School of Public Health, University of California, Berkeley, 2121 Berkeley Way #5302, Berkeley, CA, 94720, USA.
Facente Consulting, Richmond, CA, USA.
Community Ment Health J. 2024 May;60(4):754-763. doi: 10.1007/s10597-024-01231-4. Epub 2024 Feb 9.
Lesbian, gay, bisexual, transgender, queer, or similarly identified (LGBTQ+) people experience substantial mental health disparities compared to heterosexuals. The "Let's Connect" intervention was designed to improve mental health outcomes for LGBTQ+ people. This impact evaluation aimed to assess effectiveness of this intervention during its pilot phase, using a single arm pilot trial. Respondents completed baseline surveys at intervention start, a post survey on the last day of the intervention (at 6 weeks), then a follow-up survey 6 weeks after the intervention ended (at 12 weeks). Pre-post differences in outcomes were analyzed using paired t-tests, chi-square tests, and generalized estimating equations to evaluate impact on mental health outcomes at 6 and 12 weeks, and identify characteristics associated with loss to follow-up. The average value of all three outcome measures decreased substantially between the baseline and post surveys; all of these differences were highly statistically significant, and further decreased between the end of the intervention at 6 weeks and the 12 week follow-up survey. Let's Connect participants did experience substantial improvements in mental health outcomes, on average, between the start and end of this intervention. Further study of this intervention using a randomized design and control group is warranted.
同性恋、双性恋、跨性别、酷儿或类似认同的（LGBTQ+）人群与异性恋者相比，经历着显著的心理健康差异。“让我们联系”干预旨在改善 LGBTQ+人群的心理健康结果。本影响评估旨在在试点阶段评估该干预的有效性，采用单臂试点试验。参与者在干预开始时完成基线调查，在干预的最后一天（第 6 周）进行一次后测，然后在干预结束后 6 周（第 12 周）进行一次随访调查。使用配对 t 检验、卡方检验和广义估计方程分析结局的前后差异，以评估 6 周和 12 周时对心理健康结局的影响，并确定与随访流失相关的特征。在基线和后测调查之间，所有三个结局测量值的平均值都大幅下降；所有这些差异都具有高度统计学意义，并且在 6 周的干预结束和 12 周的随访调查之间进一步下降。“让我们联系”的参与者确实在干预开始和结束之间平均经历了心理健康结局的显著改善。需要进一步研究使用随机设计和对照组的这种干预措施。
