Evidence map›Paper›PMID 41689619›Full record

Observational studyJournal of immigrant and minority health2026

A Hispanic/Latino Community Health Worker Intervention Addressing Acculturative Stress and Resilience: Feasibility, Acceptability, and Preliminary Effectiveness.

Irene C Felsman, Maralis Mercado Emerson, Brian E McCabe, Gabriela Nagy, Rosa M Gonzalez-Guarda

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of immigrant and minority health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03527654 (SER Study), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03527654 completednot on this map

SER Study: Salud, Estrés, y Resilencia (Health, Stress, and Resilience) Among Young Adult Hispanic Immigrants in the U.S.

TypeobservationalSponsorDuke UniversityRan2018 to 2022Enrolled390ConditionsStress, Acculturation, HealthArmsObservational
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Irene C FelsmanDuke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA. irene.felsman@duke.edu.ORCID http://orcid.org/0000-0002-5855-1724
Maralis Mercado EmersonDuke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA.
Brian E McCabeDept of Special Education, Rehabilitation, and Counseling (SERC), Auburn University, Auburn, AL, 36849, USA.
Gabriela NagyDepartment of Psychology, University of Wisconsin-Milwaukee, 2441 E Hartford Ave, Milwaukee, WI, 53211, USA.
Rosa M Gonzalez-GuardaDuke University School of Nursing, 307 Trent Drive, Durham, NC, 27710, USA.

Funding

SER Hispano: Salud/Health, Estres/Stress, and Resiliencia/Resilience Among Young Adult Hispanics Immigrants in the U.S.R01MD012249 · NIMHD · DUKE UNIVERSITY · PI GONZALEZ-GUARDA, ROSA MARIA · 2017 to 2021
$3.8M
NIMHD NIH HHS R01MD012249
6 · The paper itself

Abstract

Among Hispanic/Latino immigrants, substance abuse, intimate partner violence, HIV, and mental health form a syndemic that exacerbates health inequities. Promotoras (community health workers) play a critical role in reaching these vulnerable populations by providing culturally relevant healthcare connections. This study examines the feasibility, acceptability, and effects of an intervention by promotoras addressing acculturative stress and resilience among Hispanic/Latino immigrants to the US. The intervention consisted of four virtual sessions- two one-on-one and two group sessions- delivered by Latino/a community health workers, known as promotoras, using motivational interviewing and group coaching strategies to enhance resilience and reduce health risk behaviors. Feasibility and acceptability were assessed through study logs and post-intervention participant feedback, while a pre-post assessment measured intervention effects. A single-group, longitudinal pilot intervention design was employed. Participants included 30 young adult (18-44 years) immigrants from Latin America or the Caribbean residing in the US for ≥ 1 year. Measured variables included acculturative stress, depressive symptoms, emotional and instrumental support, pandemic stress, COVID-19 knowledge, and COVID-19 risk behaviors. Multiple analytic methods (paired sample t-test, Wilcoxon signed-rank test, McNemar's test) were applied to assess the feasibility, acceptability, and effects of the intervention. Findings indicate high intervention satisfaction, with participants recommending increased social engagement for enhanced impact. Acculturative stress (p = .041), depressive symptoms (p = .005), and risk behaviors (p = .021) showed significant reductions, while COVID-19 knowledge and pandemic stress remained unchanged. This study supports the feasibility and scalability of the intervention in addressing syndemic behavioral and mental health conditions, with broader implications for reducing health inequities among Hispanic/Latino immigrants. Clinical Trial Registration: NCT03527654.

Indexed as

AcculturationCaribbean PeopleCommunity Health WorkersEmigrants and ImmigrantsHispanic or LatinoResilience, PsychologicalStress, PsychologicalAdolescentAdultCOVID-19DepressionFeasibility StudiesFemaleHumansMalePilot ProjectsCommunity health workersDisease preventionLatinxResilienceStressSyndemic

Identifiers

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.