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

项目总结： 本申请寻求家长拨款(1R01AT011745-01)下的多样性补充，这是一个 全面的系统回顾和元分析，试图确定正念的影响- 基于关键健康相关结果的压力减轻(MBSR)，例如焦虑、抑郁、压力、 身体功能、生活质量、疼痛和成本效益。与其他种族和民族相比 在黑人群体中，黑人女性患有高血压和压力的比例很高，这是 心血管疾病(CVD)的相关危险因素。体育锻炼是一种重要的生活方式 经常被推荐用于治疗和预防高血压的修饰。心身体力活动 (MBPA)干预也被称为“正念锻炼”，在缓解压力方面具有独特的优势。 管理和体力活动同时产生结果。黑人人群中多溴联苯并苯丙胺的数据 仍然喜忧参半，缺乏高质量的系统审查和综合。这份副刊将 请允许我们对母公司研究的第二个目标进行扩展：通过系统回顾和荟萃分析， 确定MBSR对IKT战略所提供的关键健康相关成果的影响，例如 焦虑、抑郁、压力、身体功能、生活质量、疼痛和成本效益。建议数 补充剂与国家补充和综合健康中心的 战略目标：“促进关于健康促进和恢复、复原力、疾病的研究 预防和症状管理“和”推进对整个人和 将补充性护理和常规护理相结合。这项研究将提供一个机会来增加 我们对MBPA干预对艾滋病一级和二级预防效果的理解 心血管疾病和高血压风险在具有高风险和需求的人群中。要做到这一点 目的：我们将对MBPA干预对血液的影响进行混合方法的系统评价 黑人女性的压力。

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.