University of Massachusetts Boston Application to the Institutional Review Board (IRB), 2016

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Date received: ________________ 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Protocol#        ________________ 
 
University of Massachusetts Boston 
Application to the 
Institutional Review Board (IRB) 
  
 
 
Project Title  Resisting racism: coping and empowerment to address negative effects on mental health  
 
 
 
Grant Title __NA  
 
 
 
 
 
Name Principal Investigator : Karen L Suyemoto, Ph.D_      Department : Psychology 
 
Permanent Mailing Address (All Students) Department of Psychology, M-4- _____ , University of Massachusetts, Boston, 100 
Morrissey Blvd, Boston, 02115 
 
Principal Investigator 
Affiliation: 
 
X    Faculty 
 
 
Professional Staff 
 
 
 
 
 
Graduate Student                Research Advisor’s Name: 
_______________________________________ 
 
 
Undergraduate Student       Research Advisor’s Name: 
_______________________________________ 
 
 
 
E-mail Address: Karen.suyemoto@umb.edu      Office Phone: 617 287 6370 
 
 
Fax Number 617 287 6336            Home/Alternate phone  X 
                 (optional) 
 
 
If Applicable, Please Provide: 
 
Co-Investigator Name Tahirah Abdullah, Ph.D        Affiliation (see above categories) Assistant Professor, Department of Psychology 
 
 
Department (and Institution if not UMass 
Boston)________________________________________________________________________________________ 
 
 
E-mail Address: tahirah.abdullah@umb.edu         Office Phone 617-287-7026 
 
 
 
Study Coordinator Name  Fanny Ng, M.A 
 
 
E-mail Address fanny.ng001@umb.edu      Office Phone:  
 
 
 
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FOR IRB USE ONLY: 
 
EXEMPT_______ EXPEDITED_______ 
FULL BOARD_______ 
DISAPPROVED_______ 
 
 
SIGNATURE IRB 
CHAIR  
 
 
 
 
 
 
DATE 
 
 
 
 
 
 
 
APPROVAL EXPIRATION DATE:  
 
 
 
 
 
 
 
 
 
For Human Subjects Research, the Guidelines for the Oversight of Individual and Institutional Financial Interests 
in Human Subjects Research also apply. 
 
 All financial interests must be reported to the campus Institutional Review Board (IRB).  Transparency of reporting of 
real or perceived financial conflicts of interest, whether they are individual or institutional shall be disclosed (a) within 
the written informed consent documents, (b) within all publications (print or electronic), and (c) within all presentations 
of the Clinical Research outside the University.   
Disclosures and Certification 
 
A.  Principal Investigator certifies that this form provides (1) a complete disclosure of all Investigators responsible for the design, conduct, 
or reporting of activities associated with this project, and (2) an accurate report of whether or not there are any Significant Financial Interests 
related to the Investigators’ Institutional Responsibilities. Principal Investigator agrees to update this form periodically as needed during the 
project award period. 
 
Do you, your spouse/domestic partner or dependent children have any Significant Financial Interests related to the Investigator’s Institutional 
Responsibilities?  (Reference definitions on the reverse side of this form.) 
 
 
 No 
 Yes, Investigator’s Detailed Disclosure Form (form may be submitted in a closed envelope)  
 
 
(Please type or print information) 
 
 
 
 
 
 
 
 
 
 
Signature of Principal Investigator  
 
Date 
 
 
 
 
 
Name and Title of Principal Investigator (Please type or print information) 
 
 
 
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Investigator and Departmental Certifications 
 
 
 
 
 
 
Principal Investigator Certification: 
I acknowledge and accept my responsibility for protecting the rights and welfare of human research participants as 
discussed in the Belmont Report, the DHHS regulations (45 CFR 46) and the University of Massachusetts Boston 
Multiple Project Assurance.   I certify that I will comply with all applicable regulations and the directives of the 
Institutional Review Board.     
 
 
________________________________________________ 
____________________ 
Signature of Principal Investigator                                             Date  
 
 
 
 
Co Investigator Certification: 
I acknowledge and accept my responsibility for protecting the rights and welfare of human research participants as 
discussed in the Belmont Report, the DHHS regulations (45 CFR 46) and the University of Massachusetts Boston 
Multiple Project Assurance.   I certify that I will comply with all applicable regulations and the directives of the 
Institutional Review Board.   
 
 
________________________________________________ 
____________________ 
Signature of Principal Investigator                                             Date  
 
Student Advisor/Mentor Certification: 
I have reviewed this protocol with the student and it meets the standards for human participants protections as 
stipulated in the Belmont Report, the DHHS regulations (45 CFR 46) and the University of Massachusetts Boston 
Multiple Project Assurance.  This protocol also meets relevant ethical standards within the student’s discipline.  
The student has sufficient knowledge and skills to carry out the project proposed in this application.  I will provide 
adequate supervision and support to the student in conducting the proposed project.   
 
 
_____________________________________________          _____________________ 
Signature Advisor (Students only)  
 
 
Date  
 
 
_____________________________________________            
Printed Name of Student Advisor  
Department Head/Director Certification: 
I certify that I have reviewed this application and it is compatible with the objectives of the Department/Center or 
Institute involved.  
 
 
_____________________________________________           ____________________ 
Signature Department Head or Center/Institute Director 
Date  
 
 
_____________________________________________            
Printed Name of Dept. Head or Center/Institute Director 
 
 
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Protocol Information 
 
 
Project Start Date: March 1 2014 
 
Human Participants Interactions Start Date: March 1 2014 
 
Project End Date: July 30, 2014 
 
New Project Review Category 
Select one of the requested review categories below.  (See the application instructions for descriptions of each category): 
 Request for Full Board review.  
 
 Request for Exemption  
Category #_______ 
 
 Request for an Expedited review Category #_______ 
 
 
Check below if the proposed project includes: 
 Data that will be gathered from a hospital, medical facility, or health care provider(s).  You will need to complete and 
attach the HIPAA Supplement Form to this application. 
 
 Prisoners 
 
 Data collected from Children 
 
 Pregnant Women (as the primary participant population 
 
 
Funding Information 
 
 
Source of Funding: 
1. 
External 
Agency : NA 
 
 
2. 
Internal 
Source: NA 
 
 
 
PAD #:  
 
 
 
 People Soft String ID 
#: 
 
 
 
 
 
 
 
Grant title: 
 
 
 
3. 
Unfunded 
X 
 
 
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EXPEDITED REVIEW 
 
Project Title: Resisting racism: coping and empowerment to address negative effects on mental health 
Researcher: Karen L. Suyemoto, Ph.D. & Tahirah Abdullah, Ph.D. 
Project Summary 
Using layperson terms, write a protocol specifically for IRB review. Please be concise in writing your 
summary and be sure to fully explain all human participant interactions. Be sure to address all of the 
following points in your summary. 
 
Background Information 
 
This study aims to investigate the impact of racism on people of color by investigating relations 
between experiencing racism, mental health, and coping strategies. We will examine both direct effects 
as well as possible mediation effects and interactions between coping and mental health in the ways 
that these variables relate to racism.  The study also pilots a measure of race related resistance and 
empowerment and examines the ways that racism related resistance and empowerment may affect the 
relation of experiencing racism to mental health and coping for people of color. 
I. 
Rationale 
Racism results from the transformation of race prejudice and/or ethnocentrism through the 
exercise of power against a racial group defined as inferior, by individuals and institutions with 
the intentional and unintentional support of the entire culture (Jones, 1972; p. 172). 
This definition captures racism both at an individual level as well as an institutional/cultural level. It 
also addresses how racism may occur even if unintentional, which is particularly important given that 
recent research has supported that more subtle, indirect and disguised forms of racism may be currently 
more prevalent than overt, direct and intentional racism (Dovidio, Gaertner, Kawakami & Hodson, 
2002). People of color are subject to overt racism, discriminatory stereotyping (which is often the basis 
of overt racism), and more subtle racism or microaggressions. Most members of racial minority groups 
report experiencing racially derived mistreatment  (i.e. racial discrimination) over the course of their 
lifetimes (e.g. Alvarez, Juang and Liang, 2006; Brondolo et al., 2009; Klonoff and Landrine, 1999) 
with prevalence rates ranging 95 to 99% depending on what kind of racism and whether one is 
measuring incidence in the last year or other the lifetime. Harrell (2000) reported that individual 
experiences of racism vary depending on a variety of demographic factors (e.g. gender, socioeconomic 
status, immigration background).  
Understanding the experience of racism is important because a growing body of research has 
shown that racism has a negative impact on both psychological and physical health and well being for 
racialized minorities.  As events that threaten an individuals’ well-being, racial/ethnic discrimination is 
associated with race-related stress, lower life satisfaction and well-being (e.g., Deitch et al., 2003), 
increased distress (e.g., Broman, Mavaddat, & Hsu, 2000; Jackson et al., 1996), emotional reactions 
(Carter & Reynolds, 2011; Carter & Forsyth, 2009), psychological symptoms (e.g., Forsyth & Carter, 
2012; Landrine & Klonoff, 1996; Kessler, Mickelson, & Williams, 1999; Klonoff, Landrine, & 
Ullman, 1999; Sanders Thompson, 1996), and a variety of other negative health outcomes (Bryant-
Davis & Ocampo, 2005; Carter, 2007; Harrell, Hall, & Taliaferro, 2003; Loo, 1994; Lowe, Okubo & 
Reilly, 2012; Scurfield & Mackey, 2001). In general, Carter and Forsyth (2009) cited “significant 
relationships between perceived experiences with racism and… psychiatric and emotional reactions 
…[that ultimately] compromise well-being” (p. 28). Chou, Asnaani, and Hoffman (2012) also found 
that experiences with racism related to depressive symptoms and substance abuse for most minorities 
as well as anxiety and eating disorders for African Americans and Asian Americans, respectively. In 
Carter and Forsyth’s (2009) aforementioned meta-analysis, they concluded that the body of research on 
racism and mental health and their own clinical experience supported that racism not only leads to 
 
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potentially negative impacts on mental, physical, and emotional health, but may even “rise to the level 
of trauma” (Carter & Forsyth, 2009, p. 38). Outlaw (1993) posited that racism can never be considered 
benign or irrelevant as it is always considered by the person experiencing it as a threat, harm, loss, or 
challenge regardless of intent.  
 
Individuals experiencing racism enact a range of coping strategies to manage possible 
detrimental effects. Although much debate surrounds the definition of coping, an integrative definition 
is offered by Lazarus (1984): “constantly changing cognitive and behavioral efforts to manage specific 
external and/or internal demands that are appraised as taxing or exceeding the resources of a person” 
(p. 141). Coping can consist of active engagement in one or multiple individual and intersecting 
strategies such as problem-focused coping (e.g., planning, decision making), emotion-focused coping 
(e.g., venting feelings, humor), avoidance coping (e.g., denial, behavioral disengagement), and social 
support coping (e.g., seeking help, advice, or comfort from others) (Eisenbarth, 2012). The enactment 
of these strategies has been shown to be influenced by variables such as personality, behavioral 
patterns, demographic factors, sociodemographic factors (Holahan & Moos, 1987), and culture (Chun, 
Moos, & Cronkite, 2006). This is particularly important because different racialized minorities with 
different modal cultural affiliations may cope in different ways. Microaggression research has found 
“avoidance” coping (disengaging from dealing with or experiencing a stressor; Billings & Moos, 1981) 
to be endorsed by Asian Americans participants. For example, findings indicated increased substance 
abuse in response to subtle discriminations (Alvarez & Helms, 2001; Gee, Delva, & Takeuchi, 2007).  
These findings are in line with studies that propose that avoidance or forbearance coping is culturally 
congruent with the values of collectivistic cultures (Noh, Beiser, Kaspar, Hou, & Rummens, 1999; 
Yeh, Arora, & Wu, 2006). In contrast, Kuo (1995) found that Asian Americans tended to use emotion-
focused (i.e., minimization, distraction, acceptance) coping strategies in response to racism (Alvarez & 
Helms, 2001). Findings from another study supports methods of cognitive restructuring and problem-
solving coping as effective means of managing the psychological effects of racism, but only for Asian 
Americans who strongly identified with their heritage culture and perceived low levels of racism (Yoo 
and Lee, 2005). Other research has indicated that Black Americans primarily use social support coping 
strategies in response to racial discrimination (Brown, Phillips, Abdullah, Vinson, & Robertson, 2011; 
Kreiger & Sidney, 1996; Thompson Sanders, 2006). Two of these studies have suggested that Black 
Americans also engage in a more active approach to coping with racial discrimination. Krieger and 
Sidney (1996) found that "do something about it" and "talk to others" was the most endorsed coping 
strategy combination in their sample. Similarly, Brown et al. (2011) found their Black college student 
sample primarily endorsed active (problem-focused), emotional support (moral support, understanding, 
sympathy), and instrumental support (advice, assistance, information) coping strategies in response to 
racism-related stressors, while endorsing active, positive reframing, and acceptance in response to non-
racism-related stressors (Brown, Phillips, Abdullah, Vinson, & Robertson, 2011). 
 
Overall, although there has been a small amount of research on coping with racism, findings 
are inconsistent and within group correlates are rarely examined, particularly in interactions. This 
project aims to enable both within and across group exploration of variables such as generation, 
cultural affiliation, and gender that previous research suggests may affect experiences of and coping 
with racism (Gutierrez, 1990; Brondolo et al., 2009; Harrell, 2000; Molix & Bettencourt, 2010; Blume 
& Lovato, 2010; Peterson, Hamme, & Speer, 2002,Alvarez, Juang & Liang, 2006). Furthermore, the 
majority of the limited research that does exist has been done with Asian American and Black 
American samples; our study will also include Latino/a individuals and specific measures.  
 
One approach of coping with racism that has been largely ignored in the research is 
empowerment and resistance. Wright, Perez, and Johnson (2010) argue that empowerment is a subset 
under the more general umbrella of coping. For example, Johnson, Worell and Chandler(2005) 
conceptualized empowerment as a “process enabling [those] to access skills and resources to cope 
more effectively with current as well as future stress and trauma” (p.111). While a definitive 
 
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conceptualization of empowerment has yet to be finalized in the field, researchers often agree that the 
word in its most basic etymological format suggests a process by which an individual may in some 
way gain power. Researchers on empowerment have primarily focused on intimate partner violence, 
disability status, and organization contexts. To date there has not been any published psychological 
research that has quantitatively measured empowerment and examined its use to resist racism. This is 
surprising given that there is long-standing and widespread recognition and discourse about 
empowerment and resistance as having positive effects in the context of being of an oppressed group 
(e.g. see Pinderhughes, 1989, or the large body of research in ethnic studies and history about civil 
rights movements as resistance and empowerment). Bolton and Brookings (1998) understood 
empowerment as “the capacity of disenfranchised people to understand and become active participants 
in matters that affect their lives.” This definition is apropos when considering the empowerment of 
racial minorities to deal with discrimination.  We clearly need racially and/or ethnically sensitive 
empowerment constructs that are tailored to measure racialized minorities’ experiences of racism 
related empowerment. Given that there are no current measures that examine empowerment in the 
context of resisting racism, the current study aims to evaluate a measure focused on actions that people 
might take to resist racism.  
Current Study 
The current project attempts to understand the impact of various forms of racial discrimination 
on racialized minorities’ mental health. The project also aims to explore what types of coping are 
employed by participants to cope with racial discrimination and how this coping may ameliorate 
anticipated negative effects of racism. Finally, given the lack of research on empowerment and its 
relationship to coping with racism, a racism related empowerment and resistance scale is developed 
and evaluated here in order to incorporate a new dimension to coping with racism.  
 
 
 
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II. 
Methodology 
 
Overview 
 
This is an on-line questionnaire study, recruiting participants from the UMass Boston 
community, local area communities, and nationally through email listservs and other online 
approaches. A maximum of 1000 participants will be recruited. The primary investigator (PI), co-
investigator, as well as undergraduate and graduate research assistants (RAs) from the investigators’ 
research teams will be working on this project. 
 
 
Recruitment (see appendix B): 
Participants will be recruited from the UMass Boston community, local area communities, and 
nationally through email listservs and other online approaches. By using these multiple recruitment 
methods we hope to balance convenience and accessibility with diversity within the sample.  
 
Methods of recruitment will include:  
1. Recruitment of students on the UMass campus: For student recruitment at UMass Boston, the 
researchers will (a) send out emails to students in the general student community through the 
established mechanism for approved studies, (b) utilize the psychology subject pool, (c) post 
flyers on campus, (d) set up recruitment tabling at various times, (e) specifically request to post 
flyers and distribute emails through student groups like the Asian Student Center, the Black 
Student Center, etc., and (f) contact professors and request to make recruitment announcements 
in classes that tend to have larger concentrations of students of color (for example, Africana 
Studies, Asian American Studies, Latino Studies, Native American Studies, as well as major or 
colleges such as Finance or Computer Science where institutional research indicates that there 
are a large number of students of color).  
2. Neighborhood flyering: The researchers will post flyers in areas around Boston that have a 
large population of people of color according to census data such as Dorchester, Quincy, or 
Jamaica Plain.  We will also contact community based organizations serving people of color in 
the greater Boston area to request that they post and distribute our recruitment flyer and 
message. Such organizations may include Boston Chinatown Neighborhood Center, Asian 
Community Development Center, Bird Street Community Center, Mattapan United, Madison 
Park Development Corporation, North American Indian Center of Boston, and others. We 
expect this list to grow as we snowball recruitment through requesting input on additional 
organizations through participants and organizations.  
3. National online recruitment: The researchers will also recruit through online approaches such 
as listservs, and social media focused on people of color. Examples might include 
angryasianman.com, bostonblackmba.com, alpfaboston.org, elmundoboston.com, mcnaa.org 
and others. We will also specifically focus on listservs and other social media focusing on 
professionals who are people of color (e.g. National Association for Black Journalists, National 
Association for Asian American Professionals, Native American Journalists Association, 
Association for Latino Professionals in Finance and Accounting) and psychologists who are 
people of color who may be more likely to complete such a survey (e.g. the listservs for the 
Asian American Psychological Association, the Association of Black Psychologists, the 
National Latina/o Psychological Association and the Society for Indian Psychologists). Again, 
we expect this list to grow as we snowball recruitment through requesting input on additional 
organizations through participants and organizations  
a. We would like to specify in the National online recruitment section that we are 
requesting input on additional people and organizations through the participants and 
 
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organizations that we have already connected with for recruitment purposes. We are 
proposing to e-mail invitations to potential participants referred by individuals who 
completed our study and include a one line addition to our standard email invitation for 
those individuals to say, “Your friend or acquaintance, (email address of person 
providing the referral), gave us your email address and suggested you as a potential 
participant for our study.” The reasoning behind this addition is to give context and 
protect the referred person from feeling that they had been targeted, which is 
particularly important for a study on racial discrimination (see Appendix B4 for sample 
e-mail). 
 
Part I of Survey- Original Protocol  
 
Procedures: 
Participants will be directed in recruitment materials to the PsychData survey website where they will 
first be provided with an informed consent form outlining the anonymous nature of participation. Once 
participants indicate informed consent, they will begin the survey. Some parts of the survey will be 
common to all participants, while others will be given only to those who identify as of a particular race 
(e.g. the Asian American Race Related Stress Inventory).  
 
In the beginning of the survey, after obtaining informed consent, participants will be asked to self-
identify their minority race; this will determine the measures that will be administered to that particular 
participant. Participants who indicate that they are multiracial with multiple minority identities will be 
administered shared measures as well as race-specific measures for any of their identified races.  
 
In order to establish test retest reliability for the Racism Empowerment and Resistance scale (REAR) 
which is being piloted through this study, up to  250 participants will be contacted 2 weeks  after initial 
participation is completed to retake the REAR (see Part II of study- Test-Retest Protocol section).  
 
At the end of the survey, participants who are not Psychology subject pool participants will be asked if 
they would be interested in being entered into a drawing for one of several $200 gift cards. If 
participants indicate that they would be interested in either of the above, they will be asked to provide 
an email address for the researcher to contact them should they be the person selected to receive a gift 
card. Alternatively, participants can elect to have the researchers make a $5 donation to the Southern 
Poverty Law Center, an organization dedicated to supporting social justice and racial equity through 
advocacy and education (up to a total of $2000 total). Those who retake the REAR to establish test 
retest reliability will be given $10 in exchange for participation. Participants who are eligible for 
course credit through the psychology subject pool will receive appropriate course credit according to 
the rules of the Psychology department for course credit in exchange for research participation. 
 
Measures:  
A complete packet of quantitative measures including instructions is included in Appendix B.  
Quantitative measures common to all groups include: 
 
Measures of Racism 
Multiple measures of racism are being given to participants in order to examine how the different 
aspects of racism experiences captured by each of these scales may relate to differences in mental 
health, coping, or empowerment. More traditional forms of overt racism are captured by the GED, 
subtle forms of everyday racism like microaggressions are captured by the RMAS, while the CoBRAS 
captures systemic indirect racism reflected in color blind ideology.  
 
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1. The Color Blind Racial Attitudes Scale (CoBRAS; Neville, Lilly, Duran, Lee, & Browne, 2000).  
The CoBRAS was designed to assess cognitive aspects of color-blind racial attitudes and provides 
a general measure of awareness of more structural and systemic aspects of race and racism.  Chen 
et al. (2003) found that the CoBRAS contributed to clarifying interpretation of cluster analyses of 
the People of Color Racial Identity Attitude Scale (PoCRIAS) by clarifying participants’ attitudes 
towards race as opposed to ethnicity. Initial construction of the CoBRAS included establishing 
construct, concurrent, discriminant, and criterion-related validity (Neville, Lilly, Duran, Lee, & 
Browne, 2000).The CoBRAS has shown good internal reliability for the three subscales and overall 
(Racial Privilege, .78, Institutional Discrimination, .76, Blatant Racial Issues, .72 and an overall 
reliability of .87) on a mixed sample of Whites, Blacks, Latinos, Asian Americans, and American 
Indians (Neville, Lilly, Duran, Lee, & Browne, 2000). The CoBRAS has also been slightly 
modified for this study to make a clearer distinction between race and ethnicity (e.g. ethnic terms 
and examples such as “Italian American” have been deleted or changed to clearly reference 
racialized groupings). 
2. The Racial Microaggression Scale (RMAS; Torres-Harding, Andrade, & Diaz, 2012): The RMAS 
measures perceptions of racial microaggressions experienced by people of color. The authors use 
Sue et al.’s (2007) definition of racial microaggressions as “brief and commonplace daily verbal, 
behavioral, and environmental indignities, whether intentional or unintentional, that communicate 
hostile, derogatory, or negative racial slights and insults to the target person or group.” There are 
six subscales: 1) foreigner/not belonging; 2) criminality/assumption of criminal status; 3) 
sexualization/exoticized; 4) low achieving/undesirable culture; 5) invisibility; 6) environmental. 
The RMAS illustrated very good internal consistency for the aforementioned subscales for a 
sample of African Americans, Latinos, multiracial people of color, Asian American, South Asian, 
and Middle Eastern  (.78, .85, .83, .87, .89, .81 respectively, Torres-Harding, Andrade, & Diaz, 
2012). The scale also showed good convergent and concurrent validity.  
3. A short questionnaire constructed for this study inquiring about emotional response to experiences 
of racism 
4. A single question from The General Ethnic Discrimination Scale (GEDS; Landrine, Klonoff, 
Corral, Fernandez, Roesch, 2006) about how much one’s life would be different if the participant 
had not experienced racism. In order to minimize subject burden, we are only using this one 
question from the GED that examines the impact of racism on the participant’s life, as the majority 
of other questions overlap with other measures. This one question is scored separately from the rest 
of the measure in its original construction:  
 
Group specific racism and values measures 
In addition to the racism measures above, group-specific racism measures are also included when they 
exist and are widely used, to examine aspects of racism previously shown to be unique to specific 
racialized groups (e.g. Asian Americans or African Americans; see group specific section at end of 
Measures). We are also including short measures of group-specific values or identity measures, to 
examine the ways that ethnicity and cultural affiliation may affect the relation of racism and mental 
health.  
 
Asian American specific measures 
 The Asian American Values Scale (AAVS; Kim, Li & Ng, 2005): The AAVS-M measures 
Asian American specific values enculturation (in juxtaposition to European Americans). It is a 
42 item scale divided into five subscales: 1) collectivism; 2) conformity to norms; 3) emotional 
self-control; 4) family recognition through achievement; 5) humility. There was good test-retest 
reliability. Internal reliability for each of the subscales were .89, .80, .79, .80. .90, and .81, 
 
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respectively for a sample of Chinese, Koreans, Asian Indians, Filipinos, Taiwanese, Japanese, 
Vietnamese, Cambodian, Laotian, Pakistani, Indonesian, and multiracials (Kim, Li & Ng, 
2005). Kim et al. reported evidence of AAVS total scores’ internal consistency, test-retest 
reliability, concurrent validity, and discriminant validity.” (Kim, Li & Ng, 2005)  
 The Asian American Race Related Stress Inventory (AARRSI; Li, Liang, & Kim, 2001):  The 
AARRSI is a measure of Asian-Americans’ racism-related stress that was developed and 
psychometrically tested with Asian American adults. Consisting of 29 items, it is comprised of 
three subscales: 1) Socio-historical racism; 2) General racism; 3) Perpetual foreigner racism. 
All three scales have shown good construct validity as well as very good internal reliability for 
both the aforementioned subscales and the overall measure (.93, .86, .84, .95 respectively) for a 
sample of Koreans, Chinese, Asian Indians, Japanese, Laotians, Filipinos, Vietnamese, Hmong, 
Taiwanese, Thai, Indonesian, multiethnic Asians, and other unspecified Asian ethnicities 
(Liang, & Kim, 2001).  
 
Black American specific Measures 
 Index of Race-Related Stress - Brief Version (IRRS-B; Utsey, 1999): The IRRS-B is a short 
form of the Index of Race-Related Stress. It is a multidimensional scale designed to 
measure the stress experienced by Black Americans as a result of experiences of racism. 
The IRRS-B consists of 22 items, which measure stress in response to three dimensions of 
racism: cultural racism, institutional racism, and individual racism. Utsey (1999) reported 
that the internal consistencies for the three dimensions were α = .78, α = .69, and α = .78, 
respectively. 
 Three questions were constructed for this study to better understand how Black participants 
describe and experience ethnic culture: 
o Ethnicity or ethnic culture refers to patterns of ideas and practices associated with a 
group of people sharing a common history, geographic background, and/or 
language. It is different than race, but also related. There can be several ethnicities 
within a race: for example, recent immigrants from Haiti, Jamaica, and Sudan are 
racially "Black," as are African Americans who have been here for many 
generations and are descended from slaves. Alternatively, someone who is racially 
Black may be culturally American, Italian, English, etc. Ethnic culture includes 
things like values, patterns of interacting, gender roles, food, dress, holidays, or 
ways of seeing the world, yourself, or other people. In your own words, what 
values, patterns of interacting, gender roles, food, dress, holidays, ways of 
seeing the world, yourself or other people, etc. are part of your ethnic culture?  
o Some people feel that there are cultural aspects shared by all people within a 
racialized group, i.e. that all people with ancestors from Africa (people from the 
African diaspora) share some cultural aspects, regardless of whether they are 
recently from a specific African country, distantly from Africa and recently from the 
Caribbean, or distantly from Africa with many generations in the U.S. descended 
from slaves. Do you think this is true?   
o If so, what aspects of your cultural experience are common to all peoples from the 
African diaspora and what aspects may be unique to a more specific ethnic culture? 
 
Latino Specific Measures 
Latino/a Values Scale (Kim, Soliz, & Orellana, 2009): The Latino/a Values Scale measures the 
level of adherence to Latino/a cultural norms an individual possesses. It is a 35 item scale 
divided into four subscales: 1) cultural pride; 2) simpatía; 3) familismo; 4) espiritsmo. There 
 
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was good test-retest reliability. Internal reliability for each of the subscales were .85, .46, .68, 
and .50, respectively for a sample of Mexican/ Chicana/o, multiethnic, Guatemalan, 
Salvadoran, Bolivian, Cuban, and “other” (Kim, Soliz & Orellana, 2009).  
 
Measures of Mental Health 
Multiple measures of mental health are being given in this study to capture the relations of 
experiencing racism on various aspects of mental health, including depressive and anxious 
symptomatology (captured by the DASS-21), fear of negative evaluation—which is an anxiety related 
measure particularly related to social interactions, and one’s self-esteem as a member of a particular 
racial group. We are also administering a PTSD measure, as racism has been conceptualized as, itself, 
a traumatic event relating to mental health challenges. 
 
1. The Brief Fear of Negative Evaluation Scale-Revised (BFNE-Revised; Carleton, McCreary, 
Norton, & Asmundson, 2006). This is a shortened version of the Fear of Negative Evaluation 
Scale. Internal consistency yielded an alpha coefficient of .95 overall in a sample of White 
European Americans and Asian Americans (Carleton, McCreary, Norton, & Asmundson, 2006). 
2. The Depression Anxiety Stress Scale—21 (DASS-21; Lovibond & Lovibond, 1995). This is an 
updated, abbreviated version of the original 42-item measure (now 21 items). The three subscales 
are 1) depression; 2) anxiety; 3) stress. Internal reliability for each of the subscales were .94, .87, 
.87, respectively on a mixed sample of White European Americans, Hispanic Americans, African 
Americans, Asian Americans, and “other ethnic racial groups” (Lovibond & Lovibond, 1995).  
3. The Collective Self-Esteem Scale.  The CSE measures individuals’ evaluations of their collective 
esteem and sense of membership in particular groups (Luhtanen & Crocker, 1992). There are four 
subscales: membership esteem, private CSE, public CSE, and importance to identity. The CSE 
shows concurrent validity through correlations with a higher sense of collectivism and collective 
aspects of identity (Luhtanen & Crocker, 1992).  Internal consistency coefficients range from .85 to 
.88 for the CSE in a mixed undergraduate sample (Luhtanen & Crocker, 1992) and .73 for the total 
CSE with an Asian American undergraduate sample (Alvarez & Helms, 2001) It has been modified 
so that the language specifically relates to racial groups (e.g. “my social group” has become “the 
Asian American group,” “the Black American group,” “the Latina/o group,” or “the Native 
American group”).   
4. PTSD Checklist Civilian version (Norris & Hamblen, 2003). The PTSD Checklist, Civilian 
Version. The PCL is a 17-item self-report measure that corresponds to the DSM-IV symptoms of 
post-traumatic stress disorder (PTSD). The PCL-C, the version used in this study, is anchored to 
generic “stressful life experiences” and can be used with any population (Norris & Hamblen, 
2003). Developed by the National Center for PTSD for the public domain, the PCL has shown 
good validity and reliability across all three versions.  
 
Coping and Empowerment Measures 
1. Brief Cope (Carver, 1997) is an abbreviated version of the Cope Scale which is designed to assess 
coping strategies. There are fourteen subscales: 1) self-distraction; 2) active coping; 3) denial; 4) 
substance use; 5) use of emotional support; 6) use of instrumental support; 7) behavioral 
disengagement; 8) venting; 9) positive reframing; 10) planning; 11) humor; 12) acceptance; 13) 
religion; 14) self-blame. Internal consistency for each of the subscales were .68, .73, .64, .57, .73, 
.82, .71, .64, .71, .54, .50, .90, .65, .69, respectively for a sample of non-Hispanic Whites, African 
Americans, Hispanics, and Asian Americans (Carver, 1997).  
2. Racism Empowerment and Resistance (REAR): A series of 50 items developed for this study using 
a consensual qualitative research approach (Hill, 2012). This scale was developed by the PIs and 
 
14 
their associated research teams. Initial item generation involved extensive discussion of the 
meaning of “empowerment” and “resistance” as related to addressing racism, review of the one 
dissertation in psychology related to directly measuring race related empowerment (Stovall, 1999), 
and discussion of various aspects of empowerment. Following this discussion, 8 team members 
contributed at least 10 items on domains that they considered to be related to racism related 
resistance or empowerment. Items focused on different aspects of empowerment like internal and 
interpersonal empowerment, empowerment in thought, behavior and affect, direct action against 
discrimination versus indirect action. All items provided by team members were combined into a 
list. The initial list consisted of 119 items. Through an iterative process of discussion and 
consensus building, items were integrated, removed, reworded, changed or retained. The group 
also discussed nuances of differentiating aspects of empowerment and settled on the following 
domains of empowerment/resisting racism: Resisting through education, arts and media, organizing 
and protesting, acknowledging and resisting internalizing and social support and challenge.  
 
Demographics Questionnaire 
The UMass Boston comprehensive demographics questionnaire (Suyemoto, Roemer, Erisman, 
Holowka, Fuchs, & Barrett-Model, 2012) was developed with the goal of capturing the complexity 
within various identities that participants possess. This scale is useful to describe participants in terms 
of their identities and see how these descriptions may be related to their responses in research. It was 
also designed with an ethics of care (Haverkamp, 2005) for participants, aiming to support 
participants’ experience of having their multiple identities and contexts acknowledged as part of the 
research process. The questionnaire offers both open ended and close ended questions which cover 
domains like age, educational qualifications, household income etc which are commonly found in most 
demographic questionnaires. In addition, this scale provides a chance to obtain more nuanced 
information about self identification of race and ethnicity as well as others’ perception of the 
participants’ race, acculturation and cultural affiliation, aspects of racial socialization like 
neighborhood racial composition, as well as educational qualifications and professions of primary and 
secondary caregiver for the participants when growing up, which are commonly used as measures of 
social class previously related to experiences of racism. 
 
Part II of Survey- Test-Retest Protocol 
 
Procedures: 
Up to 250 participants who answered “yes” on the following question, “Would you be interested in 
completing a shorter related survey as a follow-up in two to three weeks? If so, you will be provided 
with a $10 gift card to amazon.com or the opportunity to donate your portion to a social justice 
organization following your completion” will receive an invitation to participate in Part II of the study 
(see Appendix D1 & D2 for sample e-mail). In order to match the answers from their initial survey, 
each participant will be sent a unique link to complete the follow-up survey that will allow the 
researchers the ability to connect responses from the initial survey with the follow-up survey to 
conduct test-retest reliability analyses.  
 
Two to three weeks has been determined as the appropriate test-retest interval based on a literature 
review of similar scales (e.g., Liang, Li & Kim, 2004; Torres-Harding, Andrade & Romero Diaz, 2012; 
Wei, Alvarez, Ku, Russell & Bonett, 2010). We also aim to recruit an equal number of participants 
from each of the 5 major minority racial groups (Black, Asian, Native American, Latina/o, multiracial) 
in an effort to determine the reliability and validity of the measure for each racial group. 
 
 
15 
Participants will be asked to read the consent form (Appendix C) and indicate whether they agree and 
wish to proceed or do not agree or do not wish to proceed. Those who provide consent and wish to 
proceed will be given the scales listed below. The DASS-21, CSE, RMAS, and Brief COPE aim to 
recreate similar conditions to the first survey. The REAR is the scale for which we are trying to 
establish retest reliability. We have also added a few open ended questions in order to contribute to our 
understanding and the impact of the research study overall.  
 
Measures:  
● (1) Measure of mental health: Depression Anxiety Stress Scale (DASS-21) 
● (2) Measures of experiences of racism:  Collective Self Esteemed Scale (CSE), and Racial 
Microaggression Scale (RMAS) 
● (3) Measures of Resistance/Empowerment: Brief COPE and Racism Empowerment and 
Resistance (REAR) 
● (4) Open-ended questions: the purpose of these questions is to deepen our understanding of the 
lived experiences of our participants that may not be captured by our existing scales. We will 
ask the following: 
▪ 
People engage in a range of activities to reduce, resist, or interrupt racial discrimination. 
Within “racial discrimination” we include not only major actions like name calling or 
physical harassment, but also indirect or less extreme activities such as making 
stereotypical assumptions or exclusions based on race. Discrimination can be 
intentional or unintentional. With this in mind, have you ever responded to racial 
discrimination in a way that deliberately intended to reduce, resist, or interrupt racial 
discrimination against you or your own racial group? We are interested in whether you 
have actively tried to respond in a way that reduced, resisted, or interrupted, regardless 
of whether it was effective or not. Remember, there is no “right” answer. 
▪ 
If yes: 
● (1) Please tell us about a specific time when you experienced racial 
discrimination and reacted in a way that tried to reduce, resist, or interrupt the 
discrimination. What happened and what did you do? 
● (2) How did you hope to reduce, resist, or interrupt the discrimination through 
the response you described? Why did you anticipate that the reaction you 
described above would work to reduce/resist/interrupt racial discrimination?  
● (3) What barriers or supports do you encounter when trying to respond to 
discrimination in ways that reduce/resist/interrupt racial discrimination against 
you or your own racial group? How do these affect you? 
▪ 
If no: 
● (1) Please tell us how you define reducing/resisting/interrupting racial 
discrimination. 
● (2) How do you respond to racial discrimination?  
● (3) What influences your decision about how and/or when to respond?   
 
 
Analysis 
Through simple and partial correlations and multiple regression and path analyses we will 
examine both direct effects as well as possible mediation effects and interactions between coping and 
mental health in the ways that these variables relate to racism. The study also pilots a measure of race 
related resistance and empowerment and examines the ways that racism related resistance and 
empowerment may affect the relation of experiencing racism to mental health and coping for people of 
 
16 
color. We will evaluate that measure in relation to factor structure, internal reliability, test-retest 
reliability, convergent and divergent validity in relation to other measures administered.  
 
 
III. HIPPA Compliance Information.  N/A 
 
IV. 
Participant Data  
Participants will be:    
 Over 18  
 Self identify as a person of color 
 Able to read English at a level sufficient to complete the measures presented in English.  
 
V. 
Procedures for Vulnerable Populations  
This study will not involve children or prisoners. Pregnant women, disabled, or economically 
disadvantaged persons may choose to participate in the study, but these particular groups will not be 
the focus of the study and therefore specific safeguards will not be necessary. 
 
VI. 
Risks and Benefits 
Minimal risk to participants is expected.  It is possible that some of the questions in the questionnaire 
may make participants feel uncomfortable.  It is explicitly stated in the Informed Consent that 
participants may discontinue participation if they feel uncomfortable.  
 
VII. 
Informed Consent Please see appendix A for informed consent form 
Waiver of documentation of informed consent 
As participants will complete the study online they will not sign and return a consent form to the 
researcher. No participants will not be seen in person and will complete the study online. All 
participants will indicate consent by clicking a checkbox at the end of the informed consent page. 
 
 
VIII. Confidentiality of research participants:   
Participants who are not interested in participating in the raffle and are not participating for 
Psychology Subject Pool credit will complete the on-line questionnaires anonymously using the 
PsychData system, since they will not be asked to provide their names or other pieces of identifying 
information. If participants are interested in being entered in the raffle and/or being contacted for 
future studies, they will be asked to provide their name, email address, and telephone number. This 
information will be stored in a separate file within the PsychData on-line system. Participants’ names, 
email addresses, and telephone numbers will only be connected to their data by the participant number 
in this separate file. All other data will be identified with a participant number. Only study personnel 
will have access to the file containing names and contact information for the raffle and this file will be 
erased once the study is completed.  Name, email address and student ID numbers of UMB student 
participants taking the study in exchange for course credit will be recorded in a separate password 
protected excel file. At the end of the semester this information will be shared with the Psych 101 
instructor so that these students may receive course credit for the same. Once this information has been 
received by the instructor, this excel file will be deleted.  
PsychData uses a Secure Security Environment. All surveys hosted with PsychData are encrypted 
using 128-bit SSL Technology (Secure Socket Layer). This technology encrypts both the questions 
 
17 
displayed to the participants and their responses. All responses are instantly encrypted and remain so 
until they are received at the PsychData database. Once research data is stored on a PsychData server, 
it is held in an isolated database that can only be accessed by a researcher with the correct username 
and password. Each participant who completes this survey will be automatically assigned an internal 
number called the Respondent ID number.  
 
 
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21 
Supporting Materials 
 
 
Return the required number of copies (two copies for expedited applications; contact the IRB 
Administrator to inquire about requirements for full board review) of these materials to the IRB 
Administrator, A-2-080.  See the application instructions for post submission procedures. 
II. 
Consent Documents and Interviews/Measures/Instruments.  A copy of all consent documents and all 
written recruitment materials (e.g., recruitment fliers, verbal scripts, etc.), interview or survey instruments 
must be attached to the application.  If no versions of the instruments are available, please give a list of 
sample questions that encompass the scope of the activity.  If you are using any other type of instrument to 
collect data, please describe its purpose and how it is used.  
 
Appendix A. Informed Consent  
Appendix B: Recruitment Materials 
Appendix C: Informed Consent for test-retest 
Appendix D: Recruitment Materials for test-retest 
Appendix E: Survey packet 
 
III. Collateral Site Approval.  N/A  
 
IV. Funding Application.  N/A 
 
 
22 
APPENDIX A: Informed Consent Form 
 
UMASS BOSTON INSTITUTIONAL REVIEW BOARD  
 
University of Massachusetts Boston 
Department of Psychology 
100 Morrissey Boulevard 
Boston, MA.  02125-3393 
 
Introduction and Description of the Project 
You are asked to take part in a research project that aims to explore the experience and impact of 
racism on people of color.  The researchers are Drs. Karen Suyemoto (Associate Professor, 
Department of Psychology) and Dr. Tahirah Abdullah (Assistant Professor, Department of 
Psychology).  Please read this form and feel free to ask questions.  If you have further questions later, 
Dr. Karen Suyemoto or Dr. Tahirah Abdullah will be available to discuss them with you.  You may 
reach wither of them by email at karen.suyemoto@umb.edu or tahirah.abdullah @umb.edu 
 
This study asks questions about experiences of racism, the impact of these experiences, and how you 
react. We will also ask for some information describing your background which will help us 
understand who is participating and how their other experiences may relate to their responses.   
Participation in this study will take about 30-45 minutes. Participation in this study is completely 
voluntary. You can stop at any time without risk of any negative consequences. If you do complete the 
survey, you have the chance to win one of several $200 gift cards.  If you are interested in being 
entered in this raffle, we will ask you to provide an email address where you can be reached in case 
you win. Alternatively, you can give up your raffle chance and the researchers will make a $5 donation 
to the Southern Poverty Law Center, an organization dedicated to supporting social justice and racial 
equity through advocacy and education (up to a total of $2000 from the researchers). (This section for 
psych 101 students will say) If you complete the survey, you will receive course credit towards your 
Psych 101 course.  
 
 
Risks or Discomforts: 
The primary risk associated with this study may be feelings of discomfort or distress related to thinking 
about or remembering difficult experiences. You may speak with Dr. Karen Suyemoto 
(Karen.suyemoto@umb.edu) or Dr. Tahirah Abdullah (tahirah.abdullah@umb.edu) to discuss any 
distress or other issues related to study participation.  
 
Confidentiality and Voluntary Participation: 
Your participation in this research is confidential.  That is, the information gathered for this project 
will not be published or presented in a way that would allow anyone to identify you.  Information 
gathered for this project will be stored in a password protected file and only the research team will 
have access to the data. Any connection between your responses and any possibly identifying 
information will be destroyed within 6 months of your final participation in this research.  
 
The decision whether or not to take part in this research study is voluntary.  If you do decide to take 
part in this study, you may choose to stop participation at any time without consequence.  If you wish 
to stop participation, you should simply exit your internet browser completely. Whatever you decide 
will in no way penalize you or, if you are a student, affect your grade. 
 
 
23 
Rights: 
 
 You have the right to ask questions about this research before you sign this form and at any time 
during the study. If you are unhappy with the way this study is done or if you believe you have been 
hurt in any way by participating, you may express your concerns. For questions or concerns, you can 
reach Karen Suyemoto, Ph.D. or Tahirah Abdullah, Ph.D. by email (Karen.suyemoto@umb.edu) or 
Dr.Tahirah Abdullah (tahirah.abdullah@umb.edu), by phone (617-287-6370) or at the following 
address: University of Massachusetts Boston, Psychology Department, 100 Morrissey Blvd., Boston, 
MA 02125-3393. If you have questions of concerns about your rights as a research participant, you 
may also call or write a representative of the Institutional Review Board (IRB), at the University of 
Massachusetts, Boston, which oversees research involving human participants.  The Institutional 
Review Board may be reached at the following address: IRB, Quinn Administration Building-2-080, 
University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA  02125-3393. You can 
also contact the Board by telephone or e-mail at (617) 287-5374 or at human.subjects@umb.edu. 
 
     
I HAVE READ THE CONSENT FORM AND ANY QUESTIONS HAVE BEEN ANSWERED.  
BY MARKING THE BOX BELOW, I AM INDICATING MY CONSENT TO PARTICIPATE IN THIS 
STUDY. I ALSO CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER. 
 
 
 
24 
APPENDIX B: Recruitment Materials 
 
Appendix B1: Sample email request of professors from graduate research assistant: 
 
Dear Dr. X, 
 
My name is __________ and I am a research assistant working with Prof. Karen Suyemoto (Psychology and 
Asian American Studies) and Tahirah Abdullah (Psychology).  We are currently conducting a much needed 
study that examines the impacts of racism and the act of resisting racism on mental health. We have created an 
online survey to gather such critical information and would greatly appreciate if you would either kindly agree 
to us making a short in class announcement or showing the attached powerpoint slide with links and information 
on how to access our study. 
 
The survey takes about 30 to 45 minutes to complete. In order to participate, you must be 18 or older, and 
identify as a person of color or racial minority. As a “thank you” participants may choose to be entered into a 
drawing for one of several $200 gift cards or to have the researchers make a $5 donation to an organization 
advocating for social justice.  
 
We would be very grateful for your assistance in helping us recruit participants.  
 
We look forward to hearing from you about a time/date that would be convenient for us to come to your class 
and make a 5 minute announcement.  
 
Thank you, 
(researcher name) 
 
Appendix B2:  Sample email to student groups 
 
Dear ____, 
 
My name is __________ and I am a research assistant working with Drs. Karen Suyemoto (psychology and 
Asian studies professor) and Tahirah Abdullah (psychology professor). We are currently conducting a much 
needed study that examines the experiences of racism and the act of resisting racism.  
 
We have created an online survey and would greatly appreciate any assistance your organization could provide 
us in recruiting participants.  
 
The survey takes roughly 30-45 minutes to complete. In order to participate, you must be 18 or older, and 
identify as a person of color or racial minority. As a “thank you” participants may choose to be entered into a 
drawing for  one of several $200 gift cards or to have the researchers make a $5 donation to an organization 
advocating for social justice.  
 
Would you please post our flyers with links and information on how to access our study in your office space, 
your listserv, any social media presence your organization may have? We have attached a flyer and would be 
happy to drop some off if that would be more convenient. We have also pasted below a recruitment notice that 
you could put on your listserv or distribute through social media. 
 
We also welcome any thoughts you might have of alternative ways of gathering interested participants. 
 
Please feel free to contact us at aart@umb.edu. 
 
Thank you, 
(researcher name) 
 
25 
 
Appendix B3: Email to organizations for recruitment 
 
Dear ____, 
 
My name is ___________ and I am a research assistant working with Drs. Karen Suyemoto and Tahirah 
Abdullah, professors in psychology and ethnic studies at the University of Massachusetts, Boston. We are 
currently conducting a much needed study that examines the impacts of both racism and the act of resisting 
racism on mental health.  
 
We have created an online survey to gather such information and would greatly appreciate your assistance in 
helping us recruit participants.. The survey takes roughly 30-45 minutes to complete. In order to participate, you 
must be 18 or older, and identify as a person of color or racial minority. As a “thank you” participants may 
choose to be entered into a drawing for one of several $200 gift card or to have the researchers make a $10 
donation to an organization advocating for social justice.  
 
Would you please post our flyers with links and information on how to access our study in your office space, 
your listserv, any social media presence your organization may have? We have attached a flyer and would be 
happy to drop some off or send you more if that would be more convenient. We have also pasted below a 
recruitment notice that you could put on your listserv or distribute through social media. 
 
We also welcome any thoughts you might have of alternative ways of gathering interested participants. 
 
Please feel free to contact us at aart@umb.edu. 
 
Thank you, 
(researcher name) 
 
Appendix B4: Sample e-mail per snowballing technique  
Dear __________, 
 
My name is ___________ and I am a research assistant working with Drs. Karen Suyemoto and 
Tahirah Abdullah, psychology professors at the University of Massachusetts, Boston. Your friend or 
acquaintance, __________, gave us your email address and suggested you as a potential participant for 
our study. We are currently conducting a much needed study examining experiences of racism, and 
reactions to these experiences. This study is an online survey that will take about 30-45 minutes.  
 
To participate in this study, (1) you must be over 18, (2) understand written English, and (3) identify as 
a person of color or racial minority. Participation is completely voluntary and you can stop at any time 
without risk of any negative consequences. As a “thank you” for completing the survey, you are 
eligible (1) to be entered into a raffle for one of several $200 gift cards, or (2) choose to have the 
researchers make a $5 donation to an organization advocating for social justice, or (3) to receive credit 
for your UMass Boston Psych 101 course.  
 
If you are interested in participating in our study, please visit tinyurl.com/race-study. If you have any 
questions or concerns, please contact us at aart@umb.edu. 
 
We want to thank you in advance for your time and consideration. 
 
Appendix B5: Sample e-mail to participants about future studies of similar topics 
 
 
26 
Dear __________, 
 
Thank you for your recent participation in our online study on experiences of racism. As indicated 
from your answers, you have expressed interest in participating in our follow-up study. Although you 
were not selected to participate in Part II of this specific study, we wanted to see if you would be 
interested in partaking in future studies on similar topics. Please keep in mind that saying “yes” will 
simply mean that you receive information and invitations about other similar studies. Your 
participation in any future studies is completely voluntary, and you are not required to participate if 
you are contacted.   
 
If you are interested in being added to this list, please respond to this e-mail with your preferred e-mail 
address. 
 
Thank you in advance for your time and consideration. 
 
 
Appendix B6: Sample email for listservs, will be tailored to listserv with additional information to be 
taken from the other materials in this appendix  
 
 
Dear ____, 
 
My name is ___________ and I am a research assistant working with Drs. Karen Suyemoto and Tahirah 
Abdullah, psychology professors at the University of Massachusetts, Boston. We are currently conducting a 
much needed study that examines the impacts of both racism and the act of resisting racism.  
 
We have created an online survey to gather such information and would greatly appreciate your participation. 
The survey takes roughly 30 to 45 minutes to complete. In order to participate, you must be 18 or older, and 
identify as a person of color or racial minority. As a “thank you” participants may choose to be entered into a 
drawing for one of several $200 gift cards or to have the researchers make a $5 donation to an organization 
advocating for social justice.  
 
To participate, follow this link: insert link here. 
 
Feel free to contact us at aart@umb.edu .  
 
Thank you, 
Researcher name 
 
Appendix B7: Sample announcement for class announcements 
 
Hello, 
 
My name is _________ and I am a research assistant working with Drs. Karen Suyemoto (psychology and Asian 
studies professor) and Tahirah Abdullah (psychology professor). We are currently conducting a much needed 
study that examines the impacts of racism and the act of resisting racism. We have created an online survey to 
gather such information and would greatly appreciate our participation.  
 
The survey takes roughly 30-45 minutes to complete. In order to participate, you must be 18 or older, and 
identify as a person of color or racial minority. As a “thank you” participants may choose to be entered into a 
drawing for one of several $200 gift cards or to have the researchers make a $5 donation to an organization 
advocating for social justice.  
 
27 
 
For those of you who are interested, the link is __________________________. 
 
Or please feel free to email the team at aart@umb.edu. 
 
Thank you, 
(Researcher name) 
 
 
Appendix B8: Sample Text for flyer and powerpoint slide for classes 
 
[Note—This is sample text. We may vary the title to specify racial groups depending on recruitment 
needs, e.g. “Are you Asian American? Have you experienced racial discrimination?”] 
 
Are you a person of color who has experienced racial 
discrimination? 
 
If you a person of color over 18, you may be eligible to participate  
in a research study looking at  experiences of racial discrimination. 
  
 The study takes about 30-45 minutes to complete.  
 
Participants will be entered into a drawing for one of several $200 
gift cards or have the researchers donate to an organization to fight 
racism! 
  
If interested: study url goes here.  
For questions, please contact aart@umb.edu 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
28 
Appendix C: Informed consent for test-retest: 
 
INFORMED CONSENT FORM 
  
 
UMASS BOSTON INSTITUTIONAL REVIEW BOARD 
University of Massachusetts Boston 
Department of Psychology 
100 Morrissey Boulevard 
Boston, MA.  02125-3393 
  
Introduction and Description of the Project 
You are asked to participated in Part II of a research project entitled "Resisting racism: coping and 
empowerment to address negative effects on mental health" that aims to explore the experience and impact of 
racism on people of color.  The researchers are Dr. Karen Suyemoto (Associate Professor, Department of 
Psychology) and Dr. Tahirah Abdullah (Assistant Professor, Department of Psychology).  Please read this form 
and feel free to ask questions.  If you have further questions later, Dr. Karen Suyemoto or Dr. Tahirah Abdullah 
will be available to discuss them with you.  You may reach either of them by email at 
karen.suyemoto@umb.edu or tahirah.abdullah@umb.edu. 
 
Similar to your experiences in Part I of this study, this follow-up will ask questions about experiences of racism, 
the impact of these experiences, and how you react. Participation in this study will take about 20-30 minutes. 
Participation in this study is completely voluntary. You can stop at any time without risk of any negative 
consequences. If you do complete the survey, you will receive a $10 gift certificate to amazon.com via e-mail 
within 1-2 weeks of completion. Alternatively, you can give up your amazon.com gift certificate and the 
researchers will make a $10 donation to the Southern Poverty Law Center, an organization dedicated to 
supporting social justice and racial equity through advocacy and education.  
  
Risks or Discomforts: 
The primary risk associated with this study may be feelings of discomfort or distress related to thinking about or 
remembering difficult experiences. You may speak with Dr. Karen Suyemoto (Karen.suyemoto@umb.edu) or 
Dr. Tahirah Abdullah (tahirah.abdullah@umb.edu) to discuss any distress or other issues related to study 
participation. 
  
Confidentiality and Voluntary Participation: 
Your participation in this research is confidential.  That is, the information gathered for this project will not be 
published or presented in a way that would allow anyone to identify you.  Information gathered for this project 
will be stored in a password protected file and only the research team will have access to the data. Any 
connection between your responses and any possibly identifying information will be destroyed within 6 months 
of your final participation in this research. 
The decision whether or not to take part in this research study is voluntary.  If you do decide to take part in this 
study, you may choose to stop participation at any time without consequence.  If you wish to stop participation, 
you should simply exit your internet browser completely. Whatever you decide will in no way penalize you or, 
if you are a student, affect your grade. 
  
Rights: 
You have the right to ask questions about this research before you sign this form and at any time during the 
study. If you are unhappy with the way this study is done or if you believe you have been hurt in any way by 
participating, you may express your concerns. For questions or concerns, you can reach Dr. Karen Suyemoto 
(karen.suyemoto@umb.edu) or Dr.Tahirah Abdullah (tahirah.abdullah@umb.edu) by phone (617-287-6370) or 
at the following address: University of Massachusetts Boston, Psychology Department, 100 Morrissey Blvd., 
Boston, MA 02125-3393. If you have questions of concerns about your rights as a research participant, you may 
also call or write a representative of the Institutional Review Board (IRB), at the University of Massachusetts, 
 
29 
Boston, which oversees research involving human participants.  The Institutional Review Board may be reached 
at the following address: IRB, Quinn Administration Building-2-080, University of Massachusetts Boston, 100 
Morrissey Boulevard, Boston, MA  02125-3393. You can also contact the Board by telephone at (617) 287-5374 
or email at human.subjects@umb.edu. 
 
 
Appendix D1: Sample e-mail for test-retest follow-up:  
Dear __________, 
 
Thank you for your participation in our online study on experiences of racism approximately one 
weeks ago. As indicated from your answers, you have expressed interest in participating in our follow-
up study.  
 
The online follow-up study will take about _____ minutes. As a gratitude, you will be provided with a 
$10 gift card to amazon.com or the opportunity to donate your portion to a social justice organization 
after completion. 
 
If you are interested in assisting us with the second part, please complete the survey by using this 
unique link ______________. This survey will close on ________ at ______, so it is important that 
you complete it before then. 
 
We want to thank you in advance for your time and consideration.  
 
 
Appendix D2: Sample e-mail reminders for test-retest follow-up: 
Dear __________, 
 
This is a friendly reminder that your invitation to participate in our follow-up study on experiences of 
racism will expire in two days.  
 
Again, we would like thank you for participating in the first part of our study a few weeks ago. If you 
are still interested in assisting us with the second part, the online follow-up study will take about _____ 
minutes. As a gratitude, you will be provided with a $10 gift card to amazon.com or the opportunity to 
donate your portion to a social justice organization after completion. 
 
Please complete the survey by using this unique link ______________. This survey will close on 
________ at ______, so it is important that you complete it before then. 
 
Please disregard this e-mail if you do not wish to partake in the follow-up study. We want to thank you 
in advance for your time and consideration.  
 
 
 
 
 
 
30 
APPENDIX E: Survey Packet 
 
COBRAS 
Instructions: Below is a set of questions that deal with social issues in the United States (U.S.).  Using the 6-
point scale, please give your honest rating about the degree to which you personally agree or disagree with each 
statement.  Please be as open and honest as you can; there are no right or wrong answers.   
 
 
1.   Everyone who works hard, no matter what race they are, has an equal chance to become rich.  
2.   Race plays a major role in the type of social services (such as type of health care or day care) that people 
receive in the U.S. 
3.   It is important that people begin to think of themselves as American and not Asian American/ Latino/a, 
Black/ African American/ Native American. 
4.   Due to racial discrimination, programs such as affirmative action are necessary to help create equality. 
5.   Racism is a major problem in the U.S. 
6.   Race is very important in determining who is successful and who is not. 
7.   Racism may have been a problem in the past, but it is not an important problem today. 
8.   Racial minorities do not have the same opportunities as White people in the U.S. 
9.   White people in the U.S. are discriminated against because of the color of their skin. 
10.  Talking about racial issues causes unnecessary tensions. 
11.  It is important for political leaders to talk about racism to help work through or solve society's problems. 
12.  White people in the U.S. have certain advantages because of the color of their skin. 
13.  Immigrants should try to fit into the culture and adopt the values of the U.S. 
14.  English should be the only official language in the U.S. 
15.  White people are more to blame for racial discrimination in the U.S. than racial minorities. 
16.  Social policies, such as affirmative action, discriminate unfairly against White people. 
17.  It is important for public schools to teach about the history and contributions of racial minorities. 
18.  Racial minorities in the U.S. have certain advantages because of the color of their skin. 
19.  Racial problems in the U.S. are rare, isolated situations. 
20.  Race plays an important role in who gets sent to prison. 
 
BFNE-II 
Read each of the following statements carefully and indicate how characteristic it is of you according to the 
following scale:  
1 
Not at all 
characteristic of 
me 
2 
Slightly 
characteristic of 
me 
3 
Moderately 
characteristic of me 
4 
Very 
characteristic of 
me 
5 
Extremely 
characteristic of 
me 
 
___ 1.  
I worry about what other people will think of me even when I know it doesn’t make any difference. 
___ 2.   It bothers me when people form an unfavorable impression of me.  
___ 3.  
I am frequently afraid of other people noticing my shortcomings. 
___ 4.  
I worry about what kind of impression I make on people. 
___ 5.  
I am afraid that others will not approve of me. 
___ 6. 
I am afraid that people will find fault with me. 
___ 7.  
I am concerned about other people’s opinions of me. 
___ 8.  
When I am talking to someone, I worry about what they may be thinking about me. 
___ 9.  
I am usually worried about what kind of impression I make. 
___ 10.  If I know someone is judging me, it tends to bother me  . 
___ 11.  Sometimes I think I am too concerned with what other people think of me. 
1 
Strongly Disagree 
2 
3 
4 
5 
6 
Strongly Agree 
 
31 
___12.  
I often worry that I will say or do the wrong things.  
 
 
 
32 
DAS S 21 
Please read each statement and circle a number 0, 1, 2 or 3 which indicates how much the statement applied to 
you over the past week. There are no right or wrong answers. Do not spend too much time on any statement. The 
rating scale is as follows: 
0 
Did not apply to me 
at all 
1 
Applied to me to some 
degree, or some of the 
time 
2 
Applied to me to a 
considerable degree, or a 
good part of time 
3 
Applied to me very 
much, or most of the 
time 
  
1.  I found it hard to wind down  
0 
1 
2 
3 
2. I was aware of dryness of my mouth  
0 
1 
2 
3 
3. I couldn't seem to experience any positive feeling at all  
0 
1 
2 
3 
4. I experienced breathing difficulty (eg, excessively rapid breathing, 
breathlessness in the absence of physical exertion)  
0 
1 
2 
3 
5. I found it difficult to work up the initiative to do things  
0 
1 
2 
3 
6. I tended to over-react to situations  
0 
1 
2 
3 
7. I experienced trembling (eg, in the hands)  
0 
1 
2 
3 
8. I felt that I was using a lot of nervous energy  
0 
1 
2 
3 
9. I was worried about situations in which I might panic and make a fool of 
myself 
0 
1 
2 
3 
10. I felt that I had nothing to look forward to  
0 
1 
2 
3 
11. I found myself getting agitated  
0 
1 
2 
3 
12. I found it difficult to relax  
0 
1 
2 
3 
13. I felt down-hearted and blue  
0 
1 
2 
3 
14. I was intolerant of anything that kept me from getting on with what I 
was doing  
0 
1 
2 
3 
15. I felt I was close to panic  
0 
1 
2 
3 
16. I was unable to become enthusiastic about anything  
0 
1 
2 
3 
17. I felt I wasn't worth much as a person  
0 
1 
2 
3 
18. I felt that I was rather touchy  
0 
1 
2 
3 
19. I was aware of the action of my heart in the absence of physical exertion 
(eg, sense of heart rate increase, heart missing a beat) 
0 
1 
2 
3 
20. I felt scared without any good reason  
0 
1 
2 
3 
21. I felt that life was meaningless  
0 
1 
2 
3 
 
Racial and Ethnic Background 
Racial categories are based on visible attributes (for example, skin color or eye shape, other facial or bodily 
feature) and self-identification. These groupings have social meanings that affect how people see themselves 
and are seen and treated by others. Race is not the same as ethnicity or culture.  
Although the categories listed below may not represent your full identity or use the language you prefer, for the 
purpose of this survey, please indicate which group below most accurately describes your racial identification? 
(please check on—you will have an opportunity later to tell us more fully about your identity) 
 
 
Alaskan Native/Native 
American/Indigenous 
 
Pacific Islander/Native Hawaiian 
 
Asian 
 
White 
 
Black 
 
Multiracial  
 
Latino(a)/Hispanic (Non-White) 
 
Other (please specify): _______________________ 
[If the participant indicates they are multiracial, they will be asked “With which race do you primarily identify?] 
 
33 
 
 
34 
CSE 
 
[This scale will be tailored to participants’ self-identification: Asian American, Latino/a, Black, and Native 
American. Those choosing “other” above will be given this scale as it is here] 
 
Instructions:  On the following page, you will find a list of statements about Asian Americans/ Latino/as, 
Black/ African  Americans & Native Americans.  Please respond to the statements on the basis of how you feel 
about your group and yourself as a member of the group.  There are no right or wrong answers to any of these 
statements.  We are simply interested in your honest reactions and opinions.  Please read each statement 
carefully and circle the number that best describes how you feel.  Please respond by using the following scale: 
 
Strongly 
Disagree 
Disagree 
Disagree 
Somewhat 
Neutral 
Agree 
Somewhat 
Agree 
Strongly 
Agree 
 
1 
 
 
2 
 
3 
 
4 
 
5 
 
6 
 
7 
 
 
 
 
 
 
 
 
1. 
I am a worthy member of my racial group. 
2. 
I often regret that I belong to my racial group. 
3. 
Overall, my racial group is considered good by others 
4. 
Overall, being a member of my racial group has very little to do with how I feel about myself. 
5. 
I feel I don’t have much to offer my racial group. 
6. 
In general, I’m glad to be a member of my racial group. 
7. 
Most people consider my racial group, on the average, to be more ineffective than other groups. 
8. 
Belonging to my racial group is an important reflection of who I am. 
9. 
I am a cooperative participant in the activities of my racial group. 
10. Overall, I often feel that my racial group is not worthwhile. 
11. In general, others respect my racial group. 
12. Being of my racial group is unimportant to my sense of what kind of a person I am. 
13. I often feel I’m a useless member of my racial group. 
14. I feel good about belonging to my racial group. 
15. In general, others think that my racial group is unworthy. 
16. In general, belonging to my racial group is an important part of my self-image. 
 
 
 
35 
[IF the participant indicates s/he is Asian, then the following group specific scale will be given next:] 
AAVS-M 
INSTRUCTIONS:  Use the scale below to indicate the extent to which you agree with the value expressed in 
each statement.  
1 = Strongly Disagree 
2 = Moderately Disagree 
3 = Mildly Disagree 
4 = Neither Agree or Disagree  
5 = Mildly Agree 
6 = Moderately Agree 
7 = Strongly Agree 
 
1. One should recognize and adhere to the social expectations, norms and practices. 
2. The welfare of the group should be put before that of the individual.  
3. It is better to show emotions than to suffer quietly.  
4. One should go as far as one can academically and professionally on behalf of one’s family.  
5. One should be able to boast about one's achievement. 
6. One's personal needs should be second to the needs of the group.  
7. One should not express strong emotions.  
8. One’s academic and occupational reputation reflects the family’s reputation.  
9. One should be able to draw attention to one's accomplishments.   
10. The needs of the community should supersede those of the individual.  
11. One should adhere to the values, beliefs and behaviors that one’s society considers normal and acceptable.  
12. Succeeding occupationally is an important way of making one’s family proud.  
13. Academic achievement should be highly valued among family members.  
14. The group should be less important than the individual.  
15. One’s emotional needs are less important than fulfilling one’s responsibilities.  
16. Receiving awards for excellence need not reflect well on one's family.  
17. One should achieve academically since it reflects on one’s family.  
18. One’s educational success is a sign of personal and familial character.  
19. One should not sing one's own praises.  
20. One should not act based on emotions.  
21. One should work hard so that one won’t be a disappointment to one’s family.  
22. Making achievements is an important way to show one’s appreciation for one’s family.  
23. One's efforts should be directed toward maintaining the well-being of the group first and the individual 
second.  
24. It is better to hold one’s emotions inside than to burden others by expressing them. 
25. One need not blend in with society.  
26. Being boastful should not be a sign of one's weakness and insecurity.  
27. Conforming to norms provides order in the community. 
28. Conforming to norms provides one with identity.  
29. It is more important to behave appropriately than to act on what one is feeling.  
30. One should not openly talk about one’s accomplishments.  
31. Failing academically brings shame to one’s family.  
32. One should be expressive with one's feelings.  
33. Children's achievements need not bring honor to their parents.  
34. One need not sacrifice oneself for the benefit of the group.  
35. Openly expressing one's emotions is a sign of strength.  
36. One’s achievement and status reflect on the whole family.  
37. One need not always consider the needs of the group first.  
38. It is one’s duty to bring praise through achievement to one’s family.  
39. One should not do something that is outside of the norm. 
40. Getting into a good school reflects well on one’s family.  
41. One should be able to brag about one’s achievements. 
42. Conforming to norms is the safest path to travel.  
 
36 
[IF the participant indicates s/he is Latina/o, then the following group specific scale will be given:] 
VS (Latino/a Values Scale) 
 
Instructions: Using the scale below, please circle the number that represents the degree to which you follow the 
traditional cultural values of your ethnic background. 
 
 
 
 
 
1= strongly disagree 
 
 
 
 
2= disagree 
 
 
 
 
3= agree 
 
 
 
 
4= strongly agree 
 
1. One does not need to be loyal to one’s cultural origin. 
 2. One does not need to follow one’s cultural customs. 
 3. One’s bond with one’s cultural group must be very strong. 
 4. One does not need to maintain one’s cultural traditions. 
 5. One must preserve one’s cultural heritage. 
 6. One does not need to preserve the customs of one’s cultural background. 
 7. One does not need to practice one’s cultural celebrations. 
 8. One should work to preserve the language of one’s ethnic group. 
 9.One should never lose one’s language of origin. 
 10. One must be proud of one’s cultural group. 
 11. One does not need to always avoid conflict with others. 
 12. One does not need to always be cordial to others. 
 13. One must not offend others. 
 14. A woman does not need to successfully endure all adversity. 
 15. A woman should sacrifice everything for her family.  
 16. One should never offend one’s elders.  
 17. One should never bring shame upon one’s family.  
 18. A woman must be a source of strength for her family. 
 19. A mother must keep the family unified.  
 20. A woman is considered the backbone of the family.  
 21. A man must provide for his family financially.  
 22. One does not need to trust a higher being.  
 23. One does not need to have faith in premonitions.  
 24. A woman should be the spiritual leader in the family.  
 25. One should be able to question one’s elders.  
 26. A man’s strength comes from being a good father and husband.  
 27. One does not need to be emotionally affectionate to familiar individuals.  
 28. One’s successes should be attributed to one’s family.  
 29. One does not need to always present oneself as likeable to others. 
 30. One’s family is the main source of one’s identity.  
 31. One must defer to one’s elders for advice.  
 32. One must maintain a sense of interdependence with one’s group.  
 33. One does not need to always support one’s group. 
 34. One must help one’s group to achieve its goals.  
 35.One should be respectful to people who have a higher status. 
 
 
 
37 
[IF the participant indicates s/he is Black, then the following group specific scale will be given:] 
 
 Ethnicity or ethnic culture refers to patterns of ideas and practices associated with a group 
of people sharing a common history, geographic background, and/or language. It is 
different than race, but also related. There can be several ethnicities within a race: for 
example, recent immigrants from Haiti, Jamaica, and Sudan are racially "Black," as are 
African Americans who have been here for many generations and are descended from 
slaves. Alternatively, someone who is racially Black may be culturally American, Italian, 
English, etc. Ethnic culture includes things like values, patterns of interacting, gender roles, 
food, dress, holidays, or ways of seeing the world, yourself, or other people. In your own 
words, what values, patterns of interacting, gender roles, food, dress, holidays, ways of 
seeing the world, yourself or other people, etc. are part of your ethnic culture?  
 Some people feel that there are cultural aspects shared by all people within a racialized 
group, i.e. that all people with ancestors from Africa (people from the African diaspora) 
share some cultural aspects, regardless of whether they are recently from a specific African 
country, distantly from Africa and recently from the Caribbean, or distantly from Africa 
with many generations in the U.S. descended from slaves. Do you think this is true?   
 If so, what aspects of your cultural experience are common to all peoples from the African 
diaspora and what aspects may be unique to a more specific ethnic culture? 
 
 
 
38 
RMAS 
For each of the items below indicate how often you have experienced the event  
How often: 0 - never, 1 - a little/rarely, 2 - sometimes/a moderate amount, 3 - often/frequently. 
 
And also indicate how stressful, upsetting, or bothersome the experience was for you 
How stressful: 0 - not at all, 1 - a little,  2 - moderate level,  3 - high level 
 
1. Other racial group members expect me to behave in a way that is not consistent with my own racial or 
cultural values. 
2. I am mistaken for being a service worker or lower-status worker simply because of my race. 
3. I am treated like a second-class citizen because of my race. 
4. I receive poorer treatment in restaurants and stores because of my race. 
5. Sometimes I feel as if people look past me or don’t see me as a real person because of my race.  
6. I feel invisible because of my race.  
7. I am ignored in school or work environments because of my race.  
8. My contributions are dismissed or devalued because of my racial background.  
9. Other people make assumptions about my intelligence and abilities because of my race. 
10. Other people treat me like a criminal because of my race.  
11. People act like they are scared of me because of my race.  
12. Others assume that I will behave aggressively because of my race.  
13. I am singled out by police or security people because of my race.  
14. Other people act as if they can fully understand my racial identity, even though they are not of my racial 
background. 
15. Others act as if all of the people of my race are alike. 
16. Others suggest that people of my racial background get unfair benefits.  
17. Others assume that people of my racial background would succeed in life if they simply worked harder. 
18. Other people deny that people of my race face extra obstacles when compared to Whites.  
19. Other people assume that I am successful because of affirmative action, not because I earned my 
accomplishments. 
20. Others hint that I should work hard to prove that I am not like other people of my race.  
21. Others suggest that my racial heritage is dysfunctional or undesirable.  
22. Others focus only on the negative aspects of my racial background.  
23. People suggest that I am “exotic” in a sexual way because of my race. 
24. Other people view me in an overly sexual way because of my race. 
25. Other people hold sexual stereotypes about me because of my racial background.  
26. Because of my race, other people assume that I am a foreigner.  
27. Because of my race, people suggest that I am not a “true” American.  
28. Other people ask me where I am from, suggesting that I don’t belong.  
29. Other people assume that I am knowledgeable about multicultural issues, simply because I am a member of 
a racial minority group. 
30. Others ask me to serve as a “spokesperson” for people in my racial group.  
31. When I interact with authority figures, they are usually of a different racial background.  
32. I notice that there are few role models of my racial background in my chosen career.  
33. Sometimes I am the only person of my racial background in my class or workplace.  
34. Where I work or go to school, I see few people of my racial background.  
35. I notice that there are few people of my racial background on the TV, books, and magazines. 
 
 
 
 
39 
[IF the participant indicates s/he is Asian, then the following group specific scale will be given:] 
AARRSI 
 
Please read each item and choose a response that best represents your reaction. 
 
This has never 
happened to me 
This event 
happened, but 
did not bother 
me 
This event 
happened and I 
was slightly 
bothered 
This event 
happened and I 
was upset 
This event 
happened and I 
was extremely 
upset 
0 
1 
2 
3 
4 
15. A student you don’t know asks you for help in math. 
16. Someone tells you that they heard that there is a gene that makes Asians smart. 
17. Someone asks you if you know his or her Asian friend/coworker/classmate. 
18. Someone assumes that they serve dog meat in Asian restaurants. 
19. Someone tells you that your Asian American female friend looks just like  
Connie Chung. 
20. Someone you don’t know speaks slow and loud at you. 
21. Someone asks you if all your friends are Asian Americans. 
 
22. Someone asks you if you can teach him/her Karate. 
 
23. Someone tells you that “you people are all the same”. 
24. Someone tells you that all Asian people look alike 
25. Someone tells you that Asian Americans are not targets of racism. 
26. Someone you do not know asks you to help him/her fix his/her computer. 
27. You are told that “you speak English so well.” 
28. Someone asks you what your real name is. 
29. You are asked where you are really from. 
 
1. 
You hear about a racially motivated murder of an Asian American man. 
2. 
You hear that Asian Americans are not significantly represented in management positions. 
3. 
You are told that Asians have assertiveness problems. 
4. 
You notice that Asian characters in American TV shows either speak bad or heavily accented English. 
5. 
You notice that in American movies male Asian leading characters never engage in physical contact 
(kissing, etc.) with leading female characters even when the plot would seem to call for it.  
6. 
Someone tells you that the kitchens of Asian families smell and are dirty. 
7. 
You notice that US history books offer no information of the contributions of Asian Americans. 
8. 
You see a TV commercial in which an Asian character speaks bad English, and acts subservient to non-
Asian characters. 
9. 
You hear about an Asian American government scientist held in solitary confinement for mishandling 
government documents when his non-Asian co-workers were not punished for the same offense.  
10. You learn that Asian Americans were historically targets of racist actions. 
 
11. You learn that most non-Asian Americans are ignorant of the oppression and racial prejudice Asian 
Americans have endured in the U.S. 
12. At a restaurant you notice that a White couple who came in after you is served before you. 
13. You learn that, while immigration quotas on Asian peoples were severely restricted until the latter half of 
the 1900s, quotas for European immigrants were not. 
14. Someone tells you that it’s the Blacks that are the problem, not the Asians. 
 
40 
[IF the participant indicates s/he is Black, then the following group specific scale will be given:] IRRS-B  
This survey questionnaire is intended to sample some of the experiences that Black people have in this country 
because of their “blackness.” There are many experiences that a Black person can have in this country because 
of his/her race. Some events happen just once, some more often, while others may happen frequently. Below 
you will find listed some of these experiences, for which you are to indicate those that have happened to you or 
someone very close to you (i.e., a family member or loved one). It is important to note that a person can be 
affected by those events that happen to people close to them; this is why you are asked to consider such events 
as applying to your experiences when you complete this questionnaire. Please select the number on the scale (0 
to 4) that indicates the reaction you had to the event at the time it happened. If an event has happened more than 
once, refer to the first time it happened. If an event did not happen, choose 0 and go on to the next item. 
0 = This never happened to me. 
1 = This event happened, but did not bother me. 
2 = This event happened, and I was slightly upset. 
3 = This event happened, and I was upset. 
4 = This event happened, and I was extremely upset. 
 
 1. You notice that crimes committed by White people tend to be romanticized, whereas the same crime 
committed by a Black person is portrayed as savagery, and the Black person who committed it, as an animal.  
 2. Sales people/clerks did not say thank you or show other forms of courtesy and respect (e.g., put your things 
in a bag) when you shopped at some White/non-Black owned businesses. 
 3. You notice that when Black people are killed by the police, the media informs the public of the victim's 
criminal record or negative information in their background, suggesting they got what they deserved. 
 4. You have been threatened with physical violence by an individual or group of White/non-Blacks. 
 5. You have observed that White kids who commit violent crimes are portrayed as "boys being boys," while 
Black kids who commit similar crimes are wild animals.  
 6. You seldom hear or read anything positive about Black people on radio, TV, newspapers, or in history books.  
 7. While shopping at a store, the sales clerk assumed that you couldn’t afford certain items (e.g., you were 
directed toward the items on sale). 
 8. You were the victim of a crime and the police treated you as if you should just accept it as part of being Black. 
 9. You were treated with less respect and courtesy than Whites and other non-Blacks while in a store, 
restaurant, or other business establishment. 
 10. You were passed over for an important project although you were more qualified and competent than the 
White/non-Black person given the task. 
 11. Whites/non-Blacks have stared at you as if you didn’t belong in the same place with them; whether it was a 
restaurant, theater, or other place of business. 
 12. You have observed police treat White/non-Blacks with more respect and dignity than they do Blacks. 
 13. You have been subjected to racist jokes by Whites/non-Blacks in positions of authority and you did not 
protest for fear they might have held it against you. 
 14. While shopping at a store, or when attempting to make a purchase, you were ignored as if you were not a 
serious customer or didn’t have any money. 
 15. You have observed situations where other Blacks were treated harshly or unfairly by Whites/non-Blacks 
due to their race. 
 16. You have heard reports of White people/non-Blacks who have committed crimes, and in an effort to cover 
up their deeds falsely reported that a Black man was responsible for the crime.  
 17. You notice that the media plays up those stories that cast Blacks in negative ways (child abusers, rapists, 
muggers, etc.), usually accompanied by a large picture of a Black person looking angry or disturbed. 
 18. You have heard racist remarks or comments about Black people spoken with impunity by White public 
officials or other influential White people. 
 19. You have been given more work, or the most undesirable jobs at your place of employment while the 
White/non-Black of equal or less seniority and credentials is given less work, and more desirable tasks. 
 20. You have heard or seen other Black people express a desire to be White or to have White physical 
characteristics because they disliked being Black or thought it was ugly. 
 21. White people or other non-Blacks have treated you as if you were unintelligent and needed things explained 
to you slowly or numerous times. 
 22. You were refused an apartment or other housing; you suspect it was because you’re Black. 
 
41 
Emotional Response to Experiencing Racism 
 
When you experience racial discrimination, to what extent do you feel each of the following: 
1= not at all 
2= a little bit 
 
3= moderately  
4= quite a bit  
5= extremely 
 
 
1. Anxious 
2. Angry 
3. Bitter 
4. Empowered  
5. Energized 
6. Frustrated 
7. Hopeless 
8. Unaffected 
9. Sad 
 
 
 
PCL-C 
Instructions:  Below is a list of problems and complains that people sometimes have in response to racial 
discrimination experiences. Please read each one carefully, then indicate how much you have been bothered by 
that problem in the past month. 
 
1= not at all 
2= a little bit 
 
3= moderately  
4= quite a bit  
5= extremely 
 
1. Repeated, disturbing memories, thoughts, or images of a stressful experience from the past? 
2. Repeated, disturbing dreams of a stressful experience from the past? 
3. Suddenly acting or feeling as if a stressful experience were happening again (as if you were 
reliving it)? 
4. Feeling very upset when something reminded you of a stressful experience from the past? 
5. Having physical reactions (e.g. heart pounding, trouble breathing, sweating) when something 
reminded you of a stressful experience from the past? 
6. Avoiding thinking about or talking about a stressful experience from the past or avoiding 
having feelings related to it? 
7. Avoiding activities or situations because they reminded you of a stressful experience from the 
past? 
8. Trouble remembering important parts of a stressful experience from the past? 
9. Loss of interest in activities that you used to enjoy? 
10. Feeling distant or cut off from other people? 
11. Feeling emotionally numb or being unable to have loving feelings for those close to you? 
12. Feeling as if your future will somehow be cut short? 
13. Trouble falling or staying asleep? 
14. Feeling irritable or having angry outbursts? 
15. Having difficulty concentrating? 
16. Being “super-alert” or watchful or on guard? 
17. Feeling jumpy or easily startled? 
 
 
 
 
42 
Brief COPE 
These items deal with ways you've been coping with the stress in your life related to racism recently.  There are 
many ways to try to deal with problems.  These items ask what you've been doing to cope with this 
one.  Obviously, different people deal with things in different ways, but I'm interested in how you've tried to 
deal with it.  Each item says something about a particular way of coping.  I want to know to what extent you've 
been doing what the item says.  How much or how frequently.  Don't answer on the basis of whether it seems to 
be working or not—just whether or not you're doing it.  Use these response choices.  Try to rate each item 
separately in your mind from the others.  Make your answers as true FOR YOU as you can.  
 1 = I haven't been doing this at all  
 2 = I've been doing this a little bit  
 3 = I've been doing this a medium amount  
 4 = I've been doing this a lot  
 
1.  I've been turning to work or other activities to take my mind off things.  
 
2.  I've been concentrating my efforts on doing something about the situation I'm in.  
 
3.  I've been saying to myself "this isn't real.". 
 
4.  I've been using alcohol or other drugs to make myself feel better.  
 
5.  I've been getting emotional support from others.  
 
6.  I've been giving up trying to deal with it.  
 
7.  I've been taking action to try to make the situation better.  
 
8.  I've been refusing to believe that it has happened.  
 
9.  I've been saying things to let my unpleasant feelings escape.  
 
10.  I’ve been getting help and advice from other people.  
 
11.  I've been using alcohol or other drugs to help me get through it.  
 
12.  I've been trying to see it in a different light, to make it seem more positive.  
 
13.  I’ve been criticizing myself.  
 
14.  I've been trying to come up with a strategy about what to do.  
 
15.  I've been getting comfort and understanding from someone.  
 
16.  I've been giving up the attempt to cope.  
 
17.  I've been looking for something good in what is happening.  
 
18.  I've been making jokes about it.  
 
19.  I've been doing something to think about it less, such as going to movies, watching TV, reading, 
 
daydreaming, sleeping, or shopping.  
 
20.  I've been accepting the reality of the fact that it has happened.  
 
21.  I've been expressing my negative feelings.  
 
22.  I've been trying to find comfort in my religion or spiritual beliefs.  
 
23.  I’ve been trying to get advice or help from other people about what to do.  
 
24.  I've been learning to live with it.  
 
25.  I've been thinking hard about what steps to take.  
 
26.  I’ve been blaming myself for things that happened.  
 
27.  I've been praying or meditating.  
 
28.  I've been making fun of the situation 
 
 
 
 
43 
REAR (Racism empowerment and resistance) 
 
[This scale will be tailored to participants’ self-identification: Asian American, Latino/a, Black, and Native 
American. Those choosing “other” above will be given this scale as it is here] 
 
 
INSTRUCTIONS: Please complete the items below to reflect your actual experiences and what you do, rather 
than your intentions or what you think you should or shouldn’t do. Remember, there is no “right” answer. 
 
1= rarely 
2= occasionally  
3= sometimes  
4= usually 
 
5= almost always 
 
1. I actively notice experiences of stereotyping, or racial discrimination against my racial group. 
2. When someone says something that stereotypes or racially discriminates against my racial group, I 
deliberately change the subject. 
3. When someone says something that stereotypes or racially discriminates against my racial group, I 
disengage from the person or conversation (e.g. avert my eyes, turn my body away, physically move away). 
4. I remember instances of racial discrimination about my racial group to have as examples of the existence of 
racism.  
5. I choose not to laugh at jokes that stereotype or racially discriminate against my racial group. 
6. I trust my feelings that something is racial discrimination against me or my racial group generally, even if I 
am not certain of the intent. 
7. I know that it is not my fault when I experience racial discrimination.  
8. I refuse to allow messages that racially discriminate against my racial group to diminish my self-worth.  
9. I feel good about my skin color, hair, nose, eyes, and other facial features despite messages that my racial 
group features are unattractive. 
10. I feel good about being my racial group despite messages that undermine that feeling.  
11. I try to look White (eg. clothes, hair, makeup, etc.) to fit in.  
12. I am not romantically attracted to other my racial group. 
13. Racial discrimination against Asian Americans doesn’t really impact me because most people treat me well.  
14. There is nothing I can do about racial discrimination against my racial group, so I don’t see a point in trying. 
15. I educate myself about race and racial discrimination against my racial group. 
16. I educate myself about how being my racial group interacts with experiences of privilege and oppression in 
other areas to affect my life (e.g. interactions of race with sexual orientation, gender or social class).  
17. I recognize that I have to actively work to address racial discrimination against my racial group.  
18. I believe that it is rewarding to stand up to racial discrimination against my racial group, even though it is 
hard. 
19. I seek to reduce or resist racial discrimination against my racial group for the good of my community.  
20. Thinking of future generations motivates me to address racial discrimination against my racial group. 
21. I support and validate other my racial group when they experience racial discrimination. 
22. I remind other my racial group that racism is real to help them clarify when something is or is not their fault.  
23. I share my own experiences of racial discrimination as an Asian American/ Latino/a, Black/ African 
American/ Native American in order to validate others’ experiences. 
24. I participate in activities or organizations that contribute to racial equality and reducing racial discrimination 
against my racial group. 
25. I create or lead activities or organizations that contribute to racial equality and reducing racial discrimination 
against my racial group. 
26. I have educated others about race and racial discrimination against my racial group. 
27. I engage in conversations with others about race and racial discrimination against my racial group directly in 
person or online. 
28. I seek to develop closer relationships with people who support my active resistance to racial discrimination 
against my racial group. 
29. I have distanced myself from people who are unwilling to address their racial biases or stereotyping of my 
racial group. 
 
44 
30. I use social media to educate others and share information about race and racial discrimination against my 
racial group. 
31. I respond to other’s online postings about racial equality or racial discrimination for my racial group.  
32. I create art, music, or poetry that is about race or racial discrimination against my racial group. 
33. I share or promote art, music, or poetry created by others that is about race or racial discrimination against 
my racial group. 
34. When people say something that stereotypes or racially discriminates against my racial group, I point it out 
to them.  
35. I confront my friends and family when they do or say something that stereotypes or racially discriminates 
against my racial group. 
36. I confront my acquaintances when they do or say something that stereotypes or racially discriminates 
against my racial group. 
37. I sign petitions, written letters, or made phone calls to support racial equality or protest racial discrimination 
against my racial group. 
38. I participate in vigils or protests to support racial equality or protest racial discrimination against my racial 
group. 
39. I organize petitions, letter writing, or phone drives to support racial equality or protest racial discrimination 
against my racial group. 
40. I organize vigils or protests to support racial equality or protest racial discrimination against my racial 
group. 
41. I boycott stores or businesses with practices that discriminate against my racial group (e.g.  racist 
advertising, bias in hiring or serving, etc.)  
42. I avoid watching movies, TV, videos, or reading media that perpetuates stereotypes or racial discrimination 
against my racial group. 
43. I participate in activities or organizations that contribute to racial equality or reducing racial discrimination 
for all people of color, not only my racial group. 
44. I create or lead activities or organizations that contribute to racial equality or reducing racial discrimination 
for all people of color, not only my racial group. 
45. I seek out relationships with other racial minorities to take a stand together against racial discrimination. 
46. I advocate for racial equality in spaces that are not focused on race or racial discrimination (e.g. feminist 
spaces, religious spaces, or queer spaces). 
47. I participate in activities or organizations that contribute to resisting or reducing all forms of oppression, not 
only racism (e.g. sexism, classism, heterosexism, etc.). 
48. I create or lead activities or organizations that contribute to resisting or reducing all forms of oppression, not 
only racism (e.g. sexism, classism, heterosexism, etc.). 
49. I actively build coalitions across groups of marginalized identities (e.g.. race, gender, sexual orientation, 
religion, etc.) to resist oppression. 
50. I take action to resist all forms of oppression not just racism,(e.g. sexism, classism,  heterosexism, ableism). 
 
Effect of general racism 
We are interested in your experience with racism. As you answer the questions below, please think about your 
ENITRE LIFE, from when you were a child to the present. Please choose the number that best captures the 
things that have happened to you.  
 
How different would your life be now if you HAD NOT BEEN treated in a racist and unfair way:  
Circle 1 = If your life would be the same  
Circle 2 = If your life would be a little different (less than 10% of the time)  
Circle 3 = If your life would be different in a few ways (10-25% of the time)  
Circle 4 = If your life would be different in a lot of ways (26% - 49% of the time)  
Circle 5 = If your life would be different in most ways (50 – 70% of the time)  
Circle 6 = If your life would be totally different (more than 70% of the time)  
 
 
 
45 
DEMOGRAPHICS QUESTIONNAIRE 
 
 
The following questions are to help us get a better sense of who is responding to this survey. Some of the 
questions may be related to the other things we ask about in the survey, but many of them we don’t expect to be 
related to the other questions. We just want to be able to describe the people who filled out these questionnaires 
so that we can clearly see how our findings might relate to people from different backgrounds. We know that 
these categories do not fully capture the complexities of each individual’s experience, however they are an 
attempt to reflect the diversity of people’s identities. Remember that you are free to choose not to respond to any 
questions that you are not comfortable answering. 
 
1. What is your current age? (please write in answer): _____________ 
 
2.  What is your biological sex? 
  Male 
  Female 
  Intersex 
 
3. What is your gender identity?  
  Male 
  Female 
  Transgender  
  Other (Specify if you choose_______________) 
 
4. What is your sexual orientation? 
  Bisexual 
  
Gay/Lesbian 
Heterosexual 
  Queer 
  Asexual    
  Pansexual 
 Other (e.g., Questioning)  Specify if you choose ______________ 
 
5. What is your marital status: (check one):  
 
  
Single 
  
Married 
  Civil 
Union 
  
Cohabitating 
  
Separated 
  
Divorced 
  
Widowed 
 
6. With what religion or spiritual practice (if any) do you identify?  __________________________________ 
 
7. What is the highest grade in school, year in college, or post-college degree work you have completed? 
  Less than 7th grade 
  Middle school or junior high (7th to 9th grade) 
  Some high school (10th or 11th grade) 
  High School diploma 
  Some college 
  Associates degree 
  Trade school certification (post high school) 
  College degree (B.A., or B.S.) 
  Master’s degree (e.g. M.A., M.B.A., or M.S.) 
  Professional or doctoral degree (e.g. M.D., J.D., or Ph.D.) 
 
8. Are you currently: 
 
46 
  Part time student 
  Full time student 
  Not a student 
 
9. Are you currently involved in paid work: 
  Not at all 
  Working 1-20 hours per week 
  Working 21-30 hours per week 
  Working 31-40 hours per week 
  Working over 40 hours per week 
 
10. If you are currently involved in paid work, check the category for your occupation.  
 
Occupation 
Day laborer, janitor, house cleaner, farm worker, food counter sales, food preparation worker, 
busboy. 
Garbage collector, short-order cook, cab driver, shoe sales, assembly line workers, masons, 
baggage porter. 
Painter, skilled construction trade, sales clerk, truck driver, cook, sales counter or general office 
clerk. 
Automobile mechanic, typist, locksmith, farmer, carpenter, receptionist, construction laborer, 
hairdresser. 
Machinist, musician, bookkeeper, secretary, insurance sales, cabinet maker, personnel specialist, 
welder. 
Supervisor, librarian, aircraft mechanic, artist and artisan, electrician, administrator, military 
enlisted personnel, buyer. 
Nurse, skilled technician, medical technician, counselor, manager, police and fire personnel, 
financial manager, physical, occupational, speech therapist. 
Mechanical, nuclear, and electrical engineer,  educational administrator, veterinarian, military 
officer, elementary, high school and special education teacher, 
Physician, attorney, professor, chemical and aerospace engineer, judge, CEO, senior manager, 
public official, psychologist, pharmacist, accountant. 
 
 
11. Currently, your total household annual income (all earners) is: 
  $0 - $15,000 
  $15,001 – $25,000 
  $25,001 – $35,000 
  $35,001 - $50,000 
  $50,001 - $75,000 
  $75,001 - $100,000 
  $100,001 - $200,000 
  More than $200,000 
 
12. Were you financially supported by someone else this past year? 
  yes      
  no 
 
47 
 
13. What is the total number of people who rely on this income (including yourself)?:_____ 
 
14. Currently, how would you describe the financial situation of your family? 
  Routinely unable to purchase sufficient food or other basic necessities 
  Occasionally unable to purchase sufficient food or other basic necessities 
  Never worried about having enough money for the necessities 
  Have more than enough money for necessities and some luxuries 
 
15. What languages do you currently speak: 
  English 
  Other (please specify) ________________________________________ 
  Other (please specify) ________________________________________ 
 
16. How fluent are you currently in English? 
Not at all fluent 
 
Moderately fluent 
 
Completely fluent 
1 
2 
3 
4 
5 
 
17. What language is currently used in your home? 
  English 
  Other (please specify) __________ 
 
 
18. How fluent are you in that language currently? 
 
Not at all fluent 
 
Moderately fluent 
 
Completely fluent 
1 
2 
3 
4 
5 
 
Racial and Ethnic Background 
 
We’re interested in getting a complete picture of your racial and ethnic background. Because this information 
can be so complex, we are going to ask you several questions about your race and ethnicity in order to get as 
complete a picture as possible. 
 
Racial categories are based on visible attributes (for example, skin color or eye shape, other facial or bodily 
feature) and self-identification. These groupings have social meanings that affect how people see themselves 
and are seen and treated by others. Race is not the same as ethnicity or culture.  
19.  In your own words, what is your racial identification(s)?  
 
 
 
 
 
 
 
 
 
 
 
 
 
20. Although the categories listed below may not represent your full identity or use the language you prefer, for 
the purpose of this survey, please indicate which group below most accurately describes your racial 
identification? (check all that apply) 
 
 
Alaskan Native/Native 
 
Latino(a)/Hispanic (White) 
 
48 
American/Indigenous 
 
Asian 
 
Pacific Islander/Native Hawaiian 
 
Black 
 
White 
 
Latino(a)/Hispanic (Non-White) 
 
Multiracial (please specify):____________________ 
 
 
 
Other (please specify): _______________________ 
 
 
21. How important is your racial identity to you? (Please circle one) 
not very important 
to who I am 
 
somewhat 
important to who I 
am 
 
very important to 
who I am 
1 
2 
3 
4 
5 
 
 
22. How often do people perceive you to be the race you are? (Please circle one) 
hardly ever 
perceived correctly 
 
sometimes 
perceived correctly 
 
always perceived 
correctly 
1 
2 
3 
4 
5 
 
23. If you indicated that people sometimes or frequently do not perceive you correctly (1, 2, 3), please indicate 
the race that people most frequently perceive you to be: 
 
Alaskan Native/Native 
American/Indigenous 
 
Latino(a)/Hispanic (White) 
 
Asian 
 
Pacific Islander/Native Hawaiian 
 
Black 
 
White 
 
Latino(a)/Hispanic (Non-White) 
 
Multiracial (please specify):____________________ 
 
 
 
Other (please specify): _______________________ 
 
24. Ethnicity or ethnic culture refers to patterns of ideas and practices associated with a group of people sharing 
a common history, geographic background, and/or language, rather than their racial background. It might 
include things like values, patterns of interacting, food, dress, holidays, or ways of seeing the world, yourself, or 
other people. There are hundreds of different ethnic culture backgrounds within the people in the United States. 
(such as Cuban, Haitian, Cambodian, African-American, Ukrainian, etc.). In your own words, what is your 
ethnic identification(s)?  
_______________ 
 
 
 
 
 
 
 
25. Although the categories listed below may not represent your full identity or use the language you prefer, for 
the purpose of this survey, please indicate which group below most accurately describes your ethnic culture 
identification? Categories are listed in relation to the regions of the world from which they originate and not all 
ethnicities are listed—please write in your ethnicity if you do not see it listed.  
 
We are interested in the ethnicity that affects your daily experience, which may be the heritage of your ancestors 
but may not be, because people and families change over time. Your ethnicity may be from your specific 
heritage if you continue to practice and be affected by that heritage, or your ethnicity may be a more pan-ethnic 
or pan-American ethnicity. You may check “American” if that is your primary cultural identity, or check a pan-
ethnic identification (e.g. Asian American, Latino American). 
 
49 
 
United States/American 
o United States 
o American (United States)  
o African American 
o Asian American (pan-ethnic) 
o European American (pan-ethnic) 
o Latino American (pan-ethnic) 
o Native or Indigenous American (pan-ethnic) 
o  
North American (not United States) 
o Canadian 
o Mexican 
Asian 
o Afghan 
o Bangladeshi 
o Bhutanese 
o Burmese 
o Cambodian 
o Chinese 
o Filipino 
o Hmong 
o Indian 
o Indonesian  
o Japanese 
o Korean 
o Laotian 
o Malaysian 
o Mien 
o Nepalese 
o Pakistani 
o Sri Lankan 
o Taiwanese 
o Thai 
o Tibetan 
o Vietnamese 
o Other Asian ________ 
African     
o Cape Verdean 
o Kenyan 
o Nigerian 
o Rwandan  
o Somalian 
o South African 
o Sudanese 
 
50 
Caribbean 
o Bahamian 
o Cuban 
o Dominican Republic  
o Haitian  
o Jamaican 
o Puerto Rican 
Australia and the Pacific Islands (including Hawaii) 
o Australian 
o Fijian 
o Guamanian 
o Native Hawaiian 
o Samoan 
o Tongan 
South and Central America 
o Argentinian  
o Belizean  
o Bolivian 
o Brazilian 
o Chilean 
o Columbian 
o Costa Rican 
o El Savadorian 
o Guatamalan 
o Guyanese 
o Honduran 
o Panamanian 
o Peruvian 
o Surinamese 
o Venezuelan  
Middle East 
o Iranian 
o Iraqi 
o Israeli  
o Palestinian 
o Saudi Arabian  
Native or Indigenous North American  
o Cayuga 
o Maliseet 
o Mohawk 
o Mohegan  
o Narragansett 
o Nipmuc 
o Oneida 
o Onondaga 
o Passamaquoddy 
o Penobscot 
o Pequot 
 
51 
o Seneca 
o Shinnecock 
o Tuscarora 
o Wampanoag 
o Other Native or Indigenous North American (please specify) ___ 
 
Europe 
o Albanian 
o Austrian 
o Dutch 
o English 
o French 
o German 
o Greek 
o Hungarian 
o Icelandic 
o Irish 
o Italian 
o Latvian 
o Polish 
o Portuguese 
o Spanish 
o Swedish 
o Swiss 
o Ukranian 
 
26. How much do you embrace the values in the ethnic culture(s) you identified above? 
not at all 
 
somewhat  
 
very much 
1 
2 
3 
4 
5 
 
27. How much do you participate in the ethnic culture(s) you identified above? 
not at all 
 
somewhat  
 
very much 
1 
2 
3 
4 
5 
 
28. How much do you embrace the values in the American culture? 
not at all 
 
somewhat  
 
very much 
1 
2 
3 
4 
5 
 
29. How much do you participate in the American culture? 
not at all 
 
somewhat  
 
very much 
1 
2 
3 
4 
5 
 
30. How important is your ethnic identity to you? (Please circle one) 
not very important 
to who I am 
 
somewhat 
important to who I 
am 
 
very important to 
who I am 
1 
2 
3 
4 
5 
 
52 
 
31. How often do people seem to expect or assume that you are familiar with the cultural practices of the 
ethnicity with which you most identify (your answer to question 22)? 
Almost never 
expected to be 
familiar 
 
sometimes expected 
to be familiar 
 
always expected to 
be familiar 
1 
2 
3 
4 
5 
 
32. If you indicated that people sometimes or frequently do not expect you to be familiar with the cultural 
practices of your identified ethnicity, if you have an idea of what culture they assume you are affiliated with, 
please indicate this: ____________________ 
 
33. How often do people seem to expect or assume that you are familiar with American cultural practices? 
Almost never 
expected to be 
familiar 
 
sometimes expected 
to be familiar 
 
always expected to 
be familiar 
1 
2 
3 
4 
5 
 
34. If you indicated that people sometimes or frequently do not expect you to be familiar with American cultural 
practices, what is your impression of what culture they assume you are most familiar with:  
_______________________________ 
 
 
FAMILY AND BACKGROUND  
35. Where were you born ? 
  In the United States (one of the 50 states) 
  In a United States territory such as Puerto Rico, Guam, American Samoa, Northern Mariana Islands, 
U.S. Virgin Islands, etc.  
  Outside the U.S. or its territories. (Please specify what country: __) 
 
36. If you were not born in the United States, how old were you when you came here? ___ 
 
37. What language(s) were primarily used in your home while you were growing up (check all that apply)? 
  English 
  Other (please specify) ________________________________________ 
 
38. If a language other than English was used in your home growing up, how fluent are you in that language 
currently? 
 
Not at all fluent 
 
Moderately fluent 
 
Completely fluent 
1 
2 
3 
4 
5 
 
 
39. Was English the first language you learned?        
  Yes 
 
  No 
 
40. Since living in the U.S. my neighborhoods have been: 
 
53 
  Mostly similar to both my race and ethnicity 
  Mostly similar to my race but of a different ethnicity 
 
  Mostly people of color but different from my race 
  Mostly White European American 
  Mixed White and people of color 
 
41. Since living in the U.S., my friends have mostly been:  
  Mostly similar to both my race and ethnicity 
  Mostly similar to my race but of a different ethnicity 
 
  Mostly people of color but different from my race 
  Mostly White European American 
  Mixed White and people of color 
 
42. Who was your primary caregiver while you were growing up? (Choose one: if you had more than one 
primary caregiver you will be given a chance later to respond to these items for additional caregivers) 
  Mother 
  Father 
  Grandmother 
  Grandfather 
  Aunt 
  Uncle 
  Other family member  
  Legal guardian 
  Other (Please specify) ___________________ 
 
43. Where was this person born? 
  In the United States (one of the 50 states) 
  In a United States territory such as Puerto Rico, Guam, American Samoa, Northern Mariana Islands, 
U.S. Virgin Islands, etc.  
  Outside the U.S. or its territories. (Please specify what country: ______) 
 
44. If he/she was not born in the U.S., has he/she ever lived in the U.S. with an intention of settling in the U.S.? 
  Yes 
  No 
 
44a. If this person was not born in the U.S. but has lived in the U.S., how old was he/she when he/she first came 
to the U.S. with the intention to stay? ________ 
 
45. What is the highest grade in school, year in college, or post-college degree work that this person has 
completed? 
  Less than 7th grade 
  Middle school or junior high (7th to 9th grade) 
  Some high school (10th or 11th grade) 
 
54 
  High School diploma 
  Some college 
  Associates degree 
  Trade school certification (post high school) 
  College degree (B.A., or B.S.) 
  Master’s degree (e.g. M.A., M.B.A., or M.S.) 
  Professional or doctoral degree (e.g. M.D., J.D., or Ph.D.) 
 
46. If this person worked outside the home, check the category for her or his occupation while you were 
growing up.  
 
Occupation 
Day laborer, janitor, house cleaner, farm worker, food counter sales, food preparation worker, 
busboy. 
Garbage collector, short-order cook, cab driver, shoe sales, assembly line workers, masons, 
baggage porter. 
Painter, skilled construction trade, sales clerk, truck driver, cook, sales counter or general office 
clerk. 
Automobile mechanic, typist, locksmith, farmer, carpenter, receptionist, construction laborer, 
hairdresser. 
Machinist, musician, bookkeeper, secretary, insurance sales, cabinet maker, personnel specialist, 
welder. 
Supervisor, librarian, aircraft mechanic, artist and artisan, electrician, administrator, military 
enlisted personnel, buyer. 
Nurse, skilled technician, medical technician, counselor, manager, police and fire personnel, 
financial manager, physical, occupational, speech therapist. 
Mechanical, nuclear, and electrical engineer,  educational administrator, veterinarian, military 
officer, elementary, high school and special education teacher, 
Physician, attorney, professor, chemical and aerospace engineer, judge, CEO, senior manager, 
public official, psychologist, pharmacist, accountant. 
 
47. Did you have another caregiver while you were growing up?  
  Yes 
  No (If no, please skip to question #). 
 
48. If so, who was this person? 
  Mother 
  Father 
  Grandmother 
  Grandfather 
  Aunt 
  Uncle 
  Other family member  
  Legal guardian 
  Other (Please specify) ___________________ 
 
55 
 
 
 
 
56 
49. Where was this person born? 
  In the United States (one of the 50 states) 
  In a United States territory such as Puerto Rico, Guam, American Samoa, Northern Mariana Islands, 
U.S. Virgin Islands, etc.  
  Outside the U.S. or its territories. (Please specify what country: ____) 
 
49a. If he/she was not born in the U.S., has he/she ever lived in the U.S. as an immigrant, permanent resident, or 
citizen? 
  Yes 
  No 
 
49b. If this person was not born in the U.S. but has lived in the U.S., how old was he/she when he/she first came 
to the U.S.? ________________________________ 
 
50. What is the highest grade in school, year in college, or post-college degree work that this person has 
completed? 
  Less than 7th grade 
  Middle school or junior high (7th to 9th grade) 
  Some high school (10th or 11th grade) 
  High School diploma 
  Some college 
  Associates degree 
  Trade school certification (post high school) 
  College degree (B.A., or B.S.) 
  Master’s degree (e.g. M.A., M.B.A., or M.S.) 
  Professional or doctoral degree (e.g. M.D., J.D., or Ph.D.) 
 
51. If this person worked outside the home, check the category for her or his occupation while you were 
growing up.  
 
Occupation 
Day laborer, janitor, house cleaner, farm worker, food counter sales, food preparation worker, 
busboy. 
Garbage collector, short-order cook, cab driver, shoe sales, assembly line workers, masons, 
baggage porter. 
Painter, skilled construction trade, sales clerk, truck driver, cook, sales counter or general office 
clerk. 
Automobile mechanic, typist, locksmith, farmer, carpenter, receptionist, construction laborer, 
hairdresser. 
Machinist, musician, bookkeeper, secretary, insurance sales, cabinet maker, personnel specialist, 
welder. 
Supervisor, librarian, aircraft mechanic, artist and artisan, electrician, administrator, military 
enlisted personnel, buyer. 
Nurse, skilled technician, medical technician, counselor, manager, police and fire personnel, 
financial manager, physical, occupational, speech therapist. 
 
57 
Mechanical, nuclear, and electrical engineer,  educational administrator, veterinarian, military 
officer, elementary, high school and special education teacher, 
Physician, attorney, professor, chemical and aerospace engineer, judge, CEO, senior manager, 
public official, psychologist, pharmacist, accountant. 
 
52. Growing up, your family’s average annual household income (all earners) was: 
  $0 - $15,000 
  $15,001 – $25,000 
  $25,001 – $35,000 
  $35,001 - $50,000 
  $50,001 - $75,000 
  $75,001 - $100,000 
  $100,001 - $200,000 
  More than $200,000 
 I don’t know  
 
53. What is the total number of people who relied on this income (including yourself)?: ___ 
 
54. Have any of your primary caregivers personally experienced war or genocide or been refugees from war or 
genocide that happened in their own country?  
 No    
  Yes 
 
54a. If yes, which war? ________ 
 
54b. Which of your primary caregivers had the experience of war/genocide or experienced becoming a refugee 
due to war/genocide? ___ 
 
55. Growing up, how would you describe the financial situation of your family? 
  Routinely unable to purchase sufficient food or other basic necessities 
  Occasionally unable to purchase sufficient food or other basic necessities 
  Never worried about having enough money for the necessities 
  Have more than enough money for necessities and some luxuries 
 
56. In what sort of community were you primarily raised? 
  Farm/rural 
  Small town 
  Medium-sized town/Suburb 
 
  Small city/Large suburb 
 
  Urban 
 
57. Is there anyone you know who might want to participate in this study?  If so, please provide their emails 
addresses here and we will send them an invitation to participate: 
 
 
 
 
 
 
 
 
  
  
 
58 
58. Would you be interested in completing a shorter survey as a follow up at a later time in a few months? If so, 
you will be provided with a $10 gift card to amazon.com at the time of your completed follow-up participation. 
 Yes    
  No 
58a. If so, please provide your email address so we may contact you in the future: 
  
 
 
 
 
 
 
 
 
Upon IRB approval, this question will be added to the original protocol following the call for 
participants in the specific follow-up study. “Would you be interested in participating in future studies? 
If so, please provide an e-mail address for future contact.”  
(Upon IRB approval for this modification, those who participated before the addition of this 
question to the survey, who indicated an interest in the follow-up study from the current survey 
protocol, and who are not selected for that specific follow-up survey will receive an e-mail 
asking if they would also like to be contacted to participate in future studies on similar topics 
(Appendix B5). Participants’ consent to being contacted for future studies will in no way 
contribute to any expectation that they will choose to participate once contacted for such 
studies.)  
 
59. [if the participant indicated that s/he was Black] Would you be interested in participating in an interview 
about ethnic culture among Black Americans? If so, you will be provided with a $15 gift card to amazon.upon 
completion of the interview. 
 Yes    
  No 
59a.  If so, please provide your email address so we may contact you in the future: 
  
 
 
 
 
 
 
 
 
60. Are you participating in this study in connection with obtaining extra credit for research participation for a 
class at the University of Massachusetts? 
 
60a.  If so, please provide your name, student number, class, and professor: 
  
 
 
 
 
 
 
 
 
60b.  If not: as a thank you for your participation, you may choose one of the following: 
 Enter me into a raffle for a Visa gift card 
 I want to give up my raffle chance and have the researcher donate $5 to the Southern Poverty Law 
Center to support social justice and racial equity (up to a total of $2000 from the researchers).  
 
61.  If you have chosen to be entered into the raffle, please provide your email address so we may contact you if 
you are selected:________________ 
 
 

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Date Uploaded:
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