Ford-Paz Rebecca E, Reinhard Christine, Kuebbeler Andrea, Contreras Richard, Sánchez Bernadette
Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, 225 E. Chicago Ave, Box 10B, Chicago, IL, 60611, USA.
Children's Hospital of Philadelphia, Philadelphia, PA, USA.
J Behav Health Serv Res. 2015 Oct;42(4):519-33. doi: 10.1007/s11414-013-9368-5.
Latino adolescents are at elevated risk for depression and suicide compared to other ethnic groups. Project goals were to gain insight from community leaders about depression risk factors particular to Latino adolescents and generate innovative suggestions to improve cultural relevance of prevention interventions. This project utilized a CBPR approach to enhance cultural relevance, acceptability, and utility of the findings and subsequent program development. Two focus groups of youth and youth-involved Latino community leaders (n = 18) yielded three overarching themes crucial to a culturally tailored depression prevention intervention: (1) utilize a multipronged and sustainable intervention approach, (2) raise awareness about depression in culturally meaningful ways, and (3) promote Latino youth's social connection and cultural enrichment activities. Findings suggest that both adaptation of existing prevention programs and development of hybrid approaches may be necessary to reduce depression/suicide disparities for Latino youth. One such hybrid program informed by community stakeholders is described.
与其他种族群体相比,拉丁裔青少年患抑郁症和自杀的风险更高。项目目标是从社区领袖那里深入了解拉丁裔青少年特有的抑郁症风险因素,并提出创新建议,以提高预防干预措施的文化相关性。本项目采用社区参与式行动研究(CBPR)方法,以增强研究结果以及后续项目开发的文化相关性、可接受性和实用性。两组由青少年和参与其中的拉丁裔社区领袖组成的焦点小组(n = 18)得出了对文化定制的抑郁症预防干预至关重要的三个总体主题:(1)采用多管齐下且可持续的干预方法;(2)以具有文化意义的方式提高对抑郁症的认识;(3)促进拉丁裔青少年的社会联系和文化丰富活动。研究结果表明,为减少拉丁裔青少年的抑郁症/自杀差异,可能既需要对现有的预防项目进行调整,也需要开发混合方法。文中描述了一个由社区利益相关者提供信息的此类混合项目。