Evidence map›Paper›PMID 32271053›Full record

Trial reportJournal of consulting and clinical psychology2020

Brief online interventions for LGBTQ young adult mental and behavioral health: A randomized controlled trial in a high-stigma, low-resource context.

John E Pachankis, Stacey L Williams, Kriti Behari, Sarah Job, Erin M McConocha, Stephenie R Chaudoir

Open access · hybridAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of consulting and clinical psychology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 4 pooled it
14.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 4 syntheses or guidelines pooled it, 100 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

John E PachankisDepartment of Social and Behavioral Sciences, Yale School of Public Health.ORCID 0000-0002-2015-9225
Stacey L WilliamsDepartment of Psychology, East Tennessee State University.ORCID 0000-0002-0100-4009
Kriti BehariDepartment of Social and Behavioral Sciences, Yale School of Public Health.ORCID 0000-0002-5751-266X
Sarah JobDepartment of Psychology, East Tennessee State University.
Erin M McConochaDepartment of Social and Behavioral Sciences, Yale School of Public Health.ORCID 0000-0003-0140-0631
Stephenie R ChaudoirDepartment of Psychology, College of the Holy Cross.ORCID 0000-0001-9748-0351
Yale University · USEast Tennessee State University · USCollege of the Holy Cross · US

Funding

Yale Clinical and Translational Science Award (U Component)UL1TR001863 · NCATS · YALE UNIVERSITY · PI John H. Krystal, LUCILA OHNO-MACHADO · 2016 to 2026
$102.9M
Development and preliminary trial of a brief, portable health intervention for rural sexual minority emerging adultsR21MH113860 · NIMH · YALE UNIVERSITY · PI CHAUDOIR, STEPHENIE R, PACHANKIS, JOHN EDWARD · 2017 to 2018
$448k
NCATS NIH HHS UL1 TR001863NIMH NIH HHS R21 MH113860
6 · The paper itself

Abstract

objectiveTo identify scalable interventions for improving sexual minority mental health and health-risk behavior, this study tested the efficacy of two self-guided online writing interventions-expressive writing and self-affirmation. To reach sexual minority young adults living in high-stigma, low-resource settings, we developed and tested these interventions in Appalachian Tennessee.

methodIn consultation with sexual minority young adults (n = 10) and stakeholders (n = 10) living in Appalachian Tennessee, we adapted these two writing interventions that we then delivered to 108 local sexual minority young adults (Mage = 23.68, SD = 3.11). Participants, representing diverse sexual and gender identities and socioeconomic backgrounds, were randomly assigned to participate in a 3-session expressive writing intervention, self-affirmation intervention, or neutral control. Participants completed mental health and health-risk behavior measures at baseline, postintervention, and 3-month follow-up.

resultsCompared to the neutral control, expressive writing exerted 3-month improvements in depressive symptoms (d = 0.48) and general psychological distress (d = 0.36) whereas self-affirmation exerted improvement in suicidal ideation (d = 0.62) and drug abuse (d = 0.59). Participants who were exposed to greater contextual minority stressors common in rural regions (i.e., discrimination and victimization) experienced significantly greater 3-month reductions in depression from expressive writing and self-affirmation compared to control. Those who experienced greater discrimination also experienced significantly greater 3-month reductions in suicidality from self-affirmation compared to control.

conclusionBrief writing interventions exert significant impact on the mental health of young adult sexual minorities, especially those exposed to minority stress. Future research can consider strategies for population-level implementation, especially in high-stigma, low-resource settings. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Indexed as

Internet-Based InterventionPsychotherapySocial StigmaAdultBehavioral SymptomsFemaleHumansMalePovertySexual and Gender MinoritiesTennesseeYoung Adult

Identifiers

PMID32271053
PMCPMC7153536
OpenAlexW3016025111

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.