Creating Access to Resources and Economic Support

创造获得资源和经济支持的机会

• 批准号: 10669802
• 负责人: TONIA C POTEAT
• 金额: --
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-07-21 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10669802
• 关键词: Address; Adult; Advocacy; Alcohol abuse; Automobile Driving; Award; Behavior; Behavioral; Black race; COVID-19; COVID-19 impact; COVID-19 pandemic; COVID-19 pandemic effects; COVID-19 prevention; COVID-19 risk; Communities; Data; Disadvantaged; Economics; Education; Emergency Situation; Employment; Enrollment; Ensure; Equity; Feeling suicidal; Financial Support; Future; General Population; Goals; Hand; Health; Health Benefit; Hour; Housing; Individual; Inequity; Intervention; Interview; Masks; Mediating; Mental Health; Methods; Online Systems; Participant; Persons; Population; Poverty; Process Measure; Prostitution; Psychological Impact; Randomized; Randomized, Controlled Trials; Reporting; Resources; Risk Reduction Behavior; Safety; Science; Surveys; Testing; Text; Text Messaging; Translating; Treatment Efficacy; Underserved Population; Unemployment; United States National Institutes of Health; Vulnerable Populations; Work; arm; cohort; community organizations; community partnership; community-level factor; comparative efficacy; design; economic impact; effective intervention; efficacy evaluation; efficacy testing; experience; financial literacy; food insecurity; gender minority; health disparity; health disparity populations; health inequalities; innovation; intervention participants; minority stress; minority stressor; pandemic disease; pandemic stress; peer coaching; peer support; polysubstance use; pre-pandemic; prospective; psychologic; psychological distress; psychosocial; recruit; relative effectiveness; response; social; social stigma; stress symptom; stressor; structural determinants; transgender; transgender men; transgender women; traumatic stress; treatment arm; treatment as usual; vulnerable community

Project Summary/Abstract Transgender people experience economic and psychosocial inequities that make them particularly vulnerable to COVID-19 pandemic-related financial and mental health harms. Sustainable, multilevel interventions are needed to address these harms and promote COVID- 19 prevention behaviors. Transgender-led organizations have been galvanized to provide emergency financial and peer support for transgender people negatively impacted by COVID- 19. However, the efficacy of these interventions have not been evaluated. Leveraging existing community partnerships and ongoing cohorts, the study seeks to assess the efficacy of feasible, acceptable, community-derived interventions to reduce economic and psychological harms experienced by transgender people in the wake of COVID-19. The specific aims of the project are to (1) compare the efficacy of microgrants with or without peer mentoring to reduce psychological distress and increase COVID-19 prevention behaviors; (2) examine mechanisms by which microgrants with or without peer mentoring may impact psychological distress; and (3) explore transgender participants' intervention experiences and perceived efficacy. These aims will be met by enrolling 360 transgender adults into an embedded, mixed methods, 3-arm, 12- month randomized controlled trial. Participants will be randomized 1:1:1 to the following arms: (a) a single microgrant plus monthly financial literacy education (usual care); (b) usual care plus monthly microgrants; or (c) usual care plus monthly microgrants combined with peer mentoring. All intervention arms will last for 6 months, and participants will complete semi-annual web- based surveys at 0, 6, and 12 months as well as text-based process measures at 3 and 6 months to meet Aims 1 and 2. A subset of 36 participants, 12 per arm, will complete longitudinal in depth interviews at 3 and 9 months to meet Aim 3. In addition to addressing the pressing impacts of the COVID-19 pandemic on a vulnerable health disparities population, this study will advance the science of minority stress and mental health inequities by testing interventions that operate on general stressors – i.e., material hardship and community connection – rather than minority stressors such as enacted stigma. This national, online study will address multilevel – structural and community – factors driving COVID-19 pandemic harms. Its equitable community partnership will ensure that study findings are actionable and disseminated rapidly to inform sustainable community-based responses to the COVID-19 pandemic as well as future emergencies.

项目摘要/摘要 跨性别者经历经济和社会心理不平等 特别容易受到19日大流行有关的金融和心理健康危害的影响。 需要添加可持续的多层次干预措施来添加。 19个宣传行为。 紧急财务和同伴支持对跨性别者的负面影响，受到共同影响的影响 19.但是，尚未评估干预措施国际的功效。 社区伙伴关系和正在进行的队列，该研究旨在评估可行的功效， 可接受的社区衍生干预措施，以减少经济和心理危害 跨性别者在covid-19之后的经验。 要（1）比较有或没有同伴指导的微型货物的功效以减少 心理局部遇险并增加了共同的预防行为；（2）检查机制 有或没有同伴指导的微克可能会影响心理困扰； 探索跨性别者的干预经验和感知的功效 将通过将360名变性成年人招募到嵌入的混合方法，3臂，12-- 一个随机对照试验将被随机分配给以下部门： （a）单一的微电气和每月的金融素养教育（常规护理）； 每月的微电磁体；（c）通常的护理以及每月的微电磁体以及同伴指导。 所有干预臂都将持续6个月，参与者将完成半年度网络 - 基于0、6和12个月的基于基于文本的过程的调查在3和6 满足目标1和2的月份。 在3和9个月的深度访谈中，以满足AIM 3。 这项研究将会对脆弱的健康差异人群产生影响。 通过测试干预措施来推动少数群体压力和心理健康不平等的科学 以一般压力源（即物质困难和社区联系）进行操作 - 而不是 少数派压力源，例如颁布的污名。 结构性和社区因素驱动Covid-19是公平的社区 伙伴关系将确保研究结果是可行的，并迅速传播以告知 可持续的基于社区的回应对COVID-19的大流行以及未来 紧急情况。