A Mixed-Methods Design Informed by CBPR for the Adaptation of an EBI for Latinos with Minor Depression and Chronic DiseaseRoundtable discussion at the 2010 American Public Health Association conference (2010)
AbstractBackground: A mixed methods design informed by community-based participatory research (CBPR) offers advantages to a single research approach by engaging community and academic partners in collecting context-rich and empirical data to inform the translation of evidence-based interventions (EBI). Purpose: This multiphase study sought to translate research findings for the adaptation of an EBI, self-management program (Tomando) for Latino individuals with chronic illness and minor depression (ICD). This presentation focuses on the mixed methods, CPPR approach used to guide phase I of the research. Methods: Mixed methods employed include: a) focus groups with ICD and family members and b) key stakeholder semi-structured interviews followed by a survey. A community-academic team informed key decisions about research design, recruitment, and presentation of findings. Results: Methodological issues arose regarding the heterogeneity of focus group members (e.g., rural versus urban, combining genders) and presence of illness in family members. Recruitment efforts indicated that “depression” was not well understood or endorsed by potential participants who exhibited depressive symptomatology. Other challenges include the limited health literacy of participants, the need for bi-lingual/bi-cultural staff to conduct and analyze research, and the need for a more diverse community sampling frame. Community partners; however, provided an insider perspective to overcome methodological challenges and the impact of stigma associated with depression on recruitment. Conclusion: This CBPR approach allowed for the identification of practical solutions to methodological challenges while demonstrating important strategies for informing and influencing the translation of EBIs aimed at reducing or eliminating health disparities into practice. Learning Areas: Chronic disease management and prevention; Diversity and culture; Social and behavioral sciences. Learning Objectives: 1.Discuss the use of a CBPR approach to inform the adaptation of evidence-based interventions for Latinos; 2.Explain how data collection instruments were design with community partners; 3.Discuss facilitators and barriers to using mixed-methods design with Latinos; 4.Discuss appropriate solutions to overcome methodological barriers encountered using a mixed-methods design.
- Latino mental health,
- Community research
Citation InformationClaudia X Aguado Loi, Jaime Corvin, Dinorah Martinez-Tyson, Moya L. Alfonso, et al.. "A Mixed-Methods Design Informed by CBPR for the Adaptation of an EBI for Latinos with Minor Depression and Chronic Disease" Roundtable discussion at the 2010 American Public Health Association conference (2010)
Available at: http://works.bepress.com/moya_alfonso/83/