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Can a culturally-responsive Mobile health (mHealth) application reduce African Americans’ stress?: A pilot feasibility study

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Abstract

African Americans experience numerous stress-related health outcomes and encounter disproportionate barriers to utilizing health-related services that could reduce poor health. Culturally-responsive mindfulness mHealth approaches provide promising opportunities to increase access to health skills that can reduce stress and improve wellbeing among this population. We employed a within subjects pre-post design over a two-week intervention period to analyze if the use of a culturally-responsive mindfulness mHealth application (app) contributed to pre-post changes in a sample of 39 African Americans. Paired t-tests revealed that, following the intervention, participants used more mindfulness practices, had greater self-efficacy using mindfulness, had lower levels of emotion regulation difficulties, and reported lower levels of stress. Participants also expressed high levels of satisfaction with the app and gave it positive ratings for its usability. These findings support the feasibility of a culturally-responsive mindfulness mHealth app to reduce stress and improve emotion regulation skills among African Americans. Future research directions are proposed.

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Authors and Affiliations

Authors

Contributions

NNWS: Collaborated on study conceptualization and wrote the paper. JP: Helped with study design, assisted with the data analyses, wrote the Results, created tables and figures, and helped with editing the final manuscript. TT: Helped with study design, managed development of the mHealth app, led recruitment and data collection, collaborated on data analysis, and collaborated in editing the final manuscript.

The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Corresponding author

Correspondence to Natalie N. Watson-Singleton.

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Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The study was approved by Oregon Research Institute’s IRB. Informed consent: Informed consent was obtained from all individual participants included in the study.

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None of the authors has any conflict of interest to report.

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Research reported in this publication was supported by the National Institute on Minority Health and Health Disparities of the National Institutes of Health under award number R43MD012284. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.

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Watson-Singleton, N.N., Pennefather, J. & Trusty, T. Can a culturally-responsive Mobile health (mHealth) application reduce African Americans’ stress?: A pilot feasibility study. Curr Psychol 42, 1434–1443 (2023). https://doi.org/10.1007/s12144-021-01534-9

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  • DOI: https://doi.org/10.1007/s12144-021-01534-9

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