“…Co-morbidity with depression may influence treatment of the chronic heart disease due to interactions in medications and management of the disease. It is important to have multidisciplinary treatment teams that include physicians, nurses, social workers, and community health workers to address issues of socio-cultural health literacy (Caughey, Roughead, Shakib, Vitry, & Gilbert, 2011; Ell, Oh, Lee, Guterman, 2014). Finally, given that one-third of the sample of elderly below the county threshold, future studies should take into consideration the specific needs of low-income patients.…”