Effectiveness of a fotonovela for reducing depression and stress in Latino dementia family caregivers

Dolores Gallagher-Thompson, Marian Tzuang, W Ladson Hinton, Paula Alvarez, Johanna Rengifo, Irene Valverde, Nancy Chen, Tara Emrani, Larry W. Thompson

Research output: Contribution to journalArticlepeer-review

34 Scopus citations


The clinical need to address stress and depression in Latino dementia caregivers (CGs) combined with low health literacy and less accurate knowledge of dementia motivated the development of a pictorial tool [called a fotonovela (FN)] to teach (a) coping skills for caregiver (CG) stress; (b) self-assessment of depression; and (c) encourage improved utilization of available resources. To test the effectiveness of the FN, 110 of 147 Latino CGs, who were randomly assigned to the Fotonovela Condition (FNC) or the Usual Information Condition (UIC), were included in the final analyses. Self-report measures were given at baseline and post intervention. Results showed that FNC CGs demonstrated significantly greater reductions in level of depressive symptoms than UIC CGs. A significant decrease in level of stress due to memory and behavioral problems exhibited by their loved ones was similar in both groups. The FNC CGs reported that the FN was more helpful and that they referred to it more often than the UIC CGs did with regard to the informational materials they were provided about dementia. In conclusion, a culturally tailored FN can be an effective tool for Latino CGs given their high unmet needs for assistance and various barriers in accessing resources.

Original languageEnglish (US)
Pages (from-to)146-153
Number of pages8
JournalAlzheimer Disease and Associated Disorders
Issue number2
StatePublished - Jun 9 2015


  • Alzheimer disease
  • caregiver depression
  • dementia caregiving
  • fotonovela
  • stress

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Psychiatry and Mental health
  • Gerontology
  • Clinical Psychology


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