Multi-site feasibility and acceptability of a faith-based mind-body intervention in Black adults

对黑人成年人进行基于信仰的身心干预的多地点可行性和可接受性

• 批准号: 10650588
• 负责人: Scherezade Kelly Mama
• 金额: $ 56.68万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-24 至 2026-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10650588
• 关键词: Adherence; Adoption; Adult; American; Awareness; Black race; Blinded; Breathing; Cardiovascular Diseases; Chronic Disease; Church; Cities; Communities; Control Groups; Discrimination; Educational Curriculum; Faith; Feasibility Studies; Future; Geography; Goals; Health; Health Benefit; Health behavior and outcomes; Hour; Individual; Intervention; Interview; Leadership; Malignant Neoplasms; Manuals; Measures; Metabolic; Mind; Mind-Body Intervention; Modeling; Morbidity - disease rate; Movement; National Center for Complementary and Integrative Health; Not Hispanic or Latino; Participant; Persons; Phase; Physical activity; Pilot Projects; Play; Preparation; Procedures; Protocols documentation; Race; Randomized; Randomized, Controlled Trials; Recommendation; Reduce health disparities; Relaxation; Relaxation Techniques; Role; Role playing therapy; Rural; Sampling; Site; Spirituality; Standardization; Stress; Stretching; Testing; Texas; Time; Training; Walking; Well in self; Work; Yoga; acceptability and feasibility; attentional control; biopsychosocial; cardiovascular disorder risk; design; disorder prevention; disorder risk; efficacy testing; efficacy trial; ethnic health disparity; experience; faith-based intervention; feasibility testing; follow-up; implementation protocol; improve minority health; improved; innovation; lifestyle intervention; light intensity; medically underserved; meetings; mindfulness; moderate-to-vigorous physical activity; mortality; multi-site trial; multiple chronic conditions; nonmetropolitan area; novel; novel strategies; pandemic disease; physical inactivity; post intervention; programs; psychosocial wellbeing; racism; recruit; rural area; rural health disparities; satisfaction; sedentary; sedentary lifestyle; social cognitive theory; strength training; stressor; success; tool; uptake; urban area

PROJECT SUMMARY / ABSTRACT Regular physical activity plays an important role in disease prevention and helps people live longer, feel better, and perform daily tasks more easily. Yet, less than 25% of American adults meet physical activity recommendations, and Americans spend an average of 9.5 hours per day sedentary, putting them at increased risk of cardiovascular disease, cancer, and mortality. Black and rural adults are less likely to be physically active and more likely to be sedentary than non-Hispanic White adults and those in urban areas, contributing to racial and ethnic and rural health disparities. Interventions focused on increasing moderate-to-vigorous physical activity have had limited success among Black adults residing in urban and rural areas. Reducing sedentary behavior as a means to increase physical activity may be a more effective approach. Yoga is a practice that combines the mind, body, and spirit through light-intensity movement, breath awareness, and relaxation techniques, and can be a valuable tool to reduce sedentary behavior and promote movement in adults who are insufficiently active and need to build up to regular physical activity. Furthermore, as a mindfulness practice, yoga’s effects on stress may be particularly relevant to Black adults who experience unique stressors, including racism and discrimination. Based on this, we partnered with churches to develop and test the feasibility of Harmony & Health (HH), a theoretically based intervention that integrates yoga practices with Christian spirituality to promote psychosocial wellbeing and movement among insufficiently active Black adults. We first tested the feasibility of HH among Black adults residing in an urban city, and then tested the feasibility of HH among a diverse sample of rural adults. This study is the next logical step and expands on our pilot studies that confirmed the feasibility of HH in Black adults. Feasibility and acceptability were high as measured by study completion (≥80% across studies), attendance (M urban=10.5±3.7; M rural=10.6±4.2), and participant satisfaction (≥97.2% overall across sites). HH also improved psychosocial wellbeing and reduced sitting time. The proposed study builds on these efforts by randomizing 100 Black adults who are not meeting physical activity recommendations from two geographically distinct sites, one urban and one more rural, to participate in HH or an attention control condition. HH sessions will take place twice a week for 8 weeks and focus on sitting less and moving more using stretching, breathing, and guided relaxation with Christian scripture. Assessments occur at baseline (week 0), post-intervention (week 9), and follow up (week 24). Results of this study will determine our ability to deliver these interventions with strong rigor and fidelity across multiple sites and will establish the feasibility and acceptability of this intervention among urban and rural Black adults. Findings from this study will be used to modify training and implementation procedures in preparation for a future fully powered multi-site randomized controlled efficacy trial. If supported, HH could be an innovative strategy to improve psychosocial wellbeing and physical activity in low active Black adults.

项目总结/摘要 有规律的体育活动在预防疾病方面起着重要作用，有助于人们长寿，感觉更好， 更轻松地执行日常任务。然而，只有不到25%的美国成年人参加体育活动， 美国人平均每天久坐9.5小时， 心血管疾病、癌症和死亡率的风险。黑人和农村成年人不太可能在身体上 比非西班牙裔白色成年人和城市地区的人更活跃，更可能久坐不动， 种族和民族以及农村的健康差距。干预措施的重点是增加中度到重度 体育活动在居住在城市和农村地区的黑人成年人中取得的成功有限。减少 久坐不动的行为作为一种手段，以增加体力活动可能是一个更有效的方法。瑜伽是一 通过光强度运动，呼吸意识和 放松技巧，可以是一个有价值的工具，以减少久坐不动的行为，促进运动， 缺乏活动，需要定期锻炼身体的成年人。此外，作为 正念练习，瑜伽对压力的影响可能与经历过的黑人成年人特别相关。 独特的压力源，包括种族主义和歧视。基于此，我们与教会合作， 并测试和谐与健康（HH）的可行性，这是一种基于理论的干预措施， 实践基督教精神，以促进社会心理健康和运动之间的不足 活跃的黑人成年人我们首先在居住在城市的黑人成年人中测试了HH的可行性，然后 在农村成年人的不同样本中测试了HH的可行性。这项研究是下一个合乎逻辑的步骤， 扩大了我们的试点研究，证实了HH在黑人成年人中的可行性。可行性和可接受性 通过研究完成率（各研究中≥80%）、出勤率（城市M =10.5±3.7; 农村=10.6±4.2）和受试者满意度（各研究中心总体≥97.2%）。HH还改善了心理社会 健康和减少坐着的时间。这项拟议中的研究建立在这些努力的基础上， 来自两个地理位置不同的地点，一个城市， 和一个以上的农村，参加HH或注意力控制条件。HH会议将举行两次， 一周8周，专注于少坐，多动，使用伸展，呼吸和指导放松 基督教经文。在基线（第0周）、干预后（第9周）和随访时进行评估 (week 24）。这项研究的结果将确定我们是否有能力提供这些干预措施， 在多个地点的保真度，并将建立这种干预的可行性和可接受性，在城市 农村黑人成年人这项研究的结果将用于修改培训和实施程序 为未来的多中心随机对照疗效试验做准备。如果支持，HH可以 这是一项创新战略，旨在改善低活动黑人成年人的心理健康和身体活动。