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Development of a Training Intervention to Improve Mental Health Treatment for Gender Minority Youth

制定培训干预措施以改善性别少数青年的心理健康治疗

基本信息

批准号：
10684708
负责人：
Maggi Price
金额：
$ 19.35万
依托单位：
BOSTON COLLEGE
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-09-01 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10684708
关键词：
Address Adolescent and Young Adult Adoption Adult Advisory Committees Affect Age Anxiety Attitude Behavior Therapy Behavioral Birth Boston Caregivers Caring Case Series Characteristics Child Clinic Clinical Collaborations Communities Competence Coupled Data Development Diagnosis Discrimination Distal Educational Curriculum Educational Intervention Effectiveness Electronics Ensure Environment Equity Face Family Feedback Focus Groups Future Gender Identity Goals Health Personnel Improve Access Inequity Internships Intervention Knowledge Lead Medical Mental Depression Mental Health Mental Health Services Mentored Patient-Oriented Research Career Development Award Mentorship Methods National Institute of Mental Health Outcome Parents Participant Phase Population Practice Guidelines Price Provider Race Readiness Recommendation Reporting Research Resources Self Efficacy Sexual and Gender Minorities Stereotyping Stigmatization Suggestion Suicide Suicide attempt Surveys Technology Testing Thinking Training United States National Institutes of Health Youth acceptability and feasibility behavior change career career development cisgender college community engaged research design effective intervention experience feasibility trial follow up assessment gender affirmation gender affirming care gender minority gender minority youth health care settings health inequalities health practice high risk implementation science improved intervention refinement mHealth meetings member mental training minority healthcare peer physical assault pilot test pilot trial post-traumatic stress primary outcome programs prototype provider behavior public health relevance satisfaction service engagement sex sexual assault skills success suicidal symptomatology therapy design therapy development trauma exposure usability user centered design verbal

项目摘要

PROJECT SUMMARY/ABSTRACT Background: Gender minority youth (GMY; children, adolescents, and young adults whose gender identity differs from their birth-assigned sex) face a disproportionately high risk for serious mental health problems relative to cisgender youth (whose gender identity is congruent with their birth-assigned sex). These mental health inequities are exacerbated by treatment utilization barriers, including the dearth of mental health providers trained in gender-affirming care (i.e., practices that address the distinct experiences and mental health needs of gender minorities). The NIH and numerous scholars have called for increased efforts to develop and deploy interventions that improve access to, engagement in, and quality of, mental health interventions for gender minorities. Research: The proposed research will develop and pilot test a training intervention to increase mental health providers’ use of gender-affirming practices. Intervention design (Aim 1) will utilize community-engaged and user-centered design methods, with systematic engagement from key stakeholders: GMY, their caregivers, as well as providers with and without expertise in gender-affirming care. Using an empirically-supported framework for behavioral intervention development, the intervention will be designed to affect three mechanisms hypothesized to result in behavioral change in providers (i.e., increased use of gender-affirming practices): knowledge, attitudes, and self-efficacy. Scalability of the intervention will be emphasized through the integration of mHealth technology. Intervention refinement (Aim 2) will involve two phases of user-centered design usability testing: (1) lab-based testing with focus groups of providers and (2) a case series study with 3 providers treating GMY consumers for 3 months. Feedback from usability testing will be used to iteratively refine the intervention and ensure the intervention’s readiness for pilot testing. The pilot test (Aim 3) will be an open trial in a multi-clinic mental health agency, aimed at examining the feasibility and acceptability of conducting a future RCT. Effectiveness and implementation data from both providers (N = 44) and consumers (i.e., GMY and their caregivers; N = 50 GMY) will be collected and analyzed. Candidate’s Career Development, Goals, and Environment: The proposed Mentored Patient-Oriented Research Career Development Award (K23) will provide Dr. Price with the advanced training and skills necessary to launch an independent research program focused on reducing mental health inequities for stigmatized youth and families through developing and evaluating training interventions, with an emphasis on GMY. Formal training and mentorship in (T1) mechanism-driven intervention development and testing, (T2) user-centered design, (T3) community-engaged research, and (T4) implementation science will support the successful execution of the primary research aims and Dr. Price’s career development. The immense resources available at Boston College, coupled with the vast expertise of Dr. Price’s mentorship and advisory team members, will further ensure the success of the research and training aims, and pave the way for a future RCT of the training intervention.

项目总结/文摘

项目成果

期刊论文数量（2）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Structural transphobia is associated with psychological distress and suicidality in a large national sample of transgender adults.

DOI：
10.1007/s00127-023-02482-4
发表时间：
2024-02
期刊：
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY
影响因子：
4.4
作者：
Price, Maggi A.;Hollinsaid, Nathan L.;McKetta, Sarah;Mellen, Emily J.;Rakhilin, Marina
通讯作者：
Rakhilin, Marina

Future Directions in Mental Health Treatment with Stigmatized Youth.