ABSTRACT
Black communities face multiple stressors including racism, discrimination, and navigating systems of oppression, all of which affect their mental health and wellbeing. In recent years, the practice of self-care has gained popularity as a strategy to cope with stress and to improve overall health. However, the current discourse often focuses on individual self-care behaviors and excludes systemic and community level factors that encourage, sustain, or inhibit self-care practices. This paper contextualizes a conceptual model of self-care with intersectionality theory and the psychology of liberation framework, in relation to the lived experiences of Black communities. The paper aims to underscore the necessity of self and community care as a tool for social justice, preservation, and resistance against oppressive systems that threaten the mental health and wellness of this community.
Subject(s)
Racism , Social Justice , Adaptation, Psychological , Humans , Mental Health , Racism/psychology , Self CareABSTRACT
BACKGROUND: Tobacco use remains the leading cause of preventable disease and death. Most smokers are not motivated to quit; however, most smoking cessation interventions are designed for smokers who are ready to take action. OBJECTIVES: The aim of the present study was to describe participant engagement and satisfaction with telephonic smoking cessation coaching with a population of smokers at different stages of readiness to quit. METHODS: Qualitative description was used to capture the experiences of 62 individuals who participated in telephonic smoking cessation coaching using semistructured interviews. RESULTS: Results indicate that person-centered communication facilitated engagement and was valued equally or more than perceived coach smoking cessation knowledge. Engagement with the intervention was associated with increased satisfaction, smoking cessation/reduction and perceived convenience of intervention. Conclusions/Importance: Findings indicate that unmotivated smokers can be proactively recruited and engaged in telephonic smoking cessation treatment and that person-centered communication and convenience are important variables that should be considered when implementing health interventions. Telephonic coaching has the potential to reach a large segment of the population with access barriers and could lead to important health behavior change. Intensive provider training that includes person-centered communication strategies is strongly recommended. Specific suggestions for successful implementation and dissemination are provided.