TY - JOUR
KW - Affective Symptoms/therapy
KW - Aged
KW - Aged, 80 and over
KW - Caregivers
KW - Depression/ethnology/therapy
KW - Female
KW - Hispanic Americans/psychology
KW - Humans
KW - Male
KW - Mental Health/ethnology
KW - Middle Aged
KW - Primary Health Care
KW - Qualitative Research
AU - A. Izquierdo
AU - C. Sarkisian
AU - G. Ryan
AU - K. B. Wells
AU - J. Miranda
A1 - 
AB - OBJECTIVE: To describe salient experiences with a primary care visit (eg, the context leading up to the visit, the experience and/or outcomes of that visit) for emotional, personal and/or mental health problems older Latinos with a history of depression and recent depressive symptoms and/or antidepressant medication use reported 10 years after enrollment into a randomized controlled trial of quality-improvement for depression in primary care. DESIGN: Secondary analysis of existing qualitative data from the second stage of the continuation study of Partners in Care (PIC). PARTICIPANTS: Latino ethnicity, aged > or =50 years, recent depressive symptoms and/or antidepressant medication use, and a recent primary care visit for mental health problems. Of 280 second-stage participants, 47 were eligible. Both stages of the continuation study included participants from the PIC parent study control and 2 intervention groups, and all had a history of depression. METHODS: Data analyzed by a multidisciplinary team using grounded theory methodology. RESULTS: Five themes were identified: beliefs about the nature of depression; prior experiences with mental health disorders/treatments; sociocultural context (eg, social relationships, caregiving, the media); clinic-related features (eg, accessibility of providers, staff continuity, amount of visit time); and provider attributes (eg, interpersonal skills, holistic care approach). CONCLUSIONS: Findings emphasize the importance of key features for shaping the context leading up to primary care visits for help-seeking for mental health problems, and the experience and/or outcomes of those visits, among older depressed Latinos at long-term follow-up, and may help tailor chronic depression care for the clinical management of this vulnerable population.
BT - Ethnicity & disease
C5 - Healthcare Disparities
CP - 1
CY - United States
IS - 1
JF - Ethnicity & disease
N2 - OBJECTIVE: To describe salient experiences with a primary care visit (eg, the context leading up to the visit, the experience and/or outcomes of that visit) for emotional, personal and/or mental health problems older Latinos with a history of depression and recent depressive symptoms and/or antidepressant medication use reported 10 years after enrollment into a randomized controlled trial of quality-improvement for depression in primary care. DESIGN: Secondary analysis of existing qualitative data from the second stage of the continuation study of Partners in Care (PIC). PARTICIPANTS: Latino ethnicity, aged > or =50 years, recent depressive symptoms and/or antidepressant medication use, and a recent primary care visit for mental health problems. Of 280 second-stage participants, 47 were eligible. Both stages of the continuation study included participants from the PIC parent study control and 2 intervention groups, and all had a history of depression. METHODS: Data analyzed by a multidisciplinary team using grounded theory methodology. RESULTS: Five themes were identified: beliefs about the nature of depression; prior experiences with mental health disorders/treatments; sociocultural context (eg, social relationships, caregiving, the media); clinic-related features (eg, accessibility of providers, staff continuity, amount of visit time); and provider attributes (eg, interpersonal skills, holistic care approach). CONCLUSIONS: Findings emphasize the importance of key features for shaping the context leading up to primary care visits for help-seeking for mental health problems, and the experience and/or outcomes of those visits, among older depressed Latinos at long-term follow-up, and may help tailor chronic depression care for the clinical management of this vulnerable population.
PP - United States
PY - 2014
SN - 1049-510X; 1049-510X
SP - 84
EP - 91
EP - 
T1 - Older depressed Latinos' experiences with primary care visits for personal, emotional and/or mental health problems: a qualitative analysis
T2 - Ethnicity & disease
TI - Older depressed Latinos' experiences with primary care visits for personal, emotional and/or mental health problems: a qualitative analysis
U1 - Healthcare Disparities
U2 - 24620453
VL - 24
VO - 1049-510X; 1049-510X
Y1 - 2014
ER -