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Project STRIVE (STudents RIsing above) - Offsetting the health and mental health costs of resilience

STRIVE 项目（以上学生）——抵消复原力的健康和心理健康成本

基本信息

批准号：
10867708
负责人：
ANNA Shan-Lai LAU
金额：
$ 12.25万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-05-01 至 2027-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10867708
关键词：
Academic achievement Academic skills Achievement Adolescent Aftercare Anxiety Asian Americans Automobile Driving Behavioral Biological Biological Markers Black race Black, Indigenous, People of Color Blood Pressure Body mass index Cardiovascular Diseases Cardiovascular system Chronic stress Color Complex Development Disadvantaged Educational Curriculum Eligibility Determination Emotions Enrollment Exhibits First Generation College Students Health Health Care Costs Hip region structure Hydrocortisone Informal Social Control Institutional Racism Interruption Intervention Latinx Link Mediating Mediator Mental Health Metabolic Metabolic syndrome Mindfulness Training Modeling Morbidity - disease rate Neck Neurosecretory Systems Outcome Physiological Population Poverty Prevention trial Problem behavior Process Public Participation Qualifying Race Randomized Research Resources Risk Role Schools Secondary Schools Site Socialization Students Study Skills Symptoms Testing Youth allostatic load anxiety symptoms attentional control children of color college cost depressive symptoms early life adversity early life stress emotion regulation ethnic minority examination questions experience externalizing behavior health disparity inclusion criteria indexing intervention effect marginalized community mindfulness intervention mindfulness-based stress reduction minority children minority student physical conditioning prevent preventive intervention randomized trial resilience skills social capital socioeconomic disadvantage success therapy design

项目摘要

PROJECT SUMMARY Students in marginalized communities who `strive' to rise above adversity to achieve academic success are considered `resilient'. However, youths' resilience in one domain (i.e. academic) can come at a cost in other domains including physical and mental health morbidities that are under-identified and under-treated. Previous research suggests that Black, Indigenous and People of Color (BIPOC) who exhibit a “striving persistent behavioral style” in the face of adversity evince later health morbidities. Ironically, the same self- regulatory skills that promote academic achievement amid chronic stress can also result in physiological dysregulation that harms health and mental health1–3. Self-regulatory processes that involve emotion suppression, experiential avoidance, and unmodulated perseverance can culminate in allostatic load which fuels health disparities1,4 and internalizing symptoms of depression and anxiety5. The proposed mechanistic trial will utilize mindfulness training to permit examination of questions about the causal role of emotion regulation strategies linked to the striving persistent behavioral style in driving mental health and health morbidities among BIPOC78. The proposed Project STRIVE (STudents RIsing aboVE) will identify BIPOC students who are academically resilient in the face of disadvantage and will offer a tailored mindfulness intervention targeting self-regulation processes as a putative mechanism to interrupt the links between the striving persistent behavioral style and negative health outcomes. We propose a multisite randomized trial randomizing 504 high achieving, socioeconomically disadvantaged Black, Latinx and Asian American students in 18 schools to receive a mindfulness intervention or an attention control condition focused on study skills. The study will: (1) test the effects of the STRIVE intervention on putative self-regulation mechanisms (emotion suppression, experiential avoidance, and unmodulated perseverance) among. (2) test the effects of the STRIVE intervention on health and mental health outcomes at 12-month post-treatment, including biomarkers of allostatic load (cortisol, blood pressure, body-mass-index, waist/hip/neck circumference), health complaints, and internalizing symptoms, and (3) examine the mechanistic model linking striving persistent behavioral style and health outcomes within the STRIVE trial. If successful, this trial will build toward a scalable, secondary preventive intervention with potential for preventing both health and mental health disparities among underserved BIPOC youth at the population-level.

项目总结