Incorporating Radical Healing and Addressing Internalized Transnegativity in Psychotherapy for Transgender, Two-Spirit, and Nonbinary People of Color: An Open Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 51
- 试验地点
- 2
- 主要终点
- Number of Participants Who Indicate Barriers to Therapy Were Decreased
研究概览
简要总结
The proposed research will use a community-based participatory research (CBPR) approach to engage with community organizations to design and implement a project that trains therapists to provide effective, supportive, and engaged therapy to two-spirit, transgender, and nonbinary (2STNB) clients most impacted by barriers in accessing mental health care. 10 2STNB licensed mental health therapists will be identified and 50 2STNB of their clients will be enrolled and can expect to be on study for 10-20 months.
详细描述
The long-term aim of this research is to ensure that therapists have access to training and engage in effective psychotherapy that ultimately reaches Two-spirit, transgender, and nonbinary (2STNB) clients who are the most impacted by unequal systems that create mental health concerns. To make real improvement in reaching TNB populations who lack the most access to mental health care, therapists must be properly trained and data from clients about their mental health experiences must be obtained. The proposed research will use a community-based participatory research (CBPR) approach to engage with community organizations to design and implement a project that trains therapists to provide effective, supportive, and engaged therapy to TNB clients most impacted by barriers in accessing mental health care.
Intervention:
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Therapist Training: The Radical Healing and Internalized Stigma (RHIS) training provides education to therapists on radical healing and internalized stress. The ten therapists employed by the study will engage in an 8 hour intensive training by consultants hired to be on this study.
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Participants:
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T0 - baseline surveys
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T1a to T1p - psychotherapy sessions (session complete within 11 months)
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T2 - end intervention surveys
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T3 - post intervention follow up (up to 6 months post intervention)
Aim 1: Determine best methods for recruiting 2STNB clients (e.g., increasing access to care), with attention to specific populations and barriers (BIPOC, lack of trust, finances, identity match, etc.)
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •fluent in written and spoken English and/or Spanish
- •willingness to participate in pre/ post/ session-by session assessments and 15 individual psychotherapy treatment sessions
- •individual identifies as transgender, Two-Spirit, or nonbinary (or somewhere along the gender minority spectrum)
- •individual identifies as Black, Indigenous/Native, or otherwise as a person of color
- •not currently in individual therapy with another therapist
排除标准
- •reports current, unmanaged serious/persistent mental health symptoms requiring inpatient treatment (e.g., hallucinations, delusions)
- •individual does not identify as transgender, Two-Spirit, or nonbinary (or somewhere along the gender minority spectrum)
- •currently in therapy with an individual therapist
结局指标
主要结局
Number of Participants Who Indicate Barriers to Therapy Were Decreased
时间窗: up to 20 months
Participant Satisfaction with RHIS Intervention will be assessed qualitatively by semi-structured interview with researcher where access to mental health will be queried.
Number of Participants who Find the Intervention Acceptable
时间窗: up to 20 months
Acceptability of the Intervention will be assessed qualitatively via semi-structured interviews post intervention.
Number of Participants Who Find Intervention Feasible
时间窗: up to 20 months
Feasibility of the Intervention will be assessed qualitatively via semi-structured interviews post intervention.
次要结局
- Change in Gender Minority Stress and Resilience Measure (GMSR) Scores(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Depression, Anxiety, and Stress Scale (DASS) Scores(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Coping with Discrimination Scale (CDS) Score(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Percent "Yes" on Yes/No subscales on Gender Minority Stress and Resilience Measure (GMSR)(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Schwartz Outcome Scale Score(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Client Task Specific Change Measure(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))
- Change in Outcome Questionnaire-45 (OQ-45) Score(baseline, post-intervention (up to 14 months), follow-up (up to 20 months))