Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention.
Mitigating the health effects of systemic racism: Evaluation of the Race-Based Stress and Trauma Empowerment intervention.
复制标题
减轻系统性种族主义对健康的影响：基于种族的压力和创伤赋权干预的评估。
DOI：
10.1016/j.cct.2023.107118
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发表时间：
2023
影响因子：
2.2
通讯作者：
Lang,ArielJ
中科院分区：
文献类型：
--
作者：
Wang,Clarice;Malaktaris,Anne;McLean,CaitlinL;Kelsven,Skylar;Chu,GageM;Ross,KeishaS;EndsleyJr,Maurice;Minassian,Arpi;Liu,Lin;Hong,Suzi;Lang,ArielJ
背景黑人、土著和有色人种(BIPOC)在身心健康方面的差异是有充分记录的，并反映在退伍军人群体中。种族主义和歧视造成的长期压力是导致这些负面健康后果的一个可能机制。基于种族的压力和创伤赋权(RBSTE)小组是一种新颖的、人性化的健康促进干预措施，旨在解决种族主义对有色人种退伍军人的直接和间接影响。本文介绍了RBSTE首个先导随机对照试验(RCT)的方案。这项研究将检验在退伍军人事务部(VA)的医疗保健环境中，RBSTE与主动对照(一种以当下为中心的疗法的改编；PCT)的可行性、可接受性和适当性。第二个目标是确定和优化整体评估的策略。方法支持感知歧视和压力的有色人种退伍军人(N=448)将被随机分为RBSTE或PCT；这两组将在每周8次、90分钟的虚拟小组会议中进行。结果将包括心理痛苦、歧视和民族认同感、整体健康和平衡负荷的测量。这些措施将在基线和干预后实施。结论这项研究将为未来针对基于身份的压力源的干预提供信息，并代表着在促进BIPOC在医学和研究方面的公平性方面迈出的重要一步。临床试验注册编号：NCT05422638
BackgroundDisparities in physical and mental health among Black, Indigenous, and People of Color (BIPOC) are well-documented and mirrored in the Veteran population. Chronic stress due to racism and discrimination is one possible mechanism driving these negative health outcomes. The Race-Based Stress and Trauma Empowerment (RBSTE) group is a novel, manualized, health promotion intervention designed to address the direct and indirect impacts of racism among Veterans of Color. This paper describes the protocol of the first pilot randomized controlled trial (RCT) of RBSTE. This study will examine the feasibility, acceptability, and appropriateness of RBSTE compared to an active control (an adaptation of Present-Centered Therapy; PCT) in a Veterans Affairs (VA) healthcare setting. A secondary aim is to identify and optimize strategies for holistic evaluation.MethodsVeterans of Color (N= 48) endorsing perceived discrimination and stress will be randomized to RBSTE or PCT; both groups will be delivered in 8 weekly, 90-min virtual group sessions. Outcomes will include measures of psychological distress, discrimination and ethnoracial identity, holistic wellness, and allostatic load. Measures will be administered at baseline and post-intervention.ConclusionThis study will inform future interventions targeting identity-based stressors and represents an important step in advancing equity for BIPOC in medicine and research.Clinical trialregistration number:NCT05422638