Rush University Medical Center, Chicago, IL, USA.
Howard Brown Health, Chicago, IL, USA.
Health Promot Pract. 2024 Sep;25(5):895-906. doi: 10.1177/15248399231172191. Epub 2023 May 12.
The primary aim is to assess the implementation of an eight-session, group therapy pilot for Black and Latina transgender women in Chicago in terms of implementation outcomes regarding intervention effectiveness, acceptability, appropriateness, and feasibility. The Exploration Preparation Implementation Sustainment (EPIS) framework guided implementation processes, including community engagement as an implementation strategy, and an implementation taxonomy was used to evaluate outcomes of acceptability, appropriateness, and feasibility, in addition to intervention effectiveness regarding anxiety and community connectedness. Two rounds of the pilot were completed in 2020, during the COVID-19 pandemic, at a community-based organization serving LGBTQ+ (lesbian, gay, bisexual, transgender, queer/questioning) youth on Chicago's West Side. Participants ( = 14) completed a baseline and postintervention assessment and evaluations after each of eight intervention modules. Descriptive statistics show improvement across measures of anxiety and community connectedness, and high mean scores across domains of acceptability, appropriateness, and feasibility. Pilot findings indicate intervention effectiveness, acceptability, appropriateness, and feasibility to address mental health and social support of Black and Latina transgender women. Additional resources are needed for transgender community-engaged mental health programs and research to establish core and adaptable intervention elements, scaled-up evidence for clinical effectiveness, and, most importantly, to improve mental health outcomes and the sustainability of such interventions.
本研究旨在评估在芝加哥为黑人和拉丁裔跨性别女性提供的八节小组治疗试验的实施情况,主要从干预效果、可接受性、适宜性和可行性方面来评估实施结果。探索准备实施维持(EPIS)框架指导了实施过程,包括社区参与作为实施策略,以及使用实施分类法来评估接受度、适宜性和可行性,以及干预对焦虑和社区联系的效果。该试验分两轮于 2020 年在 COVID-19 大流行期间在一家位于芝加哥西区的服务于 LGBTQ+(女同性恋、男同性恋、双性恋、跨性别、酷儿/疑问)青年的社区组织中完成。参与者(=14)在完成八节干预模块中的每一节后都完成了基线和干预后评估。描述性统计显示,焦虑和社区联系方面的测量指标均有所改善,可接受性、适宜性和可行性的各领域得分均较高。初步研究结果表明,该干预措施对于解决黑人和拉丁裔跨性别女性的心理健康和社会支持问题具有有效性、可接受性、适宜性和可行性。需要为跨性别社区参与的心理健康计划和研究提供额外的资源,以确定核心和可适应的干预要素,扩大临床有效性的证据,最重要的是改善心理健康结果和此类干预措施的可持续性。