Qualitative evidence for Resilience, Stress, and Ethnicity (RiSE): A program to address race-based stress among Black women at risk for cardiovascular disease

• Published in: Complementary therapies in medicine Vol. 48; p. 102277
• Main Authors: Conway-Phillips, Regina, Dagadu, Helena, Motley, Darnell, Shawahin, Lamise, Janusek, Linda Witek, Klonowski, Stephanie, Saban, Karen L.
• Format: Journal Article
• Language: English
• Published: Scotland Elsevier Ltd 01-01-2020; Elsevier Limited
• Subjects: Cardiovascular disease; Cardiovascular diseases; Chronic stress; Discrimination; Empowerment; Feasibility; Focus groups; Health risks; Illnesses; Mindfulness; Minority & ethnic groups; Perceived discrimination; Qualitative analysis; Racial discrimination; Racism; Resilience; Risk; Skills; Stress; Women; Womens health; Women; Chronic stress; Cardiovascular disease; Perceived discrimination; Mindfulness; Racism; Resilience
• ISSN: 0965-2299; 1873-6963
• DOI: 10.1016/j.ctim.2019.102277

•Perceived discrimination and racism are chronic stressors that can contribute to cardiovascular health disparities among minorities.•RiSE is a novel stress reduction program that specifically addresses the unique stressors that minorities may experience.•RiSE is both feasible and effective in helping Black women effectively cope with chronic stress.
Growing evidence demonstrates that perceived discrimination and racism are significant contributing factors to psychological distress, low-grade chronic inflammation, and cardiovascular health disparities among minorities, particularly among Black women. Despite this evidence, there are no evidence-based complementary therapy interventions available to ameliorate chronic stress associated with racism and discrimination. The purpose of this study was to examine the feasibility and effectiveness of a novel, 8-week, group-based stress reduction program, Resilience, Stress and Ethnicity (RiSE), designed to help Black women at risk for cardiovascular disease (CVD) develop effective coping skills for dealing with chronic stress uniquely associated with being a minority.
We conducted two semi-structured focus groups with Black women (N = 22) following their participation in the 8-week RiSE program. We analyzed the data using constant comparative qualitative methods.
Attrition rate was low (13%) with all participants attending at least 6 of the 8 classes. Participants reported high levels of satisfaction with the program and the majority (81%) reported practicing the skills that they learned in real-life stressful situations. In describing the participants’ response to the program, four key categories emerged from the data: (1) Increasing awareness of stressors associated with perceived discrimination and racism; (2) Coping with race-based stressors; (3) Coping with other sources of stress; and (4) Increasing sense of empowerment and emotion regulation.
Findings suggest that RiSE is feasible and effective in helping Black women at risk for CVD cope with chronic stress associated with being a minority. Given evidence that perceived discrimination and racism are underlying factors in many inflammatory-based chronic diseases, this research may have broader implications for reducing health disparities across a wide-spectrum of chronic illnesses in which women minorities are disproportionately affected.