Community-Based Participatory Research: Stress and Depression in Rural Latino Mothers and Children

Tuesday, 13 July 2010

Jeanne-Marie Stacciarini, PhD, RN1
Brenda Wiens, PhD2
Maria Coady, PhD3
Anna B. Schwait, RN, MSN1
Minerva Alvarez4
Barbara Locke, BSN, MPH5
Viodelda Page, BBA6
Karla Bernardi, BS7
Awilda Perez, BA, MA8
Melody LaFlam, CMHT9
Terri Williams Pogue, BS, MSW10
1School of Nursing, University of Florida, Gainesville, FL
2Department of Clinical and Health Psychology, University of Florida, Gainesville, FL
3College of Education, University of Florida, Gainesville, FL
4Title I, School Board of Alachua County, Gainesville, FL
5Adminstration, Levy County Public Health Department, Bronson, FL
6Family Planning, Levy County Public Health Department, Bronson, FL
7Healthy Start, Levy County Public Health Department, Bronson, FL
8Spanish, Williston High School, Williston, FL
9Prevention, Meridian Behavioral Healthcare Inc, Bronson, FL
10Dep. Exceptional Student Education, School Board of Levy County, Bronson, FL

Learning Objective 1: demonstrate application of Community-Based Participatory Research approach on mental health with rural populations.

Learning Objective 2: describe role of Advisory Board in the process of collecting culturally relevant mental health data from rural Latino immigrants.

Purpose: Guided by a community-based participatory research (CBPR) approach, the purpose of this pilot was to assess stressors and depressive symptoms among a rural population of low-income Latino mothers and children and to identify culturally appropriate interventions that can be further developed and sustained by the community. Aims were as follows: 1) Describe collaborative partnerships with rural Latino community leaders that informed the process of recruiting participants and collecting culturally relevant data about mental health needs of Latino mothers/children in a rural community in North Florida; 2) Describe stressors, depressive symptoms, and culturally appropriate approaches for addressing them among target population (children were ages 8 to17 years). Methods: This exploratory-descriptive study was based on CBPR principles. Two samples and strategies for recruitment were used: convenience and snowball. The Community Advisory Board (CAB) was composed of Latino community leaders (N=8) involved in different organizations/agencies in Levy County/FL (CAB partnership still active in following studies). Several other instruments were used to collect mental health data on rural Latino mothers and children.
Results: Content analysis from CAB scribes’ notes revealed the following categories: Community Knowledge, Caring for the Community, Community Members’ Roles in Future Studies and Groups Dynamics. Descriptive statistics will be presented for 1) Women (N=48): Demographic Questionnaire-W, Patient Health Questionnaire- Depression Scale (PHQ-9) and the Rosenberg Self-Esteem Scale (SES) and  2) Latino children (ages 8-17, N=48): Demographic Questionnaire-C, the Children’s Depression Inventory (CDI), and the Piers-Harris Children's Self-Concept Scale, Second Edition (PH2). A significant stressor identified in mothers and children was the experience of social isolation.
Conclusion: CBPR studies present new opportunities for recruitment of hard-to-reach populations. This study generated essential data for development of a larger CBPR study to address social isolation with culturally appropriate strategies and to promote mental health among Latino mothers and children in rural areas.