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...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2023-12-01
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| Series: | JMIR Research Protocols |
| Online Access: | https://www.researchprotocols.org/2023/1/e51427 |
| _version_ | 1827579386626310144 |
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| 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 |
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