N/A
N=20
Sexual and Gender Minority Emerging Adults Eliciting Narratives
Mental Health Wellness 1 · Sexual Orientation · Gender Identity
Bottom Line
View on ClinicalTrials.gov: NCT05899218 ↗Enrolled (actual)
20
Serious AEs
0.0%
Results posted
Nov 2024
Primary outcome: Primary: Patient Health Questionnaire (PHQ-9) — 14.29; 11.50 score on a scale
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- Critical Narrative Development (Behavioral)
- Age
- Adult · 18+ yrs
- Sex
- All
- Sponsor
- University of Pennsylvania
- Primary completion
- Apr 2024
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Patient Health Questionnaire (PHQ-9) |
14.29; 11.50 | — |
| PRIMARY Generalized Anxiety Disorder-7 (GAD-7) |
10.71; 11.00 | — |
| PRIMARY The Flourishing Scale |
39.29; 41.13 | — |
| PRIMARY Rosenberg Self-Esteem Scale |
25.43; 25.00 | — |
| SECONDARY Internalized Stigma of Mental Illness Scale (ISMI-9) |
2.64; 2.51 | — |
| SECONDARY LGBTQ+ POC Microaggressions Scale-Brief (LGBTQ+ PCMS-B): Racism in Dating Subscale |
6.57; 2.13 | — |
| SECONDARY Attitudes Toward Mental Health Treatment (ATMHT) Scale |
57.86; 45.63 | — |
| SECONDARY General Belongingness Scale (GBS): Sense of Acceptance Sub Scale |
24.57; 23.75 | — |
| SECONDARY Multidimensional Scale of Perceived Social Support (MSPSS) |
5.69; 4.69 | — |
| SECONDARY Intersectional Discrimination Index -Anticipated Discrimination (InDI-A) |
2.17; 2.47 | — |
| SECONDARY The Queer People of Color Identity Affirmation Scale (QPIAS): Identity Based Growth Subscale |
35.57; 32.88 | — |
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. 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. 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.
1. Photographs: Those that are randomized to the photograph condition will be asked to take 12 photos total telling your story and answering the prompt.
2. 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.
3. 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.
Eligibility Criteria
Inclusion Criteria
- 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.
Exclusion Criteria
- 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
Data sourced from ClinicalTrials.gov (NCT05899218). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.