@Article{info:doi/10.2196/52969,
author="Alvarez, Carmen
and Aryal, Subhash
and Vrany, Elizabeth
and Sanchez R, Maria Jose
and Quiles, Rosalphie
and Escobar-Acosta, Lia
and Hill-Briggs, Felicia",
title="Remote Delivery of the Cuid{\'a}ndome Telehealth Intervention for Self-Management of Depression and Anxiety Among Latina Immigrant Women: Randomized Controlled Trial",
journal="JMIR Form Res",
year="2024",
month="Jan",
day="8",
volume="8",
pages="e52969",
keywords="Latina immigrant; mental health; depression; anxiety; problem-solving; intervention study; trauma-informed; depressive; Latinx; Latin; Latino; Latina; Hispanic; Spanish; immigrant; immigrants; survivor; child; children; childhood; trauma; traumatic; adverse; telehealth; telemedicine; eHealth; digital health; feasibility; acceptability; randomized; controlled trial; controlled trials; mobile phone",
abstract="Background: Growing evidence suggests that Latina immigrant survivors of adverse childhood experiences (ACEs) are at increased risk for developing and remaining with either depression or anxiety or both symptoms. This study examined the feasibility and acceptability of a telehealth intervention---Cuid{\'a}ndome (quee-DAN-doh-meh, ``taking care of myself''). Cuid{\'a}ndome is a 10-week, patient-centered, trauma-informed intervention delivered by a trained facilitator that promotes self-management of depression and anxiety symptoms through improved problem-solving skills and strategies. Objective: The aim of this study was to examine the feasibility and acceptability of Cuid{\'a}ndome delivered remotely (via Zoom) with Latina immigrant ACE survivors with either depression or anxiety or both symptoms. We also estimated the effect sizes associated with the intervention on decreasing depression and anxiety symptoms and improving social problem--solving styles. Methods: We evaluated Cuid{\'a}ndome using a randomized controlled trial design. Latina immigrants (N=47) who had experienced at least 1 ACE and had at least mild depression or anxiety symptoms were randomized to Cuid{\'a}ndome or a comparison group delivered by trained facilitators. We assessed for changes in depression and anxiety symptoms as well as social problem--solving styles at baseline, post intervention, and 3- and 6-month follow-up. Results: Analyses indicated significant decreases over time within both Cuid{\'a}ndome and comparison groups for depression and anxiety symptoms and maladaptive problem-solving. The intervention effect was largest for anxiety; at 6-month follow-up, Cuid{\'a}ndome participants had significantly lower anxiety scores than the comparison group. In addition, we observed a greater average point reduction in depression symptoms at 6 months among Cuid{\'a}ndome participants (5.7 points) than in the comparison group (3.7 points). Conclusions: A mental health program delivered via Zoom by a trained facilitator was feasible and acceptable to Latina immigrant women and can be beneficial for reducing anxiety and depression symptoms. More research is needed to assess the effectiveness of Cuid{\'a}ndome among a powered sample size of Latina immigrants. Trial Registration: ISRCTN Registry ISRCTN16668518; https://www.isrctn.com/ISRCTN16668518 ",
issn="2561-326X",
doi="10.2196/52969",
url="https://formative.jmir.org/2024/1/e52969",
url="https://doi.org/10.2196/52969",
url="http://www.ncbi.nlm.nih.gov/pubmed/38190239"
}