Promoting engagement, assessing barriers, and evaluating self-efficacy in yoga research among women from underrepresented racial and ethnic backgrounds

促进来自代表性不足的种族和民族背景的女性在瑜伽研究中的参与、评估障碍并评估自我效能

• 批准号: 10331675
• 负责人: Alison Huang
• 金额: $ 21.51万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-20 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10331675
• 关键词: Address; Adherence; Administrative Supplement; Affect; Africa; African American; American; Area; Asian Americans; Attitude; California; Characteristics; Chronic; Clinical; Clinical Research; Clinical Trials; Communities; Community Health; Data; Educational process of instructing; Enrollment; Equipment; Ethnic Origin; Ethnic group; Face; Familiarity; Funding; Future; Health; Health Care Costs; Hispanics; Home; Individual; Instruction; Intervention; Interview; Latina; Learning; Measures; Mediator of activation protein; Mind-Body Intervention; Minority; Minority Groups; Modality; Parents; Participant; Patient Self-Report; Perception; Persons; Physical Function; Questionnaires; Race; Randomized Controlled Trials; Reporting; Research; Resources; Sampling; Self Efficacy; Specialist; Stereotyping; Structure; Students; Supervision; Techniques; Technology; Therapeutic; Time; Underrepresented Minority; United States National Institutes of Health; Urinary Incontinence; Woman; Yoga; base; behavioral health intervention; body-mind; density; design; digital; ethnic diversity; ethnic minority population; expectation; experience; insight; instructor; interest; mental practice; middle age; multi-racial; multi-site trial; older women; outreach; patient engagement; prevent; programs; racial and ethnic; racial minority; racism; randomized trial; recruit; sociodemographics; success

PROJECT SUMMARY Yoga is a complementary mind-body practice used to prevent and manage a growing array of health conditions that affect women. However, yoga continues to be underutilized by women from racial and ethnic minority groups despite their need for effective and safe complementary behavioral health interventions. Minority women are also dramatically underrepresented in clinical research involving yoga, thus limiting insight into strategies for overcoming challenges to yoga instruction for women from these backgrounds. This administrative supplement is designed to promote engagement, assess barriers, and evaluate self-efficacy among under-represented racial and ethnic minority women participating in a randomized controlled trial of a group-based yoga intervention for women with urinary incontinence that has involved both in-person and videoconference-based waves of yoga instruction. We will use supplemental funds to enhance recruitment of underrepresented minority women through targeted outreach to communities in the northern California area with a higher density of Latina and African-American residents. For upcoming study waves involving videoconference-based yoga instruction, we will loan equipment, provide coaching, and enhance videoconference support to minority women with limited prior experience with digital technology. We will also conduct new analyses to explore whether participant expectations, engagement, and self-efficacy in practicing yoga differ by race/ethnicity, educational attainment, physical function status, and prior experience with digital technology, using structured measures incorporated into the parent clinical trial. We will also conduct in-depth qualitative interviews with a subset of trial participants sampled across multiple racial/ethnic backgrounds to explore barriers and facilitators of their experience of learning and practicing yoga. Finally, we will triangulate findings from qualitative and quantitative data to explore potential mediators of differences in engagement, adherence, and self-efficacy in yoga practice among women from diverse backgrounds. This research will provide new insight into factors influencing engagement of underrepresented racial/ethnic minority women in research on yoga and help guide future strategies to develop, refine, and implement complementary mind- body interventions for women of diverse backgrounds.

项目摘要 瑜伽是一种身心互补的练习，用于预防和管理越来越多的健康状况 影响到女性然而，瑜伽仍然没有得到少数种族和民族妇女的充分利用。 尽管他们需要有效和安全的补充行为健康干预措施。少数 女性在涉及瑜伽的临床研究中的代表性也明显不足，因此限制了对瑜伽的深入了解。 为来自这些背景的妇女克服瑜伽教学挑战的战略。这 行政补充旨在促进参与，评估障碍，并评估自我效能 在参加一项随机对照试验的代表性不足的种族和少数民族妇女中， 针对尿失禁女性的小组瑜伽干预， 视频会议的瑜伽教学波。我们将利用补充资金， 通过对北方加州地区社区的有针对性的外展，帮助代表性不足的少数民族妇女 拉丁裔和非裔美国人的密度更高。对于即将到来的研究浪潮， 视频会议为基础的瑜伽教学，我们将贷款设备，提供辅导，并提高 向以前对数字技术经验有限的少数群体妇女提供视频会议支助。我们还将 进行新的分析，以探讨参与者的期望，参与和自我效能感在实践中 瑜伽因种族/民族、教育程度、身体功能状态和先前的数字体验而异。 技术，使用纳入母临床试验的结构化措施。我们还将深入开展 对从多个种族/民族背景中抽样的试验参与者子集进行定性访谈， 探讨他们学习和练习瑜伽的障碍和促进因素。最后，我们将三角测量 定性和定量数据的结果，以探索参与差异的潜在中介， 坚持，和自我效能在瑜伽练习中来自不同背景的妇女。这项研究将 对影响代表性不足的种族/族裔少数妇女参与的因素提供新的见解， 研究瑜伽，并帮助指导未来的战略，以发展，完善和实施互补的头脑- 对不同背景的妇女进行身体干预。