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Exploring the Adaption of Mindfulness in Native American Communities to Address Diabetes

探索美国原住民社区如何运用正念来应对糖尿病

基本信息

批准号：
10020329
负责人：
Jeffrey A Proulx
金额：
$ 23.94万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-20 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10020329
关键词：
Address Adherence Adult Attention Award Behavioral Belief Benchmarking Biological Markers Blood Glucose Calendar California Cessation of life Collaborations Collection Common Core Communities Contracts Control Groups Data Data Collection Data Reporting Development Diabetes Mellitus Elderly Fasting Focus Groups Frequencies Funding Future Glycosylated hemoglobin A Goals Health Personnel Health behavior Hydrocortisone Insulin Intervention Knowledge Language Lead Measures Medicine Modeling Native Americans Native-Born Oregon Outcome Measure Participant Patient Self-Report Phase Physiological Population Procedures Process Protocols documentation Randomized Research Research Design Research Personnel Resistance Sampling Stress Tribal Council Tribes Trust Waiting Lists Work adherence rate arm base diabetes management diabetic efficacy study experience feasibility trial follow-up health disparity improved instrument mindfulness mindfulness intervention mindfulness meditation mindfulness-based stress reduction primary outcome programs psychologic psychosocial recruit response retention rate secondary outcome stress reduction tribal member

项目摘要

PROJECT SUMMARY (Exploring the Adaption of Mindfulness in Native American Communities to Address Diabetes) Native Americans have higher rates of contracting, experiencing complications from, and death due to diabetes (1)(2)(3). Several factors may influence health disparities in diabetes, including Native cultural beliefs about diabetes and distrust of western medicine resulting in poor health behaviors (3)(4). Further, as stress is known to exacerbate the effects of diabetes physiologically and through poor health behaviors associated with stress (5)(6)(7), the effects of daily stress may be compounded by historical stress in Native communities (8). Mindfulness-meditation may be an effective means to reduce psychological and physiological stress as well as encourage good health behaviors through heightened attention to diabetes management protocols (9)(10). Although previous studies have indicated that mindfulness practices may be welcome in Native communities (11)(12)(13), there is still little known about the process of adapting mindfulness interventions to Native cultural traditions. We propose to (A) work closely with tribal members to develop trust and support for mindfulness research in the first phase of the K99, (B) develop a core Native-specific MBSR class with optional modules that can be tailored to be Tribe-specific in the second phase of the K99, and (C) in the R00 phase, use two- armed feasibility trials to further develop the core Native-specific mindfulness class with tailored modules and to assess the feasibility of our study design among diabetic adults. Primary outcomes are measures of feasibility and acceptability. Secondary outcomes include behavioral and physiological markers of diabetes management. We hope that these data will motivate an R01-level examination into the efficacy of mindfulness as a means to improve diabetes management and reduce complications due to diabetes in Native communities. This K99/R00 is the preliminary step in the ultimate goal of integrating mindfulness programs with Native contemplative practices as a means to holistically address Native health disparities. These efforts may prove particularly important in a population that has shown a notorious distrust for western medicine.

项目总结（探索正念在美洲原住民社区的适应性，以解决糖尿病问题）