Culturally Responsive Stress Reduction: A Mobile Mindfulness Application toSupport Health Promotion for African Americans

文化响应式减压：支持非裔美国人健康促进的移动正念应用程序

• 批准号: 9975227
• 负责人: Teressa Trusty
• 金额: $ 59.28万
• 依托单位: IRIS MEDIA, INC.
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-21 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9975227
• 关键词: Address; Adult; African; African American; Alcohol consumption; Android; Apple; Attention; Automation; Back; Behavior; Biological; Chronic; Communication; Communities; Complement; Consumer Satisfaction; Coping Behavior; Custom; Development; Devices; Diabetes Mellitus; Diffuse; Discrimination; Electronic Mail; Emotional; Emotions; Esthesia; Ethnic group; Evaluation; Exercise; Family; Female; Gender; Goals; Health; Health Promotion; Holistic Health; Individual; Informal Social Control; Instruction; Intervention; Knowledge; Link; Marketing; Measures; Meditation; Mental Health; Metaphysics; Mindfulness Training; Modernization; Neighborhoods; Not Hispanic or Latino; Notification; Obesity; Oral; Outcome; Overweight; Participant; Patient Self-Report; Periodicity; Phase; Physiological; Population; Race; Randomized; Randomized Controlled Trials; Recommendation; Religion and Spirituality; Reporting; Research; Research Design; Resources; Ritual compulsion; Scientist; Self Efficacy; Specialist; Spirituality; Stress; Stress and Coping; Technology; Terminology; Testing; Text; Thinking; Time; Tobacco use; Treatment Efficacy; Voice; Waiting Lists; base; caregiving; caucasian American; control trial; cultural values; design; empowerment; evidence base; experience; gender difference; handheld mobile device; health disparity; improved; mHealth; maternal stress; member; men; mindfulness; mindfulness intervention; mobile application; mobile computing; physical conditioning; prevent; prototype; public health intervention; recruit; resilience; satisfaction; self reliance; smartphone Application; social; stress management; stress reduction; stressor; theories; therapy development; tool; usability

ABSTRACT The proposed intervention, Culturally Responsible Stress Reduction: A Mobile Mindfulness Application to Support Health Promotion for African Americans (CRSR), is designed to encourage the use of mindfulness to mitigate the disproportionate amount of stress-related health disparities facing African Americans. Current mindfulness approaches have been unsuccessful in engaging this population. This proposal aims to bridge this disparity by developing an mHealth (mobile health) mindfulness application (“app”) tailored specifically to the cultural values of the African American community. Mindfulness involves meditative practices that cultivate purposeful and nonjudgmental attention to current thoughts, emotions, and physical sensations in the body. Mindfulness has been incorporated into widely-used interventions, including Acceptance and Commitment Therapy (ACT). The CRSR app will be grounded in ACT and will integrate the convenience of mobile technology with tailored content to allow users to shift from potentially harmful culturally prescribed stress-coping activities (e.g., self-reliance, emotional suppression) to adaptive mindfulness-based stress-coping activities aligned with culturally specific values. This integration of content, backed by theory and empirical evidence, effective instructional delivery, an interdisciplinary development team, and modern communication technology will produce an effective mHealth intervention. The CRSR app features include guided meditations to connect the user to the present moment and a place of calm through culturally aligned exercises grounded in spirituality, orality, self-empowerment, and resilience; personalized notifications prompting users to reflect and engage with the app; periodic email messages on the importance mindfulness as a way increase control over physical and psychological health; and user- customized reminders. Phase I included developing a testable prototype of the CRSR app, called Mindful You. The prototype provided functionality for participants to practice mindfulness and was used to test proof of concept, i.e., the feasibility and social acceptability of the CRSR app. Users experienced significantly decreased stress and increased self-efficacy. They also reported increased use of mindfulness behaviors and improved self- regulation. Phase II will iteratively build on the prototype to develop the final product and test its efficacy with a fully-powered randomized controlled trial. The final product will consist of a native mobile application on Android and Apple iOS. The applicant, Trifoia, has assembled a knowledgeable and experienced team of research scientists, content and technology developers, and evaluation specialists to adequately realize this project. The company has an established track record of developing and marketing technology-assisted public health interventions.

摘要 建议的干预措施，文化上负责任的减压：一个移动的正念应用程序， 支持非裔美国人健康促进（CRSR），旨在鼓励使用正念， 缓解非裔美国人面临的与压力相关的健康差距。电流 正念方法在吸引这一人群方面一直不成功。该提案旨在弥合这一点 通过开发一个mHealth（移动的健康）正念应用程序（“应用程序”），专门针对 非裔美国人社区的文化价值观。 正念包括冥想练习，培养有目的的和非判断性的注意力， 思想、情感和身体的感觉。正念已被纳入广泛使用的 接受和承诺疗法（Acceptance and Commitment Therapy，ACT）。CRSR应用程序将以ACT为基础 并将移动的技术的便利性与定制内容相结合， 潜在有害的文化规定的压力应对活动（例如，自力更生，情绪抑制）， 适应性正念为基础的压力应对活动与文化特定的价值观相一致。的这种集成 内容，由理论和经验证据支持，有效的教学交付，跨学科 开发团队和现代通信技术将产生有效的移动健康干预。 CRSR应用程序的功能包括引导冥想，将用户连接到当前时刻和地点 通过基于灵性、口头、自我赋权和复原力的文化一致的练习来实现平静; 个性化通知，提示用户反映和参与应用程序; 重要性正念作为一种方式，增加对身体和心理健康的控制;和用户- 定制提醒。 第一阶段包括开发CRSR应用程序的可测试原型，称为Mindful You。原型 为参与者提供练习正念的功能，并用于测试概念的证明，即，的 CRSR应用程序的可行性和社会可接受性。用户的压力显著降低， 提高自我效能。他们还报告说，使用正念行为和改善自我， 调控第二阶段将在原型的基础上迭代开发最终产品，并使用 完全随机对照试验。最终产品将包括一个本地移动的应用程序， Android和Apple iOS。 申请人Trifoia组建了一个知识渊博、经验丰富的研究科学家团队， 内容和技术开发人员以及评估专家充分实现这一项目。公司 在开发和营销技术辅助的公共卫生干预措施方面有着良好的记录。