Creating Access to Resources and Economic Support

项目总结/摘要 跨性别者经历的经济和心理社会不平等使他们 特别容易受到与COVID-19流行病相关的财务和心理健康损害。 需要可持续的多层次干预措施来解决这些危害并促进COVID-19的传播。 19预防措施变性人领导的组织受到激励， 为受新冠肺炎负面影响的跨性别者提供紧急财政和同伴支持- 19.然而，这些干预措施的有效性尚未得到评估。利用现有 社区伙伴关系和正在进行的队列，该研究旨在评估可行的， 可接受的、源自社区的干预措施，以减少经济和心理伤害 跨性别者在COVID-19之后的经历。项目的具体目标 （1）比较有或没有同伴指导的小额赠款的功效，以减少 心理困扰和增加COVID-19预防行为;（2）检查机制 有或没有同伴指导的小额赠款可能会影响心理困扰;以及（3） 探讨跨性别参与者的干预经验和感知效能。这些目标 将通过招募360名变性成年人进入一个嵌入式，混合方法，3臂，12- 月随机对照试验。受试者将以1：1：1的比例随机分配至以下组： (a)一笔小额补助金加上每月的金融知识普及教育（普通护理）;（B）普通护理加 每月小额赠款;或（c）常规护理加每月小额赠款，并结合同伴指导。 所有干预组将持续6个月，参与者将完成半年一次的网络- 在0、6和12个月时进行基于调查，在3和6个月时进行基于文本的过程测量 实现目标1和2的时间。36名受试者（每组12名）的子集将完成纵向 在3个月和9个月时进行深入访谈，以满足目标3。除了解决紧迫的 COVID-19大流行对脆弱的健康差异人群的影响，这项研究将 通过测试干预措施， 对一般压力源进行操作-即，物质困难和社区联系-而不是 少数人的压力源，如制定的耻辱。这项全国性的在线研究将解决多层次的问题- 结构性和社区性因素导致COVID-19大流行危害。其公平的社区 伙伴关系将确保研究结果可付诸行动，并迅速传播， 以社区为基础的可持续应对COVID-19疫情以及未来 突发事件

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.