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

• 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
• 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

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 这个受过指导的研究科学家职业发展奖的总体目标是支持托斯卡博士 布劳恩（Braun）向独立调查员过渡，重点是使用社区参与的方法 开发和传播基于社区的正念干预措施，以改善脆弱的健康 和少数民族。在黑人/非裔美国人中，人际暴力通常经历（AA； 44％），西班牙裔/拉丁裔/a/x（34％）和美国的非西班牙裔/拉丁裔/X白人妇女（37％），以及 与IV和其他属性有关的污名化（例如种族/种族，体重）。暴力和污名都开车 “下游”行为和身体健康状况不佳。污名后遗症 - 响应污名的困扰，预期 （害怕）污名，内在的污名 - 独立促进摇动并影响失调，从而放大 困扰和随之而来的健康影响。这些人际暴力（IV）后遗症可以通过 减少困扰，但具有文化敏感的经诊断方法，以减少各个民族的生存困扰 种族群体很少见。我们建议使用社区参与研究来开发完整的 将适应性思想自我同情（MSC）培训与创伤信息瑜伽相结合的医学计划 （tiy）改善污名后遗症并减少民族散居者冲浪者的痛苦：综合TIY和 MSC（I-YMSC）。 MSC目标与污名有关的问题（影响失调，羞耻）并改善了困扰 长期但可以暂时增加短期困扰。 TIY减少了短期困扰并促进 生理自治调节。 Braun博士的计划评估数据建议适应MSC明确 强烈保证解决文化因素和交叉污名并将这种方法与TIY相结合 并有潜力减轻民族种族多样的静脉注射经历的健康不平等。 培训社区瑜伽教练的生存以教授I-YMSC，这代表了与 我们对正念研究的污名化目标人群。在这个K23提案中，黑色/AA， 西班牙裔/拉丁裔/X和白人幸存者将在所有项目阶段（每个项目阶段33％）同样代表 结果都在参与者和每个子组中考虑。具体目的包括：（1）（1.1）发展i- YMSC使用与女性IV幸存者利益相关者合作伙伴进行社区参与研究，（1.2）预科 干预开放试验试验以进一步完善干预措施，（1.3）开发社区参与的老师 培训，（2）（2.1）与健康教育相比，对行为干预进行了2臂测试 控制I-YMSC干预的可行性和可接受性，以及（2.2）进行教师培训。 本赠款中基本的动手学习和修补培训将支持布劳恩博士建立她 作为社区参与心体研究的独立研究者的研究计划 脆弱和少数族裔，包括妇女的暴力生存。调查结果也可能具有适用性 在其他边缘化人群中促进健康的弹性和恢复。