Entertainment–Education? A Fotonovela? A New Strategy to Improve Depression Literacy and Help‐Seeking Behaviors in At‐Risk Immigrant Latinas
Abstract
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.
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A CHW-led depression project with immigrant Latinas used a fotonovela and improved depression knowledge and treatment-seeking efficacy while reducing treatment stigma.
“A CHW-led project on depression with an immigrant Latina population created a fotonovela, a small illustrated storybook, which resulted in improved depression knowledge and efficacy to seek treatment alongside decreased stigma toward depression treatment.24”
From Task-sharing approaches to improve mental health care in rural and other low-resource settings: a systematic review (2018) · cites this paper as [24]
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- Authors
- Hernandez, M. Y., & Organista, K. C.
- Affiliations
- University of California, Berkeley (US)
- Corresponding author
- Hernandez, Maria Y.
- Venue
- American Journal of Community Psychology
- Publisher
- Wiley
- Published
- 2013-08-02
- Volume
- 52
- Issue
- 3-4
- Pages
- 224-235
- ISSN
- 0091-0562 (ISSN-L)
- 1573-2770
- OpenAlex
- W2136059898
- Cited by
- 84
- References
- 63
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 10 · 2023: 7 · 2022: 5 · 2021: 14 · 2020: 5 · 2019: 4 · 2018: 9 · 2017: 3 · 2016: 8 · 2015: 5 · 2014: 3 · 2013: 1
- FWCI
- 94.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Community Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health
- Topics
- Social Sciences › Arts and Humanities › Literature and Literary Theory › Media Influence and Health
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
- Keywords
- fotonovela, entertainment-education, depression literacy, help-seeking, depression stigma, acculturation, health literacy, promotoras, Spanish-language health education, self-efficacy, mental health promotion
- MeSH terms
- Acculturation, Adolescent, Adult, Depressive Disorder, Female, Health Education, Hispanic or Latino, Humans, Language, Mental Health, Middle Aged, Pamphlets, Patient Acceptance of Health Care, Emigrants and Immigrants, Young Adult, Health Literacy, Social Stigma
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