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An Intervention to Improve Well-Being in African American Medical Students

改善非裔美国医学生福祉的干预措施

基本信息

批准号：
9057691
负责人：
Sylvia Patrice Perry
金额：
$ 17.92万
依托单位：
UNIVERSITY OF VERMONT & ST AGRIC COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-07-05 至 2016-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9057691
关键词：
Intervention Improve Well Being African

项目摘要

DESCRIPTION (provided by applicant): Black medical students are a particularly vulnerable population to stressors that may contribute to low retention and less effective care toward underserved patients, such as greater perceived stress and lower feelings of acceptance. From primary grades through enrollment in the most prestigious colleges, Black students who are well qualified academically are vulnerable to a range of racial stressors that adversely affect their well-being and undermine their academic performance. However, there have been very few methodologically rigorous tests of strategies for protecting and promoting the well-being of Black medical students. The study proposed here will address this gap by using an experimental design to, a) test the effect of a self-affirmation intervention, a low-cost and easy-to-implement strategy with proven benefits for Black high school and college students, among two distinct groups of Black medical students-students attending 1) predominately White medical schools (PWS), and 2) historically Black medical colleges (HBMC); b) Examine the relative benefit of the intervention for students attending PWS vs. those attending HBMC; and c) Investigate the extent to which medical school factors and individual differences factors moderate the effect of the intervention. We will use evidence-based and proven recruitment methods, to invite approximately 500 Black students to complete a baseline web-based questionnaire in their 3rd year of medical school, since this is a known high-stress time and students may be especially vulnerable due to increasing exposure to clinical environments and demands. Students will then be randomly assigned within medical school (3 HBMC and a stratified random sample of 50 PWS) to either a self-affirmation intervention or a no-treatment control condition. Intervention effects will be assessed using web-based questionnaires at the end of participants' 4th year of medical school. This study is innovative because it is the first, to our knowledge, 1) to conduct a methodologically rigorous test of strategies for protecting and promoting the well-being of Black medical students, 2) to assess the impact of a self-affirmation intervention on the psychological well-being of Black medical students, and 3) to compare the effects of this intervention on Black medical students in historically Black medical schools to those in institutions in which Blacks have been traditionally underrepresented.

描述（由申请人提供）：黑人医学生是一个特别容易受到压力的人群，可能会导致低保留率和对服务不足的患者的有效护理较少，例如更大的感知压力和更低的接受感。从小学年级到最负盛名的大学入学，学业合格的黑人学生容易受到一系列种族压力的影响，这些压力会对他们的福祉产生不利影响，并破坏他们的学业成绩。然而，很少有方法上严格的测试策略，以保护和促进黑人医学生的福祉。本文提出的研究将通过使用实验设计来解决这一差距，a）测试自我肯定干预的效果，这是一种低成本和易于实施的策略，对黑人高中和大学生有证明的好处，在两个不同的黑人医学生群体中，学生参加1）主要是白色医学院（PWS）和2）历史上的黑人医学院（HBMC）; B）检查参加PWS的学生与参加HBMC的学生的干预的相对益处;以及c）调查医学院因素和个体差异因素对干预效果的调节程度。我们将使用基于证据和经过验证的招聘方法，邀请大约500名黑人学生在医学院的第三年完成基于网络的基线问卷，因为这是一个已知的高压力时间，学生可能特别容易受到影响，因为越来越多的接触临床环境和需求。然后，学生将在医学院内随机分配（3个HBMC和50个PWS的分层随机样本），以进行自我肯定干预或无治疗对照条件。干预效果将在参与者医学院第四年结束时使用基于网络的问卷进行评估。这项研究是创新的，因为它是第一个，据我们所知，1）进行方法学上严格的测试策略保护和促进黑人医学生的福祉，2）评估自我肯定干预对黑人医学生心理健康的影响，3）比较这种干预对黑人医学生的影响，在历史上的黑人医学院，在黑人传统上代表性不足的机构。