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.

项目概要/摘要 跨性别者经历着经济和心理社会的不平等，这使得他们 特别容易受到与 COVID-19 大流行相关的财务和心理健康伤害。 需要采取可持续的多层次干预措施来解决这些危害并促进新冠病毒的传播 已激励跨性别者领导的组织提供 19 种预防行为。 为受新冠肺炎负面影响的跨性别者提供紧急财务和同伴支持 19. 然而，这些干预措施的效果尚未得到评估。 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、源自社区的干预措施，以减少经济和心理伤害 跨性别者在 COVID-19 后的经历 该项目的具体目标。 (1) 比较有或没有同行指导的小额赠款的功效，以减少 心理困扰并增加 COVID-19 预防行为；(2) 检查机制 有或没有同伴指导的小额赠款可能会影响心理困扰；(3) 探索跨性别参与者的干预经历和感知效果。 将通过将 360 名跨性别成年人纳入嵌入式、混合方法、3 组、12 组来实现 一个月的随机对照试验中，参与者将以 1:1:1 的比例随机分配到以下组： (a) 一笔小额赠款加上每月的金融扫盲教育（普通护理）； (b) 普通护理加上 每月小额赠款；或 (c) 常规护理加上每月小额赠款与同伴指导相结合。 所有干预组将持续 6 个月，参与者将完成半年一次的网络- 基于第 0、6 和 12 个月的调查以及第 3 和 6 个月基于文本的过程测量 实现目标 1 和 2 的时间。由 36 名参与者组成的子集（每组 12 名）将完成纵向研究 在第 3 个月和第 9 个月进行深度访谈，以实现目标 3。 为了了解 COVID-19 大流行对弱势健康差异人群的影响，本研究将 少数群体压力的科学并通过测试干预措施来促进心理健康不平等 应对一般压力源——即物质困难和社区联系——而不是 这项全国性的在线研究将解决多层次的压力因素，例如耻辱。 结构性和社区——导致 COVID-19 大流行危害其公平社区的因素。 伙伴关系将确保研究结果可付诸行动并迅速传播，以提供信息 针对 COVID-19 大流行以及未来的可持续社区应对措施 紧急情况。