title: Overcoming barriers to conducting an intervention study of depression in an older African American population.
abstract: The purpose of this article is to describe barriers and strengths of a study testing the effects of reminiscence on depressive symptoms in community-dwelling older African Americans. Primary data sources included debriefing sessions, reflective journals, participant observations, and key informant interviews. Data were analyzed using immersion/crystallization technique. Mistrust between gatekeepers and universities, recruitment and retention of research assistants and participants, culturally insensitive instruments, and stigma associated with depression were barriers. Successful approaches used to overcome the barriers experienced by the research team are described. Implications for transcultural nursing research and practice are discussed.
authors.affiliation: Department of Nursing, University of Massachusetts Lowell, Lowell, MA 01854, USA. juliette_shellman@uml.edu
authors.forename: Juliette
authors.initials: J
authors.lastname: Shellman
authors.forename: Melissa
authors.initials: M
authors.lastname: Mokel
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D003866:Depressive Disorder / Q000208:ethnology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009511:New England; D015399:Nursing Research; D018579:Patient Selection; D010865:Pilot Projects; D017064:Process Assessment, Health Care; D011613:Psychotherapy / Q000379:methods; D016746:Transcultural Nursing; D035502:Trust