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临床试验/NCT06264011
NCT06264011已完成不适用

Discrimination and Religious Experiences of Adult Muslimahs in Salaat

Ohio State University2 个研究点 分布在 1 个国家目标入组 42 人开始时间: 2023年7月13日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
42
试验地点
2
主要终点
Relative power alpha

研究概览

简要总结

This goal of this clinical trial is to examine the effects of the Muslim prayer (salaat) on physiological arousal among Muslim women. This study aims to measure EEG and HRV during the salaat performance among Muslim women. Using EEG as a measure of physiological relaxation, HRV will be utilized as a measure of stress experienced by Muslim women whose prayer have been understudied in research on the salaat. Thus, the main questions it aims to answer are 1) whether salaat performed by Muslim women influences physiological relaxation similar to what is seen by men, and 2) Evaluate health-related correlates of perceived discrimination among Muslim women.

Participants will complete 15 questionnaires. Participants will be connected to a Heart Rate Variability (HRV) monitor as well as a 32-electrode EEG cap. After the baseline data are obtained, all participants will complete both conditions (salaat and counting) but the order of participation in conditions will be randomly assigned. The resting period will again occur between conditions and at the end of the second condition.

All participants will pray the Duha prayer, an optional superogatory prayer that typically occurs in the early morning, to control for differences in timing and duration of prayer. The Duha is completed between the dawn and noon prayers and consists of four cycles of prayer as well as Qur'an recitation and supplication throughout the four positions. The salaat condition includes four cycles with four different positions during each cycle (standing with bowing at a 90-degree angle with both hands covering the knees, standing again briefly with arms at the sides, prostrating with forehead, hands, knees, and feet touching the ground, followed by sitting with knees bent under the torso, prostrating, and sitting again). The counting condition will include the same physical component as the salaat condition. This will include 4 cycles of movement through the four different positions (i.e., standing, bowing at a 90-degree angle with both hands covering the knees, standing again briefly with arms at the sides, prostrating with forehead, hands, knees, and feet touching the ground, followed by sitting with knees bent under the torso, prostrating, and a final sitting position in cycles two and four (see Figure 2)). Apart from not including the final sitting position, cycles one and three are identical to cycles two and four (see Figure 2). The counting condition will include replacing Qur'anic recitation and subsequent supplications throughout the prayer by counting "one one-thousand, two one-thousand, three one-thousand, etc." throughout the duration of time typically required to perform the full salaat. During the standing position, counting can last for approximately 30-60 seconds in line with the previous study by Doufesh and colleagues (2012). Thus, the first three cycles of prayer will require approximately 77 seconds each while the final cycle will require around 97 seconds based on the estimates by Doufesh and colleagues (2012), for a total of approximately five and a half minutes. To ensure that participant duration during the counting condition is, on average, equivalent to the salaat condition, an audio recording will be provided with counting aloud during each position. The duration of the counting in the audio recording will be an average of the duration of each position as found in Doufesh and colleagues (2012). A bell sound will be used to indicate when participants should change to the next position. After performance of each condition, participants will return to a comfortable seated position. Participants will complete a questionnaire to rate their mental focus in the condition. Blood pressure will be measured at the end of each condition. While at rest, assessment of blood pressure, HRV, and EEG will be obtained from participants for 5 minutes between each condition and at the end of the study.

详细描述

Over the past 30 years, research has increasingly focused on the impact of religious practices on stress reduction. The Islamic prayer (salaat) is a mind-body practice consisting of a movement component and a meditative component. Although Weigand and colleagues (2004) and others (Archour & Roslan, 2014; Archour, Muhamad, Syihab, Mohd, & Mohd, 2021) have demonstrated robust negative associations between the practice of the Muslim prayer form (salaat) and anxiety. More recently, Doufesh and colleagues (2012; 2014; 2018) have examined the effect of salaat on central nervous system (CNS) and cardiovascular functioning. These studies have demonstrated improved physiological relaxation as reflected in increased alpha wave activity and high frequency heart rate variability (HF-HRV) among men. To date, existing studies that have focused on the relationships of salaat with anxiety and cardiovascular functioning have been mostly single group, observational designs. The only prior study with a control condition utilized a resting state comparison group rather than a true sham condition (Gao et al., 2019). Also, past studies have focused almost exclusively on Muslim men. Finally, research has documented the harmful effects of discrimination on automatic nervous system (ANS) functioning on racial and ethnic minorities (Nikolova, Tzacheva, & Vodenitcharov, 2011). However, a paucity of research has examined the relationship of salaat and ANS functioning among Muslim women or Muslimahs reporting experiences of perceived discrimination. This is particularly important as discrimination reported by Muslim women is positively associated with their visibility, e.g., greater adherence to Islamic practices such as the traditional headscarf and wearing loose clothing in public spaces is associated with increased experience of discrimination (Ali, Elsayed, Elahi, Zia, & Awaad, 2022). Thus, this study was designed to evaluate the influence of the recitation component of salaat on ANS functioning among visible Muslim women using a sham control condition. In addition, this study will explore the degree to which perceived discrimination is associated with physiological markers of stress and with health behaviors among Muslim women. Thus, this study aims to replicate and expand upon previous research demonstrating that alpha wave activity during EEG recordings can be found during the salaat.

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Crossover
主要目的
Supportive Care
盲法
Single (Investigator)

盲法说明

This study uses a cross-sectional, repeated measures, crossover design. All participants will complete both conditions of the study but will be randomized to start in either the salaat or counting conditions.

入排标准

年龄范围
18 Years 至 50 Years(Adult)
性别
Female
接受健康志愿者

入选标准

  • Adult Muslim women;
  • Ages 18-55;
  • Being ability to complete the salaat without assistance.

排除标准

  • Being currently pregnant;
  • Being post-menopausal or having a lack of regular menstrual cycles;
  • Reporting a current neurological or psychological disorder;
  • Receiving a score of greater than or equal to 9 on the Patient Health Questionnaire-9 (PHQ-9);
  • Being unable or unwilling to follow the requirements of the study protocol;
  • Being unwilling or unable to complete the morning salaat unassisted;
  • Being unable or unwilling to provide written informed consent.

结局指标

主要结局

Relative power alpha

时间窗: Relative power alpha will be assessed beginning five minutes prior to the first condition (salaat/sham condition) and will continue through the study until five minutes after the second condition, for a total duration of around 30-45 minutes.

Electroencephalography (EEG) is an indicator of relaxation. EEG, a measure of electrical brain activity in various regions of the brain (Luck, 2014), can be used to demonstrate changes in CNS activity attributable to relaxation (Jacobs \& Friedman, 2004). During performance of the salaat, HRV may be measured in frequency bands of low frequency (LF) ranging from about 0.04 - 0.15 Hz and high frequency (HF) ranging from about 0.15-0.40 Hz.

High frequency heart rate variability (HF-HRV)

时间窗: HF-HRV will be assessed beginning five minutes prior to the first condition (salaat/sham condition) and will continue through the study until five minutes after the second condition, for a total duration of around 30-45 minutes.

Using a heart-rate variability monitor, low sympathetic nervous system activity and higher peripheral nervous system (PNS) activity is measured as high frequency heart rate variability (HF-HRV). Using a heart-rate variability monitor, low sympathetic nervous system activity and higher PNS activity is measured as high frequency heart rate variability (HF-HRV).

The Body Perception Questionnaire Body Awareness Very Short Form (BPQ-VSF)

时间窗: IPAQ-SF will be measured only during the baseline, a single time-point prior to the intervention.

The Body Perception Questionnaire Body Awareness Very Short Form BPQ-VSF is a 12-item self-report measure adapted from the shortened version of the 26-item BPQ-SF to assess Autonomic nervous system function using a single factor of body awareness (Kolacz et al., 2018). Categorical omega was calculated for internal consistency yielding .91 for the full scale (Cabrera et al., 2018). Test-retest reliability was .97 (Cabrera et al., 2018). Scores range from 12 - 60 with higher scores indicating greater ANS functioning.

次要结局

  • The SF 36-Item Health Survey (SF-36)(The SF-36 will be measured only during the baseline, a single time-point prior to the intervention.)
  • Modified International Physical Activity Questionnaire - Short Form (IPAQ-SF)(IPAQ-SF will be measured only during the baseline, a single time-point prior to the intervention.)
  • The Internalized Islamophobia Scale(The IIS will be measured only during the baseline, a single time-point prior to the intervention.)
  • Health Care Discrimination Scale (HCDS; Martin, 2015)(The HCDS will be measured only during the baseline, a single time-point prior to the intervention.)
  • Salaat Frequency Scale(The SFS will be measured only during the baseline, a single time-point prior to the intervention.)
  • Hijab Frequency Scale(The Hijab Frequency scale will be measured only during the baseline, a single time-point prior to the intervention.)
  • Perceived Religious Discrimination Scale (PRDS; Rippy & Newman, 2008)(The PRDS will be measured only during the baseline, a single time-point prior to the intervention.)
  • Muslim Identification Scale (MIS; Verkuyten, 2007)(The MIS will be measured only during the baseline, a single time-point prior to the intervention.)
  • Brief Religious COPE(The Brief RCOPE will be measured only during the baseline, a single time-point prior to the intervention.)
  • The Salaat Index(The Salaat index will be measured only during the baseline, a single time-point prior to the intervention.)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (2)

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