Trial Outcomes & Findings for Sexual and Gender Minority Youth (SGMY) and Online Interventions to Increase Help-seeking for Anxiety and/or Depression (NCT NCT06083987)

Results Overview

Average proportions of IP components completed out of IP components available per individual participant (IP component defined as opportunity offered to interact with the intervention - some individuals will have more opportunities offered than others due to factorial randomization)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

81 participants

Primary outcome timeframe

Over one month

Results posted on

2025-10-21

Participant Flow

Participant milestones

Participant milestones
Measure	Arm 1: Attention Control Group Arm 1 will only receive the control intervention. Individuals in the Attention Control Group will not be given any of the intervention content (1-4) and will receive video and text content focused on interest in research. Control group: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of participating in research studies. Participants will receive one new video a week and will be asked to share their thoughts on research and past experiences with research.	Arm 2: Intervention 1 - Intersectionality and Identity Individuals in Arm 2 will receive Intervention 1 and will be exposed to video and text content focused on identity and intersectionality. Intersectionality and Identity: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of intersectionality and identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 3: Intervention 1 + 2 Individuals in Arm 3 will receive both Intervention 1 (description in Arm 2 description box) and Intervention 2 (description in Arm 10 description box).	Arm 4: Intervention 1 + 2 + 3 Individuals in Arm 4 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box).	Arm 5: Intervention 1 + 2 + 4 Individuals in Arm 5 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 4 (description in Arm 16 description box).	Arm 6: Intervention 1 + 2 + 3 + 4 Individuals in Arm 6 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 7: Intervention 1 + 3 Individuals in Arm 7 will receive Intervention 1 (description in Arm 2 description box), and Intervention 3 (description in Arm 14 description box).	Arm 8: Intervention 1 + 3 + 4 Individuals in Arm 8 will receive Intervention 1 (description in Arm 2 description box), and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 9: Intervention 1 + 4 Individuals in Arm 9 will receive Intervention 1 (description in Arm 2 description box), and Intervention 4 (description in Arm 16 description box).	Arm 10: Intervention 2 - Confidentiality and Privacy Arm 10 will be given access to intervention 2, with the video and text content focused on confidentiality Confidentiality: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on Confidentiality for caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 11: Intervention 2 + 3 Individuals in Arm 11 will receive Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box).	Arm 12: Intervention 2 + 3 + 4 Individuals in Arm 12 will receive Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 13: Intervention 2 + 4 Individuals in Arm 13 will receive Intervention 2 (description in Arm 10 description box) and Intervention 4 (description in Arm 16 description box).	Arm 14: Intervention 3 - Educational Tools Arm 14 will be given access to intervention 3. Video and text content will focus on education about identity Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 15: Intervention 3 + 4 Individuals in Arm 15 will receive Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 16: Intervention 4 - Finding Affirming Care Arm 16 will be given access to intervention 4, with video and text content focusing on determining if caregivers are affirming. How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").
Overall Study STARTED	4	5	5	5	5	6	6	5	4	6	5	4	5	5	6	5
Overall Study COMPLETED	3	4	5	4	4	5	6	5	4	6	5	4	5	4	6	5
Overall Study NOT COMPLETED	1	1	0	1	1	1	0	0	0	0	0	0	0	1	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sexual and Gender Minority Youth (SGMY) and Online Interventions to Increase Help-seeking for Anxiety and/or Depression

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Arm 1: Attention Control Group n=4 Participants Individuals in this group are individuals who are in Arm 1 and will only receive the control intervention. Individuals in the Attention Control Group will not be given any of the intervention content (1-4) and will receive video and text content focused on interest in research. Control group: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of participating in research studies. Participants will receive one new video a week and will be asked to share their thoughts on research and past experiences with research.	Arm 2: Intervention 1 - Intersectionality and Identity n=5 Participants Individuals in Arm 2 will receive Intervention 1 and will be exposed to video and text content focused on identity and intersectionality. Intersectionality and Identity: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of intersectionality and identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 3: Intervention 1 + 2 n=5 Participants Individuals in Arm 3 will receive both Intervention 1 (description in Arm 2 description box) and Intervention 2 (description in Arm 10 description box).	Arm 4: Intervention 1 + 2 + 3 n=5 Participants Individuals in Arm 4 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box).	Arm 5: Intervention 1 + 2 + 4 n=5 Participants Individuals in Arm 5 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 4 (description in Arm 16 description box).	Arm 6: Intervention 1 + 2 + 3 + 4 n=6 Participants Individuals in Arm 6 will receive Intervention 1 (description in Arm 2 description box), Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 7: Intervention 1 + 3 n=6 Participants Individuals in Arm 7 will receive Intervention 1 (description in Arm 2 description box), and Intervention 3 (description in Arm 14 description box).	Arm 8: Intervention 1 + 3 + 4 n=5 Participants Individuals in Arm 8 will receive Intervention 1 (description in Arm 2 description box), and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 9: Intervention 1 + 4 n=4 Participants Individuals in Arm 9 will receive Intervention 1 (description in Arm 2 description box), and Intervention 4 (description in Arm 16 description box).	Arm 10: Intervention 2 - Confidentiality and Privacy n=6 Participants Arm 10 will be given access to intervention 2, with the video and text content focused on confidentiality Confidentiality: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on Confidentiality for caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 11: Intervention 2 + 3 n=5 Participants Individuals in Arm 11 will receive Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box).	Arm 12: Intervention 2 + 3 + 4 n=4 Participants Individuals in Arm 12 will receive Intervention 2 (description in Arm 10 description box) and Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 13: Intervention 2 + 4 n=5 Participants Individuals in Arm 13 will receive Intervention 2 (description in Arm 10 description box) and Intervention 4 (description in Arm 16 description box).	Arm 14: Intervention 3 - Educational Tools n=5 Participants Arm 14 will be given access to intervention 3. Video and text content will focus on education about identity Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Arm 15: Intervention 3 + 4 n=6 Participants Individuals in Arm 15 will receive Intervention 3 (description in Arm 14 description box) and Intervention 4 (description in Arm 16 description box).	Arm 16: Intervention 4 - Finding Affirming Care n=5 Participants Arm 16 will be given access to intervention 4, with video and text content focusing on determining if caregivers are affirming. How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total n=81 Participants Total of all reporting groups
Age, Continuous	17.3 years STANDARD_DEVIATION 0.1 • n=5 Participants	18.2 years STANDARD_DEVIATION 1.3 • n=7 Participants	17.6 years STANDARD_DEVIATION 0.9 • n=5 Participants	17.4 years STANDARD_DEVIATION 1.3 • n=4 Participants	18.2 years STANDARD_DEVIATION 0.4 • n=21 Participants	18.3 years STANDARD_DEVIATION 0.5 • n=8 Participants	18.5 years STANDARD_DEVIATION 0.6 • n=8 Participants	17.8 years STANDARD_DEVIATION 1.3 • n=24 Participants	18.2 years STANDARD_DEVIATION 0.5 • n=42 Participants	17.5 years STANDARD_DEVIATION 0.8 • n=42 Participants	18.4 years STANDARD_DEVIATION 0.6 • n=42 Participants	17.3 years STANDARD_DEVIATION 2.2 • n=42 Participants	18.2 years STANDARD_DEVIATION 0.8 • n=36 Participants	17.8 years STANDARD_DEVIATION 1.1 • n=36 Participants	18.3 years STANDARD_DEVIATION 0.5 • n=24 Participants	18.4 years STANDARD_DEVIATION 0.9 • n=135 Participants	18.0 years STANDARD_DEVIATION 0.1 • n=136 Participants
Sex: Female, Male Female	1 Participants n=5 Participants	3 Participants n=7 Participants	0 Participants n=5 Participants	1 Participants n=4 Participants	3 Participants n=21 Participants	2 Participants n=8 Participants	1 Participants n=8 Participants	1 Participants n=24 Participants	1 Participants n=42 Participants	1 Participants n=42 Participants	0 Participants n=42 Participants	2 Participants n=42 Participants	2 Participants n=36 Participants	3 Participants n=36 Participants	1 Participants n=24 Participants	2 Participants n=135 Participants	24 Participants n=136 Participants
Sex: Female, Male Male	3 Participants n=5 Participants	2 Participants n=7 Participants	5 Participants n=5 Participants	4 Participants n=4 Participants	2 Participants n=21 Participants	4 Participants n=8 Participants	5 Participants n=8 Participants	4 Participants n=24 Participants	3 Participants n=42 Participants	5 Participants n=42 Participants	5 Participants n=42 Participants	2 Participants n=42 Participants	3 Participants n=36 Participants	2 Participants n=36 Participants	5 Participants n=24 Participants	3 Participants n=135 Participants	57 Participants n=136 Participants
Ethnicity (NIH/OMB) Hispanic or Latino	0 Participants n=5 Participants	2 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	1 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	3 Participants n=136 Participants
Ethnicity (NIH/OMB) Not Hispanic or Latino	3 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants	5 Participants n=4 Participants	5 Participants n=21 Participants	6 Participants n=8 Participants	6 Participants n=8 Participants	5 Participants n=24 Participants	4 Participants n=42 Participants	6 Participants n=42 Participants	5 Participants n=42 Participants	4 Participants n=42 Participants	5 Participants n=36 Participants	4 Participants n=36 Participants	6 Participants n=24 Participants	5 Participants n=135 Participants	77 Participants n=136 Participants
Ethnicity (NIH/OMB) Unknown or Not Reported	1 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	0 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	1 Participants n=136 Participants
Race (NIH/OMB) American Indian or Alaska Native	0 Participants n=5 Participants	1 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	0 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	1 Participants n=136 Participants
Race (NIH/OMB) Asian	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	1 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	1 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	2 Participants n=136 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	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	0 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	0 Participants n=136 Participants
Race (NIH/OMB) Black or African American	4 Participants n=5 Participants	2 Participants n=7 Participants	4 Participants n=5 Participants	4 Participants n=4 Participants	5 Participants n=21 Participants	3 Participants n=8 Participants	6 Participants n=8 Participants	3 Participants n=24 Participants	4 Participants n=42 Participants	5 Participants n=42 Participants	3 Participants n=42 Participants	3 Participants n=42 Participants	4 Participants n=36 Participants	3 Participants n=36 Participants	5 Participants n=24 Participants	3 Participants n=135 Participants	61 Participants n=136 Participants
Race (NIH/OMB) White	0 Participants n=5 Participants	2 Participants n=7 Participants	1 Participants n=5 Participants	1 Participants n=4 Participants	0 Participants n=21 Participants	3 Participants n=8 Participants	0 Participants n=8 Participants	2 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	2 Participants n=42 Participants	1 Participants n=42 Participants	1 Participants n=36 Participants	0 Participants n=36 Participants	0 Participants n=24 Participants	2 Participants n=135 Participants	15 Participants n=136 Participants
Race (NIH/OMB) More than one race	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	1 Participants n=36 Participants	1 Participants n=24 Participants	0 Participants n=135 Participants	2 Participants n=136 Participants
Race (NIH/OMB) Unknown or Not Reported	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants	0 Participants n=4 Participants	0 Participants n=21 Participants	0 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=36 Participants	0 Participants n=36 Participants	0 Participants n=24 Participants	0 Participants n=135 Participants	0 Participants n=136 Participants
Education Middle School (7-8th grade)	0 Participants n=5 Participants	0 Participants n=7 Participants	3 Participants n=5 Participants	0 Participants n=4 Participants	2 Participants n=21 Participants	2 Participants n=8 Participants	0 Participants n=8 Participants	0 Participants n=24 Participants	1 Participants n=42 Participants	2 Participants n=42 Participants	0 Participants n=42 Participants	2 Participants n=42 Participants	1 Participants n=36 Participants	0 Participants n=36 Participants	2 Participants n=24 Participants	1 Participants n=135 Participants	16 Participants n=136 Participants
Education High School (9-12th grade)	4 Participants n=5 Participants	3 Participants n=7 Participants	2 Participants n=5 Participants	4 Participants n=4 Participants	1 Participants n=21 Participants	2 Participants n=8 Participants	4 Participants n=8 Participants	5 Participants n=24 Participants	2 Participants n=42 Participants	4 Participants n=42 Participants	5 Participants n=42 Participants	2 Participants n=42 Participants	2 Participants n=36 Participants	4 Participants n=36 Participants	4 Participants n=24 Participants	3 Participants n=135 Participants	51 Participants n=136 Participants
Education Graduated High School	0 Participants n=5 Participants	2 Participants n=7 Participants	0 Participants n=5 Participants	1 Participants n=4 Participants	2 Participants n=21 Participants	2 Participants n=8 Participants	2 Participants n=8 Participants	0 Participants n=24 Participants	1 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	0 Participants n=42 Participants	2 Participants n=36 Participants	1 Participants n=36 Participants	0 Participants n=24 Participants	1 Participants n=135 Participants	14 Participants n=136 Participants
Easy Access to Transportation	4 Participants n=5 Participants	3 Participants n=7 Participants	5 Participants n=5 Participants	5 Participants n=4 Participants	4 Participants n=21 Participants	6 Participants n=8 Participants	6 Participants n=8 Participants	5 Participants n=24 Participants	4 Participants n=42 Participants	6 Participants n=42 Participants	5 Participants n=42 Participants	4 Participants n=42 Participants	4 Participants n=36 Participants	5 Participants n=36 Participants	5 Participants n=24 Participants	4 Participants n=135 Participants	75 Participants n=136 Participants
MacArthur scale of subjective social status - United States	6 units on a scale STANDARD_DEVIATION 0.7 • n=5 Participants	6.0 units on a scale STANDARD_DEVIATION 2.7 • n=7 Participants	6.2 units on a scale STANDARD_DEVIATION 0.4 • n=5 Participants	6.2 units on a scale STANDARD_DEVIATION 1.9 • n=4 Participants	6.0 units on a scale STANDARD_DEVIATION 0.7 • n=21 Participants	6.0 units on a scale STANDARD_DEVIATION 2.4 • n=8 Participants	4.5 units on a scale STANDARD_DEVIATION 1.5 • n=8 Participants	4.2 units on a scale STANDARD_DEVIATION 2.4 • n=24 Participants	4.3 units on a scale STANDARD_DEVIATION 1.5 • n=42 Participants	6.3 units on a scale STANDARD_DEVIATION 1.5 • n=42 Participants	5.2 units on a scale STANDARD_DEVIATION 1.6 • n=42 Participants	5.3 units on a scale STANDARD_DEVIATION 2.2 • n=42 Participants	6.2 units on a scale STANDARD_DEVIATION 1.3 • n=36 Participants	5.0 units on a scale STANDARD_DEVIATION 1.2 • n=36 Participants	5.2 units on a scale STANDARD_DEVIATION 1.3 • n=24 Participants	5.4 units on a scale STANDARD_DEVIATION 1.7 • n=135 Participants	5.5 units on a scale STANDARD_DEVIATION 0.2 • n=136 Participants
Ever Received Therapy	3 Participants n=5 Participants	2 Participants n=7 Participants	1 Participants n=5 Participants	2 Participants n=4 Participants	0 Participants n=21 Participants	3 Participants n=8 Participants	1 Participants n=8 Participants	1 Participants n=24 Participants	0 Participants n=42 Participants	3 Participants n=42 Participants	1 Participants n=42 Participants	2 Participants n=42 Participants	1 Participants n=36 Participants	1 Participants n=36 Participants	1 Participants n=24 Participants	2 Participants n=135 Participants	24 Participants n=136 Participants
Ever Received Medication	2 Participants n=5 Participants	1 Participants n=7 Participants	2 Participants n=5 Participants	2 Participants n=4 Participants	0 Participants n=21 Participants	2 Participants n=8 Participants	1 Participants n=8 Participants	1 Participants n=24 Participants	2 Participants n=42 Participants	4 Participants n=42 Participants	1 Participants n=42 Participants	1 Participants n=42 Participants	1 Participants n=36 Participants	1 Participants n=36 Participants	1 Participants n=24 Participants	3 Participants n=135 Participants	25 Participants n=136 Participants
Access to Health Insurance	3 Participants n=5 Participants	3 Participants n=7 Participants	3 Participants n=5 Participants	4 Participants n=4 Participants	2 Participants n=21 Participants	5 Participants n=8 Participants	4 Participants n=8 Participants	4 Participants n=24 Participants	3 Participants n=42 Participants	5 Participants n=42 Participants	5 Participants n=42 Participants	4 Participants n=42 Participants	4 Participants n=36 Participants	4 Participants n=36 Participants	4 Participants n=24 Participants	3 Participants n=135 Participants	60 Participants n=136 Participants
Have Primary Care Provider	4 Participants n=5 Participants	4 Participants n=7 Participants	4 Participants n=5 Participants	4 Participants n=4 Participants	3 Participants n=21 Participants	6 Participants n=8 Participants	6 Participants n=8 Participants	4 Participants n=24 Participants	3 Participants n=42 Participants	6 Participants n=42 Participants	5 Participants n=42 Participants	4 Participants n=42 Participants	4 Participants n=36 Participants	4 Participants n=36 Participants	5 Participants n=24 Participants	4 Participants n=135 Participants	70 Participants n=136 Participants

PRIMARY outcome

Timeframe: Over one month

Average proportions of IP components completed out of IP components available per individual participant (IP component defined as opportunity offered to interact with the intervention - some individuals will have more opportunities offered than others due to factorial randomization)

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=41 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=41 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 n=42 Participants Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 n=40 Participants Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample n=81 Participants Total Sample at Baseline
Feasibility - IP Use Proportion	0.11 average proportion Standard Deviation 0.21	0.10 average proportion Standard Deviation 0.17	0.10 average proportion Standard Deviation 0.16	0.08 average proportion Standard Deviation 0.13	0.11 average proportion Standard Deviation 0.19

PRIMARY outcome

Timeframe: Over one month

Population: Total sample who enrolled in the study; for this outcome all groups are combined because this was a feasibility metric of the entire pilot study population as a whole and not intended to compare across arms to answer the question, what proportion of days the study participants would access the online intervention?

Average Proportion of days IP is used per individual (number of days session accessed over total offered which is 28 days)

Outcome measures

Outcome measures
Measure	Not Intervention 1 Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=81 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Feasibility - IP Use Days	—	0.04 Mean proportion total days used per part Standard Deviation 0.06	—	—	—

PRIMARY outcome

Timeframe: Over one month

Population: We do not have access to this data. Prior to starting the study, we had the understanding that we would be able to extract this level of data from the Discord platform. Upon beginning the study and collecting data, and after multiple iterative attempts, we were not able to obtain that data due to Discord regulations.

Average length of time IP is used (length of session)

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: 1 month

Population: For this outcome all groups are combined - for the full sample completing this follow-up measure. This was a usability metric of the entire pilot study population as a whole and not intended to compare across arms to answer the question, what is the usability rating of the entire online intervention?

System Usability Scale, min: 0, Max: 100, higher scores mean better usability

Outcome measures

Outcome measures
Measure	Not Intervention 1 Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=73 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Usability	—	77.4 units on a scale Standard Deviation 13.6	—	—	—

PRIMARY outcome

Timeframe: 1 month

Population: For this outcome all groups are combined - for the full sample completing this follow-up measure. This was acceptability metric was of the entire pilot study population as a whole and not intended to compare across arms to answer the question, what is the acceptability rating of the entire online intervention?

Open-ended questions about whether the Discord server and the tools used were: helpful; whether it was affirming of SGM status; if timing and amount of content were appropriate, if privacy and confidentiality were maintained, and if they had any negative consequences of participation (e.g. parent questioning them )

Outcome measures

Outcome measures
Measure	Not Intervention 1 Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=75 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Acceptability of the Intervention Principle Felt Discord Server and Tools were Helpful	—	72 Participants	—	—	—
Acceptability of the Intervention Principle Felt Content was Appropriate	—	74 Participants	—	—	—
Acceptability of the Intervention Principle Timing of Posting/Receiving Content Appropriate	—	73 Participants	—	—	—
Acceptability of the Intervention Principle Felt Affirmed (received emotional support or encouragement) about your sexuality or gender	—	73 Participants	—	—	—
Acceptability of the Intervention Principle Felt Privacy and Confidentiality were Maintained	—	74 Participants	—	—	—
Acceptability of the Intervention Principle Experienced any Negative Consequences from Participation	—	0 Participants	—	—	—

PRIMARY outcome

Timeframe: 1 month

single help-seeking intention ruler-based question (i.e. 'I intend to seek help from a counselor or therapist for my mental health problems' scale 1-7, a higher number signifying a higher intent to seek help

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=72 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=3 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Help-Seeking Intention From Counselor or Therapist - TAU vs Not TAU	3.99 units on a scale Standard Deviation 1.30	4.00 units on a scale Standard Deviation 1.00	—	—	—

PRIMARY outcome

Timeframe: 1 month

single help-seeking intention ruler-based question (i.e. 'I intend to seek help from a counselor or therapist for my mental health problems' scale 1-7, a higher number signifying a higher intent to seek help

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=38 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=37 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Help-Seeking Intention From Counselor or Therapist - Intervention 1 vs. Not 1	3.79 units on a scale Standard Deviation 1.36	4.19 units on a scale Standard Deviation 1.19	—	—	—

PRIMARY outcome

Timeframe: 1 month

single help-seeking intention ruler-based question (i.e. 'I intend to seek help from a counselor or therapist for my mental health problems' scale 1-7, a higher number signifying a higher intent to seek help

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Help-Seeking Intention From Counselor or Therapist - Intervention 2 vs. Not 2	3.92 units on a scale Standard Deviation 1.21	4.05 units on a scale Standard Deviation 1.37	—	—	—

PRIMARY outcome

Timeframe: 1 month

single help-seeking intention ruler-based question (i.e. 'I intend to seek help from a counselor or therapist for my mental health problems' scale 1-7, a higher number signifying a higher intent to seek help

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=36 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=39 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Help-Seeking Intention From Counselor or Therapist - Intervention 3 vs. Non-3	3.69 units on a scale Standard Deviation 1.39	4.26 units on a scale Standard Deviation 1.14	—	—	—

PRIMARY outcome

Timeframe: 1 month

single help-seeking intention ruler-based question (i.e. 'I intend to seek help from a counselor or therapist for my mental health problems' scale 1-7, a higher number signifying a higher intent to seek help

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Help-Seeking Intention From Counselor or Therapist - Intervention 4 vs. Not 4	3.72 units on a scale Standard Deviation 1.47	4.24 units on a scale Standard Deviation 1.05	—	—	—

SECONDARY outcome

Timeframe: 1 month

The Medical Outcome Study Social Support Scale measures types of social support. Per item, options range from 1 to 5 with higher levels are associated with greater support. We will use the emotional/informational subscale from this report and instead of transforming to 0-100 like the original, we will use the untransformed mean score of the items which can range 1 to 5.

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=72 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=3 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Social Support - TAU vs Not TAU	3.45 units on a scale Standard Deviation 0.78	3.54 units on a scale Standard Deviation 1.08	—	—	—

SECONDARY outcome

Timeframe: 1 month

The Medical Outcome Study Social Support Scale measures types of social support. Per item, options range from 1 to 5 with higher levels are associated with greater support. We will use the emotional/informational subscale from this report and instead of transforming to 0-100 like the original, we will use the untransformed mean score of the items which can range 1 to 5.

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=38 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=37 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Social Support - Intervention 1 vs. Not 1	3.35 units on a scale Standard Deviation 0.78	3.57 units on a scale Standard Deviation 0.78	—	—	—

SECONDARY outcome

Timeframe: 1 month

The Medical Outcome Study Social Support Scale measures types of social support. Per item, options range from 1 to 5 with higher levels are associated with greater support. We will use the emotional/informational subscale from this report and instead of transforming to 0-100 like the original, we will use the untransformed mean score of the items which can range 1 to 5.

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Social Support - Intervention 2 vs. Not 2	3.51 units on a scale Standard Deviation 0.79	3.41 units on a scale Standard Deviation 0.78	—	—	—

SECONDARY outcome

Timeframe: 1 month

The Medical Outcome Study Social Support Scale measures types of social support. Per item, options range from 1 to 5 with higher levels are associated with greater support. We will use the emotional/informational subscale from this report and instead of transforming to 0-100 like the original, we will use the untransformed mean score of the items which can range 1 to 5.

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=36 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=39 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Social Support - Intervention 3 vs. Not 3	3.53 units on a scale Standard Deviation 0.79	3.38 units on a scale Standard Deviation 0.77	—	—	—

SECONDARY outcome

Timeframe: 1 month

The Medical Outcome Study Social Support Scale measures types of social support. Per item, options range from 1 to 5 with higher levels are associated with greater support. We will use the emotional/informational subscale from this report and instead of transforming to 0-100 like the original, we will use the untransformed mean score of the items which can range 1 to 5.

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Social Support - Intervention 4 vs. Not 4	3.30 units on a scale Standard Deviation 0.72	3.61 units on a scale Standard Deviation 0.82	—	—	—

SECONDARY outcome

Timeframe: 1 month

Sexual Minority Adolescent Stress Inventory Internalized homonegativity subscale for the past 30 days. min: 0, max: 7. Higher score indicates greater internalized homophobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=72 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=3 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Homophobia - TAU vs Not TAU	0.69 score on a scale Standard Deviation 0.99	1.00 score on a scale Standard Deviation 1.73	—	—	—

SECONDARY outcome

Timeframe: 1 month

Sexual Minority Adolescent Stress Inventory Internalized homonegativity subscale. - asked about past 30 days min: 0, max: 7. Higher score indicates greater internalized homophobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=38 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=37 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Homophobia - Intervention 1 vs Not 1	0.74 score on a scale Standard Deviation 1.06	0.68 score on a scale Standard Deviation 0.97	—	—	—

SECONDARY outcome

Timeframe: 1 month

Sexual Minority Adolescent Stress Inventory Internalized homonegativity subscale. - asked about past 30 days min: 0, max: 7. Higher score indicates greater internalized homophobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Homophobia - Intervention 2 vs Not 2	0.65 score on a scale Standard Deviation 1.03	0.76 score on a scale Standard Deviation 1.00	—	—	—

SECONDARY outcome

Timeframe: 1 month

Sexual Minority Adolescent Stress Inventory Internalized homonegativity subscale. - asked about past 30 days min: 0, max: 7. Higher score indicates greater internalized homophobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=36 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=39 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Homophobia - Intervention 3 vs Not 3	0.64 score on a scale Standard Deviation 0.93	0.77 score on a scale Standard Deviation 1.09	—	—	—

SECONDARY outcome

Timeframe: 1 month

Sexual Minority Adolescent Stress Inventory Internalized homonegativity subscale. - asked about past 30 days min: 0, max: 7. Higher score indicates greater internalized homophobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Homophobia - Intervention 4 vs Not 4	0.73 score on a scale Standard Deviation 1.10	0.68 score on a scale Standard Deviation 0.93	—	—	—

SECONDARY outcome

Timeframe: 1 month

Population: this is the population which identified as transgender/nonbinary/gender-diverse

Gender Minority Stress and Resilience Measure. min: 0, max: 40. Higher score indicates greater internalized transphobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=36 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=2 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Transphobia - TAU vs Not TAU	9.53 score on a scale Standard Deviation 7.92	7.00 score on a scale Standard Deviation 1.41	—	—	—

SECONDARY outcome

Timeframe: 1 month

Population: this is the population which identified as transgender/nonbinary/gender-diverse

Gender Minority Stress and Resilience Measure. min: 0, max: 40. Higher score indicates greater internalized transphobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=21 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=17 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Transphobia - Intervention 1 vs Not 1	10.86 score on a scale Standard Deviation 8.88	7.59 score on a scale Standard Deviation 5.78	—	—	—

SECONDARY outcome

Timeframe: 1 month

Population: this is the population which identified as transgender/nonbinary/gender-diverse

Gender Minority Stress and Resilience Measure. min: 0, max: 40. Higher score indicates greater internalized transphobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=17 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=21 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Transphobia - Intervention 2 vs Not 2	7.88 score on a scale Standard Deviation 7.42	10.62 score on a scale Standard Deviation 7.94	—	—	—

SECONDARY outcome

Timeframe: 1 month

Population: this is the population which identified as transgender/nonbinary/gender-diverse

Gender Minority Stress and Resilience Measure. min: 0, max: 40. Higher score indicates greater internalized transphobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=23 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=15 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Transphobia - Intervention 3 vs Not 3	7.83 score on a scale Standard Deviation 5.82	11.8 score on a scale Standard Deviation 9.72	—	—	—

SECONDARY outcome

Timeframe: 1 month

Population: this is the population which identified as transgender/nonbinary/gender-diverse

Gender Minority Stress and Resilience Measure. min: 0, max: 40. Higher score indicates greater internalized transphobia

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=20 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=18 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Internalized Transphobia - Intervention 4 vs Not 4	9.85 score on a scale Standard Deviation 7.15	8.89 score on a scale Standard Deviation 8.51	—	—	—

SECONDARY outcome

Timeframe: 1 month

Single-item yes/no and open ended question - asked about past 30 days

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=72 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=3 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Expectance of Rejection Due to SGM Status TAU vs Not TAU	17 Participants	1 Participants	—	—	—

SECONDARY outcome

Timeframe: 1 month

Single-item yes/no and open ended question - asked about past 30 days

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=38 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=37 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Expectance of Rejection Due to SGM Status Intervention 1 vs Not 1	10 Participants	8 Participants	—	—	—

SECONDARY outcome

Timeframe: 1 month

Single-item yes/no and open ended question - asked about past 30 days

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=37 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=38 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Expectance of Rejection Due to SGM Status Intervention 2 vs Not 2	9 Participants	9 Participants	—	—	—

SECONDARY outcome

Timeframe: 1 month

Single-item yes/no and open ended question - asked about past 30 days

Outcome measures

Outcome measures
Measure	Not Intervention 1 n=36 Participants Individuals in this group include all other participants who did not receive intervention 1 but completed follow up measures	Intervention 2 n=39 Participants Individuals in this group receive Intervention 2 and completed follow up measures. Individuals in this group receive Intervention 2, with the video and text content focused on confidentiality. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention.	Intervention 3 Individuals in this group will receive Intervention 3. Video and text content will focus on education about identity. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 3 = Educating Your Community: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of the education of family and friends about identity. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Intervention 4 Individuals in this group will receive Intervention 4, with video and text content focusing on determining if caregivers are affirming. They may or may not receive additional interventions. These groups will overlap due to the factorial design and some individuals receiving more than one Intervention. Intervention 4 = How to find Affirming Caregivers: Participants will use the computer application, Discord, a social media site that allows for sharing of content and interaction with other people in a variety of forms (video chat, direct messaging, and talking in group chat areas). We will be using the group chat function to set up discussion forums where there will be video and text resources focused on matters of finding affirming caregivers. Participants will do at least one activity from three types each week for four weeks. The three activity types will have the participants engage with the content and then either discuss it in the forum ("Talk about it"), write a review about the content discussing why/why not they like it ("Rate it"), or Attempt to use the knowledge or skills to accomplish a task offline ("Try it").	Total Sample Total Sample at Baseline
Expectance of Rejection Due to SGM Status Intervention 3 vs Not 3	8 Participants	10 Participants	—	—	—

SECONDARY outcome

Timeframe: 1 month

Single-item yes/no and open ended question - asked about past 30 days