Taylor Slone, Qiao Shan, Weissman Sharon, Li Xiaoming
Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
Department of Health Promotion Education and Behavior, South Carolina SmartState Center for Healthcare Quality (CHQ), Arnold School of Public Health, University of South Carolina, Columbia, SC, USA.
SAGE Open Med. 2021 Jun 16;9:20503121211025144. doi: 10.1177/20503121211025144. eCollection 2021.
Mindfulness-based interventions train participants to pay attention to their own emotions in the current moment without judging themselves. This study aims to assess the attitudes toward a mindfulness-based stress reduction intervention among African American women living with HIV.
We collected qualitative data from three focus group discussions with 18 African American women living with HIV who were purposely recruited from the Palmetto Health-USC Immunology Center in South Carolina, United States. The participants discussed how they coped with stress, and then were given a presentation on mindfulness-based stress reduction and a sample mindfulness-based stress reduction mini workshop with follow-up discussion about their thoughts and opinions on the information presented to them.
Participants said that mindfulness could be a useful technique and they were interested in participating in a mindfulness-based stress reduction program. Their main concerns included physical ability to perform some of the mindfulness techniques (e.g. yoga) and logistic barriers, such as schedule constraints. They also provided some suggestions to further tailor the mindfulness-based stress reduction, such as modifying yoga, using familiar terms, and combining both in-person and online components. These results suggest that African American women living with HIV showed strong interest in mindfulness-based stress reduction and a high level of willingness to participate in mindfulness-based stress reduction, but the existing mindfulness-based stress reduction program needs to be tailored to address challenges and barriers these women may face for attendance and completion.
The next step is to further test the feasibility, acceptability, and efficacy through a pilot study for African American women living with HIV to practice a tailored mindfulness-based stress reduction for this group.
基于正念的干预措施训练参与者当下关注自身情绪而不评判自己。本研究旨在评估感染艾滋病毒的非裔美国女性对基于正念的减压干预措施的态度。
我们从与18名感染艾滋病毒的非裔美国女性进行的三次焦点小组讨论中收集了定性数据,这些女性是从美国南卡罗来纳州的帕尔梅托健康-南卡罗来纳大学免疫学中心特意招募的。参与者讨论了她们如何应对压力,然后听取了一场关于基于正念的减压的讲座,并参加了一个基于正念的减压小型工作坊示例,随后就她们对所提供信息的想法和意见进行了后续讨论。
参与者表示正念可能是一种有用的技巧,她们有兴趣参加基于正念的减压项目。她们主要担心的问题包括进行一些正念技巧(如意瑜伽)的身体能力以及后勤障碍,比如日程安排限制。她们还提出了一些进一步调整基于正念的减压措施的建议,比如调整瑜伽、使用熟悉的术语以及结合面对面和在线两种形式。这些结果表明,感染艾滋病毒的非裔美国女性对基于正念的减压表现出浓厚兴趣和高度的参与意愿,但现有的基于正念的减压项目需要进行调整,以应对这些女性在参与和完成项目时可能面临的挑战和障碍。
下一步是通过一项试点研究进一步测试针对感染艾滋病毒的非裔美国女性量身定制的基于正念的减压措施的可行性、可接受性和有效性。