Trial Outcomes & Findings for Sexual and Gender Minority Emerging Adults Eliciting Narratives (NCT NCT05899218)

NCT ID: NCT05899218

Last Updated: 2024-11-25

Results Overview

scores range from 0 to 27, higher scores indicate higher levels of depression severity.

• Recruitment status: COMPLETED
• Study phase: NA
• Target enrollment: 20 participants
• Primary outcome timeframe: 1 month
• Results posted on: 2024-11-25

Participant Flow

Participant milestones

Measure	Photo-Novella Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Overall Study STARTED	10	10
Overall Study COMPLETED	7	8
Overall Study NOT COMPLETED	3	2

Reasons for withdrawal

Measure	Photo-Novella Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Overall Study Lost to Follow-up	2	2
Overall Study deemed ineligible out of country	1	0

Baseline Characteristics

Sexual and Gender Minority Emerging Adults Eliciting Narratives

Baseline characteristics by cohort

Measure	Photo-Novella n=10 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=10 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Total n=20 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	10 Participants n=5 Participants	10 Participants n=7 Participants	20 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Continuous	20.80 years STANDARD_DEVIATION 2.10 • n=5 Participants	20.60 years STANDARD_DEVIATION 1.58 • n=7 Participants	20.70 years STANDARD_DEVIATION 1.81 • n=5 Participants
Sex/Gender, Customized Sex assigned a birth · Female	8 Participants n=5 Participants	8 Participants n=7 Participants	16 Participants n=5 Participants
Sex/Gender, Customized Sex assigned a birth · Male	2 Participants n=5 Participants	2 Participants n=7 Participants	4 Participants n=5 Participants
Sex/Gender, Customized Sex assigned a birth · X (third gender)	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	9 Participants n=5 Participants	10 Participants n=7 Participants	19 Participants n=5 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) American Indian or Alaska Native	1 Participants n=5 Participants	0 Participants n=7 Participants	1 Participants n=5 Participants
Race (NIH/OMB) Asian	5 Participants n=5 Participants	5 Participants n=7 Participants	10 Participants n=5 Participants
Race (NIH/OMB) Native Hawaiian or Other Pacific Islander	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) Black or African American	3 Participants n=5 Participants	3 Participants n=7 Participants	6 Participants n=5 Participants
Race (NIH/OMB) White	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Race (NIH/OMB) More than one race	1 Participants n=5 Participants	2 Participants n=7 Participants	3 Participants n=5 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Region of Enrollment United States	10 participants n=5 Participants	10 participants n=7 Participants	20 participants n=5 Participants
Self-Identify as LGBTQ+ LGBTQ+	10 Participants n=5 Participants	10 Participants n=7 Participants	20 Participants n=5 Participants
Self-Identify as LGBTQ+ non-LGBTQ+	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants

PRIMARY outcome

Timeframe: 1 month

scores range from 0 to 27, higher scores indicate higher levels of depression severity.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Patient Health Questionnaire (PHQ-9)	14.29 score on a scale Standard Deviation 4.72	11.50 score on a scale Standard Deviation .93

PRIMARY outcome

Timeframe: 1 month

scores range from 0 to 21, higher scores indicate higher levels of anxiety severity.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Generalized Anxiety Disorder-7 (GAD-7)	10.71 score on a scale Standard Deviation 5.16	11.00 score on a scale Standard Deviation 3.70

PRIMARY outcome

Timeframe: 1 month

scores range from 8 to 56, higher scores represent an individual with many psychological resources and strengths.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
The Flourishing Scale	39.29 score on a scale Standard Error 10.53	41.13 score on a scale Standard Error 6.24

PRIMARY outcome

Timeframe: 1 month

scores range from 8 to 56, higher scores represent an individual with higher self-esteem.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Rosenberg Self-Esteem Scale	25.43 score on a scale Standard Deviation 4.72	25.00 score on a scale Standard Deviation 2.98

SECONDARY outcome

Timeframe: 1 month

scores range from 1 to 4, higher scores represent higher internalized stigma towards mental illness.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Internalized Stigma of Mental Illness Scale (ISMI-9)	2.64 score on a scale Standard Deviation .23	2.51 score on a scale Standard Deviation .16

SECONDARY outcome

Timeframe: 1 month

scores range from 0 to 20 for each subscale, higher scores represent higher levels of racism in LGBT community, Heterosexism in Racial/ethnic community, and racism in dating/relationship.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
LGBTQ+ POC Microaggressions Scale-Brief (LGBTQ+ PCMS-B): Racism in Dating Subscale	6.57 score on a scale Standard Deviation 5.50	2.13 score on a scale Standard Deviation 3.64

SECONDARY outcome

Timeframe: 1 month

scores range from 20 to 80, higher scores represent more positive attitudes towards mental health treatment seeking.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Attitudes Toward Mental Health Treatment (ATMHT) Scale	57.86 score on a scale Standard Deviation 9.41	45.63 score on a scale Standard Deviation 13.26

SECONDARY outcome

Timeframe: 1 month

scores range from 12 to 84, higher scores represent higher sense of belonging.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
General Belongingness Scale (GBS): Sense of Acceptance Sub Scale	24.57 score on a scale Standard Deviation 6.16	23.75 score on a scale Standard Deviation 6.25

SECONDARY outcome

Timeframe: 1 month

scores range from 1 to 7, higher scores represent higher perceived social support.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Multidimensional Scale of Perceived Social Support (MSPSS)	5.69 score on a scale Standard Deviation .96	4.69 score on a scale Standard Deviation .93

SECONDARY outcome

Timeframe: 1 Month

scores range from 0 to 4, higher scores represent higher anticipated intersectional discrimination

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Intersectional Discrimination Index -Anticipated Discrimination (InDI-A)	2.17 score on a scale Standard Deviation .73	2.47 score on a scale Standard Deviation .79

SECONDARY outcome

Timeframe: 1 month

two subscales, identity based growth with scores from 7 to 49 with higher scores representing higher growth, and identity cohesion with scores from 5 to 35 with higher scores as higher identity cohesion

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
The Queer People of Color Identity Affirmation Scale (QPIAS): Identity Based Growth Subscale	35.57 score on a scale Standard Deviation 11.69	32.88 score on a scale Standard Deviation 5.79

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

scores range from 5 to 20, higher scores represent higher acceptability for the intervention.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Acceptability of the Intervention Measure (AIM)	18.43 score on a scale Standard Deviation 2.30	16.25 score on a scale Standard Deviation 3.58

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

scores range from 5 to 20, higher scores represent higher appropriateness of the intervention.

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Intervention Appropriateness of the Measure (IAM)	18.71 score on a scale Standard Deviation 2.21	16.37 score on a scale Standard Deviation 2.07

OTHER_PRE_SPECIFIED outcome

Timeframe: 1 month

scores range from 5 to 20, higher scores represent higher feasibility for the intervention

Outcome measures

Measure	Photo-Novella n=7 Participants Participants in the photo-novella intervention will be asked to take 12 photographs and write a caption for each photo based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").	Digital Storytelling n=8 Participants Participants in the digital storytelling intervention will be asked to create two videos (1-3 minutes each) based on two prompts. Critical Narrative Development: Participants are asked to answer two prompts ("describe an experience where you have felt seen as an LGBTQ+ person of color" and "describe an experience where you have felt unseen as an LGBTQ+ person of color").
Feasibility of the Intervention Measure (FIM)	16.86 score on a scale Standard Deviation 2.79	16.38 score on a scale Standard Deviation 2.88

Adverse Events

Photo-Novella

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Digital Storytelling

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Jennifer Tran

University of Pennsylvania

Phone: 2158983616

Email: jtgtran@nursing.upenn.edu

Results disclosure agreements

• Principal investigator is a sponsor employee
• Publication restrictions are in place