Preliminary evidence for a race-based stress reduction intervention for Black women at risk for cardiovascular disease
Item
Title
Preliminary evidence for a race-based stress reduction intervention for Black women at risk for cardiovascular disease
Link
https://www.sciencedirect.com/science/article/pii/S0965229921000510?via%3Dihub
List of Authors
Karen Saban,Dina Tell Cooper,Linda J. Janusek
Abstract
Objective: Despite evidence that chronic stress, racism, and discrimination impact the well-being and the risk for
cardiovascular disease (CVD) in Black women, there are few evidence-based interventions that improve well-
being and reduce the risk for CVD in women of minority groups. The purpose of this pilot study was to eval-
uate the psychobehavioral and anti-inflammatory benefit of a race-based stress reduction program “Resilience,
Stress, and Ethnicity (RiSE) for Black women at risk for CVD. Methods: Black women were recruited from the
Chicagoland community and randomized to either the 8-week RiSE intervention (n = 40) or control group (n =
34). Participants were assessed for coping strategies, psychological distress, and blood levels of TNF-alpha and
high sensitivity C-reactive protein (hsCRP) at baseline and at 4 and 8 weeks after baseline. Results: Participation
in RiSE was associated with a more rapid decline in the use of avoidance coping (b = -0.3585, SE = 0.1705, p <
.01). Reductions over time in TNF-alpha (b = -0.0163, SE = .0087, p = .08) and hsCRP (b= -0.4064, SE = 0.2270,
p = .08) approached statistical significance. Conclusions: Findings provide preliminary evidence in Black women
at risk for CVD that RiSE contributes to decreases in avoidance coping. Although preliminary, these results
suggest RiSE to be an effective intervention to promote improved coping associated with racism and discrimi-
nation in minorities.
cardiovascular disease (CVD) in Black women, there are few evidence-based interventions that improve well-
being and reduce the risk for CVD in women of minority groups. The purpose of this pilot study was to eval-
uate the psychobehavioral and anti-inflammatory benefit of a race-based stress reduction program “Resilience,
Stress, and Ethnicity (RiSE) for Black women at risk for CVD. Methods: Black women were recruited from the
Chicagoland community and randomized to either the 8-week RiSE intervention (n = 40) or control group (n =
34). Participants were assessed for coping strategies, psychological distress, and blood levels of TNF-alpha and
high sensitivity C-reactive protein (hsCRP) at baseline and at 4 and 8 weeks after baseline. Results: Participation
in RiSE was associated with a more rapid decline in the use of avoidance coping (b = -0.3585, SE = 0.1705, p <
.01). Reductions over time in TNF-alpha (b = -0.0163, SE = .0087, p = .08) and hsCRP (b= -0.4064, SE = 0.2270,
p = .08) approached statistical significance. Conclusions: Findings provide preliminary evidence in Black women
at risk for CVD that RiSE contributes to decreases in avoidance coping. Although preliminary, these results
suggest RiSE to be an effective intervention to promote improved coping associated with racism and discrimi-
nation in minorities.
Date
March 13, 2021
Publication Title
Complementary Therapies in Medicine
Publisher
Elsevier
Identifier
10.1016/j.ctim.2021.102710
Bibliographic Citation
Saban, K. L., Motley, D., Shawahin, L., Mathews, H. L., Tell, D., De La Pena, P., & Janusek, L. W. (2021). Preliminary evidence for a race-based stress reduction intervention for Black women at risk for cardiovascular disease. Complementary Therapies in Medicine, 58. doi:10.1016/j.ctim.2021.102710