Efficacy of a Multi-level School Intervention for LGBTQ Youth

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

NA

Total Enrollment

228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-14

Study Completion Date

2025-07-01

Brief Summary

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Efficacy of a Multi-level School Intervention for LGBTQ Youth

Detailed Description

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The goal of this R01 grant is to test the efficacy of a theoretically informed, LGBTQ-affirming intervention (Proud \& Empowered; P\&E) alongside a school climate intervention (Make Space).

Sexual and gender minority adolescents (SGMA) experience victimization in schools at much higher rates than their peers, and although SGMA experience disparities in behavioral health outcomes compared to their heterosexual peers, interventions are scarce.

The investigators P\&E intervention aims to allow youth participants to discuss their experiences of bullying and victimization, to build coping skills and to plan stress management strategies, while the investigators Make Space intervention is an indirect, environmental strategy aimed at improving overall school climate. The investigators goal will be achieved by completing three specific aims: 1) Determine participant-level efficacy of the intervention in an RCT with 24 schools (6-10 schools each year over 4 years); 2) Determine the school-wide intervention effects on (a) reporting of minority stress and behavioral health outcomes among all SGMA students and (b) perceptions of school climate (norms, attitudes, beliefs, bullying behaviors toward SGM youth, policies) among all students, and; 3) Examine factors that may affect intervention success (e.g., fidelity of implementation, barriers or facilitators to implementation, school or student characteristics) to prepare the intervention for future dissemination. This intervention has been tested in a previous, smaller, Feasibility study with 4 high schools.

Conditions

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Depression Anxiety Post Traumatic Stress Disorder Coping Behavior Sexual Minority Stress Suicidality Substance Use Bullying Harassment

Keywords

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LGBTQ+ Youth LGBT Youth Queer Youth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Intervention schools

Schools will be assigned to either intervention or control schools. Students in intervention schools will receive the intervention in semester 1.

Group Type EXPERIMENTAL

Proud & Empowered

Intervention Type BEHAVIORAL

Proud \& Empowered! is a school-based intervention to decrease sexual minority stress and improve coping among LGBTQ students. It is administered by school counselors and trained social workers.

Control schools

Students in control schools will receive no intervention

Group Type ACTIVE_COMPARATOR

Proud & Empowered

Intervention Type BEHAVIORAL

Proud \& Empowered! is a school-based intervention to decrease sexual minority stress and improve coping among LGBTQ students. It is administered by school counselors and trained social workers.

Interventions

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Proud & Empowered

Proud \& Empowered! is a school-based intervention to decrease sexual minority stress and improve coping among LGBTQ students. It is administered by school counselors and trained social workers.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* LGBTQ student in one of 24 high schools

Minimum Eligible Age

12 Years

Maximum Eligible Age

20 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Responsible Party

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Jeremy T. Goldbach

Masters & Johnson Distinguished Professor of Sexual Health and Education

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jeremy Goldbach, PhD

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medicine

Locations

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El Monte High School

El Monte, California, United States

Site Status

Arroyo High School

El Monte, California, United States

Site Status

Fernando R Ledesma High School

El Monte, California, United States

Site Status

Mountain View High School

El Monte, California, United States

Site Status

South El Monte High School

El Monte, California, United States

Site Status

Anderson W. Clark Magnet High School

Glendale, California, United States

Site Status

Animo Leadership High School

Inglewood, California, United States

Site Status

Crescenta Valley High School

La Crescenta-Montrose, California, United States

Site Status