Stress-reduction Wellness Program for Midlife Black Women (B-SWELL)

项目总结/摘要 慢性生活压力是心血管疾病等慢性疾病的先兆。的众多 中年黑人妇女所经历的竞争性慢性压力源导致了 与中年白色美国妇女相比，心血管疾病发病率和死亡率。这些相同 压力源也降低了黑人妇女在减少压力的同时采取健康生活方式的可能性。 有时间和精力照顾自己。对社会和环境的生理和心理反应 环境压力源受到人口历史、观念和文化的独特影响。的 种族、文化、环境和健康之间的交叉是复杂的，需要量身定制和有针对性的 考虑到人口差异的方法，以改善健康结果。认可和改进 了解这些潜在差异对于提供文化上适当的护理很重要。 本研究的目的是开发一个中年黑人妇女的减压健康 干预，B-SWELL，以促进健康的生活方式行为的基础上确定的压力和主题 在候选人的初步研究中。基于社区的参与性研究（CBPR）方法将是 用于参与社区，并包括中年黑人妇女在B-SWELL的发展。 该假设提出，B-SWELL参与者（n=25）将显示出改善的自我效能， 管理生活压力和采用美国心脏协会的生活简单7成功计划（LS 7 行为），与随机分配到接受传统健康的对照组的参与者相比 WE组（n=25）。次要结果包括不健康的日子，感知的一般健康状况 和抑郁症状。将在基线、8周（干预结束）和12周时收集数据。 周LS 7已被证明可以降低心血管疾病风险，但缺乏文化上的适当性 以提高其对中年黑人妇女的吸引力。 候选人琼斯博士在压力研究方面有专长，重点是中年的慢性生活压力 黑人女性为了对中年黑人妇女进行有效的干预， 组建了一个专家指导小组，指导她在干预研究和社区基础 参与式研究方法（CBPR）。琼斯博士的短期目标是成为一个独立的压力 研究人员熟练使用干预研究和CBPR所需的方法和技术。 这个K 01奖将作为一个平台，琼斯博士将建立一个压力研究机构，重点是 中年黑人妇女的慢性病预防。本项目所需的资源、时间和材料 可通过辛辛那提大学（UC）和护理学院获得。此外，UC中心 临床和转化培训和科学为K 01获奖者提供服务，以培养初级 研究人员

Project Summary/Abstract Chronic life stress is an antecedent to chronic illnesses like cardiovascular disease. The multitude of competing chronic stressors experienced by midlife Black women contribute to the striking disparities in cardiovascular disease morbidity and mortality in comparison to midlife White American women. These same stressors also decrease the likelihood that Black women will adopt healthy lifestyle behaviors as they diminish the time and energy available for self-care. Physiological and psychological responses to social and environmental stressors are uniquely influenced by a population's history, perceptions, and culture. The intersection between ethnicity, culture, environment, and health is complex and requires tailored and targeted approaches that account for population differences to improve health outcomes. Recognition and improved understanding of these potential differences is important to provide culturally appropriate care. The purpose of this research is to develop a midlife Black women's Stress-reduction WELLness intervention, B-SWELL, to promote healthy lifestyle behaviors based on the stressors and themes identified in the candidate's preliminary research. Community-based participatory research (CBPR) methods will be used to engage the community and include midlife Black women in the development of the B-SWELL. The hypothesis proposes that B-SWELL participants (n=25) will show improved self-efficacy in managing life stress and adopting American Heart Association's Life Simple 7 Success Plan (LS7 behaviors), compared with participants randomized to a control group receiving traditional wellness education (WE group) (n=25). Secondary outcomes include unhealthy days, perceived general health and depressive symptoms. Data collection will occur at baseline, 8 weeks (end of intervention), and 12 weeks. LS7 has been shown to decrease cardiovascular disease risk but lacks culturally appropriate characteristics to improve its appeal to midlife Black women. The candidate, Dr. Jones, has expertise in stress research with a focus on chronic life stress in midlife Black women. In an effort to develop an effective intervention for midlife Black women, the candidate assembled a mentoring team of experts to guide her training in intervention research and community-based participatory research methods (CBPR). Dr. Jones' short-term goal is to become an independent stress researcher skilled in the use of methodologies and techniques required for intervention research and CBPR. This K01 award will serve as a platform from which Dr. Jones will build a body of stress research focused on chronic disease prevention in midlife Black women. The resources, time, and, materials needed for this project are available through the University of Cincinnati (UC) and the College of Nursing. In addition, the UC Center for Clinical & Translational Training and Science offers services for K01 awardees in the effort to foster junior researchers.