Strength-based strategies for addressing racial stressors in African American families: lessons learned from developing the LEADS health promotion intervention.

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL Journal of Behavioral Medicine Pub Date : 2024-12-01 Epub Date: 2024-08-10 DOI:10.1007/s10865-024-00509-y
Timothy Simmons, Mary Quattlebaum, Pamela Martin, Dawn K Wilson
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Abstract

Recognizing the real-life impact of racial stress on physical and psychological health is vital for creating impactful health promotion interventions among African American families. Despite the known link between racial stress and poor physical health outcomes, no existing intervention to date has targeted stress management strategies to buffer racial stress and build positive health behaviors among African American families. The current study outlines the lessons learned throughout the development of the Linking Exercise for Advancing Daily Stress (LEADS) Management and Resilience program, a 10-week family-based health promotion, stress management, and resilience intervention that aimed to improve physical activity, healthy eating, and well-being among African American adolescents and parents. We highlight the evolution of the LEADS intervention from a health promotion and stress management intervention to a culturally salient health promotion, stress management, and resilience intervention utilizing community-based participatory research strategies. This paper chronicles our systematic journey in making those changes and the lessons we learned along the way. We provide specific recommendations and implications for future health promotion interventions developed for African American families. Overall, we argue for a research orientation that respects cultural and racial contexts, embraces diversity within research teams and self-reflection, recognizes the heterogeneity among African American populations, and applies strength-based approaches.

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解决非裔美国人家庭种族压力的强势策略:从制定 LEADS 健康促进干预措施中汲取的经验教训。
认识到种族压力在现实生活中对身心健康的影响,对于在非裔美国人家庭中制定有影响力的健康促进干预措施至关重要。尽管种族压力与不良身体健康结果之间存在已知的联系,但迄今为止,还没有任何现有干预措施针对压力管理策略,以缓冲种族压力并在非裔美国人家庭中培养积极的健康行为。本研究概述了在开发 "链接运动促进日常压力(LEADS)管理和复原力计划 "过程中吸取的经验教训,该计划是一项为期 10 周的基于家庭的健康促进、压力管理和复原力干预措施,旨在改善非裔美国青少年和家长的体育锻炼、健康饮食和幸福感。我们重点介绍了 LEADS 干预方案从健康促进和压力管理干预方案发展为具有文化特色的健康促进、压力管理和抗逆力干预方案的过程,该方案采用了基于社区的参与式研究策略。本文记录了我们进行这些变革的系统历程以及我们在这一过程中学到的经验教训。我们为今后针对非裔美国人家庭制定健康促进干预措施提供了具体建议和启示。总之,我们主张尊重文化和种族背景的研究方向,接受研究团队和自我反思的多样性,承认非裔美国人的异质性,并采用基于力量的方法。
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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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