Sexual and Gender Minority Emerging Adults Eliciting Narratives

NCT05899218 | Completed Results

• 1 other identifier: 853689
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Critical narrative interventions (CNIs) have not been examined for addressing psychological outcomes (e.g., depression, anxiety, self-esteem, empowerment, psychological well-being) within sexual and gender minority emerging adults (SGM EA) of color; therefore, this pilot study will examine the use of CNIs to impact SGM of color psychological outcomes. Prior literature has shown that CNIs have the potential to increase empowerment, self-efficacy, and social support as a prevention strategy for mental health. The research study is being conducted to see if telling your story through photographs or video can improve the mental health and well-being of emerging adults that identify as a member of a sexual and/or gender minority and a racial and/or ethnic minority. Participants will be asked to complete the following research procedures:

1. 1.take a survey online (about 20-30 minutes), then an interview about everyday experiences as sexual/gender minority of color and your experiences in seeking out mental health services.
2. 2.After the interview, participants will have one month to tell their story, answering two prompts "Tell us a time you have felt seen" and "Tell us a time when you have felt unseen." You will be randomized to one of two formats of telling your story: taking photographs or making two short videos.
3. 3.Photographs: Those that are randomized to the photograph condition will be asked to take 12 photos total telling your story and answering the prompt.
4. 4.Videos: Those that are randomized to the video condition will be asked to create two (1-3 minute) videos telling your story and answering the prompts.
5. 5.At the one-month time frame, participants will be asked to fill out another survey (about 20-30 minutes) and then complete an interview about the photos or videos created.

Conditions

Mental Health Wellness 1; Sexual Orientation; Gender Identity

Keywords

racial/ethnic identity; intersectionality; mental health treatment seeking; intervention; narrative

Outcome Measures

Primary Outcomes (4)

• Patient Health Questionnaire (PHQ-9)

  scores range from 0 to 27, higher scores indicate higher levels of depression severity.

  1 month

• Generalized Anxiety Disorder-7 (GAD-7)

  scores range from 0 to 21, higher scores indicate higher levels of anxiety severity.

  1 month

• The Flourishing Scale

  scores range from 8 to 56, higher scores represent an individual with many psychological resources and strengths.

  1 month

• Rosenberg Self-Esteem Scale

  scores range from 8 to 56, higher scores represent an individual with higher self-esteem.

  1 month

Secondary Outcomes (7)

• Internalized Stigma of Mental Illness Scale (ISMI-9)

  1 month

• LGBTQ+ POC Microaggressions Scale-Brief (LGBTQ+ PCMS-B): Racism in Dating Subscale

  1 month

• Attitudes Toward Mental Health Treatment (ATMHT) Scale

  1 month

• General Belongingness Scale (GBS): Sense of Acceptance Sub Scale

  1 month

• Multidimensional Scale of Perceived Social Support (MSPSS)

  1 month

Other Outcomes (3)

• Acceptability of the Intervention Measure (AIM)

  1 month

• Intervention Appropriateness of the Measure (IAM)

  1 month

• Feasibility of the Intervention Measure (FIM)

  1 month

Study Arms (2)

Photo-Novella

EXPERIMENTAL

Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts.

Behavioral: Critical Narrative Development

Digital Storytelling

EXPERIMENTAL

Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts.

Behavioral: Critical Narrative Development

Interventions

Critical Narrative Development BEHAVIORAL

Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").

Digital Storytelling; Photo-Novella

Eligibility Criteria

• Age: 18 Years - 24 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• identify as a sexual minority
• live in the United States
• identify as a person of color
• be aged 18-24 years
• have a smartphone and or computer access
• identify as living with moderate to severe depression as indicated on the PHQ-9 (score of 10 or higher)
• do not report suicidal ideation in the past month.

You may not qualify if:

• Identifies as a cisgender heterosexual man or woman
• Does not live in the United States
• Identifies as non-Hispanic white or Caucasian
• Is not between the ages of 18-24 years (inclusive)
• Does not have access to a smartphone or computer
• Plan to move out of the region for the next six months
• Does not consent to study procedures
• Meets criteria for an unmanaged psychotic disorder
• meets criteria for none to mild depression on the PHQ-9 (score of 9 or less)
• reports suicidal ideation in the past month

Sponsors & Collaborators

• University of Pennsylvania: lead

Study Sites (1)

School of Nursing, University of Pennsylvania

Philadelphia, Pennsylvania, 19104, United States

Location

MeSH Terms

Conditions

Sexual Behavior; Intersectional Framework; Narration

Condition Hierarchy (Ancestors)

Behavior; Social Behavior; Communication

Results Point of Contact

• Title: Dr. Jennifer Tran
• Organization: University of Pennsylvania

jtgtran@nursing.upenn.edu

2158983616

Study Officials

• Jennifer Tran, PhD

  University of Pennsylvania

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 19, 2023
• First Posted: June 12, 2023
• Study Start: July 17, 2023
• Primary Completion: April 1, 2024
• Study Completion: April 1, 2024
• Last Updated: November 25, 2024
• Results First Posted: November 25, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL
• Time Frame: The data will be available 1 year after the completion of study. The data will be available indefiitely.
• Access Criteria: Data is available for the community, academic researchers, and educational purposes.

Locations

US (1)