Multi-site feasibility and acceptability of a faith-based mind-body intervention in Black adults

对黑人成年人进行基于信仰的身心干预的多地点可行性和可接受性

基本信息

批准号：
10650588
负责人：
Scherezade Kelly Mama
金额：
$ 56.68万
依托单位：
UNIVERSITY OF TX MD ANDERSON CAN CTR
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-02-24 至 2026-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10650588
关键词：
Adherence Adoption Adult American Awareness Black race Blinded Breathing Cardiovascular Diseases Chronic Disease Church Cities Communities Control Groups Discrimination Educational Curriculum Faith Feasibility Studies Future Geography Goals Health Health Benefit Health behavior and outcomes Hour Individual Intervention Interview Leadership Malignant Neoplasms Manuals Measures Metabolic Mind Mind-Body Intervention Modeling Morbidity - disease rate Movement National Center for Complementary and Integrative Health Not Hispanic or Latino Participant Persons Phase Physical activity Pilot Projects Play Preparation Procedures Protocols documentation Race Randomized Randomized, Controlled Trials Recommendation Reduce health disparities Relaxation Relaxation Techniques Role Role playing therapy Rural Sampling Site Spirituality Standardization Stress Stretching Testing Texas Time Training Walking Well in self Work Yoga acceptability and feasibility attentional control biopsychosocial cardiovascular disorder risk design disorder prevention disorder risk efficacy testing efficacy trial ethnic health disparity experience faith-based intervention feasibility testing follow-up implementation protocol improve minority health improved innovation lifestyle intervention light intensity medically underserved meetings mindfulness moderate-to-vigorous physical activity mortality multi-site trial multiple chronic conditions nonmetropolitan area novel novel strategies pandemic disease physical inactivity post intervention programs psychosocial wellbeing racism recruit rural area rural health disparities satisfaction sedentary sedentary lifestyle social cognitive theory strength training stressor success tool uptake urban area

项目摘要

PROJECT SUMMARY / ABSTRACT Regular physical activity plays an important role in disease prevention and helps people live longer, feel better, and perform daily tasks more easily. Yet, less than 25% of American adults meet physical activity recommendations, and Americans spend an average of 9.5 hours per day sedentary, putting them at increased risk of cardiovascular disease, cancer, and mortality. Black and rural adults are less likely to be physically active and more likely to be sedentary than non-Hispanic White adults and those in urban areas, contributing to racial and ethnic and rural health disparities. Interventions focused on increasing moderate-to-vigorous physical activity have had limited success among Black adults residing in urban and rural areas. Reducing sedentary behavior as a means to increase physical activity may be a more effective approach. Yoga is a practice that combines the mind, body, and spirit through light-intensity movement, breath awareness, and relaxation techniques, and can be a valuable tool to reduce sedentary behavior and promote movement in adults who are insufficiently active and need to build up to regular physical activity. Furthermore, as a mindfulness practice, yoga’s effects on stress may be particularly relevant to Black adults who experience unique stressors, including racism and discrimination. Based on this, we partnered with churches to develop and test the feasibility of Harmony & Health (HH), a theoretically based intervention that integrates yoga practices with Christian spirituality to promote psychosocial wellbeing and movement among insufficiently active Black adults. We first tested the feasibility of HH among Black adults residing in an urban city, and then tested the feasibility of HH among a diverse sample of rural adults. This study is the next logical step and expands on our pilot studies that confirmed the feasibility of HH in Black adults. Feasibility and acceptability were high as measured by study completion (≥80% across studies), attendance (M urban=10.5±3.7; M rural=10.6±4.2), and participant satisfaction (≥97.2% overall across sites). HH also improved psychosocial wellbeing and reduced sitting time. The proposed study builds on these efforts by randomizing 100 Black adults who are not meeting physical activity recommendations from two geographically distinct sites, one urban and one more rural, to participate in HH or an attention control condition. HH sessions will take place twice a week for 8 weeks and focus on sitting less and moving more using stretching, breathing, and guided relaxation with Christian scripture. Assessments occur at baseline (week 0), post-intervention (week 9), and follow up (week 24). Results of this study will determine our ability to deliver these interventions with strong rigor and fidelity across multiple sites and will establish the feasibility and acceptability of this intervention among urban and rural Black adults. Findings from this study will be used to modify training and implementation procedures in preparation for a future fully powered multi-site randomized controlled efficacy trial. If supported, HH could be an innovative strategy to improve psychosocial wellbeing and physical activity in low active Black adults.

项目概要/摘要定期的身体活动在预防疾病方面发挥着重要作用，有助于人们寿命更长、感觉更好、并更轻松地执行日常任务，但只有不到 25% 的美国成年人进行体育锻炼。根据建议，美国人平均每天静坐的时间为 9.5 小时，这使得他们的静坐时间增加黑人和农村成年人患心血管疾病、癌症和死亡的风险较低。与非西班牙裔白人成年人和城市地区的白人相比，他们更活跃，更有可能久坐，这有助于干预措施的重点是增加中等至剧烈的健康差异。居住在城市和农村地区的黑人成年人的体力活动取得的成功有限。以久坐行为作为增加体力活动的一种手段，瑜伽可能是一种更有效的方法。通过轻强度的运动、呼吸意识和放松技巧，可以成为减少久坐行为和促进运动的宝贵工具活动不足且需要进行定期体力活动的成年人。正念练习，瑜伽对压力的影响可能与经历过的黑人成年人特别相关基于此，我们与教会合作开发了独特的压力源，包括种族主义和歧视。并测试和谐与健康（HH）的可行性，这是一种基于理论的整合瑜伽的干预措施实践基督教灵性，以促进社会心理健康和运动不足我们首先测试了居住在城市的黑人成年人中 HH 的可行性，然后这项研究是下一个合乎逻辑的步骤，旨在测试 HH 在不同农村成年人样本中的可行性。扩展了我们的试点研究，证实了 HH 在黑人成年人中的可行性和可接受性。通过学习完成率（各项研究≥80%）、出勤率（M 城市=10.5±3.7；M 农村=10.6±4.2），参与者满意度（跨地点总体≥97.2%）也改善了社会心理。拟议的研究以这些努力为基础，随机抽取 100 名黑人。未达到来自两个地理不同地点（其中一个城市）的身体活动建议的成年人还有一个农村地区，参加 HH 或注意力控制会议将每年举行两次。每周 8 周，并通过伸展、呼吸和引导放松，减少久坐、多动评估发生在基线（第 0 周）、干预后（第 9 周）和随访时。（第 24 周）。这项研究的结果将决定我们是否有能力实施这些干预措施。跨多个地点的保真度，并将确定这种干预措施在城市中的可行性和可接受性这项研究的结果将用于修改培训和实施程序。如果支持的话，HH 可以为未来的全功能多中心随机对照疗效试验做准备。是改善低活跃黑人成年人的社会心理健康和身体活动的创新策略。