背景:变性人和非二元(TNB)人经历经济和心理社会不平等,使他们更有可能遭受COVID-19大流行加剧的财务和心理健康危害。可持续发展,需要多层次的干预措施来解决这些危害。COVID-19大流行的爆发促使许多由TNB领导的组织为受大流行负面影响的TNB人提供紧急财务和同行支持。然而,这些干预措施的疗效尚未得到评估.创建获取资源和经济支持(CARES)研究旨在评估可行的有效性,可接受,以及社区衍生的干预措施,以减少COVID-19大流行后变性人遭受的经济和心理伤害。
目的:该研究旨在(1)比较具有同伴指导的小额赠款与没有同伴指导的小额赠款在减少心理困扰方面的功效,(2)研究有或没有同伴指导的小额赠款可能影响心理困扰的机制,(3)探索参与者的干预经验和感知效能。
方法:我们将注册360名TNB成人,混合方法,三臂,和12个月的随机对照试验。参与者将以1:1:1的比例随机分配到A组(增强的常规护理),它将获得单一的小额赠款和每月的金融知识教育,手臂B(扩展小额赠款),它将获得加强的日常护理加上每月小额赠款,或手臂C(同伴指导),它将获得扩展的小额赠款和同伴指导。所有干预武器持续6个月,参与者每半年完成一次,在0、6和12个月进行基于网络的调查,以及在3和6个月进行简短的过程措施。36名参与者的子集,每臂12(33%),将在3个月和9个月完成纵向深入访谈。
结果:从2024年1月8日开始全面招聘,截至2024年7月26日,共有138名参与者报名.预计招聘工作将不迟于2025年3月31日完成,最终考察访问将于2026年3月进行。
结论:这个国家,基于网络的研究将证明为减少TNB成年人的物质困难和改善同伴支持而量身定制的干预措施是否会减少心理困扰。其公平,社区-学术伙伴关系将确保研究结果的快速传播。
背景:ClinicalTrials.govNCT05971160;https://clinicaltrials.gov/study/NCT05971160。
■DERR1-10.2196/63656。
BACKGROUND: Transgender and nonbinary (TNB) people experience economic and psychosocial inequities that make them more likely to be subject to financial and mental health harms exacerbated by the COVID-19 pandemic. Sustainable, multilevel interventions are needed to address these harms. The onset of the COVID-19 pandemic galvanized many TNB-led organizations to provide emergency financial and peer support for TNB people negatively impacted by the pandemic. However, the efficacy of these interventions has not been evaluated. The Creating Access to Resources and Economic Support (CARES) study seeks to assess the efficacy of feasible, acceptable, and community-derived interventions to reduce economic and psychological harms experienced by transgender people in the wake of the COVID-19 pandemic.
OBJECTIVE: The study aims to (1) compare the efficacy of microgrants with peer mentoring with that of microgrants without peer mentoring in reducing psychological distress, (2) examine mechanisms by which microgrants with or without peer mentoring may impact psychological distress, and (3) explore participants\' intervention experiences and perceived efficacy.
METHODS: We will enroll 360 TNB adults into an embedded, mixed methods, 3-arm, and 12-month randomized controlled trial. Participants will be randomized 1:1:1 to arm A (enhanced usual care), which will receive a single microgrant plus monthly financial literacy education, arm B (extended microgrants), which will receive enhanced usual care plus monthly microgrants, or arm C (peer mentoring), which will receive extended microgrants combined with peer mentoring. All intervention arms last for 6 months, and participants complete semiannual, web-based surveys at 0, 6, and 12 months as well as brief process measures at 3 and 6 months. A subset of 36 participants, 12 (33%) per arm, will complete longitudinal in-depth interviews at 3 and 9 months.
RESULTS: Full recruitment began on January 8, 2024, and, as of July 26, 2024, a total of 138 participants have enrolled. Recruitment is expected to be completed no later than March 31, 2025, and the final study visit will take place in March 2026.
CONCLUSIONS: This national, web-based study will demonstrate whether an intervention tailored to reduce material hardship and improve peer support among TNB adults will reduce psychological distress. Its equitable, community-academic partnership will ensure the rapid dissemination of study findings.
BACKGROUND: ClinicalTrials.gov NCT05971160; https://clinicaltrials.gov/study/NCT05971160.
UNASSIGNED: DERR1-10.2196/63656.