Minority Joy and Minority Stress in Trans People: an Intervention Study

NCT05693324 | Unknown

• 1 other identifier: JoyStressIntervention
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this project is to get a better understanding of transgender and gender non-conforming (TGNC) people's experiences of minority joy and minority stress over time. Further, the project explores how these experiences covary with psychiatric and physical ill health and quality of life before, during and after a TGNC affirmative intervention in adult and adolescent participants over 15 years of age. The intervention consists of three parts, given in randomized order: 1. Psychoeducation and behavioral interventions about external minority stress, 2. Cognitive interventions targeting worry, and 3. Self-compassion aiming to relieve internalized transphobia. This project uses a mixed methods data collection consisting of interviews as well as a replicated single case design (SCED). More detailed pre- and post measurements will also be collected. The interviews enable us to explore minority joy in detail, as well as getting feedback about the feasibility and acceptability of the intervention. The SCED enables us to visualize the interplay between everyday experiences and health, while testing the affirmative program. The project will provide much needed knowledge, which in turn will improve health in TGNC people.

Conditions

Emotional Problem; Pain, Back; Quality of Life

Keywords

transpeople; minority joy; minority stress

Outcome Measures

Primary Outcomes (1)

• Weekly measurement, specifically constructed for this study

  Assesses minority stress/joy, self-compassion, worry, pain, depression, anxiety, and quality of life with two questions each, resulting in 16 short questions, answerable between 1-10. For self-compassion, minority joy and quality of life, higher scores indicate better functioning, for depression, minority stress, anxiety, pain, worry, higher scores indicate more problems. Additionally, experiences can be described in a free text.

  20-24 weeks

Secondary Outcomes (6)

• Self compassion scale

  pre- and post measurement with 20-24 weeks between measurements, collected at the start of baseline and just after the last intervention module

• Penn State Worry questionnaire

  pre- and post measurement with 20-24 weeks between measurements, collected at the start of baseline and just after the last intervention module

• Pain grades

  pre- and post measurement with 20-24 weeks between measurements, collected at the start of baseline and just after the last intervention module

• Depression Anxiety Stress Scale, DASS

  pre- and post measurement with 20-24 weeks between measurements, collected at the start of baseline and just after the last intervention module

• quality of life, SWLS

  pre- and post measurement with 20-24 weeks between measurements, collected at the start of baseline and just after the last intervention module

Study Arms (6)

1 Minority stress

ACTIVE COMPARATOR

Intervention starts with the minority stress module, followed by worry and then compassion. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

2 Minority stress

ACTIVE COMPARATOR

Intervention starts with minority stress module, followed by compassion and then worry. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

3 Worry

ACTIVE COMPARATOR

Intervention starts with worry module, followed by minority stress and then compassion. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

4 Worry

ACTIVE COMPARATOR

Intervention starts with worry module, followed by compassion and then minority stress. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

5 Compassion

ACTIVE COMPARATOR

Intervention starts with compassion module, followed by minority stress and then worry. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

6 Compassion

ACTIVE COMPARATOR

Intervention starts with compassion, followed by worry and then minority stress. Modules are given with a trans-affirmative stance, based on the minority stress model. The minority stress module contains psychoeducation on minority stress and minority joy as well as behavioral interventions. The worry module contains cognitive interventions. The compassion module targets internalized transphobia and is based on compassion-focused therapy.

Behavioral: Minority stress

Interventions

Minority stress BEHAVIORAL

Intervention based on Cognitive Behavioural and Compassion Focused Treatments

Also known as: Worry, Compassion

1 Minority stress; 2 Minority stress; 3 Worry; 4 Worry; 5 Compassion; 6 Compassion

Eligibility Criteria

• Age: 15 Years+
• Gender Eligibility Details: A gender identity different from assigned sex at birth
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Identity other than assigned sex at birth
• Access to internet and ability to fill in questionnaires in Swedish

You may not qualify if:

• Ongoing psychiatric or other problems that make it unlikely that intervention schedule can be followed (e.g. acute problems requiring other care, inability to schedule sessions)

Sponsors & Collaborators

• Örebro University, Sweden: lead

Study Sites (1)

Örebro University

Örebro, 70381, Sweden

RECRUITING

MeSH Terms

Conditions

Back Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Matilda Wurm, PhD

  Örebro University, Sweden

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Matilda Wurm, PhD

CONTACT

+19303508; matilda.wurm@oru.se

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant professor

Model Details: This study employs a single-case experimental design with randomized waiting period lengths (4, or 6 weeks) as well as randomization to three treatment arms (same content, different progress through the three modules). Included in the design is also standardized pre- and post measurement allowing for single group analysis of change. In addition, we collect qualitative data from participants, detailing how the intervention is experienced.

Study Record Dates

• First Submitted: January 10, 2023
• First Posted: January 23, 2023
• Study Start: December 1, 2022
• Primary Completion: June 30, 2024
• Study Completion: December 31, 2024
• Last Updated: January 26, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

SE (1)