| Literature DB >> 31013882 |
Abstract
Black men experience disproportionate mental health challenges due to their exposure to severe psychosocial stressors. Yet, the mental health challenges of Black men have largely been left out of national conversations. Strong theoretical frameworks are important when generating dialogue about the mental health of Black men, as it helps to validate the work on a larger scale while also grounding the work for more practical use. This paper presents the conceptual framework for a five-year initiative aimed at improving the living, learning, and thriving of young Black men through a social media intervention that improves their mental health, expands their definitions of manhood, and helps them to engage in social support. The Young, Black Men, Masculinities, and Mental Health (YBMen) project is a social media-based, health promotion program that targets mental health (e.g., depressive symptoms), masculine norms (e.g., definitions of manhood), and social support for young Black men using culturally-sensitive, age-appropriate, and gender-specific popular culture. The YBMen project has been successfully implemented with over 150+ Black men since 2014; findings demonstrate improved mental health outcomes, progressive definitions of manhood, and stronger social relationships. Reflections from the past and projections for the future are discussed.Entities:
Keywords: African American/Black men; intervention; manhood; masculinity; mental heath; social media
Mesh:
Year: 2019 PMID: 31013882 PMCID: PMC6518212 DOI: 10.3390/ijerph16081331
Source DB: PubMed Journal: Int J Environ Res Public Health ISSN: 1660-4601 Impact factor: 3.390
Social cognitive theory (SCT) and how it is operationalized in the Young, Black Men, Masculinities, and Mental Health (YBMen) project.
| SCT Concept | Definition | Application to the YBMen Project |
|---|---|---|
| Behavioral capacity | Knowledge and skills to influence behavior | Educate Ps on individual and collective definitions of mental health, manhood, and social support and empowering their role as change agents. |
| Expectations | Anticipatory outcomes of a behavior; Model positive outcomes of healthful behavior | Encourage Ps to describe positive and negative outcomes of their previous behaviors. |
| Observational learning | Behavioral acquisition that occurs by watching the actions and outcomes of others’ behavior; Include credible role models of the targeted behavior | Share Ps individual and collective experiences; Identify credible role models to emulate that help portray the experiences of Black men in society. |
| Reinforcement | Responses to a person’s behavior that increase or decrease the likelihood of reoccurrence; Promote self-initiated rewards and incentives | Offer praise to and between Ps; Encourage self-reward; Decrease possibility of negative responses that deter positive changes. |
| Reciprocal determinism | The dynamic interaction of the person, the behavior, and the environment in which the behavior is performed | Involve Ps and others in program adaptation; Work with Ps to consider multiple avenues to behavioral change including environmental, skill-based, and personal change. |
| Self-efficacy | The person’s confidence in performing a particular behavior; Approach behavioral change in small steps to ensure success | Work with Ps to acknowledge strengths; Use persuasion and encouragement; Behavior change occurs via small, achieveable milestones that Ps can master. |
Ps = participants.
Theories of social networks and social support (SNSS) and how they are operationalized in the YBMen project.
| Concepts | Definitions | Application to the YBMen Project |
|---|---|---|
| Structural characteristics of social networks | ||
| Reciprocity | Extent to which resources and support are both given and received in a relationship | Ps receive information from the program, but are also asked to share information with members of their group. |
| Intensity of strength | Extent to which social relationships offer emotional closeness | Some Ps know one another prior to the start of the group while others strengthen relationships while in the group. |
| Complexity | Extent to which social relationships serve many functions | Given the nature of the topics covered in the groups, the needs and expectations of Ps may expand |
| Formality | Extent to which social relationships exist in the context of organizational or institutional roles | Many Ps are students and/or members of social groups. Many of their group exchanges are in this context. |
| Density | Extent to which network members know and interact with each other | Some Ps see and interact with one another outside of YBMen; others restrict their contact to what occurs within the group. |
| Homogeneity | Extent to which network members are demographically similar | Many Ps are connected via race and gender and associated experiences. Other identifying characteristics emerge in the YBMen group. |
| Geographic dispersion | Extent to which network members live in close proximity to focal person | Due to the focus on community, facilitated by on online community, the idea of proximity is less emphasized. |
| Directionality | Extent to which members of the dyad share equal power and influence | Ps are on an ‘even’ playing field. This may influence their interaction with the YBMen group moderator, who remains anonymous throughout the program. |
| Functions of social networks | ||
| Social Capital | Resources characterized by norms of reciprocity and social trust | Built by Ps in YBMen groups; particularly helpful when Ps vary by age, economic position, focus of study or work, identity, geographic area, etc. |
| Social Influence | Process by which thoughts and actions are changed by the actions of others | YBMen is based on social influence that helps Ps make informed decisions about how their mental health, manhood, and support are integrated. |
| Social undermining | Process by which others express negative affect or criticism or hinder one’s attainment of goals | Ps may be exposed to this based on group dynamics and individual contributions of Ps. Rapport-building early influences this concept. |
| Companionship | Sharing leisure or other activities with network | Regarded as a possible outcome of the YBMen program by Ps. |
| Social Support | Aid and assistance exchanged through social relationships and interpersonal transactions | A core aim of YBMen. Ps often come to the program interested in social support, and leave with a renewed appreciation for quality relationships. |
| Types of social support | ||
| Emotional support | Expressions of empathy, love, trust, and caring | Evident in group once Ps build rapport and normalize men’s emotions. |
| Instrumental support | Tangible aid and services | Not the focus of the group, but may occur once networks are built and connections are made. |
| Informational support | Advice, suggestions, and information | Evident in group once Ps build rapport and realize they have contributions to make. |
| Appraisal support | Information that is useful for self-evaluation | Ongoing introspection among Ps in the YBMen groups. |
Ps = participants.
Figure 1The integration of social cognitive theory (SCT) and theories of social networks and social support (SNSS) that inform the YBMen project conceptual framework.