The MTV Video Music Award for Best R&B was first awarded in 1993 under the name Best R&B Video, and it was given every year until 2006. The following year MTV revamped the VMAs and eliminated all the genre categories. However, in 2008, when MTV returned the Video Music Awards to their previous format, Best R&B Video did not return despite four other genre awards doing so. It was only in 2019 that the R&B award returned to the VMAs, now under the shorter name of Best R&B.

Alicia Augello Cook, known professionally as Alicia Keys, is an American singer and songwriter. A classically trained pianist, Keys began composing songs when she was the age of 12 and was signed by Columbia Records at the age of 15. After disputes with the label, she signed with J Records to release her debut studio album, Songs in A Minor (2001). Met with critical acclaim and commercial success, the album sold over 12 million copies worldwide and won five awards at the 44th Annual Grammy Awards. It contained the Billboard Hot 100-number one single "Fallin'." Her second album, The Diary of Alicia Keys (2003) was met with continued success, selling eight million units worldwide and spawning the singles "You Don't Know My Name", "If I Ain't Got You", and "Diary". Its release earned an additional four Grammy Awards.