Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial

Alegrı́a, Margarita; Frontera, Walter R.; Cruz-Gonzalez, Mario; Markle, Sheri Lapatin; Trinh‐Shevrin, Chau; Wang, Ye; Herrera, Lizbeth; Ishikawa, Rachel Zack; Velázquez, Esther; Fuentes, Larimar; Guo, Youguang; Pan, Janet L.; Cheung, Megan; Wong, Jeanine; Genatios, Urania; Jiménez, Aida L.; Ramos, Zorangelí; Perez, Giselle K.; Wong, Josephine Y.; Chieng, Ching King; Bartels, Stephen J.; Duan, Naihua; Shrout, Patrick E.

doi:10.1016/j.jagp.2019.08.008

Cited by 24 publications

(71 citation statements)

References 58 publications

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“…Participants for the PMSB trial were recruited from clinical sites and community-based organizations in Massachusetts, New York, Florida and Puerto Rico between May 2015 and May 2018 ( 27 ). Research assistants approached potential participants in-person to administer a short screener after assessing their capacity to consent.…”

Section: Methodsmentioning

confidence: 99%

“…From 1,057 individuals whom were fully screened, 307 were eligible and agreed to participate—and then randomized to the intervention or control groups and scheduled for a baseline interview ( 27 ). Additional interviews were administered two, six and 12 months after baseline using participants' preferred language (66 English, 138 Spanish, 48 Mandarin, and 55 Cantonese).…”

Section: Methodsmentioning

confidence: 99%

“…In the present study, we apply invariance tests to psychological measures in a sample of US minority older adults (60+ years old) using two common measures of anxiety and depression symptoms—the Generalized Anxiety Disorder 7-Item Scale [GAD-7 ( 21 )] and the Hopkins Symptoms Checklist-25 [HSCL-25 ( 22 , 23 )]—and two measures of level of functioning—the Function Component of the Late Life Functioning and Disability Instrument [Late-Life FDI ( 24 )] and the 12-item version of the World Health Organization Disability Assessment Schedule 2.0 [WHODAS 2.0 ( 25 , 26 )]. We examine the psychometric structure of the items that make up these measures when they were administered in four languages, using data from the Positive Minds-Strong Bodies (PMSB) randomized controlled trial ( 27 ). The PMSB trial was an evidence-based mental health and disability prevention intervention, which was delivered to a racially/ethnically diverse sample of 307 minority older adults in English ( N = 66; 21.5%), Spanish ( N = 138; 45.0%), Mandarin ( N = 48; 15.6%), and Cantonese ( N = 55; 17.9%).…”

Section: Introductionmentioning

confidence: 99%

“…Because the assessment instruments used to evaluate the effectiveness of PMSB were also applied in four languages based on participants' preference ( 27 ), invariance testing was performed comparing language groups. Almost all White and Black participants responded to the assessments in English (93.5 and 95.8%, respectively), almost all Latino participants responded in Spanish (95.6%) and almost all Asian participants responded in Mandarin or Cantonese (99.0%; see Table 1 ).…”

Section: Introductionmentioning

confidence: 99%

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Measurement Invariance of Screening Measures of Anxiety, Depression, and Level of Functioning in a US Sample of Minority Older Adults Assessed in Four Languages

et al. 2021

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Population aging in the US and its increase in racial/ethnic diversity has resulted in a growing body of literature aimed at measuring health disparities among minority older adults. Disparities in health outcomes are often evaluated using self-reported measures and, to attend to linguistic diversity, these measures are increasingly being used in languages for which they were not originally developed and validated. However, observed differences in self-reported measures cannot be used to infer disparities in theoretical attributes, such as late-life depression, unless there is evidence that individuals from different groups responded similarly to the measures—a property known as measurement invariance. Using data from the Positive Minds-Strong Bodies randomized controlled trial, which delivered evidence-based mental health and disability prevention services to a racially/ethnically diverse sample of minority older adults, we applied invariance tests to two common measures of anxiety and depression (the GAD-7 and the HSCL-25) and two measures of level of functioning (the Late-Life FDI and the WHODAS 2.0) comparing four different languages: English, Spanish, Mandarin, and Cantonese. We found that these measures were conceptualized similarly across languages. However, at the item-level symptom burden, we identified a non-negligible number of symptoms with some degree of differential item functioning. Spanish speakers reported more worry symptoms and less somatic symptoms for reasons unrelated to their psychological distress. Mandarin speakers reported more feelings of restlessness, and both Mandarin and Cantonese speakers reported no interest in things more often for reasons unrelated to their psychological distress. Mandarin and Cantonese speakers were also found to consistently report more difficulties performing physical activities for reasons unrelated to their level of functioning. In general, invariance tests have been insufficiently applied within psychological research, but they are particularly relevant as a prerequisite to accurately measure health disparities. Our results highlight the importance of conducting invariance testing, as we singled out several items that may require careful examination before considering their use to compare symptoms of psychological distress and level of functioning among ethnically and linguistically diverse older adult populations.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Measurement Invariance of Screening Measures of Anxiety, Depression, and Level of Functioning in a US Sample of Minority Older Adults Assessed in Four Languages

et al. 2021

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“…Further, improving functional outcomes requires transforming the behavioral health system to meet patients "where they are" in terms of physical location and their current acceptance of their illness. Promotion of community-based organization outreach, 33 telehealth services, 34 and home visiting programs 35 to augment behavioral health care presents an opportunity to expand patient enrollment in care and diagnose disease sooner.…”

Section: High-priority Challengesmentioning

confidence: 99%

Vital Directions For Health And Health Care: Priorities For 2021

et al. 2021

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In 2016, in anticipation of the US presidential election and forthcoming new administration, the National Academy of Medicine launched a strategic initiative to marshal expert guidance on pressing health and health care priorities. Published as Vital Directions for Health and Health Care, the products of the initiative provide trusted, nonpartisan, evidence-based analysis of critical issues in health, health care, and biomedical science. The current collection of articles published in Health Affairs builds on the initial Vital Directions series by addressing a set of issues that have a particularly compelling need for attention from the next administration: health costs and financing, early childhood and maternal health, mental health and addiction, better health and health care for older adults, and infectious disease threats. The articles also reflect the current experience with both the coronavirus disease 2019 (COVID-19) pandemic and the health inequities that have been drawn out sharply by COVID-19, as well as the implications going forward for action.

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Needs and Attitudes Related to the Adoption of Evidence-Based Practices Among Latinx Mental Health Professionals

Giraldo-Santiago

Gearing

Carr

et al. 2023

Adm Policy Ment Health

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Effectiveness of a Disability Preventive Intervention for Minority and Immigrant Elders: The Positive Minds-Strong Bodies Randomized Clinical Trial

Cited by 24 publications

References 58 publications

Measurement Invariance of Screening Measures of Anxiety, Depression, and Level of Functioning in a US Sample of Minority Older Adults Assessed in Four Languages

Measurement Invariance of Screening Measures of Anxiety, Depression, and Level of Functioning in a US Sample of Minority Older Adults Assessed in Four Languages

Vital Directions For Health And Health Care: Priorities For 2021

Needs and Attitudes Related to the Adoption of Evidence-Based Practices Among Latinx Mental Health Professionals

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