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  • 1
    Online Resource
    Online Resource
    The impact of a stress management intervention including cultural components on stress biomarker levels and mental health indicators among indigenous women
    Springer Science and Business Media LLC ; 2023
    In:  Journal of Behavioral Medicine Vol. 46, No. 4 ( 2023-08), p. 594-608
    Details
    In: Journal of Behavioral Medicine, Springer Science and Business Media LLC, Vol. 46, No. 4 ( 2023-08), p. 594-608
    Abstract: We examined the effectiveness of a 26-week culture-inclusive intervention on reducing salivary stress biomarker levels, and perceived stress, depressive, and post-traumatic stress disorder (PTSD) symptoms measured using scales in 53 Indigenous women in Ontario, Canada. Statistical analyses compared the average biomarker levels, and the area under the curve (AUC) of biomarkers. Differences in biomarkers and mental health scale scores pre- and post-intervention were compared using mixed models with a random intercept. Interaction terms were included between the intervention and age, education, disability, and HIV status, individually, to test for sub-group differences. Cortisol AUC post-intervention was decreased compared to pre-intervention (β -1.29 µg/dL; 95%CI -2.35, -0.23). There was a slight decrease in perceived stress levels (aOR: -2.80; 95%CI -5.09, -0.50). The associations were stronger among women of younger age, higher education, and no disabilities. These interventions can be effective, but future interventions should target Indigenous population sub-groups to address individual needs.
    Type of Medium: Online Resource
    ISSN: 0160-7715 , 1573-3521
    URL: Article
    DOI: 10.1007/s10865-023-00391-0
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2016730-1
    SSG: 5,2
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  • 2
    Online Resource
    Online Resource
    Evaluating Facilitators’ Experience Delivering a Stress-Reducing Intervention for Indigenous Women with and without HIV
    Hindawi Limited ; 2023
    In:  Health & Social Care in the Community Vol. 2023 ( 2023-6-2), p. 1-10
    Details
    In: Health & Social Care in the Community, Hindawi Limited, Vol. 2023 ( 2023-6-2), p. 1-10
    Abstract: Indigenous women encounter increased stressful life experiences such as socioeconomic insecurities as well as inequities in health services and outcomes. These stress inequities, which stem from the historical and ongoing effects of settler colonialism, also worsen health outcomes for those women living with HIV. As a part of a broader research project on the impacts of stress-reducing interventions for indigenous women, this study examines the experiences of the women who facilitated the intervention. This research was conducted to evaluate the impacts of a biweekly stress-reducing intervention conducted in Thunder Bay, Ontario. The facilitators of the intervention participated in a focus group in 2019 where they detailed the reach, effectiveness, adoption, and implementation of the intervention. The results suggest that effective stress-reducing interventions should strive to be accessible and inclusive and that doing so can increase program engagement with the service organization hosting the intervention. Further, the results highlight the strengths and challenges of the intervention, including how it helped foster leadership skills and increased indigenous cultural learning among facilitators. These findings demonstrate the strength of community-led interventions and subsequent opportunities for facilitators to grow as leaders. Further, the study highlights how this style of intervention can also encourage participants to engage in other health and wellbeing programs offered by the community partner hosting the intervention. These findings suggest that interventions aimed at reducing stress among indigenous women facing socioeconomic insecurities, including those living with HIV, are both feasible and beneficial for participants, facilitators, and the nonprofit service organizations delivering them.
    Type of Medium: Online Resource
    ISSN: 1365-2524
    URL: Article
    DOI: 10.1155/2023/9219287
    Language: English
    Publisher: Hindawi Limited
    Publication Date: 2023
    detail.hit.zdb_id: 2006277-1
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