Mindfulness Based Stress Reduction Application for African American Caregivers

非裔美国护理人员基于正念的减压应用

基本信息

批准号：
10325000
负责人：
Karen Alexander
金额：
$ 25.18万
依托单位：
COG ANALYTICS, LLC
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-01 至 2023-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10325000
关键词：
AIDS/HIV problem Adherence African American Anxiety Asian Americans Audiotape Breathing Caregiver Burden Caregiver support Caregivers Caring Chronic Collaborations Communities Data Dementia Development Disabled Children Disease Ecological momentary assessment Elements Emotional Equation Exercise Family Feedback Feeling Financial Support Friends Health Health Personnel Individual Intervention Interview Lead Learning Malignant Neoplasms Medical Meditation Mental Depression Mental Health Mental disorders Modeling Outcome Personal Satisfaction Pharmaceutical Preparations Phase Population Public Health Questionnaires Randomized Controlled Trials Research Resources Sampling Scanning Services Small Business Technology Transfer Research Social Network Stress Structure Target Populations Techniques Testing Time Universities Walking Yoga base burden of illness burnout care recipients care systems caregiving caucasian American community based research design efficacy testing exhaust experience feasibility trial follow-up health disparity high risk improved informal caregiver informal caregiving informant innovation member mindfulness mindfulness-based stress reduction mobile application perceived stress physical conditioning prevent respite care scale up skills social stress management stressor usability week trial

项目摘要

Abstract There are approximately 43.5 million informal (unpaid) caregivers in the U.S., of which 5.6 million are African American. Informal caregivers often provide a variety of types of support including emotional, physical, and financial, to people with chronic conditions.1 Providing care can be very stressful and emotionally and physically exhausting for informal caregivers.2 African American caregivers have unique needs because they are more likely to experience stressors related to limited support for respite care and a lack of access to culturally sensitive health care providers and services,3-5 placing them at higher risk for burnout and adverse health outcomes.6 Thus, preventing or reducing caregiver stress is especially important in order to sustain informal caregiving. One type of intervention that has shown promise in helping caregivers manage stress, anxiety, and depression is Mindfulness-Based Stress Reduction (MBSR). While MBSR is typically taught in face-to-face group sessions, this Phase I STTR proposes to use MBSR components such as sitting meditations, a body scan, and yoga exercises to create a mobile-friendly application (app) tailored for African American informal caregivers of people with chronic conditions. The proposed app, entitled Mindfulness Based Stress Reduction for African American Caregivers (MBSR-AAC), will employ video and audio adaptations of MBSR activities in addition to content tailored for the target population. Although there are numerous mindfulness apps available, none specifically target African American caregivers, a group of people who could greatly benefit from reductions in anxiety and depression, which, in turn, may improve the mental and physical health of their care recipients. The proposed study will use in-depth qualitative interview data from caregivers and key informants to inform the development of the MBSR-AAC and to evaluate its proposed content, including video and audio presentations. After the MBSR-AAC is developed, a feasibility trial will be conducted to examine usability. Also, ecological momentary assessment-style outcome data will be collected to examine the association between number of minutes using the app and real-time perceived stress. Data from the feasibility trial will be used for final refinements, which will leave the MBSR-AAC well-poised for rigorous efficacy testing in Phase II and rapid market scale-up.

抽象的美国大约有4350万非正式（无薪）护理人员非裔美国人。非正式护理人员通常会提供各种类型的支持，包括情感，身体，对患有慢性病的人进行财务。1提供护理可能会非常压力和情感和情感和对非正式护理人员的身体疲惫。2非裔美国人护理人员有独特的需求，因为他们更有可能体验与有限的暂托护理支持和缺乏访问权限有关的压力源对文化敏感的医疗保健提供者和服务，3-5使它们面临较高的倦怠风险和不利的风险 6因此，预防或减少护理人员压力对于维持尤其重要非正式护理。一种干预措施，显示出帮助护理人员管理压力，焦虑和抑郁是基于正念的压力减轻（MBSR）。虽然MBSR通常在面对面教授小组会议，此I阶段STTR提议使用MBSR组件，例如坐着冥想，身体扫描和瑜伽练习，以创建针对非裔美国人非正式的移动友好应用程序（APP）患有慢性病的人的照顾者。拟议的应用程序，标题为基于正念的压力减轻对于非裔美国人护理人员（MBSR-AAC），将在MBSR活动中采用视频和音频改编除了针对目标人群量身定制的内容。尽管有许多正念应用程序可用，但是没有一个专门针对非裔美国人护理人员，一群可以从中受益的人减少焦虑和抑郁症，反过来可以改善其护理的心理和身体健康收件人。拟议的研究将使用护理人员和关键线人的深入定性访谈数据告知MBSR-AAC的开发并评估其建议的内容，包括视频和音频演讲。开发MBSR-AAC后，将进行可行性试验以检查可用性。还，将收集生态瞬时评估式结果数据，以检查使用该应用程序和实时感知压力的分钟数。可行性试验的数据将用于最终改进将使MBSR-AAC固定良好，以进行II阶段和快速的严格功效测试市场规模。