Feasibility of a Multi-Level School Intervention for LGBTQ Youth

University of Southern California

Status: Completed

Conditions: Sexual Minority Stress Experiences Among LGBTQ Youth

Treatments: Other: Proud & Empowered!

Study type: Interventional

Funder types: Other

Identifiers

NCT04041414

1R21MD013971

Details and patient eligibility

About

The goal of this R21 grant is to test the feasibility of a theoretically informed, LGBTQ-affirming intervention (Proud & Empowered; P&E). Although LGBTQ adolescents experience disparities in behavioral health outcomes compared to their heterosexual peers, interventions are scarce. For example, LGBTQ adolescents are 3 to 4 times more likely to meet criteria for an internalizing disorder and 2 to 5 times more likely to meet criteria for externalizing disorders than their heterosexual peers. Our intervention seeks to address disparate behavioral health problems such as depression, anxiety and trauma symptomology. Our goal will be achieved by completing two specific aims: 1) Assess the feasibility, including recruitment, enrollment, fidelity of service delivery, satisfaction, safety, and retention, of the intervention in a randomized control trial with four schools, 2) Obtain preliminary estimates of intervention effects on key behavioral health symptoms for LGBTQ youth and school climate (norms, attitudes, beliefs, behaviors) at the school level in preparation for a larger efficacy trial. This innovative R21 application brings together a team of nationally recognized minority stress and prevention science experts and responds to a nationally established public health need for research from the Institute of Medicine, the National Institutes of Health, and the National Gay and Lesbian Task Force.

Enrollment: 47 patients

Sex: All

Ages: 12 to 20 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• LGBTQ student in one of four high schools

Exclusion criteria

• Not meeting inclusion criteria

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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47 participants in 2 patient groups

Intervention schools

Experimental group

Description:

Schools will be assigned to either intervention or control schools. Students in intervention schools will receive the intervention in semester 1.

Treatment:

Other: Proud & Empowered!

Control schools

Active Comparator group

Description:

Students in control schools will receive no intervention

Treatment:

Other: Proud & Empowered!