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Outcomes of the linking exercise for advancing daily stress (Leads) management and resilience randomized pilot trial in African American adolescents and families

Dados Bibliográficos

ID7146784
AutoresDabney K Wilson (0000-0003-0941-5598, University of South Carolina), Mary Quattlebaum (0000-0002-2695-4959, University of South Carolina), Allison M Sweeney (0000-0001-6393-8045, University of South Carolina), Timothy Simmons (0000-0001-5741-4763, University of South Carolina), Colby Kipp (0000-0001-6433-8463, University of South Carolina), Taylor White (University of South Carolina), Vashti Wood (University of South Carolina), M Lee Van Horn (0000-0003-1297-098X, University of New Mexico), Pamela Martins, Pamela Martin (University of South Carolina), Pamela Davis Martin (University of South Carolina)
Ano2025
Volume59
Fascículo1
Data de publicação2025-01-04
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoAnnals of Behavioral Medicine (JOURNAL)
Identificadores do periódicoISSN: 0883-6612 • E-ISSN: 1532-4796
EditoraOxford University Press (PUBLISHER • GB)
DOI10.1093/abm/kaaf034
PMID40380317
OpenAlexW4410482421
IdiomaEN
Referências citadas55

BACKGROUND: Previous research has examined the deleterious impact of racial stress on African Americans' mental and physical health; however, few interventions have focused on utilizing culturally salient protective factors to buffer the effect of racial stress on physical health outcomes. PURPOSE: This pilot feasibility trial assessed the preliminary impact of Linking Exercise for Advancing Daily Stress (LEADS) Management and Resilience, a cultural and family-based resilience intervention aiming to increase physical activity and improve coping in overweight African American adolescents (N = 23 adolescent-caregiver dyads; adolescent Mage 14.0 ± 2.2; MBMI percentile 97.8; 61.9% female; Parents Mage 46.4 ± 8.8; MBMI 41.2 ± 7.6; 100.00% female). METHODS: The 10-week feasibility trial tested an online family-based group resilience and health promotion program compared to an online health education only program. RESULTS: Process evaluation demonstrated high feasibility and acceptability of both group programs. As hypothesized, among adolescents, the treatment means reflect an average increase of 4.31 min/day of moderate-to-vigorous physical activity in the intervention group compared to an average decrease of 7.84 min/day of moderate-to-vigorous physical activity in the health education group. For light physical activity, treatment means reflect an average increase of 11.08 min/day in the intervention group and an average decrease of 2.56 min/day in the health education group. Also, the intervention adolescents and parents had greater engagement in adaptive coping skills (active coping, religion to cope, cognitive reframing) from baseline to post-treatment than the health education group, and greater reductions in maladaptive, and passive coping skills (self-distraction) than the health education group. CONCLUSIONS: This pilot feasibility trial demonstrates the acceptabity and feasibiity of integrating culturally sensitive strength-based interventions for African American families to promote health promotion behaviors and coping.

African american · Health psychology · Physical activity · Physical therapy · Psychological resilience · Psychotherapist · Public health · Randomized controlled trial · Resilience (materials science) · Stress (linguistics) · Stress management · Clinical Psychology · Internal Medicine · Medicine · Nursing · Psychology · Racial and Ethnic Identity Research · Resilience and Mental Health · Youth Development and Social Support · Gerontology

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