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

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Title: Impacts of a Church-Based Positive Psychological Intervention in Spanish-Speaking Hispanics/Latinos with Uncontrolled Hypertension: Results from the ¡Alegrate! Randomized Clinical Trial.
Authors: Hernandez, Rosalba (AUTHOR), Chen, Jinsong (AUTHOR), Kwon, Soonhyung (AUTHOR), Martinez, Lizet (AUTHOR), Martinez, Angela (AUTHOR), Alemany, Geovana Martin (AUTHOR), Romero, Dana (AUTHOR), Addington, Elizabeth L. (AUTHOR), Huffman, Jeff C. (AUTHOR), Moskowitz, Judith T. (AUTHOR)
Source: Journal of Happiness Studies. Mar2025, Vol. 26 Issue 3, p1-21. 21p.
Subjects: Psychotherapy, Social workers, Psychological well-being, Cognitive psychology, Medical sciences
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Happiness Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Impacts of a Church-Based Positive Psychological Intervention in Spanish-Speaking Hispanics/Latinos with Uncontrolled Hypertension: Results from the ¡Alegrate! Randomized Clinical Trial.
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  Data: <searchLink fieldCode="AR" term="%22Hernandez%2C+Rosalba%22">Hernandez, Rosalba</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chen%2C+Jinsong%22">Chen, Jinsong</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kwon%2C+Soonhyung%22">Kwon, Soonhyung</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martinez%2C+Lizet%22">Martinez, Lizet</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martinez%2C+Angela%22">Martinez, Angela</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Alemany%2C+Geovana+Martin%22">Alemany, Geovana Martin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Romero%2C+Dana%22">Romero, Dana</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Addington%2C+Elizabeth+L%2E%22">Addington, Elizabeth L.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Huffman%2C+Jeff+C%2E%22">Huffman, Jeff C.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Moskowitz%2C+Judith+T%2E%22">Moskowitz, Judith T.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Happiness+Studies%22">Journal of Happiness Studies</searchLink>. Mar2025, Vol. 26 Issue 3, p1-21. 21p.
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  Data: 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. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Happiness Studies is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – TitleFull: Impacts of a Church-Based Positive Psychological Intervention in Spanish-Speaking Hispanics/Latinos with Uncontrolled Hypertension: Results from the ¡Alegrate! Randomized Clinical Trial.
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