- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04863781
Mobile Stress Management Program for African American Women
Reducing Health Disparities Among African American Women: A Mobile Cognitive Behavioral Stress Management Intervention
The unjust social, economic, and environmental conditions that African Americans face throughout their lives lead to pervasive health disparities. These disparities are driven by healthcare differences. They are driven by economic differences. Those with less financial wealth have poorer health as compared to those with higher socioeconomic status. And yet, even when controlling for these two important social determinants of health, race still predicts morbidity and mortality.
What can account for this? Stress. African Americans experience more stress than their White peers. The story is even more dire for African American women who simultaneously face both racial discrimination and sexism. Indeed, gendered racial discrimination is nearly ubiquitous for Black women at all socioeconomic levels. It is also a distinct form of stress, with unique outcomes compared to other non-race-or-gender-related stressors. Finally, stress has clear downstream negative effects on health.
At present, there is no mobile cognitive-behavioral stress management intervention (m-CBSMi) designed to help African American women manage racial and nonracial daily stress. The investigators intend to fill this void. Using proven CBSMi techniques, participants will learn how to manage their stress through text messages and integrated mobile web content. Supportive texts will inspire, motivate, and affirm the life experiences of participants. Educational texts will increase knowledge, develop skills, and reduce barriers to adaptive coping. A library of individually tailored videos will be delivered to each participant. All mobile web content will be accessible only through touch-based links embedded within text messages, making it easy and effortless to view this material.
During Phase II the investigators will complete development of the m-CBSMi. Then, the investigators will examine the effectiveness of the m-CBSMi to reduce stress among African American female participants. Participants will be randomly assigned to either the intervention condition or to a matched control condition. Secondary measures will assess coping, well-being, subjective health, gendered racial identity, and knowledge.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Douglas Billings, PhD
- Phone Number: 3 7037390880
- Email: dbillings@isagroup.com
Study Locations
-
-
Virginia
-
Alexandria, Virginia, United States, 22314
- Recruiting
- ISA Associates
-
Contact:
- Douglas Billings, PhD
- Phone Number: 3 7037390880
- Email: dbillings@isagroup.com
-
Contact:
- Mary Morcos, MPH
- Phone Number: 703-264-7223
- Email: mmorcos@isagroup.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- self-identify as Black; own a smartphone; have at least limited English literacy skills; report perceived discrimination; and be moderately stressed. The discrimination must be due to race or gender and the frequency must be at least "a few times in the past year" or more. In addition, they must report a score of 6 or higher on the 4-item Perceived Stress Scale (PSS).
Exclusion Criteria:
-
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Intervention
All 11 modules will include the following elements: introduction to the topic; two types of assessments (1) adherence to at-home relaxation training practice (following week 2) and (2) 3-5 topic-specific questions to tailor video-based content; a cognitive component; a relaxation component; and a wrap up that includes a brief assessment of module comprehension.
Each user will view 5-7 videos per module.
Videos will be tailored to user and will last between 2 and 4 minutes.
Total time per module will be 20 to 30 minutes.
Between modules, users will receive (based on their timing preferences) supportive texts intended to motivate continued engagement or to affirm the life experiences of African American women
|
Each weekly module will consist of a cognitive component and a relaxation component.
The cognitive component during the first 3 weeks will educate users about the Transactional Model of Stress, that discrimination is a type of stressor, and the impact of stress on health.
Building on this information, users will then learn how to match coping responses to the changeability of stressors during weeks 4 and 5.
The cognitive component will conclude by focusing on the four most common coping strategies used by African American women in response to stress.
Modules 2 through 4 will teach progressive muscle relaxation through a series of tension and relaxation cycles.
Modules 5 through 8 will train users in diaphragmatic breathing.
Finally, users will be trained in three types of mindfulness mediations.
|
Active Comparator: Control
Two mobile courses: Introduction to Stress Management and Techniques for Coping with Stress.
Users will be informed that the courses will be completed on their phone, that they are video-based, and that they should spend between 20 and 30 minutes each week, for the next 11 weeks, learning the material.
The introductory course defines stress, describes the different sources of stress, and the influence of personality on stress.
The coping module includes training in cognitive coping skills, guided imagery, progressive relaxation, autogenic training, and the importance of physical activity to manage stress.
All lessons include course assessments.
During the intervention period, controls will receive weekly text messages encouraging completion of material.
|
The introductory course defines stress, describes the different sources of stress, and the influence of personality on stress.
The coping module includes training in cognitive coping skills, guided imagery, progressive relaxation, autogenic training, and the importance of physical activity to manage stress.
All lessons include course assessments.
During the intervention period, controls will receive weekly text messages encouraging completion of material.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Baseline Stress on the 10-point Perceived Stress Scale at Week 24
Time Frame: Baseline and Week 24
|
10-item survey that measures the degree to which an individual perceives his/her life as uncontrollable, unpredictable, and overwhelming
|
Baseline and Week 24
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- MD014077
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- ICF
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Psychological Stress
-
New York State Psychiatric InstituteJohnson & JohnsonCompletedPsychological Stress in PregnancyUnited States
-
Baylor UniversityCompletedAcute Psychological StressUnited States
-
Örebro University, SwedenCompletedPsychological Stress Due to SkydivingSweden
-
Massachusetts General HospitalCompletedStress | Emotional Stress | Psychological Stress | Social Stress | Life StressUnited States
-
Amrita Vishwa VidyapeethamAmrita Viswa VidyapeethamCompletedCovid Related Psychological StressIndia
-
Institut de Recherche Biomedicale des ArmeesCompletedPsychological Stresses
-
University of California, San FranciscoNational Institute on Aging (NIA); Penn State University; Harvard UniversityCompletedStress | Depressive Symptoms | Psychological Distress | Psychological Stress | Signs and Symptoms | Psychological | Child MaltreatmentUnited States
-
Penn State UniversityStony Brook University; National Institute on Aging (NIA); Oregon State University and other collaboratorsCompleted
-
Military Academy at ETH ZurichSwiss Armed ForcesCompletedPsychological Stress | Psychological AdaptationSwitzerland
-
Nagoya City UniversityAichi Health Promotion FoundationCompleted
Clinical Trials on Mobile cognitive-behavioral stress management intervention
-
University of MiamiRecruitingCancer | HIV/AIDSUnited States
-
National Institute on Drug Abuse (NIDA)CompletedHIV/AIDS | Drug Abuse | Alcohol Abuse
-
National Jewish HealthCompletedDepression | Stress | Anxiety | Cystic Fibrosis | Coping SkillsUnited States
-
University of ZurichSwiss National Science FoundationCompletedHIV InfectionsSwitzerland
-
Fred Hutchinson Cancer CenterNational Cancer Institute (NCI)CompletedPsychological StressUnited States
-
University of MiamiCompleted
-
Northwestern UniversityEunice Kennedy Shriver National Institute of Child Health and Human Development...Completed
-
H. Lee Moffitt Cancer Center and Research InstituteCompletedCancer Survivor | Young AdultUnited States
-
University of British ColumbiaCompletedObsessive Compulsive DisorderCanada