Sexual and Gender Minority Emerging Adults Eliciting Narratives (SEEN)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 20
- 试验地点
- 2
- 主要终点
- Patient Health Questionnaire (PHQ-9)
研究概览
简要总结
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:
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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.
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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.
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Photographs: Those that are randomized to the photograph condition will be asked to take 12 photos total telling your story and answering the prompt.
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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.
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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.
详细描述
The research activities involve a two-arm pilot enrolling a sample of 30 participants who identify as sexual and gender minority (SGM), racial/ethnic minority/person of color (POC), and living with moderate to severe depression. After consent and completion of the baseline survey (15-20 min) and interview (45-60 min), participants will be randomized into one of two critical narrative interventions: photo-novella (n=15) or digital storytelling (n=15).
All participants will be given the same two prompts for their narrative intervention asking, "Share an experience of when you have felt seen as an SGM Person of Color in Philadelphia." AND "share an experience of when you have felt unseen as an SGM person of color in Philadelphia."
Photo-Novella: Participants in the photo-novella intervention will be asked to tell their story through 12 photographs and a caption (6 for the first prompt and 6 for the second prompt). Participants will be instructed to take a photograph answering the two prompts. Participants may use their smartphones or digital camera to capture their photographs. Participants may also edit their photographs using photo-editing software for aesthetics. Participants will also be asked to provide a short caption (no more than two sentences) explaining their photograph and provide a title for their work. Participants will be provided with a basic guide on photography and how to "snap a picture."
Digital Story: Participants in the digital storytelling intervention will be asked to tell their story in 3-6 minutes (two videos total, 1-3 minutes each) utilizing a video format that can include still or moving images, sound, music, and voiceover. Participants will be provided with a guide on software or applications that they can use to create their stories. Participants will be provided with a manual or basic guide to digital stories for their reference. Participants will be provided with guidance on expectations of the video, including format, length, quality, and closed captions for accessibility.
At the baseline visit after the survey and interview, participants will be randomized into one of the two intervention conditions (photo-novella or digital story). Once the participant is randomized, they will be provided with the electronic manual (based on their intervention). The research team member will provide guidance on what to expect (i.e., how many photos to take and what the prompt is) and go over the manual with the participant. The participant will then be given the opportunity to ask questions.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 24 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- •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
结局指标
主要结局
Patient Health Questionnaire (PHQ-9)
时间窗: 1 month
scores range from 0 to 27, higher scores indicate higher levels of depression severity.
Generalized Anxiety Disorder-7 (GAD-7)
时间窗: 1 month
scores range from 0 to 21, higher scores indicate higher levels of anxiety severity.
The Flourishing Scale
时间窗: 1 month
scores range from 8 to 56, higher scores represent an individual with many psychological resources and strengths.
Rosenberg Self-Esteem Scale
时间窗: 1 month
scores range from 8 to 56, higher scores represent an individual with higher self-esteem.
次要结局
- Internalized Stigma of Mental Illness Scale (ISMI-9)(1 month)
- LGBTQ+ POC Microaggressions Scale-Brief (LGBTQ+ PCMS-B): Racism in Dating Subscale(1 month)
- General Belongingness Scale (GBS): Sense of Acceptance Sub Scale(1 month)
- Multidimensional Scale of Perceived Social Support (MSPSS)(1 month)
- Intersectional Discrimination Index -Anticipated Discrimination (InDI-A)(1 Month)
- Attitudes Toward Mental Health Treatment (ATMHT) Scale(1 month)
- The Queer People of Color Identity Affirmation Scale (QPIAS): Identity Based Growth Subscale(1 month)