# Virtual Reality Intervention for Stress, Resilience, and Blood Pressure Management in Black Women

> **NIH NIH K01** · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · 2024 · $165,807

## Abstract

REALIST WOMEN Study
 A Virtual Reality (VR) Interven�on for Stress, Resilience, and Blood Pressure Management in Black Women
Background: Black women have a higher rate (approximately 60%) of cardiovascular disease (CVD) risk markers (e.g.,
hypertension) compared to their white female counterparts aged 20 and older (45.4%). Addi�onally, Black women are
more likely to suﬀer from insuﬃcient sleep (less than 6 hours), increasing their CVD risks. Stressors, especially complex
and cumula�ve intersec�onal stressors (such as economic strain, caregiver burden, racial stress, and gender
discrimina�on) experienced by Black women, are upstream determinants of hypertension and insuﬃcient sleep. To cope
with intersec�onal stress, Black women have developed unique forms of resilience. Current psychological and mental
health treatments do not speciﬁcally address intersec�onal stress. Therefore, to address the intersec�onal distress
experienced by Black women, we need behavioral treatments that can provide therapeu�c relief when needed. Innova�on
and Approach: Realist Women Study aims to pilot test the eﬀec�veness of a culturally tailored VR-exposure stress
management program in addressing intersec�onal stress and improving cardiovascular health in Black women. This K01
study aims to conduct focus group and individual interviews with 16 Black women to develop a community-deﬁned
concept of resilience. Addi�onally, the study will assess stress, sleep health, and feedback on using virtual reality (VR) for
stress management. It will also explore barriers and mi�ga�on strategies related to immersive technology usage among
Black women dealing with the superwoman schema coping (SSC). The Study is a pilot randomized clinical trial with (RCT)
a total of 60 par�cipants, focusing on hypertensive Black women. The hypothesis is that par�cipants in the stress
management virtual reality (VR-SM) group (n=30) will experience reduced stress (a minimum 12-point reduc�on in
cumula�ve intersec�onal stress scores), an increase of at least 0.77 points in CD-RISC scores, more days of suﬃcient sleep
(at least 7), a signiﬁcant decrease in blood pressure (BP), and adherence to the VR-SM program (using at least 50% of the
total modules). This research seeks to address a cri�cal gap in the literature by exploring the feasibility and impact of VR-
based interven�ons in this underserved popula�on. Relevance: The Study aims to reduce morbidity and mortality
associated with hypertension and insuﬃcient sleep in Black women by providing an innova�ve and accessible VR-based
interven�on tailored to their unique needs. This research represents a crucial step in addressing health dispari�es and
improving cardiovascular outcomes in this high-risk demographic. This K01 award will provide pilot data for an R01-level
RCT to develop a VR-delivered, culturally tailored Mindfulness-Based Stress Reduc�on (MBSR) program to enhance
resilience to cumula�ve intersec�onal stress and BP management for Black women. ...

## Key facts

- **NIH application ID:** 10951121
- **Project number:** 1K01HL175286-01
- **Recipient organization:** UNIVERSITY OF MIAMI SCHOOL OF MEDICINE
- **Principal Investigator:** Judite Blanc
- **Activity code:** K01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $165,807
- **Award type:** 1
- **Project period:** 2024-08-01 → 2029-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10951121

## Citation

> US National Institutes of Health, RePORTER application 10951121, Virtual Reality Intervention for Stress, Resilience, and Blood Pressure Management in Black Women (1K01HL175286-01). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/10951121. Licensed CC0.

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