Minor Depression and Chronic Disease Among Latinos: Translating Research Into Practice

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Problem: Evidence based chronic disease self-management programs (CDSMPs) have reported success in improving health outcomes. Yet few attempt to address the complex issues associated with the co-occurrence of minor depression and chronic illness. With co-occurrence rates of depression and chronic illnesses (e.g. CVD, diabetes) reported as high as 30%, translation of health behavior research into practice is vital to improved health outcomes. This multiphase, community-based participatory research study was designed to better understand the needs and preferences of Latinos living with chronic illness and minor depression (ICDs), their families, and key stakeholders (i.e. service providers).

Methods: This study employed a mixed methods design including: a) focus groups with ICDs (n=5) and family members (n=4) and b) semi-structured interviews followed by a survey with key stakeholders (n=31) to obtain views on living with chronic illness, barriers and facilitators to self-management, and the potential for adapting an evidence based CDSMP. Thematic analysis allowing for emergent themes was employed for qualitative data. Descriptive statistics were performed to summarize survey data.

Results: Analysis identified perspectives on the needs of Latinos suffering from the co-occurrence of chronic illness and minor depression in managing their illnesses. Results suggested necessary elements for the successful adoption of CDSMP, including delivery by trusted community partners and cultural relativity for encouraging sustainable health promoting practices. Additionally, results indicate challenges and risks to adoption by key stakeholders that must be addressed.

Conclusion: Findings will guide the adaptation of 'Tomando,' an evidence based CDSMP, for Latinos with chronic illness and minor depression.


American Public Health Association Annual Meeting (APHA)


Denver, CO