinical Programs, WISE
Healthy Aging Co-PI Janet Mentes, PhD APRN, BC,
UCLA School of Nursing Consultants Nancy
Anderson, RN, PhD, UCLA School of Nursing, Evelyn
Calvillo, RN, DNSc California State University
Los Angeles, MarySue Heilemann, RN, PhD, UCLA
School of Nursing Research Assistants Iris
Seliktar, Anna Diaz Juan Villegas
PROJECT PROCEDURES
INTRODUCTION
RESULTS

• Critical Problem
• Little is known about the perceptions and
  knowledge of depression and the utilization of
  mental health services among depressed Spanish
  speaking low-income older adults on the Westside
  of LA.
• Long Range Objectives
• Reduce the burden of depression in target
  population
• Contribute to the development of an NIH grant
  designed to expand culturally sensitive and
  accessible mental health services.

• Themes Identified--Provider Groups
• Symptoms of depression consistent with other
  studies in the literature
• Somatic symptoms
• (Low energy, problems sleeping, etc.)
• Sometimes took several visits to identify
  depression as cause
• Community is open to a variety of
  interventions, including medications, group
  support and education.
• Themes Identified--Consumer Groups
• Symptoms observed or experienced similar to
  other studies
• Isolation, not eating, not interested in
  activities, etc.
• However, consumer group reported more suicidal
  thoughts actions than providers
• Poverty and fear of violence in their
  community reported as major contributors to
  depression
• Some community members have a strong desire
  and great ability to help others
• Helpful interventions
• Promotores and neighborsnatural helpers
• Education about depression
• Professional help (individual therapy and
  group support)

• IRB training for staff and Community Advisory
  Committee(CAC)
• Recruitment conducted in collaboration with CAC
  members
• Informed consent prior to data collection
• Co-facilitation of group interviews
•  All interviews audio taped, transcribed,
  translated back-translated
• Observations during group interviews recorded in
  field notes
• Transcript and field note analysis conducted

• Study Aims
• Describe perceptions about depression consumer
  knowledge and barriers and enhancers for
  utilization of current MH resources
• Work with consumers and providers to develop
  recommendations for culturally sensitive
  sustainable collaborative interventions to
  adequately meet the depression needs in the
  target population.

COMMUNITY ADVISORY COMMITTEE

• Approved topic
• Reviewed, provided suggestions, and approved the
  content and wording of interview and demographic
  questions.
• After Human Subjects Training, assisted with
  recruitment of community members
• After all identifiers have been removed
  preliminary qualitative analysis of data
  presented to CAC for feedback, followed by a
  final analysis and summary of findings and
  recommendations.

FUTURE PLANS
METHOD
METHOD

• NIH proposal with Cal State Los Angeles (in
  progress)
• SEEK FUNDING FOR
• Mental Health Promotores program
• Spanish Speaking Peer Counseling Program

• Research Design
• Community based participatory research
• Qualitative design
• Individual and group interviews
• Sample of 23
• One group interview with providers
• Two group interviews with consumers
• Six follow-up individual interviews

CHALLENGES
Acknowledgement

• Language
• Understanding of role of the committee
• Confusion about process
• Telling their own stories
• Research vs. responding to their needs
• No on-line IRB training in Spanish
• Much of IRB content not relevant to CAC
  members role on project

This work supported by The UCLA School of
Nursing Center for Vulnerable Populations
Research P30 NR005041-02S1 Director Deborah
Koniak-Griffin Co-Director Adeline Nyamathi