Reducing Transphobia Among Adolescents Through a Brief Video Intervention

NCT04969003 | Completed DMC

• 1 other identifier: 2000028980_a
• Study Type: interventional
• Target: 200
• Locations: 1 country
• Sites: 2

Brief Summary

The purposes of this new study are to test among adolescent viewers the utility of brief video-based interventions to:

1. 1.reduce transphobia;
2. 2.reduce depression-related stigma and increase likelihood of treatment-seeking; and
3. 3.examine the role of viewer's sex (male / female / non-binary), race (Black vs non-Black), and sexual orientation (straight vs LGBQ) as independent factors on the outcomes of interest.

Conditions

Transgenderism; Depression

Outcome Measures

Primary Outcomes (1)

• Attitudes toward Transgender Men and Women (ATTMW) scale

  Attitudes toward Transgender Men and Women (ATTMW; Billard, 2018) is a scale to measure transphobic attitudes. It is a 24-item scale consisting of two similar but non-identical 12-item subscales, one for transgender males (ATTM), and one for women (ATTW). In this study, the study team will assign only one of the two subscales, according to the condition that subjects as randomly assigned to: those viewing the transgender adolescent male will be assigned to the ATTM; those to the female, to the ATTW. The results of both subscales are compatible with each other and can be merged into a single ATMW score. Each of the items is a statement on which participants are asked to rate their agreement on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice. The first 9 items are the same for the ATTM and AATW. Items 10-12 are unique for each of the two scales. These

  Before / after viewing videos (within 10 minutes)

Secondary Outcomes (47)

• Change in transgender attitudes: feelings thermometer

  Before / after viewing videos (within 10 minutes)

• Change in Depression-related stigma (Depression Stigma Scale [DSS]; Personal component only): TOTAL SCORE

  Before / after viewing videos (within 10 minutes)

• Change in Help-seeking (General Help-Seeking Questionnaire [GHSQ]; Emotional and Suicide components): MEAN SCORE

  Before / after viewing videos (within 10 minutes)

• Change in DSS Item 1

  Before / after viewing videos (within 10 minutes)

• Change in DSS Item 2

  Before / after viewing videos (within 10 minutes)

Study Arms (4)

Transgender male (TM)

ACTIVE COMPARATOR

\~90-second video of depressed transgender male

Behavioral: Short videos

Cis-gender male (CM)

ACTIVE COMPARATOR

\~90-second video of depressed cis-gender male

Behavioral: Short videos

Transgender female (TF)

ACTIVE COMPARATOR

\~90-second video of depressed transgender female

Behavioral: Short videos

Cis-gender female (CF)

ACTIVE COMPARATOR

\~90-second video of depressed cis-gender female

Behavioral: Short videos

Interventions

Short videos BEHAVIORAL

Intervention videos will each be of 90-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression and describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of their illness. The actors will include a transgender male, a cis-gender male, a transgender female, and a cis-gender female.

Cis-gender female (CF); Cis-gender male (CM); Transgender female (TF); Transgender male (TM)

Eligibility Criteria

• Age: 14 Years - 18 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• English-speaking
• Living in the US
• Ages 14 - 18

You may not qualify if:

• None

Sponsors & Collaborators

• Yale University: lead

Study Sites (2)

Yale Child Center

New Haven, Connecticut, 06510, United States

Location

Yale Child Study Center

New Haven, Connecticut, 06510, United States

Location

Related Publications (5)

• Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry. 2004 Oct;185:342-9. doi: 10.1192/bjp.185.4.342.

  PMID: 15458995 BACKGROUND

• Wilson CJ, Deane FP, Marshall KL, Dalley A. Adolescents' suicidal thinking and reluctance to consult general medical practitioners. J Youth Adolesc. 2010 Apr;39(4):343-56. doi: 10.1007/s10964-009-9436-6. Epub 2009 Jul 15.

  PMID: 20229227 BACKGROUND

• Norton AT, Herek GM. Heterosexuals' attitudes toward transgender people: findings from a national probability sample of US Adults. Sex Roles. 2013;68(11-12):738-753. doi:10.1007/s11199-011-0110-6

  BACKGROUND

• Billard TJ. Attitudes Toward Transgender Men and Women: Development and Validation of a New Measure. Front Psychol. 2018 Apr 3;9:387. doi: 10.3389/fpsyg.2018.00387. eCollection 2018.

  PMID: 29666595 BACKGROUND

• Amsalem D, Halloran J, Penque B, Celentano J, Martin A. Effect of a Brief Social Contact Video on Transphobia and Depression-Related Stigma Among Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220376. doi: 10.1001/jamanetworkopen.2022.0376.

  PMID: 35212749 DERIVED

MeSH Terms

Conditions

Transsexualism; Depression

Condition Hierarchy (Ancestors)

Sexuality; Sexual Behavior; Behavior; Behavioral Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 8, 2021
• First Posted: July 20, 2021
• Study Start: March 1, 2022
• Primary Completion: April 20, 2022
• Study Completion: April 20, 2022
• Last Updated: May 3, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)