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Entertainment–Education? A Fotonovela? A New Strategy to Improve Depression Literacy and Help‐Seeking Behaviors in At‐Risk Immigrant Latinas
Author(s) -
Hernandez Maria Y.,
Organista Kurt C.
Publication year - 2013
Publication title -
american journal of community psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.113
H-Index - 112
eISSN - 1573-2770
pISSN - 0091-0562
DOI - 10.1007/s10464-013-9587-1
Subject(s) - acculturation , stigma (botany) , health psychology , immigration , health literacy , mental health , literacy , depression (economics) , psychology , health education , clinical psychology , medicine , public health , gerontology , psychiatry , health care , nursing , pedagogy , macroeconomics , archaeology , economics , history , economic growth
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.