Mindfulness-Based Stress Reduction: An Implementation Science-Informed Systematic Review and Meta-Analysis

基于正念的减压：基于科学的实施系统回顾和荟萃分析

• 批准号: 10756375
• 负责人: BLAIR T JOHNSON
• 金额: $ 11.9万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-01 至 2027-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10756375
• 关键词: Affect; Age; Anxiety; Asian; Automobile Driving; Black Populations; Blood Pressure; Cardiovascular Diseases; Caring; Cause of Death; Child Rearing; Code; Collaborations; Connecticut; Data; Diagnosis; Diastolic blood pressure; Elements; End stage renal failure; Ensure; Equipment and supply inventories; Ethnic Population; Exercise; Family; Financial Hardship; Fostering; Gender; Goals; Health; Health Promotion; Heart failure; Hispanic; Human Development; Hypertension; Incidence; Individual; Intervention; Life Style Modification; Literature; Mental Depression; Mentors; Meta-Analysis; Methodology; Methods; Mind-Body Intervention; National Center for Complementary and Integrative Health; Outcome; Pain; Parents; Pattern; Persons; Physical Function; Physical activity; Policies; Population; Positioning Attribute; Primary Prevention; Quality of life; Recommendation; Research; Risk; Risk Factors; Science; Secondary Prevention; Stress; Stroke; Training; United States; Universities; Violence; Woman; active control; black women; cardiovascular disorder prevention; cardiovascular risk factor; cost effectiveness; disease disparity; disorder prevention; evidence base; exercise intervention; high risk; hypertension prevention; implementation science; improved; mind/body; mindfulness; mindfulness-based stress reduction; parent grant; prevent; psychologic; racial disparity; racial population; racism; resilience; restoration; sedentary lifestyle; stress management; stressor; successful intervention; symptom management; systematic review; uptake

PROJECT SUMMARY: This application seeks a diversity supplement under parent grant, (1R01AT011745-01) which is a comprehensive a systematic review and meta-analysis that seeks to determine the impacts of mindfulness- based stress reduction (MBSR) on key health-related outcomes such as anxiety, depression, stress, physical functioning, quality of life, pain, and cost effectiveness. Compared to other racial and ethnic groups, Black women disproportionately suffer from high rates of hypertension and stress, which are interrelated risk factors for cardiovascular disease (CVD). Physical activity is an important lifestyle modification that is often recommended to treat and prevent hypertension. Mind Body Physical Activity (MBPA) interventions also referred to as ‘mindful exercise’ are uniquely positioned to improve stress management and physical activity outcomes simultaneously. The data on MBPAs in Black populations remains mixed and there is a lack of high-quality systematic reviews and syntheses. This supplement will allow us to expand on the 2nd aim of the parent study: Through a systematic review and meta-analysis, determine the impacts of MBSR on key health-related outcomes informed by the iKT strategy, such as anxiety, depression, stress, physical functioning, quality of life, pain, and cost effectiveness. The proposed supplement is in alignment with the National Center for Complementary and Integrative Health’s strategic objectives to, “foster research on health promotion and restoration, resilience, disease prevention, and symptom management” and to, “advance research on the whole person and on the integration of complementary and conventional care.” This study will provide an opportunity to increase our understanding regarding the efficacy of MBPA interventions for primary and secondary prevention of cardiovascular disease and hypertension risk in a population with high risk and need. To accomplish this goal, we will conduct a mixed-methods systematic review on the effects of MBPA interventions on blood pressure among Black women.

项目摘要： 本申请要求根据父母赠款（1R01AT011745-01）寻求多​​样性补充 全面的系统审查和荟萃分析，旨在确定正念的影响 - 基于焦虑，抑郁，压力，诸如关键健康相关结果的基于压力减轻（MBSR） 身体功能，生活质量，痛苦和成本效益。与其他种族和种族相比 群体，黑人妇女不成比例地遭受高血压和压力率高，这是 相互关联的心血管疾病（CVD）的危险因素。体育锻炼是重要的生活方式 通常建议修改以治疗和防止高血压。身体体育锻炼 （MBPA）干预措施也称为“正念锻炼”，可以改善压力 管理和体育锻炼结果。黑人人群中MBPA的数据 保持混合，缺乏高质量的系统评价和合成。这种补充会 允许我们根据父母研究的第二个目标扩展：通过系统的审查和荟萃分析， 确定MBSR对IKT策略所告知的关键健康相关结果的影响，例如 焦虑，抑郁，压力，身体功能，生活质量，疼痛和成本效益。提议 补充与国家补充和综合健康中心保持一致 战略目标，“促进有关健康促进和恢复，弹性，疾病的研究 预防和症状管理”，并“提前对整个人以及对 完整性和常规护理的整合。”这项研究将为增加的机会提供机会 我们对MBPA干预措施对初级和次要预防的效率的理解 高风险和需求的人群中的心血管疾病和高血压风险。实现这一目标 目标，我们将对MBPA干预对血液的影响进行混合方法进行系统评价 黑人妇女的压力。