A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial

BackgroundCommunity service providers (CSPs) play an integral role in the health care of low-income Hispanic or Latinx (HL) communities. CSPs have high-stress frontline jobs and share the high-risk demographics of their communities. Relational savoring (RS) has been associate...

Full description

Bibliographic Details
Main Authors: Daniela Arcos, Lyric N Russo, Kelly F M Kazmierski, Elayne Zhou, Gloria Itzel Montiel, America Bracho, Nancy Mejia, Jessica L Borelli
Format: Article
Language:English
Published: JMIR Publications 2023-12-01
Series:JMIR Research Protocols
Online Access:https://www.researchprotocols.org/2023/1/e51427
_version_ 1827579386626310144
author Daniela Arcos
Lyric N Russo
Kelly F M Kazmierski
Elayne Zhou
Gloria Itzel Montiel
America Bracho
Nancy Mejia
Jessica L Borelli
author_facet Daniela Arcos
Lyric N Russo
Kelly F M Kazmierski
Elayne Zhou
Gloria Itzel Montiel
America Bracho
Nancy Mejia
Jessica L Borelli
author_sort Daniela Arcos
collection DOAJ
description BackgroundCommunity service providers (CSPs) play an integral role in the health care of low-income Hispanic or Latinx (HL) communities. CSPs have high-stress frontline jobs and share the high-risk demographics of their communities. Relational savoring (RS) has been associated with lower cardiovascular reactivity and psychosocial benefits, with particular promise among HL participants. In this study, we aim to identify RS’s potential in promoting CSPs’ cardiometabolic health and, in so doing, having broader impacts on the community they serve. ObjectiveThis randomized controlled waitlist study aims to examine the effect of an RS intervention on (1) CSPs’ cardiometabolic health (cardiometabolic risk factors and outcomes) and (2) CSPs’ threats to leaving the workforce. MethodsWe will recruit a sample of 80 CSPs from community health agencies serving low-income HL populations. Participating CSPs will be randomized into an experimental or a waitlist control. Participants will complete 1 or 2 baseline assessment batteries (before the intervention), depending on the assigned group, and then complete 2 more assessment batteries following the 4-week RS intervention (after the intervention and at a 3-mo follow-up). The RS intervention consists of guided reflections on positive moments of connection with others. Electrocardiogram data will be obtained from a wearable device (Polar Verity Sense or Movisens) to measure heart rate variability. The primary outcome is cardiometabolic health, consisting of cardiometabolic risk (obtained from heart rate variability) and cardiometabolic health behaviors. The secondary outcomes include CSPs’ threats to leaving the workforce (assessed via psychological well-being), intervention acceptability, and CSPs’ delivery of cardiometabolic health programming to the community (exploratory). Analyses of covariance will be used to examine the effects of RS on cardiometabolic health and on CSPs’ threats to leaving the workforce, comparing outcomes at baseline, postintervention, and at follow-up across participants in the experimental versus waitlist group. ResultsThe study has been approved by the University of California, Irvine, Institutional Review Board and is currently in the data collection phase. By May 2023, 37 HL CSPs have been recruited: 34 have completed the baseline assessment, 28 have completed the 4 intervention sessions, 27 have completed the posttreatment assessment, and 10 have completed all assessments (including the 3-mo follow-up). ConclusionsThis study will provide valuable information on the potential of RS to support cardiometabolic health in HL CSPs and, indirectly, in the communities they serve. Trial RegistrationClinicalTrials.gov NCT05560893; https://clinicaltrials.gov/study/NCT05560893 International Registered Report Identifier (IRRID)DERR1-10.2196/51427
first_indexed 2024-03-08T22:00:58Z
format Article
id doaj.art-4ccbd3b25f4746b4b3f74e2f835465e3
institution Directory Open Access Journal
issn 1929-0748
language English
last_indexed 2024-03-08T22:00:58Z
publishDate 2023-12-01
publisher JMIR Publications
record_format Article
series JMIR Research Protocols
spelling doaj.art-4ccbd3b25f4746b4b3f74e2f835465e32023-12-19T13:30:55ZengJMIR PublicationsJMIR Research Protocols1929-07482023-12-0112e5142710.2196/51427A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist TrialDaniela Arcoshttps://orcid.org/0000-0002-7634-8818Lyric N Russohttps://orcid.org/0000-0002-3815-3622Kelly F M Kazmierskihttps://orcid.org/0000-0001-7914-7184Elayne Zhouhttps://orcid.org/0000-0001-9604-9404Gloria Itzel Montielhttps://orcid.org/0000-0003-2540-1487America Brachohttps://orcid.org/0009-0002-5242-0202Nancy Mejiahttps://orcid.org/0009-0006-0220-8210Jessica L Borellihttps://orcid.org/0000-0001-8471-6732 BackgroundCommunity service providers (CSPs) play an integral role in the health care of low-income Hispanic or Latinx (HL) communities. CSPs have high-stress frontline jobs and share the high-risk demographics of their communities. Relational savoring (RS) has been associated with lower cardiovascular reactivity and psychosocial benefits, with particular promise among HL participants. In this study, we aim to identify RS’s potential in promoting CSPs’ cardiometabolic health and, in so doing, having broader impacts on the community they serve. ObjectiveThis randomized controlled waitlist study aims to examine the effect of an RS intervention on (1) CSPs’ cardiometabolic health (cardiometabolic risk factors and outcomes) and (2) CSPs’ threats to leaving the workforce. MethodsWe will recruit a sample of 80 CSPs from community health agencies serving low-income HL populations. Participating CSPs will be randomized into an experimental or a waitlist control. Participants will complete 1 or 2 baseline assessment batteries (before the intervention), depending on the assigned group, and then complete 2 more assessment batteries following the 4-week RS intervention (after the intervention and at a 3-mo follow-up). The RS intervention consists of guided reflections on positive moments of connection with others. Electrocardiogram data will be obtained from a wearable device (Polar Verity Sense or Movisens) to measure heart rate variability. The primary outcome is cardiometabolic health, consisting of cardiometabolic risk (obtained from heart rate variability) and cardiometabolic health behaviors. The secondary outcomes include CSPs’ threats to leaving the workforce (assessed via psychological well-being), intervention acceptability, and CSPs’ delivery of cardiometabolic health programming to the community (exploratory). Analyses of covariance will be used to examine the effects of RS on cardiometabolic health and on CSPs’ threats to leaving the workforce, comparing outcomes at baseline, postintervention, and at follow-up across participants in the experimental versus waitlist group. ResultsThe study has been approved by the University of California, Irvine, Institutional Review Board and is currently in the data collection phase. By May 2023, 37 HL CSPs have been recruited: 34 have completed the baseline assessment, 28 have completed the 4 intervention sessions, 27 have completed the posttreatment assessment, and 10 have completed all assessments (including the 3-mo follow-up). ConclusionsThis study will provide valuable information on the potential of RS to support cardiometabolic health in HL CSPs and, indirectly, in the communities they serve. Trial RegistrationClinicalTrials.gov NCT05560893; https://clinicaltrials.gov/study/NCT05560893 International Registered Report Identifier (IRRID)DERR1-10.2196/51427https://www.researchprotocols.org/2023/1/e51427
spellingShingle Daniela Arcos
Lyric N Russo
Kelly F M Kazmierski
Elayne Zhou
Gloria Itzel Montiel
America Bracho
Nancy Mejia
Jessica L Borelli
A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
JMIR Research Protocols
title A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
title_full A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
title_fullStr A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
title_full_unstemmed A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
title_short A Relationship-Based Resilience Program for Promotores: Protocol for a Randomized Controlled Waitlist Trial
title_sort relationship based resilience program for promotores protocol for a randomized controlled waitlist trial
url https://www.researchprotocols.org/2023/1/e51427
work_keys_str_mv AT danielaarcos arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT lyricnrusso arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT kellyfmkazmierski arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT elaynezhou arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT gloriaitzelmontiel arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT americabracho arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT nancymejia arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT jessicalborelli arelationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT danielaarcos relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT lyricnrusso relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT kellyfmkazmierski relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT elaynezhou relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT gloriaitzelmontiel relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT americabracho relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT nancymejia relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial
AT jessicalborelli relationshipbasedresilienceprogramforpromotoresprotocolforarandomizedcontrolledwaitlisttrial