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. Author manuscript; available in PMC: 2018 Nov 21.
Published in final edited form as: Am J Geriatr Psychiatry. 2017 Jun 29;26(2):250–256. doi: 10.1016/j.jagp.2017.06.020

TABLE 1.

HOLA Intervention Description

Component Description Rationale Cultural Relevance
Social and physical activation sessions Participant meets individually with a CHW; sessions last 30 minutes; sessions occur before starting group walk and again at week 8 (midpoint) To (1) educate potential participants about the goals of the intervention, (2) motivate participants to engage in physical activity, (3) increase participants’ social activities, (4) identify potential obstacles that may interfere with meeting the demands of the intervention, and (5) brainstorm ways to overcome these obstacles Builds personal relationship between the participants and the CHW to motivate, model, and maintain health behavior change
Group walk Moderately intense, group walk (5 participants), led by a CHW; 45 minutes in length (10 minutes of stretching and warmup,walk for 30 minutes, 5 minutes of cool down), three times a week, for 16 weeks; developed by an exercise physiologist (JFS) Increased physical activity effectively reduces symptoms of depression and anxiety as well as physical functioning risk factors in older adults Nonstigmatizing and culturally acceptable alternative to traditional mental health services
Pleasant events scheduling Participants identified a pleasant event to be done with another person before the next meeting; occurred during the cool-down phase of each walking session Increasing pleasant events has been shown to be an effective intervention for geriatric depression and increasing protective factors in preventing late-life depression and anxiety Provided a means to generalize the intervention into participants’ everyday lives, which is a vital lifestyle adaptation that will sustain the benefits of this intervention