School of Social Welfare, University of California, Berkeley, 120 Haviland Hall #7400, Berkeley, CA, 94720-7400, USA,
Am J Community Psychol. 2013 Dec;52(3-4):224-35. doi: 10.1007/s10464-013-9587-1.
Research shows high risk for depression among immigrant Latinas known to increase during the acculturation process. Several barriers such as stigma and low health literacy result in an under-utilization of needed treatment among these women. In response, this study replicated the effectiveness of a Spanish language fotonovela, a form of Entertainment-Education (E-E), designed to increase depression literacy, decrease stigma, and increase help-seeking knowledge and behavior in Latinos. Specifically, this study evaluated a fotonovela delivered in a multifaceted approach to health education used by promotoras. A pretest-posttest randomized control group experimental design with 142 immigrant Latinas at risk for depression was employed. Results indicate significant posttest improvements in depression knowledge, self-efficacy to identify the need for treatment, and decreased stigma in experimental as compared to control group participants. Findings support the application of E-E health literacy tools such as fotonovelas, delivered in multifaceted approaches to health education used by promotoras, to Latinas at risk for mental health concerns.
研究表明，在文化适应过程中，已知具有较高抑郁风险的移民拉丁裔人群中，抑郁风险会增加。一些障碍，如耻辱感和健康素养低，导致这些女性对所需治疗的利用不足。有鉴于此，本研究复制了西班牙语 fotonovela 的有效性，这是一种娱乐教育（E-E）形式，旨在提高拉丁裔的抑郁知识水平，减少耻辱感，并增加寻求帮助的知识和行为。具体来说，这项研究评估了一种 fotonovela，它以促进者使用的多方面健康教育方法来传递。采用了 142 名有抑郁风险的移民拉丁裔的前测后测随机对照实验设计。结果表明，实验组参与者在抑郁知识、识别治疗需求的自我效能感和减少耻辱感方面的后测结果显著优于对照组。研究结果支持应用 E-E 健康素养工具，如 fotonovela，以促进者使用的多方面健康教育方法来传递，以帮助有心理健康问题风险的拉丁裔人群。
