基于智能手机的生态瞬时音乐干预对减轻土耳其移民女性压力的研究方案

Smartphone-based ecological momentary music intervention to reduce stress in Turkish immigrant women: protocol.

作者信息

Hirsch Stefanie, Nater Urs M, Mewes Ricarda

机构信息

Outpatient Unit for Research, Teaching and Practice, University of Vienna, Faculty of Psychology, Vienna, Austria.

Department of Clinical and Health Psychology, University of Vienna, Faculty of Psychology, Vienna, Austria.

出版信息

BMJ Open. 2025 Apr 5;15(4):e090518. doi: 10.1136/bmjopen-2024-090518.

DOI:10.1136/bmjopen-2024-090518

PMID:40187786

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11973758/

Abstract

BACKGROUND

Immigrant women frequently encounter ethnic discrimination (ED) and/or stressful events in their daily lives. To mitigate the risk of resulting health impairments, we developed an ecological momentary music intervention (EMMI-T) to reduce psychological and biological stress levels in the daily lives of Turkish immigrant women. The feasibility of the EMMI-T was confirmed in a pilot study (n=20). Here, we present the protocol of our proposed study to investigate the effectiveness of the EMMI-T.

METHODS

Fifty Turkish immigrant women perceiving chronic ED will take part in the 35-day study. During all three study periods (ie, baseline, intervention and post-intervention), participants will use a smartphone-based app to provide discrimination-related and stress-related data four times a day. Additionally, they will report every discriminatory and/or stressful event. During the intervention period, subsequently after such event-based data entries, participants will be allocated to either an intervention event (music listening for 10 or 20 min) or a control event (no music listening). Irrespective of event type, the app will signal 20 min after the initial event-based data entry for additional data collection. Every data entry will be accompanied by the collection of a saliva sample for analysis of biological stress markers (alpha-amylase, cortisol).

ANALYSIS

This intraindividual randomised design will allow us to test immediate (ie, before vs after music listening) and intermediate (ie, baseline period vs postintervention period) effects of the EMMI-T on psychological and biological stress levels. To test our hypotheses, we will use multilevel modelling.

ETHICS AND DISSEMINATION

Positive ethical approval was given by the institutional review board of the University of Vienna (reference number 00575). The results of our study will be disseminated at conferences and submitted to a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

NCT05829031.

摘要

背景

移民女性在日常生活中经常遭遇种族歧视（ED）和/或压力事件。为降低由此导致的健康损害风险，我们开发了一种生态瞬时音乐干预（EMMI-T），以降低土耳其移民女性日常生活中的心理和生理压力水平。一项试点研究（n = 20）证实了EMMI-T的可行性。在此，我们展示我们拟进行的研究方案，以调查EMMI-T的有效性。

方法

50名感知到慢性种族歧视的土耳其移民女性将参与这项为期35天的研究。在所有三个研究阶段（即基线期、干预期和干预后期），参与者将使用一款基于智能手机的应用程序，每天四次提供与歧视和压力相关的数据。此外，他们将报告每一次歧视性和/或压力性事件。在干预期，基于此类事件的数据录入之后，参与者将被分配到干预事件（听10或20分钟音乐）或对照事件（不听音乐）。无论事件类型如何，应用程序将在基于事件的初始数据录入后20分钟发出信号，以便进行额外的数据收集。每次数据录入都将伴随采集一份唾液样本，用于分析生物应激标志物（α-淀粉酶、皮质醇）。