Jimenez Daniel E, Ross Emily J, Weinstein Elliott R, Martinez Garza David, Signorile Joseph F, Perdomo-Johnson Doris, Martinez Claudia
Department of Psychiatry and Behavioral Sciences, Miller School of Medicine, University of Miami.
Department of Surgery, Miller School of Medicine, University of Miami.
J Consult Clin Psychol. 2025 Apr;93(4):317-327. doi: 10.1037/ccp0000923. Epub 2024 Dec 2.
This study sought to evaluate the feasibility, acceptability, and preliminary efficacy of the Happy Older Latinos are Active (HOLA) health promotion intervention in a group of older Latinos who were at risk for developing major depressive disorder or generalized anxiety disorder.
Sixty older Latinos age 60+ with subthreshold depression or anxiety were randomized to receive either HOLA (n = 30) or enhanced psychoeducation through control ( = 30). The primary outcomes of interest were feasibility, acceptability, and reduction in depression and anxiety symptom severity. Outcome measures were administered at baseline and at the end of the intervention.
Within a year, the enrollment target was met with < 5% of eligible participants refusing randomization. The randomization scheme produced equal numbers of participants randomized to each condition. Four participants (6.7%; HOLA = 1; control = 3) were lost to follow-up, 69% of the HOLA sessions were attended, and participants reported high satisfaction with the intervention. Finally, compared with control, a significant proportion of participants in HOLA experienced a clinically significant reduction in their anxiety symptoms (60% vs. 26.7%).
Findings highlight the feasibility, acceptability, and significant impact the HOLA intervention can have in reducing psychological distress because it is responsive, respectful, and specific to the needs of older Latinos. Furthermore, using a community health worker to deliver a health promotion intervention to prevent common mental disorders in older Latinos is an innovative approach for reducing disease burden in a population living with high disparities in accessing and engaging in mental health services. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
本研究旨在评估“快乐老年拉丁裔积极生活”（HOLA）健康促进干预措施在一组有患重度抑郁症或广泛性焦虑症风险的老年拉丁裔中的可行性、可接受性和初步疗效。
60名60岁及以上有亚阈值抑郁或焦虑的老年拉丁裔被随机分为接受HOLA干预组（n = 30）或通过对照进行强化心理教育组（n = 30）。主要关注的结果是可行性、可接受性以及抑郁和焦虑症状严重程度的降低。在基线和干预结束时进行结果测量。
在一年内，达到了招募目标，拒绝随机分组的合格参与者不到5%。随机分组方案使随机分配到每种情况的参与者数量相等。4名参与者（6.7%；HOLA组 = 1名；对照组 = 3名）失访，HOLA课程的出席率为69%，参与者对干预表示高度满意。最后，与对照组相比，HOLA组中有很大比例的参与者焦虑症状出现了临床上显著的减轻（60%对26.7%）。
研究结果突出了HOLA干预措施在减少心理困扰方面的可行性、可接受性和显著影响，因为它对老年拉丁裔的需求具有响应性、尊重性且具有针对性。此外，利用社区卫生工作者提供健康促进干预措施以预防老年拉丁裔常见精神障碍，是一种在获得和参与心理健康服务方面存在高度差距的人群中减轻疾病负担的创新方法。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
