Jones Grant, Castro-Ramirez Franchesca, Al-Suwaidi Maha, McGuire Taylor, Herrmann Felipe
Department of Psychology, Harvard University, Cambridge, MA, United States.
Department of Psychology, University of California, Los Angeles, CA, United States.
JMIR Form Res. 2023 Nov 24;7:e53268. doi: 10.2196/53268.
Race-based anxiety is a critical health issue within the Black community. Mindfulness interventions hold promise for treating race-based anxiety in Black Americans; however, there are many barriers that prevent Black Americans from using these treatments, such as low cultural relevance, significant time burdens, and excessive costs.
This study is a replication and extension of findings that "healing attempt"-a brief (<60-minute), digital, music-based mindfulness intervention-is a feasible and acceptable intervention for race-based anxiety in Black Americans. In this study, we tested this research question among those with little-to-no meditation experience.
The participants were 4 Black American adults with elevated race-based trait anxiety and little-to-no meditation experience. We used a series of multiple-baseline single-case experiments and conducted study visits on Zoom (Zoom Video Communications) to assess whether the intervention can decrease state anxiety and increase mindfulness and self-compassion in Black Americans. We also assessed feasibility and acceptability using quantitative and qualitative scales.
In line with our hypotheses, "healing attempt" increased mindfulness/self-compassion (Tau-U range: 0.57-0.86; P<.001) and decreased state anxiety (Tau-U range: -0.93 to -0.66; P<.001), with high feasibility and acceptability (the average likelihood of recommending "healing attempt" was 88 out of 100).
"healing attempt" may represent a feasible intervention for race-based anxiety in Black Americans with elevated race-based anxiety and little or no mindfulness experience. Future between-subjects randomized feasibility trials can assess whether the intervention can give rise to lasting improvements in race-based anxiety, mindfulness, and self-compassion.
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基于种族的焦虑是黑人社区中的一个关键健康问题。正念干预有望治疗美国黑人的基于种族的焦虑；然而，存在许多障碍阻碍美国黑人使用这些治疗方法，如文化相关性低、时间负担重和成本过高。
本研究是对“治愈尝试”这一研究结果的重复和扩展，“治愈尝试”是一种简短（<60分钟）、数字化、基于音乐的正念干预，对于美国黑人基于种族的焦虑来说是一种可行且可接受的干预。在本研究中，我们在几乎没有或没有冥想经验的人群中测试了这个研究问题。
参与者是4名具有较高基于种族的特质焦虑且几乎没有或没有冥想经验的美国黑人成年人。我们使用了一系列多基线单病例实验，并通过Zoom（Zoom视频通信公司）进行研究访问，以评估该干预是否能降低美国黑人的状态焦虑，提高正念和自我同情水平。我们还使用定量和定性量表评估了可行性和可接受性。
与我们的假设一致，“治愈尝试”提高了正念/自我同情水平（Tau-U范围：0.57 - 0.86；P<.001），并降低了状态焦虑（Tau-U范围：-0.93至-0.66；P<.001），具有较高的可行性和可接受性（推荐“治愈尝试”的平均可能性为100分中的88分）。
“治愈尝试”可能是一种可行的干预措施，适用于基于种族的焦虑水平较高且几乎没有或没有正念经验的美国黑人。未来的组间随机可行性试验可以评估该干预是否能在基于种族的焦虑、正念和自我同情方面带来持久改善。
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