Project strive (students rising above) - offsetting the health and mental health costs of resilience

Active Project Grant Awarded Last action

Award ID
R01MH128729
Recipient
Awarding agency
Obligated
$7,004,713

Award facts

Assistance listing
93.242 Mental Health Research Grants
Completion date 90% complete
Place of performance
Los Angeles, CA 90095, USA

Award details come from USAspending.gov.

Description

Abstract
Students in marginalized communities who `strive' to rise above adversity to achieve academic success are considered `resilient'. However, youths' resilience in one domain (i.e. academic) can come at a cost in other domains including physical and mental health morbidities that are under-identified and under-treated. Previous research suggests that black, indigenous and people of color (bipoc) who exhibit a "striving persistent behavioral style" in the face of adversity evince later health morbidities. Ironically, the same self- regulatory skills that promote academic achievement amid chronic stress can also result in physiological dysregulation that harms health and mental HEALTH1-3. Self-regulatory processes that involve emotion suppression, experiential avoidance, and unmodulated perseverance can culminate in allostatic load which fuels health DISPARITIES1,4 and internalizing symptoms of depression and ANXIETY5. The proposed mechanistic trial will utilize mindfulness training to permit examination of questions about the causal role of emotion regulation strategies linked to the striving persistent behavioral style in driving mental health and health morbidities among BIPOC78. The proposed project strive (students rising above) will identify bipoc students who are academically resilient in the face of disadvantage and will offer a tailored mindfulness intervention targeting self-regulation processes as a putative mechanism to interrupt the links between the striving persistent behavioral style and negative health outcomes. We propose a multisite randomized trial randomizing 504 high achieving, socioeconomically disadvantaged black, latinx and asian american students in 18 schools to receive a mindfulness intervention or an attention control condition focused on study skills. The study will: (1) test the effects of the strive intervention on putative self-regulation mechanisms (emotion suppression, experiential avoidance, and unmodulated perseverance) among. (2) test the effects of the strive intervention on health and mental health outcomes at 12-month post-treatment, including biomarkers of allostatic load (cortisol, blood pressure, body-mass-index, waist/HIP/neck circumference), health complaints, and internalizing symptoms, and (3) examine the mechanistic model linking striving persistent behavioral style and health outcomes within the strive trial. If successful, this trial will build toward a scalable, secondary preventive intervention with potential for preventing both health and mental health disparities among underserved bipoc youth at the population-level.

Transactions

Action Obligated Date
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Amendment $716,445
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Original award $716,445
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Subawards

Subrecipient Amount Awarded
The Leland Stanford Junior University Dr. Saleem is an early career investigator with expertise in the influence of racial stressors and culturally relevant practices on the psychological health,… $79,200
Claremont Mckenna College As a part of the multiple Principal Investigator team, Dr. Stacey Doan will work closely with the PI (Dr. Anna Lau) and other investigators on study design,… $979,507
Fuller Theological Seminary 1. The subrecipient’s Principal Investigator (Dr. Joey Fung) at Fuller School of Psychology & Marriage and Family Studies will provide to UCLA the services… $376,954

Quick answers

Who received award R01MH128729?

R01MH128729 was awarded to University Of California, LOS Angeles by National Institute of Mental Health (National Institutes of Health) on May 1, 2022.

How much is award R01MH128729 worth?

$7,004,713 has been obligated on R01MH128729.

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