Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers

Gallagher-Thompson, Dolores; Tzuang, Marian; Hinton, Ladson; Alvarez, Paula; Rengifo, Johanna; Valverde, Irene; Chen, Nancy; Emrani, Tara; Thompson, Larry W.

doi:10.1097/wad.0000000000000077

Cited by 70Dementia and Cognitive Impairment ResearchNursing care and researchHealth Education and Validation

Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers

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Gallagher-Thompson, Dolores, Tzuang, Marian, Hinton, Ladson, Alvarez, Paula, Rengifo, Johanna, Valverde, Irene, Chen, Nancy, Emrani, Tara +1 more·2015·Alzheimer Disease & Associated Disorders

DOI 10.1097/wad.0000000000000077PMC PMC4437891

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Abstract

The clinical need to address stress and depression in Latino dementia caregivers (CGs) combined with low health literacy and less accurate knowledge of dementia motivated the development of a pictorial tool [called a fotonovela (FN)] to teach (a) coping skills for caregiver (CG) stress; (b) self-assessment of depression; and (c) encourage improved utilization of available resources. To test the effectiveness of the FN, 110 of 147 Latino CGs, who were randomly assigned to the Fotonovela Condition (FNC) or the Usual Information Condition (UIC), were included in the final analyses. Self-report measures were given at baseline and post intervention. Results showed that FNC CGs demonstrated significantly greater reductions in level of depressive symptoms than UIC CGs. A significant decrease in level of stress due to memory and behavioral problems exhibited by their loved ones was similar in both groups. The FNC CGs reported that the FN was more helpful and that they referred to it more often than the UIC CGs did with regard to the informational materials they were provided about dementia. In conclusion, a culturally tailored FN can be an effective tool for Latino CGs given their high unmet needs for assistance and various barriers in accessing resources.

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Most interventions (n = 16) were delivered solely to the caregiver to help them manage their own depression.
“Most interventions (n = 16) were delivered solely to the caregiver to help them manage their own depression.[53][54][55][56][57][58][59][60][61][62][63][64][65][66]”
From Non-pharmacological Interventions for Caregivers with Depression and Caregivers of Care Recipients with Co-morbid Depression: Systematic Review and Meta-analysis (2021) · cites this paper as [55]

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O2–05–05: Effectiveness of a fotonovela (FN) to Latino dementia caregivers on reducing caregiving‐related self‐reported stress and depression
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Self-citation

Authors: Gallagher-Thompson, D., Tzuang, M., Hinton, L., Alvarez, P., Rengifo, J., Valverde, I., Chen, N., Emrani, T., & Thompson, L. W.
Affiliations: Palo Alto University (US)
Stanford Medicine (US)
University of California, Davis (US)
Corresponding author: Gallagher-Thompson, Dolores
Thompson, Larry W.
ORCID: Gallagher-Thompson, Dolores
Tzuang, Marian
Hinton, Ladson
Chen, Nancy
Emrani, Tara
Venue: Alzheimer Disease & Associated Disorders
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2015-04
Volume: 29
Issue: 2
Pages: 146-153
ISSN: 0893-0341 (ISSN-L)
DOI: 10.1097/wad.0000000000000077
PMC: PMC4437891
OpenAlex: W2317470324
Cited by: 70
References: 30
Citations by year: 2026: 2 · 2025: 11 · 2024: 6 · 2023: 5 · 2022: 9 · 2021: 10 · 2020: 10 · 2019: 8 · 2018: 4 · 2017: 4 · 2015: 1
FWCI: 2.43
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Alzheimer Disease & Associated Disorders (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
eScholarship (California Digital Library) (submittedVersion)
Funders: Alzheimer's Association (IIRG-08-92099, AG010129)
University of California, Davis (AG010129)
National Institute on Aging (P30AG010129, P30AG043097, AG010129)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
Health Sciences › Health Professions › Pharmacy › Nursing care and research
Social Sciences › Education › Health Education and Validation
Keywords: fotonovela, Latino caregivers, dementia caregivers, caregiver depression, caregiver stress, culturally tailored interventions, coping strategies, dementia knowledge, health literacy, resource utilization (health care)
MeSH terms: Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Audiovisual Aids, Dementia, Depression, Female, Hispanic or Latino, Humans, Male, Middle Aged, Pamphlets, Patient Education as Topic, Stress, Psychological, Treatment Outcome, Caregivers

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Effectiveness of a Fotonovela for Reducing Depression and Stress in Latino Dementia Family Caregivers

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