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Kopelowicz A, Lopez SR, Molina GB, Baron M, Franco R, Mayer D. Evaluation of an Audio-Visual Novela to Improve COVID-19 Knowledge and Safe Practices Among Spanish-Speaking Individuals with Schizophrenia. J Immigr Minor Health 2023:10.1007/s10903-023-01456-7. [PMID: 36738379 PMCID: PMC9898851 DOI: 10.1007/s10903-023-01456-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/25/2023] [Indexed: 02/05/2023]
Abstract
In the United States, the health and economic consequences of the COVID-19 pandemic have disproportionately affected the Latinx community. Within the Latinx community, people with schizophrenia-spectrum disorders are more susceptible to exposure to the virus. Given their increased risk of contracting and getting sick from the virus, efforts targeting the Latinx population should focus on increasing knowledge and safe practices associated with COVID-19. We developed a 10 min animated, Spanish-language audio-visual novela designed to improve knowledge, attitudes, and behaviors regarding COVID-19. Latinx adults with schizophrenia (N = 100) at a community mental health center in Los Angeles were randomly assigned to watch the novela or a non-COVID video (control group). Participants completed surveys immediately before and one month after viewing the material. One month after watching the audio-visual novela, subjects endorsed a greater likelihood of seeking a COVID-19 vaccine than control subjects. No other significant differences were observed between the two conditions. The findings of this study suggest that the presentation of health information in a relevant, engaging, and appealing manner may be useful way to improving salutary health behaviors of Latinx people with schizophrenia-spectrum disorders.
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Affiliation(s)
- Alex Kopelowicz
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA USA ,Olive View-UCLA Medical Center, 14445 Olive View Drive, Cottage H-2, Sylmar, CA 91342 USA
| | - Steven R. Lopez
- Department of Psychology, University of Southern California, Los Angeles, CA USA
| | - Gregory B. Molina
- School of Pharmacy, University of Southern California, Los Angeles, CA USA
| | - Melvin Baron
- School of Pharmacy, University of Southern California, Los Angeles, CA USA
| | - Richard Franco
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at UCLA, Los Angeles, CA USA
| | - Doe Mayer
- School of Cinematic Arts, University of Southern California, Los Angeles, CA USA
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López SR, Kopelowicz A, Ullman J, Mayer D, Santos MM, Kratzer M, Vega WA, Barrio C, Calderon V. Toward reducing the duration of untreated psychosis in a Latinx community. J Consult Clin Psychol 2022; 90:815-826. [PMID: 35588388 PMCID: PMC9949997 DOI: 10.1037/ccp0000729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE To carry out and evaluate a communications campaign (La CLAve) to reduce the duration of untreated psychosis (DUP) in a U.S. Latinx community. METHOD We employed evidence-based messaging in multiple media outlets. We recruited 132 Latinxs with first-episode psychosis (FEP) and caregivers seeking mental health care within a high-density Latinx community. We evaluated the campaign's dissemination, the extent to which the community received the campaign message, and the campaign outcome. We tested whether DUP (number of weeks) changed across three time periods (16-month baseline, 2-year campaign, and 16-month postcampaign) and whether participants' language background (primarily Spanish speaking or English speaking) moderated change in DUP. RESULTS The campaign was disseminated widely. During the height of the campaign over a 1-year period, our team distributed 22,039 brochures and performed 740 workshops. The campaign message was received by the community as noted for example by increases in the number of unduplicated weekly calls to the campaign's 1-800 number. Applying square root transformations to DUP, we found a significant main effect for language background but not for campaign period nor their interaction. The unadjusted mean DUP for Spanish-speaking persons with FEP was more than twice as high as the mean DUP for English-speaking persons with FEP. CONCLUSION Spanish-speaking Latinxs with FEP are especially in need of early psychosis treatment. The campaign reached the community but additional steps are needed to reduce treatment delay. Greater attention is needed to increase access to early intervention services for communities of color. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Alegría M, Zhen-Duan J, O’Malley IS, DiMarzio K. A New Agenda for Optimizing Investments in Community Mental Health and Reducing Disparities. Am J Psychiatry 2022; 179:402-416. [PMID: 35599537 PMCID: PMC9205621 DOI: 10.1176/appi.ajp.21100970] [Citation(s) in RCA: 12] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The Biden-Harris Administration's FY22 budget includes $1.6 billion for the Community Mental Health Services Block Grant program, more than double the FY21 allocation, given the rising mental health crises observed across the nation. This is timely since there have been two interrelated paradigm shifts: one giving attention to the role of the environmental context as central in mental health outcomes, the other moving upstream to earlier mental health interventions at the community level rather than only at the individual level. An opportunity to reimagine and redesign the agenda of mental health research and service delivery with marginalized communities opens the door to more community-based care interventions. This involves establishing multisector partnerships to address the social and psychological needs that can be addressed at the community level rather than the clinical level. This will require a shift in training, delivery systems, and reimbursement models. The authors describe the scientific evidence justifying these programs and elaborate on opportunities to target investments in community mental health that can reduce disparities and improve well-being for all. They select levers where there is some evidence that such approaches matter substantially, are modifiable, and advance the science and public policy practice. They conclude with specific recommendations and the logistical steps needed to support this transformational shift.
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Affiliation(s)
- Margarita Alegría
- Disparities Research Unit, Massachusetts General Hospital, Boston, MA, USA,Department of Medicine, Harvard Medical School, Boston, MA, USA,Department of Psychiatry, Harvard Medical School, Boston, MA, USA,Correspondence: Margarita Alegría, Massachusetts General Hospital Disparities Research Unit, Department of Medicine, 50 Staniford Street, Suite 830, Boston, MA 02114; ; Phone: 617-724-1237; Fax: 617-726-4120
| | - Jenny Zhen-Duan
- Disparities Research Unit, Massachusetts General Hospital, Boston, MA, USA,Department of Medicine, Harvard Medical School, Boston, MA, USA
| | | | - Karissa DiMarzio
- Department of Psychology, Florida International University, Miami, FL, USA
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Calderon V, Cain R, Torres E, Lopez SR. Evaluating the message of an ongoing communication campaign to reduce the duration of untreated psychosis in a Latinx community in the United States. Early Interv Psychiatry 2022; 16:147-152. [PMID: 33768718 DOI: 10.1111/eip.13140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 03/06/2021] [Indexed: 11/26/2022]
Abstract
AIM Initiatives aimed at reducing the duration of untreated psychosis (DUP) attempt to increase the community's level of psychosis literacy. Most of these efforts, however, have failed to reduce DUP. One plausible explanation is that the campaigns do not actually increase psychosis literacy. To date, there have been few efforts to assess whether the campaign messaging does indeed increase psychosis literacy prior to or during the campaign. This study evaluated whether the message of the La CLAve DUP reduction program delivered during the campaign increased the psychosis literacy of a U.S. Latinx community. METHODS The sample consisted of 81 Latinx community residents aged 15-84. Two community health educators of the La CLAve campaign facilitated workshops using a narrative film to initiate a conversation in the community about the signs of psychosis and the importance of professional help-seeking early in the illness course. Psychosis literacy was assessed via questionnaires pertaining to a hypothetical vignette administered before and after the workshops. RESULTS The psychosis literacy of participants increased after the workshops in several domains. Participants' knowledge of multiple psychotic symptoms, self-efficacy in their ability to recognize psychosis in others, and correct attributions of a hypothetical vignette's psychotic symptoms significantly increased. No changes were observed in recommendations for professional help-seeking. CONCLUSIONS These findings provide support for the effectiveness of the La CLAve messaging in increasing psychosis literacy of U.S. Latinx community residents. Evidence-based campaign messaging is needed to increase the success of DUP reduction programs especially among underserved communities.
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Affiliation(s)
- Vanessa Calderon
- Department of Psychology, University of Southern California, Los Angeles, California, USA
| | - Rosalba Cain
- USC Alzheimer's Disease Research Center, Los Angeles, California, USA
| | - Eva Torres
- Los Angeles County Department of Mental Health, Los Angeles, California, USA
| | - Steven R Lopez
- Department of Psychology, University of Southern California, Los Angeles, California, USA
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Watts J, Slater MD. Eudaimonic Testimonial Vs. Didactic Presentation Impact on Willingness to Engage in Conversations about End-of-Life Care: The Moderating Role of Modeling. JOURNAL OF HEALTH COMMUNICATION 2021; 26:137-146. [PMID: 33749546 DOI: 10.1080/10810730.2021.1890861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Using the mediated wisdom of experience (MWOE) theoretical framework, this study examines how eudaimonic testimonials versus comparable didactic presentations, and the presence or absence of modeling target behavior, influence death acceptance and intentions to converse about end-of-life care preferences. Effects for testimonials on attitudes and behaviors proved contingent on modeling. When testimonials incorporated modeled behavior, individuals were more likely to intend to carry out conversations about end-of-life conversations. However, when the testimonials did not provide modeled examples of conversations about death, individuals were more likely to experience anxiety and less likely to intend to engage in such conversations. Mediation analyses found that testimonials indirectly increased attitudes and intentions to have end-of-life conversations through emotional range and death acceptance. Mediation analyses also indicated modeling such conversations increased attitudes and intentions toward having end-of-life conversations via identification and self-efficacy.
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Affiliation(s)
- Judy Watts
- School of Communication, the Ohio State University, United States
| | - Michael D Slater
- School of Communication, the Ohio State University, United States
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Hernandez M, Hernandez MY, Lopez D, Barrio C, Gamez D, López SR. Family processes and duration of untreated psychosis among US Latinos. Early Interv Psychiatry 2019; 13:1389-1395. [PMID: 30644163 PMCID: PMC6629522 DOI: 10.1111/eip.12779] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2018] [Revised: 11/27/2018] [Accepted: 12/26/2018] [Indexed: 11/28/2022]
Abstract
AIM Little is known about family processes and treatment seeking among Latinos with first-episode psychosis (FEP) living in the United States. This study examined family processes prior to treatment and their relation to duration of untreated psychosis (DUP) among Latinos with FEP and their family caregivers. METHODS Thirty-three Latinos with FEP and their low-acculturated family caregivers (n = 33) participated in qualitative semi-structured interviews focused on treatment-seeking experience and family relationships. Transcripts were analysed using thematic analysis and themes were grouped based on short (n = 18) or long (n = 15) DUP. RESULTS Findings revealed differences based on DUP length. Patients with short DUP had stronger family relationships characterized by open communication and disclosure of symptoms that facilitated awareness and direct action by family caregivers. However, patients with long DUP had more troubled family relationships that often challenged early treatment seeking. CONCLUSIONS Findings highlight the relevance of family context in the provision of early treatment for Latinos with FEP. Family-based services are needed that increase awareness of symptoms and provide families with support that can facilitate ongoing patient treatment during this critical period.
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Affiliation(s)
- Mercedes Hernandez
- Department of Psychology, University of Southern California, Los Angeles, California
| | - Maria Y Hernandez
- Department of Psychology, University of Southern California, Los Angeles, California
| | - Daisy Lopez
- Department of Psychology, University of Southern California, Los Angeles, California
| | - Concepción Barrio
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, California
| | - Diana Gamez
- Department of Psychology, University of Southern California, Los Angeles, California
| | - Steven R López
- Department of Psychology, University of Southern California, Los Angeles, California
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Reigada C, Martín-Utrilla S, Pérez-Ros P, Centeno C, Sandgren A, Gómez-Baceiredo B. Understanding illnesses through a film festival: An observational study. Heliyon 2019; 5:e02196. [PMID: 31453393 PMCID: PMC6704338 DOI: 10.1016/j.heliyon.2019.e02196] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2019] [Revised: 05/10/2019] [Accepted: 07/29/2019] [Indexed: 11/29/2022] Open
Abstract
Audio-visual materials play a fundamental role in the context of education, care and clinical treatment, as they seem to have a high impact on public awareness. This study aims to describe what messages are perceived by the society at an International Festival of Short Films and Art on Diseases that may help to understand difficult topics, such as illness, dying and suffering. Through an observational, descriptive, cross-sectional study, using full participant observation and an open, self-administered questionnaire, 32 short films were analysed during a healthcare art festival. Categories were developed using inductive content analysis. The message perceived by the participants, after the viewing of the shorts and reflection of the debates among the attendees, were considered in four categories: i) creative and positive education is possible; ii) awareness of preconception and practical duties; iii) meaning of life changes the experience of illness; iv) family and caregivers also experienced suffering. The short films are considered as an excellent tool to generate social dialogue and debate. Public events can be understood as an opportunity to acquire, in an emotional and critical manner, other competencies for public awareness. Together, they are capable of communicating difficult messages through a fast, positive, and creative way.
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Affiliation(s)
- Carla Reigada
- University of Navarra, Institute for Culture and Society, ATLANTES Research Programme, Pamplona, Spain.,Institute of Health Research of Navarra (IdiSNA), Pamplona, Spain
| | - Salvador Martín-Utrilla
- Catholic University of Valencia San Vicente Mártir, GRICPAL Research Group, Valencia, Spain.,Palliative Care Unit, Valencia Institute of Oncology, Valencia, Spain
| | - Pilar Pérez-Ros
- Faculty of Nursing, Catholic University of Valencia San Vicente Martir, Valencia, Spain
| | - Carlos Centeno
- University of Navarra, Institute for Culture and Society, ATLANTES Research Programme, Pamplona, Spain.,Institute of Health Research of Navarra (IdiSNA), Pamplona, Spain.,Clínica Universidad de Navarra, Palliative Care Department, Spain
| | - Anna Sandgren
- Center for Collaborative Palliative Care, Department of Health and Caring Sciences, Linnaeus University, Växjö, Sweden
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Hernandez M, Franco R, Kopelowicz A, Hernandez MY, Mejia Y, Barrio C, López SR. Lessons Learned in Clinical Research Recruitment of Immigrants and Minority Group Members with First-Episode Psychosis. J Immigr Minor Health 2019; 21:123-128. [PMID: 29368059 DOI: 10.1007/s10903-018-0704-y] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Recruitment of immigrants and racial and ethnic minorities with first-episode psychosis (FEP) for research studies presents numerous challenges. We describe methods used to recruit 43 U.S. Latinos with FEP and their family caregivers (n = 41) participating in a study to reduce duration of untreated psychosis. A key challenge was that patients were not continuing treatment at an outpatient clinic, as initially expected. To facilitate identification of patients prior to outpatient care, we collaborated with clinic and hospital administrators. Many patients and families were grappling with the aftermath of a hospitalization or adjusting to a diagnosis of a serious mental illness. A considerable amount of time was devoted to addressing participants' concerns and when possible, facilitating needed services. Our experience underscores the importance of establishing long-term relationships through multiple contacts with patients, families, and stakeholders to address recruitment barriers among underserved groups with FEP.
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Affiliation(s)
- Mercedes Hernandez
- Steve Hicks School of Social Work, University of Texas at Austin, 1925 San Jacinto Boulevard (D3500), Austin, TX, 78712-1405, USA.
| | - Richard Franco
- Department of Psychiatry & Behavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA
| | - Alex Kopelowicz
- Department of Psychiatry & Behavioral Sciences, University of California, Los Angeles, Los Angeles, CA, USA
| | - Maria Y Hernandez
- School of Social Work, California State University, Los Angeles, Los Angeles, CA, USA
| | - Yesenia Mejia
- Department of Psychology, University of North Carolina at Greensboro, Greensboro, NC, USA
| | - Concepción Barrio
- Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, USA
| | - Steven Regeser López
- Department of Psychology, University of Southern California, 3620 S. McClintock Avenue, Los Angeles, CA, 90089-1061, USA.
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Alizadeh M, Akbari Torkestani N, Oohadi B, Mehrabi razveh F. Effectiveness of Cognitive-Behavioral Counseling Based on Film Therapy on the Marital Satisfaction of Women with Low Sex Drive. PREVENTIVE CARE IN NURSING AND MIDWIFERY JOURNAL 2018. [DOI: 10.29252/pcnm.8.1.19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
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