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<p>The current study examined the intervention effects of a culturally tailored positive psychological intervention on the well-being profiles of Hispanics/Latinos with uncontrolled hypertension. Participants were randomly assigned to one of two groups (N = 96), either the <i>¡Alégrate!</i> ("Get Happy!") positive psychological intervention arm (N = 51) or a wait-list control group (N = 45). The intervention consisted of eight weekly in-person sessions, facilitated by a licensed psychologist or social worker, aimed at improving positive affect and overall psychological well-being. Outcome measures of well-being included dispositional optimism, positive affect, life meaning and purpose, emotional vitality, and engagement in happiness-inducing behaviors. The analysis utilized independent two-sample <i>t</i> tests and intention-to-treat multivariable linear regression methods. There were no significant baseline differences in psychological well-being scores between the intervention and wait-list control groups. Half of the participants were female, with a mean age of 57.9&#xa0;years, and 90.6% reported Mexican heritage. In regression analyses examining between-group differences, the <i>¡Alégrate!</i> positive psychological intervention led to significant improvements in optimism (β = 1.23, <i>p</i> = 0.011) and engagement in happiness-inducing behavior (β = 14.98, <i>p</i> = 0.005) from baseline to post-intervention, while no such changes were seen in the wait-list control arm. Findings suggest that the strengths-based <i>¡Alégrate!</i> positive psychological intervention effectively enhanced well-being measures in Hispanics/Latinos with uncontrolled hypertension, providing a promising approach to address mental health disparities in this underserved group. Future research should examine long-term impacts of the intervention in a larger and more heterogeneous sample of Hispanics/Latinos, considering factors such as acculturation, country of origin, and other culturally relevant variables.</p>

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Impacts of a Church-Based Positive Psychological Intervention in Spanish-Speaking Hispanics/Latinos with Uncontrolled Hypertension: Results from the ¡Alegrate! Randomized Clinical Trial

  • 期刊论文

  • 发表日期：

    2025年2月16日

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  • Rosalba Hernandez,
  • Jinsong Chen,
  • Soonhyung Kwon,
  • Lizet Martinez,
  • Angela Martinez,
  • Geovana Martin Alemany,
  • Dana Romero,
  • Elizabeth L. Addington,
  • Jeff C. Huffman,
  • Judith T. Moskowitz

摘要

The current study examined the intervention effects of a culturally tailored positive psychological intervention on the well-being profiles of Hispanics/Latinos with uncontrolled hypertension. Participants were randomly assigned to one of two groups (N = 96), either the ¡Alégrate! ("Get Happy!") positive psychological intervention arm (N = 51) or a wait-list control group (N = 45). The intervention consisted of eight weekly in-person sessions, facilitated by a licensed psychologist or social worker, aimed at improving positive affect and overall psychological well-being. Outcome measures of well-being included dispositional optimism, positive affect, life meaning and purpose, emotional vitality, and engagement in happiness-inducing behaviors. The analysis utilized independent two-sample t tests and intention-to-treat multivariable linear regression methods. There were no significant baseline differences in psychological well-being scores between the intervention and wait-list control groups. Half of the participants were female, with a mean age of 57.9 years, and 90.6% reported Mexican heritage. In regression analyses examining between-group differences, the ¡Alégrate! positive psychological intervention led to significant improvements in optimism (β = 1.23, p = 0.011) and engagement in happiness-inducing behavior (β = 14.98, p = 0.005) from baseline to post-intervention, while no such changes were seen in the wait-list control arm. Findings suggest that the strengths-based ¡Alégrate! positive psychological intervention effectively enhanced well-being measures in Hispanics/Latinos with uncontrolled hypertension, providing a promising approach to address mental health disparities in this underserved group. Future research should examine long-term impacts of the intervention in a larger and more heterogeneous sample of Hispanics/Latinos, considering factors such as acculturation, country of origin, and other culturally relevant variables.