PDF(Pubmed)
Abstract：
UNASSIGNED: Average adults are recommended to have 7-8 h of sleep. However insufficient sleep (IS defined as <7 h/nightly) is associated with increased risk of chronic diseases such as cardiovascular disease (CVD) and type 2 diabetes mellitus (T2DM). Traditional, complementary, and integrative medicine (TCIM), a burgeoning area of research and practice, leverages both modern and traditional approaches to improve health. Despite TCIM\'s recognition as a tool to improve sleep and related outcomes, there is a gap in literature in addressing its impact among black individuals, who experience a disproportionate burden of IS and chronic disease. This qualitative study aimed to increase understanding of TCIM practices to overcome IS and overall health in black communities.
UNASSIGNED: Using photovoice methodology, a qualitative tool which applies community-engaged principles to produce culturally informed results through interviews and digital media, consented participants were recruited from Miami, Florida and (1) instructed to capture images over one week that communicated their TCIM to improve sleep and overall health on their mobile device; (2) interviewed using individual, semi-structured procedures to add \"voice\" to the \"photos\" they captured for ~20 min; and (3) invited to participate in follow-up focus groups for refined discussion and data triangulation for ~1.5 h. Both individual and focus group interviews were conducted over Zoom with recordings transcribed for formal content analysis using Nvivo software.
UNASSIGNED: The sample included N = 25 diverse US black individuals (M = 37, SD = 13, range 21-57). Approximately a quarter of the sample were unemployed (N = 7) and majority were women (N = 21). Results highlighted five themes including: (1) natural wellness (sleep supplements, comfort beverages, aromatherapy, herbalism, outdoors); (2) self-care (self-maintenance, physical activity, spatial comfort); (3) leisure (pet support, play); (4) mental stimulation (mindfulness, reading); and (5) spiritual wellness (faith-based practices). Study results elucidate the heterogeneity of diverse US black individuals regarding sociocultural knowledge, beliefs, and behaviors.
UNASSIGNED: Addressing IS in black communities requires a comprehensive strategy that integrates cultural sensitivity, family and community dynamics, education, mental health support, and informed policymaking. Future studies should consider how sleep health literacy, stress appraisal, and coping strategies may vary by race/ethnicity for tailored intervention.
UNASSIGNED: Using photovoice methodology, a qualitative tool which applies community-engaged principles to produce culturally informed results through interviews and digital media, consented participants were recruited from Miami, Florida and (1) instructed to capture images over one week that communicated their TCIM to improve sleep and overall health on their mobile device; (2) interviewed using individual, semi-structured procedures to add \"voice\" to the \"photos\" they captured for ~20 min; and (3) invited to participate in follow-up focus groups for refined discussion and data triangulation for ~1.5 h. Both individual and focus group interviews were conducted over Zoom with recordings transcribed for formal content analysis using Nvivo software.
UNASSIGNED: The sample included N = 25 diverse US black individuals (M = 37, SD = 13, range 21-57). Approximately a quarter of the sample were unemployed (N = 7) and majority were women (N = 21). Results highlighted five themes including: (1) natural wellness (sleep supplements, comfort beverages, aromatherapy, herbalism, outdoors); (2) self-care (self-maintenance, physical activity, spatial comfort); (3) leisure (pet support, play); (4) mental stimulation (mindfulness, reading); and (5) spiritual wellness (faith-based practices). Study results elucidate the heterogeneity of diverse US black individuals regarding sociocultural knowledge, beliefs, and behaviors.
UNASSIGNED: Addressing IS in black communities requires a comprehensive strategy that integrates cultural sensitivity, family and community dynamics, education, mental health support, and informed policymaking. Future studies should consider how sleep health literacy, stress appraisal, and coping strategies may vary by race/ethnicity for tailored intervention.
摘要：
■建议成年人平均睡眠7-8小时。然而，睡眠不足（定义为每晚<7小时）与心血管疾病（CVD）和2型糖尿病（T2DM）等慢性疾病的风险增加有关。传统,互补,和综合医学(TCIM)，一个新兴的研究和实践领域，利用现代和传统方法来改善健康。尽管TCIM被认为是改善睡眠和相关结果的工具，文学在解决黑人个体中的影响方面存在差距，他们经历了不成比例的IS和慢性病负担。这项定性研究旨在增加对TCIM实践的理解，以克服黑人社区的IS和整体健康状况。
■使用photovoice方法，一个定性工具，应用社区参与的原则，通过采访和数字媒体产生文化上知情的结果，同意的参与者是从迈阿密招募的，佛罗里达州和（1）指示在一周内捕获图像，这些图像传达了他们的TCIM，以改善他们的移动设备上的睡眠和整体健康状况；（2）使用个人采访，半结构化程序，将“语音”添加到他们捕获的“照片”约20分钟；（3）邀请参加后续焦点小组，以进行精细讨论和数据三角测量约1.5小时。个人和焦点小组访谈均在Zoom上进行，并使用Nvivo软件转录记录以进行正式内容分析。
■样本包括N=25个不同的美国黑人个体(M=37,SD=13,范围21-57)。大约四分之一的样本失业（N=7），大多数是妇女（N=21）。结果强调了五个主题，包括：(1)自然健康(睡眠补充剂，舒适饮料,芳香疗法,草药，户外)；(2)自我护理(自我维护，身体活动,空间舒适度)；(3)休闲(宠物支持，玩耍)；(4)精神刺激(正念，阅读)；和(5)精神健康(基于信仰的实践)。研究结果阐明了不同的美国黑人个体在社会文化知识方面的异质性，信仰,和行为。
■解决黑人社区中的IS问题需要一种综合文化敏感性的综合策略，家庭和社区动态，教育,心理健康支持,知情决策。未来的研究应该考虑睡眠健康素养，压力评估，和应对策略可能因种族/族裔而异，以进行量身定制的干预。
■使用photovoice方法，一个定性工具，应用社区参与的原则，通过采访和数字媒体产生文化上知情的结果，同意的参与者是从迈阿密招募的，佛罗里达州和（1）指示在一周内捕获图像，这些图像传达了他们的TCIM，以改善他们的移动设备上的睡眠和整体健康状况；（2）使用个人采访，半结构化程序，将“语音”添加到他们捕获的“照片”约20分钟；（3）邀请参加后续焦点小组，以进行精细讨论和数据三角测量约1.5小时。个人和焦点小组访谈均在Zoom上进行，并使用Nvivo软件转录记录以进行正式内容分析。
■样本包括N=25个不同的美国黑人个体(M=37,SD=13,范围21-57)。大约四分之一的样本失业（N=7），大多数是妇女（N=21）。结果强调了五个主题，包括：(1)自然健康(睡眠补充剂，舒适饮料,芳香疗法,草药，户外)；(2)自我护理(自我维护，身体活动,空间舒适度)；(3)休闲(宠物支持，玩耍)；(4)精神刺激(正念，阅读)；和(5)精神健康(基于信仰的实践)。研究结果阐明了不同的美国黑人个体在社会文化知识方面的异质性，信仰,和行为。
■解决黑人社区中的IS问题需要一种综合文化敏感性的综合策略，家庭和社区动态，教育,心理健康支持,知情决策。未来的研究应该考虑睡眠健康素养，压力评估，和应对策略可能因种族/族裔而异，以进行量身定制的干预。
