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NCT05919849PHASE1Recruiting

Supporting Parents in Affirming Their Children's Experiences of Stigma

Yale University

Start Date

11/29/2023

Completion Date

8/31/2026

Summary

The purpose of this study is to develop and test two brief online writing interventions to improve parental acceptance of sexual and gender minority youth (SGMY) in the Southeast United States.

Detailed Description

The purpose of this study is to develop and test the acceptability, feasibility, and preliminary efficacy of two brief online writing interventions to improve parental acceptance of sexual and gender minority youth (SGMY) in the Southeast United States. Parental support represents the strongest predictor of sexual and gender minority youth's (SGMY) mental health. However, many parents react to their SGMY's disclosure with rejection. Even relatively accepting parents can experience discomfort, while SGMY often report lingering unmet needs from their parents into adulthood. Few interventions exist to help parents support their SGMY child and none has been tested in a randomized trial with efficacy for decreasing parental rejection and increasing support of their SGMY. This proposal will develop and test the efficacy of two theory-based interventions that aim to address this gap. Results will identify mechanisms contributing to parental rejection and develop scalable approaches to reduce these mechanisms to shrink the substantial mental health disparities affecting SGMY. If efficacious, these interventions can be scaled up through online platforms capable of bypassing barriers to parental support of SGMY across high-stigma regions. The focus of this registration is the randomized controlled trial.

Eligibility Criteria

Age Range: 15 years to No maximum

Inclusion Criteria: 1. Parents are eligible if they meet the following criteria: 1. Be a parent, grandparent, or any other family member who considers themselves a guardian of an SGMY between 15-29 years old, 2. Live in the Southeast United States (Louisiana, Mississippi, Alabama, Georgia, South Carolina, North Carolina, Tennessee, Arkansas, Kentucky, Florida), 3. Identify as heterosexual and cisgender, and 4. Report non-acceptance of their SGMY. 2. SGMY are eligible if they meet the following criteria: 1. Self-identify as SGM, 2. Are 15-29 years old, 3. Live in the Southeast United States, and 4. Have a parent enrolled in the trial Exclusion Criteria: 3. Any individual who meets any of the following criteria will be excluded from participation in this study: 1. Active mania, psychosis, or suicidality, and 2. Unable to provide informed consent.

Interventions

BEHAVIORAL

Brief online writing intervention

OTHER

Control condition

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Conditions

Parent-Child Relations

Locations

Yale University

New Haven, Connecticut 06510

United States

University of Maryland

College Park, Maryland 20742

United States

Vanderbilt University

Nashville, Tennessee 37235

United States

Ben-Gurion University

Beersheba, 84105

Israel