Clinical trial outcomes of the Mexican American Problem Solving program (MAPS)

Julia Muennich Cowell, Diane McNaughton, Sarah Ailey, Deborah Gross, Louis Fogg

Research output: Contribution to journalArticlepeer-review

17 Scopus citations


Depression among Mexican immigrant women and children exceeds national prevalence rates. Given the influence of maternal depression on children, a clinical trial testing the effects of the Mexican American Problem Solving (MAPS) program was designed to address depression symptoms of Mexican immigrant women and their 4th- and 5th-grade children (302 dyads) through a linked home visiting and after-school program compared to peers in a control group. Schools were randomized to intervention and control groups. There were statistically significant improvements in the children's health conceptions and family problem-solving communication, factors predictive of mental health. Improvements in children's depression symptoms in the intervention group approached statistical significance. These promising results suggest that refined school-based nursing interventions be included in community strategies to address the serious mental health problems that Mexican immigrants face.

Original languageEnglish (US)
Pages (from-to)178-189
Number of pages12
JournalHispanic Health Care International
Issue number4
StatePublished - 2009


  • Clinical trial
  • Intervention
  • Mexican American
  • Mother-child depression
  • Problem solving

ASJC Scopus subject areas

  • General Nursing


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