Considerations for Research and Development of Culturally Relevant Mindfulness Interventions in American Minority Communities (original) (raw)

Background: African Americans are at increased risk for stress-related disparities. Mindfulness-based interven-tions are effective in reducing adverse outcomes; yet, racial/ethnic minorities are underrepresented in theseinterventions. Also, the development of culturally-responsive interventions has been mostly non-existent. Materials and methods: Focus group and interview data were acquired following a four-week mindfulness in-tervention with African American women. Results: Using Brigg's (2011) mental health utilization model to guide analysis, several recommended culturally-responsive modifications emerged. Recommended modifications internal to the intervention included usingAfrican American facilitators, incorporating cultural values, using culturally-familiar terminology, and providingcultural resources. Suggested modifications to the intervention's external factors included offering the inter-vention within culturally-familiar settings. Individual-level factors to address were religious concerns, perceivedbenefits, and holistic health goals. Conclusions: Themes were used to propose a model toward the creation of a culturally-responsive mindfulness-based interventions to guide culturally-relevant treatment modifications and improve underserved communities’engagement in these interventions

African American women experience stress-related outcomes due to race and gender (i.e., gendered race-related stress). Mindfulness meditation training (MMT), an intervention that facilitates increased self-regulation of stress, may reduce the effect of gendered race-related stress on African American women's psychological and physical health. However, little is known about the perceived benefits and barriers African American women associate with MMT. The current study used the Health Belief Model to investigate how African American women's (a) severity of symptoms, (b) expected benefits of MMT, and (c) perceived barriers to MMT contributed to their interest in MMT. Data from 12 African American women were analyzed with qualitative thematic analysis. Women reported a need for MMT given their gen-dered race-related stress experiences. Perceived benefits of MMT included easy accessibility, fit with existing daily activities , and positive health outcomes. Perceived barriers to use of MMT were incongruence with African American culture, stigma, caretaking tensions, and extensive time commitment. Themes are discussed with respect to their implications for increasing MMT engagement among African American women.

OBJECTIVES: Hypertension increases the risk of developing Alzheimer's disease or related dementias. This pilot study's purpose was to examine the feasibility and acceptability of a novel intervention, Mindfulness in Motion (MIM) and Dietary Approaches to Stop Hypertension DASH (MIM DASH), to improve diet, mindfulness, stress, and systolic blood pressure (BP) in older African Americans with mild cognitive impairment (MCI) and hypertension. DESIGN: Cluster randomized controlled trial. SETTING: Intergenerational community center in a large metropolitan area. PARTICIPANTS: African Americans with MCI and hypertension. Participants were divided into six groups randomized 1:1:1 to the MIM DASH group, attention only (non-hypertensive education) group, or true control group. The MIM DASH and attention only interventions were delivered in 8-weekly 2 hour group sessions. MIM included mindful movements from chair/ standing, breathing exercises, and guided meditation. The DASH component used a critical thinking approach of problem solving, goal setting, reflection, and self-efficacy. The true control group received a DASH pamphlet at the end. MEASUREMENTS: Feasibility was tracked through enrollment and attendance records; acceptability was assessed through interviews. Blood pressure was measured using the Omron HEM-907XL Monitor. Dietary intake was measured by DASH-Q. Mindfulness was measured by the Cognitive and Affective Mindfulness Scale. Stress was measured by the Perceived Stress Scale. MCI was determined using the Self-Administered Gerocognitive Examination. Data were collected at baseline and 3-months. RESULTS: Median session attendance was six for the MIM DASH group and six for the attention only group. There were no changes in diet, mindfulness, or stress. There was a clinically significant reduction in systolic BP in the MIM DASH group (-7.2 mmHg) relative to the attention only group (-.7), and no change between the MIM DASH and true control groups. CONCLUSION: Results indicate that the MIM DASH intervention was feasible and culturally acceptable in African Americans with hypertension and MCI.

BACKGROUND Young sexual and gender minorities (SGMs) of color may face unique experiences of discrimination based on their intersectional positions (eg, discrimination based on both racial or ethnic identity and sexual identity). Emerging evidence suggests that mindfulness practices may reduce stress from discrimination and improve overall well-being among young SGM. Moreover, the omnipresence of smartphone access among racial or ethnic and sexual minority communities provides a method through which to administer mindfulness-based interventions among young SGMs of color. OBJECTIVE This paper outlines the protocol of the Optimizing a Daily Mindfulness Intervention to Reduce Stress from Discrimination among Young Sexual and Gender Minorities of Color (REDUCE) study, a pilot optimization trial of a smartphone-based mindfulness intervention that was developed in conjunction with the Healthy Minds Program (HMP) with the aim of reducing stress from discrimination among young SGMs. METHODS...

The current study examined the relation of a commonly used measure of mindfulness (Mindful Attention Awareness Scale [MAAS]) and psychological flexibility (Acceptance and Action Questionnaire [AAQ]) to mental health-related variables within an African American college sample. The study also examined these constructs as potential mediators of the link between self-concealment and mental health variables. The AAQ did not show adequate internal consistency, and thus was not used in subsequent analyses. Mindfulness was found to be a significant predictor of mental health-related variables and mediated the relation between self-concealment and emotional distress in stressful interpersonal situations (full mediation) and general psychological ill health (partial mediation). These results are suggestive that mindfulness may be useful to understand mental health within African Americans college students, although additional research is clearly needed.

In this article, we consider the use of Mindfulness-Based Stress Reduction (MBSR; Kabat-Zinn, 1991) as a community-based intervention for posttraumatic stress disorder (PTSD) among low-income, predominantly African American women with a history of intimate partner violence (IPV). The results of a pilot randomized clinical trial (RCT) of MBSR as an intervention for PTSD with this population are forthcoming. In this article, we present our rationale for using MBSR as an intervention for PTSD with this population, describe MBSR and our adaptation of the curriculum and its implementation, and discuss the feasibility and acceptability of the intervention based on participants’ feedback and our observations.

Objectives: Black Americans disproportionately experience higher levels of chronic stress. Mindfulness is a promising, cost-efficient treatment option for reducing stress and related mental health outcomes such as depression and anxiety. The Five Facet Mindfulness Questionnaire (FFMQ) is one of the most widely used tools to measure mindfulness; however, Black American samples have been underrepresented in validation studies of the FFMQ. Consequently, the validity of the FFMQ within Black Americans is unknown. The present study assessed the psychometric properties and nomological network of the original 39-item FFMQ (FFMQ-39) and the short form 15-item FFMQ (FFMQ-15) among a non-clinical, Black American sample in the United States. Methods: In a longitudinal study, 586 Black Americans completed either the FFMQ-39 or the FFMQ-15 at two time points one month apart. Results: Exploratory and confirmatory factor analyses supported a five-factor structure in both questionnaires. Both quest...

In the current article, the authors examine the potential role of mind-body interventions for preventing or reducing health disparities in a specific group—African American women. The authors first discuss how health disparities affect this group, including empirical evidence regarding the influence of biopsychosocial processes (e.g., psychological stress and social context) on disparate health outcomes. They also detail how African American women’s unique stress experiences as a result of distinct sociohistorical and cultural experiences related to race and gender potentially widen exposure to stressors and influence stress responses and coping behaviors. Using two independent, but related, frameworks (Superwoman Schema [SWS] and the Strong Black Woman Script [SBW-S]), they discuss how, for African American women, stress is affected by ‘‘strength’’ (vis-à-vis resilience, fortitude, and self-sufficiency) and the emergent health-compromising behaviors related to strength (e.g., emoti...