Acceptance and Commitment Therapy (ACT) for Combating the Effects of Race-Related Stress Among Black Adolescents

Study Overview
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Brief Summary
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The current study seeks to build on previous research that demonstrates the efficacy of Acceptance and Commitment Therapy in combating stigma by investigating the feasibility and acceptability of a protocol to support Black adolescents and young adults in coping with race related stress. The study will consist of a small, purposeful, non-randomized sample (N = 30) of clients enrolled into a 10-session Acceptance and Commitment Therapy group. The group will be offered as part of regular clinical care at the Division of Adolescent and Young Adult Medicine. Three consecutive groups will be run with approximately 8-10 participants in each group over the next year.

Official Title
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The Healing Power of Acceptance: Evaluating the Efficacy of Acceptance and Commitment Therapy (ACT) in Combating the Effects of Race-Related Stress Among Black Adolescents

Conditions
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Race-related Stress, Depression, Anxiety, Quality of Life, Stress Reaction

Intervention / Treatment
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* Behavioral: ACT for Race Related Stress


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Identify as Black/African American English-speaking Exclusion Criteria: Prisoners or youth in detention centers will be excluded. Not capable of participating meaningfully in the assent/consent process. Being at significant risk for suicide and self-injury Currently experiencing psychosis Having severe health concerns that will impact study participation or attendance

Ages Eligible for Study
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Minimum Age: 13 Years
Maximum Age: 21 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Acceptance Commitment Therapy<br>This study will use a 10-session ACT protocol to support Black adolescents and young adults in coping with race related stress. | Behavioral: ACT for Race Related Stress<br>* This intervention will be guided by: Payne, J. S. (2022). Out of the Fire: Healing Black Trauma Caused by Systemic Racism Using Acceptance and commitment Therapy New Harbinger Publications, Inc.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Score on Index of Race-Related Stress (IRRS)-Brief Version | Higher scores on this measure indicate greater race-related stress. The minimum score on this measure is 0 and the maximum is 88. | 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Total Scores on Acceptance and Action Questionnaire-2 | Higher scores on this measure indicate greater psychological flexibility. The minimum score on this measure is 7 and the maximum is 49. | 12 weeks | 
| Total Scores on Multidimensional Inventory of Black Identity-Teen (MIBI-t) | Higher scores on this measure indicate stronger racial identity. The minimum score on this measure is 21 and the maximum is 105. | 12 weeks | 
| Total Score on Patient Health Questionaire-9 | Higher scores indicate greater depression. The minimum score on this measure is 0 and the maximum is 27. | 12 weeks | 
| Total Score on General Anxiety Disorder-7 | Higher scores indicate greater anxiety. The minimum score on this measure is 0 and the maximum is 21. | 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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coping, Black, African American, Adolescents, Acceptance and Commitment Therapy, race-related stress, racial trauma