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Integrative Yoga and Mindful Self-Compassion to Reduce Distress in Women Survivors of Interpersonal Violence

综合瑜伽和正念自我同情减少人际暴力女性幸存者的痛苦

基本信息

批准号：
10429628
负责人：
Tosca Braun
金额：
$ 17.69万
依托单位：
BUTLER HOSPITAL (PROVIDENCE, RI)
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-06-01 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10429628
关键词：
Acute Address Affect African American Black race Breathing Chronic stress Clinical Clinical Research Clinical Trials Communities Compassion Complement Complementary Medicine Cultural Sensitivity Data Development Disease Distress Ensure Ethnic Origin Focus Groups Fostering Fright Funding Future Grant Health Health Promotion Health education Hispanic Interpersonal Violence Intervention Interview K-Series Research Career Programs Knowledge Latina Latino Learning Manuals Meditation Mental Health Mental disorders Mentors Methods Mind-Body Method Minority Groups National Center for Complementary and Integrative Health Not Hispanic or Latino Outcome Participant Phase Physiological Population Posture Program Evaluation Public Health Race Randomized Regulation Relaxation Reporting Research Research Personnel Resources Risk Risk Behaviors Safety Scientist Series Shame Stigmatization Subgroup Survivors Target Populations Teacher Professional Development Therapeutic Effect Training Training Programs Trauma Trust United States National Institutes of Health Variant Violence Vulnerable Populations Weight Woman Work Yoga acceptability and feasibility base behavior test behavioral health body-mind community engaged research community setting comparison intervention design efficacy trial experience hands-on learning health equity health equity promotion health inequalities improved innovation instructor internalized stigma intersectionality intervention effect marginalized population mindfulness mindfulness intervention novel physical conditioning pilot trial prevent primary outcome programs racial and ethnic racial diversity resilience response restoration revictimization secondary outcome skills social stigma stress disorder teacher

项目摘要

PROJECT ABSTRACT The overall objective of this Mentored Research Scientist Career Development Award is to support Dr. Tosca Braun’s transition to an independent investigator with a focus on using community-engaged approaches to develop and disseminate community-engaged mindfulness-based interventions to advance health in vulnerable and minority populations. Interpersonal violence is commonly experienced among Black/African American (AA; 44%), Hispanic/Latino/a/x (34%), and non-Hispanic/Latino/a/x White women (37%) in the US, as well as stigmatization related to IV and other attributes (e.g., race/ethnicity, weight). Violence and stigma both drive “downstream” poor behavioral and physical health. Stigma sequelae – distress in response to stigma, anticipated (fear of) stigma, internalized stigma – independently foster shame and affect dysregulation, thus magnifying distress and consequent health impacts. These interpersonal violence (IV) sequelae can be alleviated by reducing distress, yet culturally sensitive transdiagnostic approaches to reduce survivor distress across ethno- racial populations are rare. We propose to use community-engaged research to develop a complementary medicine program that integrates adapted Mindful Self-Compassion (MSC) training with Trauma-Informed Yoga (TIY) to improve stigma sequelae and reduce distress in ethno-racially diverse survivors: Integrated TIY and MSC (I-YMSC). MSC targets stigma-related problems (affect dysregulation, shame) and improves distress in the long-term, yet can temporarily increase short-term distress. TIY reduces short-term distress and promotes physiological-autonomic regulation. Dr. Braun’s program evaluation data suggests adapting MSC to explicitly address cultural factors and intersectional stigma and integrating this approach with TIY is strongly warranted and has potential to ameliorate health inequities experienced by ethno-racially diverse IV survivors. Further, training community yoga instructor survivors to teach I-YMSC represents an additional level of engagement with our stigmatized target population that is unusual in mindfulness research. In this K23 proposal, Black/AA, Hispanic/Latino/a/x, and White survivors will be equally represented across all project phases (33% each), with results considered both across participants and within each subgroup. Specific aims include: (1) (1.1) develop I- YMSC using community-engaged research with women IV survivor stakeholder partners, (1.2) pre-pilot the intervention in an open pilot trial to further refine the intervention, (1.3) develop a community-engaged teacher training, and (2) (2.1) conduct a 2-armed test of the behavioral intervention compared to a health education control to assess the feasibility and acceptability of the I-YMSC intervention, and (2.2) pilot the teacher training. The essential hands-on learning and mentored training in this grant will support Dr. Braun in establishing her program of research as an independent investigator in community-engaged mind-body research working with vulnerable and minority populations, including women survivors of violence. Findings may also have applicability to promoting health resiliency and restoration in other marginalized populations who experience health inequities.

项目摘要