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Mindfulness Based Stress Reduction Application for African American Caregivers

非裔美国护理人员基于正念的减压应用

基本信息

批准号：
10325000
负责人：
Karen Alexander
金额：
$ 25.18万
依托单位：
COG ANALYTICS, LLC
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10325000
关键词：
AIDS/HIV problem Adherence African American Anxiety Asian Americans Audiotape Breathing Caregiver Burden Caregiver support Caregivers Caring Chronic Collaborations Communities Data Dementia Development Disabled Children Disease Ecological momentary assessment Elements Emotional Equation Exercise Family Feedback Feeling Financial Support Friends Health Health Personnel Individual Intervention Interview Lead Learning Malignant Neoplasms Medical Meditation Mental Depression Mental Health Mental disorders Modeling Outcome Personal Satisfaction Pharmaceutical Preparations Phase Population Public Health Questionnaires Randomized Controlled Trials Research Resources Sampling Scanning Services Small Business Technology Transfer Research Social Network Stress Structure Target Populations Techniques Testing Time Universities Walking Yoga base burden of illness burnout care recipients care systems caregiving caucasian American community based research design efficacy testing exhaust experience feasibility trial follow-up health disparity high risk improved informal caregiver informal caregiving informant innovation member mindfulness mindfulness-based stress reduction mobile application perceived stress physical conditioning prevent respite care scale up skills social stress management stressor usability week trial

项目摘要

Abstract There are approximately 43.5 million informal (unpaid) caregivers in the U.S., of which 5.6 million are African American. Informal caregivers often provide a variety of types of support including emotional, physical, and financial, to people with chronic conditions.1 Providing care can be very stressful and emotionally and physically exhausting for informal caregivers.2 African American caregivers have unique needs because they are more likely to experience stressors related to limited support for respite care and a lack of access to culturally sensitive health care providers and services,3-5 placing them at higher risk for burnout and adverse health outcomes.6 Thus, preventing or reducing caregiver stress is especially important in order to sustain informal caregiving. One type of intervention that has shown promise in helping caregivers manage stress, anxiety, and depression is Mindfulness-Based Stress Reduction (MBSR). While MBSR is typically taught in face-to-face group sessions, this Phase I STTR proposes to use MBSR components such as sitting meditations, a body scan, and yoga exercises to create a mobile-friendly application (app) tailored for African American informal caregivers of people with chronic conditions. The proposed app, entitled Mindfulness Based Stress Reduction for African American Caregivers (MBSR-AAC), will employ video and audio adaptations of MBSR activities in addition to content tailored for the target population. Although there are numerous mindfulness apps available, none specifically target African American caregivers, a group of people who could greatly benefit from reductions in anxiety and depression, which, in turn, may improve the mental and physical health of their care recipients. The proposed study will use in-depth qualitative interview data from caregivers and key informants to inform the development of the MBSR-AAC and to evaluate its proposed content, including video and audio presentations. After the MBSR-AAC is developed, a feasibility trial will be conducted to examine usability. Also, ecological momentary assessment-style outcome data will be collected to examine the association between number of minutes using the app and real-time perceived stress. Data from the feasibility trial will be used for final refinements, which will leave the MBSR-AAC well-poised for rigorous efficacy testing in Phase II and rapid market scale-up.

摘要