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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
Prenatal Mindfulness Training and Race-Related Vigilance: A Mixed-Methods Study Among Pregnant Women at Risk for
Regan Gregory1, Natalie Watson-Singleton, Amanda Desmarattes
1Regan Gregory, MPH, Graduate Research Assistant, Brown University School of Public Health, Providence, Rhode Island. Natalie Watson-Singleton, PhD, Associate Professor, Department of Psychology, Spelman College, Atlanta, Georgia. Amanda Desmarattes, BA, Clinical Research Assistant, Brown University Health, Providence, Rhode Island. Shaquanna Brown, PhD, Assistant Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island. Ghada Bourjeily, MD, Professor, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island. Nkenna Odom, MD, Clinical Assistant Professor, Department of Medicine, Warren Alpert Medical School of Brown University, Providence, Rhode Island. Melissa Guillen, MA, Sr Research Project Director, Brown University Health, Providence, Rhode Island. Kate M. Guthrie, PhD, Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island. Margaret H. Bublitz, PhD, Associate Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Background:
The experience of discrimination among pregnant women of color is linked to adverse pregnancy outcomes. Mindfulness training, in which participants are taught to observe stressors with acceptance and curiosity, may mitigate psychological consequences of discrimination. However, prior trials of mindfulness have lacked racial and ethnic diversity and may not be culturally congruent among women of color.
Objective:
To assess the effects of prenatal mindfulness training on psychological consequences of discrimination as well as barriers and facilitators to mindfulness training, in a sample of pregnant women of color at risk for developing hypertension in pregnancy.
Methods:
We included 53 participants enrolled in a clinical trial of mindfulness training who self-identified as women of color (race/ethnicity of Hispanic and/or non-white). Participants completed measures of race-related vigilance and prolonged activation and anticipatory race-related stress scales before and after randomization to mindfulness training or usual care. Qualitative interviews were conducted among 9 Black or Latina women who participated in the mindfulness intervention to identify barriers and facilitators to mindfulness training engagement.
Results:
We observed a significant decrease in race-related vigilance after mindfulness training relative to usual care (F = 4.64, P = .04). Qualitative results confirmed and extended these findings with information from participants on their experiences of race-specific stressors as well as how mindfulness served as a tool for reducing reactions to stressors.
Conclusions:
Mindfulness may reduce race-related vigilance during pregnancy. In addition to individually delivered interventions, broader efforts are needed to address discriminatory policies and practices within healthcare systems to reduce racial disparities in pregnancy outcomes.
