Creating Access to Resources and Economic Support (CARES)

创造获得资源和经济支持的机会（CARES）

• 批准号: 10929603
• 负责人: TONIA C POTEAT
• 金额: $ 70.48万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-21 至 2027-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10929603
• 关键词: Creating; Access; Resources; Economic; Support

Project Summary/Abstract Transgender people experience economic and psychosocial inequities that make them particularly vulnerable to COVID-19 pandemic-related financial and mental health harms. Sustainable, multilevel interventions are needed to address these harms and promote COVID- 19 prevention behaviors. Transgender-led organizations have been galvanized to provide emergency financial and peer support for transgender people negatively impacted by COVID- 19. However, the efficacy of these interventions have not been evaluated. Leveraging existing community partnerships and ongoing cohorts, the study seeks to assess the efficacy of feasible, acceptable, community-derived interventions to reduce economic and psychological harms experienced by transgender people in the wake of COVID-19. The specific aims of the project are to (1) compare the efficacy of microgrants with or without peer mentoring to reduce psychological distress and increase COVID-19 prevention behaviors; (2) examine mechanisms by which microgrants with or without peer mentoring may impact psychological distress; and (3) explore transgender participants' intervention experiences and perceived efficacy. These aims will be met by enrolling 360 transgender adults into an embedded, mixed methods, 3-arm, 12- month randomized controlled trial. Participants will be randomized 1:1:1 to the following arms: (a) a single microgrant plus monthly financial literacy education (usual care); (b) usual care plus monthly microgrants; or (c) usual care plus monthly microgrants combined with peer mentoring. All intervention arms will last for 6 months, and participants will complete semi-annual web- based surveys at 0, 6, and 12 months as well as text-based process measures at 3 and 6 months to meet Aims 1 and 2. A subset of 36 participants, 12 per arm, will complete longitudinal in depth interviews at 3 and 9 months to meet Aim 3. In addition to addressing the pressing impacts of the COVID-19 pandemic on a vulnerable health disparities population, this study will advance the science of minority stress and mental health inequities by testing interventions that operate on general stressors – i.e., material hardship and community connection – rather than minority stressors such as enacted stigma. This national, online study will address multilevel – structural and community – factors driving COVID-19 pandemic harms. Its equitable community partnership will ensure that study findings are actionable and disseminated rapidly to inform sustainable community-based responses to the COVID-19 pandemic as well as future emergencies.

项目摘要/摘要 变性人经历的经济和心理社会不平等使他们 特别容易受到与新冠肺炎大流行相关的金融和心理健康损害。 需要可持续的、多层次的干预措施来应对这些危害并促进COVID- 19种预防行为。变性人领导的组织已经被激励提供 为受COVID负面影响的变性人提供紧急财政和同伴支持- 19.然而，这些干预措施的效果尚未得到评估。利用现有的 社区伙伴关系和正在进行的队列，该研究试图评估可行的， 可接受的社区干预措施，以减少经济和心理伤害 跨性别者在新冠肺炎之后经历的。该项目的具体目标 目的是：(1)比较有无同伴指导的小额赠款的效果。 心理困扰，增加新冠肺炎预防行为；(2)检视机制 有或没有同伴辅导的小额助学金可能会影响心理困扰；及 探讨变性人参与者的干预经验和感知效能。这些目标 将通过招募360名变性人成人参加嵌入式、混合方法、3臂、12- 一个月的随机对照试验。参赛者将以1：1：1的比例随机分配到以下手臂： (A)一笔小额补助金外加每月金融知识教育(日常护理)；(B)日常护理外加 每月小额补助金；或(C)常规护理加每月小额补助金与同伴辅导相结合。 所有干预武器将持续6个月，参与者将完成半年一次的网络- 基于0、6和12个月的调查，以及3和6个月的基于文本的流程测量 几个月的时间来实现目标1和目标2。36名参与者的子集，每臂12人，将完成纵向 在3个月和9个月进行深入访谈，以实现目标3。除了解决紧迫的问题 新冠肺炎大流行对脆弱的健康差距人群的影响，这项研究将 通过测试以下干预措施，推动少数族裔压力和心理健康不平等的科学研究 在一般压力下运作--即物质困难和社区关系--而不是 少数人应激源，如制定的污名。这项全国性的在线研究将解决多层面的- 推动新冠肺炎大流行危害的结构性和社区因素。它的公平社区 伙伴关系将确保研究结果是可操作的，并迅速传播，以告知 新冠肺炎大流行和未来可持续的社区应对措施 紧急情况。