背景:性和性别少数群体青年(女同性恋,同性恋,双性恋,变性人,非二进制,和酷儿个体)面临使用物质的风险增加(例如,酒精和烟草)和心理健康问题(例如,抑郁症状和自杀)与他们的异性恋同伴相比。假设通过培训学校工作人员来建立支持性的高中环境,可以减少这些不平等现象。一种干预措施,可以培训学校工作人员更好地了解和支持性和性别少数群体青年,并参与积极的旁观者行为,以保护他们免受欺凌,这可能会减少他们之间在毒品和酒精使用方面的差异。专家,学校工作人员,性和性别少数群体青年发展为LGBTQ+青少年提供培养,可信性,和安全(植物),基于网络的干预,培训学校工作人员如何支持,确认,并保护性和性别少数群体青年。
目的:本文描述了植物试验的设计,主要旨在评估其可接受性,可用性,适当性,和可行性。我们假设植物会有很高的可接受性,可用性,适当性,和可行性由学校工作人员评定。次要目标注重执行,安全,以及高中教职员工成绩的岗前变化,包括自我效能感和技能(例如,积极移情倾听和欺凌干预)。探索性目标侧重于植物对学生健康结果的影响。
方法:在一项2臂整群随机对照试验中,马萨诸塞州的高中被分配给PLANTS或积极的比较组(公开提供性和性别少数群体青年资源或培训)。高中工作人员完成包含经过验证的量表的测试前和测试后调查。主要结果是经过验证的可接受性度量,可用性,适当性,以及工作人员在测试后调查中完成干预的可行性。为了测试我们对每个结果的主要假设,我们将使用1样本2边t检验对先验阈值或成功基准计算均值和95%CIs和P值。次要结果包括员工的积极移情倾听技巧,与性和性别少数群体青年一起工作的自我效能感,欺凌和网络欺凌的旁观者干预行为,以及在前测和后测人员调查期间完成的植物变化目标的自我效能。员工还可以在信息-动机-行为模型和实施研究综合框架的指导下完成后测访谈。探索性成果包括通过2021年和2023年MetroWest青少年健康调查收集的学生水平数据,马萨诸塞州30所学校的健康行为监测系统。
结果:学校入学始于2023年5月,参与者入学始于2023年6月。数据收集预计将于2024年2月完成。
结论:这项试点试验将产生有关植物干预的重要信息,并提供必要的信息,以进行充分有效的植物功效试验,以减少性和性别少数群体青年所经历的有害健康不平等。
背景:ClinicalTrials.govNCT05897827;https://clinicaltrials.gov/study/NCT05897827。
■DERR1-10.2196/55210。
BACKGROUND: Sexual and gender minority youths (lesbian, gay, bisexual, transgender, nonbinary, and queer individuals) face elevated risks of substance use (eg, alcohol and tobacco) and mental health issues (eg, depressive symptoms and suicidality) compared to their cisgender heterosexual peers. These inequities are hypothesized to be reduced by building supportive high school environments via the training of school staff. An intervention that trains school staff to better understand and support sexual and gender minority youths and engage in positive bystander behaviors that protect them from bullying exposure may reduce disparities in drug and alcohol use among them. Experts, school staff, and sexual and gender minority youths developed Providing LGBTQ+ Adolescents with Nurturance, Trustworthiness, and Safety (PLANTS), a web-based intervention to train school staff on how to support, affirm, and protect sexual and gender minority youths.
OBJECTIVE: This paper describes the design of the PLANTS pilot trial primarily aimed at assessing its acceptability, usability, appropriateness, and feasibility. We hypothesize PLANTS will have high acceptability, usability, appropriateness, and feasibility as rated by the school staff. Secondary objectives focus on implementation, safety, and pre-post changes in high school staff outcomes, including self-efficacy and skills (eg, active-empathic listening and bullying intervention). Exploratory objectives focus on the impact of PLANTS on student health outcomes.
METHODS: In a 2-arm cluster randomized controlled trial, high schools in Massachusetts are allocated to PLANTS or an active comparator group (publicly available sexual and gender minority youths resources or training). High school staff complete pretest and posttest surveys containing validated scales. Primary outcomes are validated measures of acceptability, usability, appropriateness, and feasibility of the intervention completed by staff during posttest surveys. To test our primary hypotheses for each outcome, we will calculate means and 95% CIs and P values using 1-sample 2-sided t tests against a priori thresholds or benchmarks of success. Secondary outcomes include staff\'s active-empathetic listening skills, self-efficacy for working with sexual and gender minority youths, bystander intervention behaviors for bullying and cyberbullying, and self-efficacy for PLANTS\' change objectives completed during pretest and posttest staff surveys. Staff can also complete a posttest interview guided by the Information-Motivation-Behavior model and Consolidated Framework for Implementation Research. Exploratory outcomes include student-level data collected via the 2021 and 2023 MetroWest Adolescent Health Surveys, a health behavior surveillance system in 30 Massachusetts schools.
RESULTS: School enrollment began in May 2023 and participant enrollment began in June 2023. Data collection is expected to be completed by February 2024.
CONCLUSIONS: This pilot trial will yield important information about the PLANTS intervention and provide necessary information to conduct a fully powered trial of the efficacy of PLANTS for reducing the deleterious health inequities experienced by sexual and gender minority youths.
BACKGROUND: ClinicalTrials.gov NCT05897827; https://clinicaltrials.gov/study/NCT05897827.
UNASSIGNED: DERR1-10.2196/55210.