Evidence map›Paper›PMID 34949171›Full record

Trial reportBMC public health2021

Reducing behavioral health symptoms by addressing minority stressors in LGBTQ adolescents: a randomized controlled trial of Proud & Empowered.

Jeremy T Goldbach, Harmony Rhoades, Mary Rose Mamey, John Senese, Peter Karys, Flavio F Marsiglia

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04041414 (Feasibility of a Multi-Level School Intervention for LGBTQ Youth), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.3field-weighted citation impact, top 4% 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.

NCT04041414 nacompletednot on this map

Feasibility of a Multi-Level School Intervention for LGBTQ Youth

TypeinterventionalSponsorUniversity of Southern CaliforniaRan2019 to 2020Enrolled47ConditionsSexual Minority Stress Experiences Among LGBTQ YouthArmsProud & Empowered!
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Exposure to Suicidal Behavior by Sexual and Gender Minority Status Among Adolescents in the Southeastern United States.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2025
    Article
  5. Article
  6. Article
  7. A Pilot and Feasibility Study on a Mindfulness-Based Intervention Adapted for LGBTQ+ Adolescents.International journal of environmental research and public health · 2024
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
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 4 institutions in 1 country.

Jeremy T GoldbachThe Brown School, Washington University in St. Louis, 1 Brookings Dr, MO, 63130, St. Louis, USA. jgoldbach@wustl.edu.ORCID 0000-0003-4355-046X
Harmony RhoadesSuzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th St., MRF Bldg, CA, 90089-0411, Los Angeles, USA.
Mary Rose MameySuzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th St., MRF Bldg, CA, 90089-0411, Los Angeles, USA.
John SeneseSuzanne Dworak-Peck School of Social Work, University of Southern California, 669 W. 34th St., MRF Bldg, CA, 90089-0411, Los Angeles, USA.
Peter KarysThe LGBT Community Center, 208 W. 13th St, 10011, New York, NY, USA.
Flavio F MarsigliaSchool of Social Work, Arizona State University, 411 N. Central Ave., Suite 720, 85004, Phoenix, AZ, USA.
University of Southern California · USArizona State University · USLesbian, Gay, Bisexual and Transgender Community Center · USWashington University in St. Louis · US

Funding

Feasibility of a multi-level school intervention for LGBTQ youthR21MD013971 · NIMHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GOLDBACH, JEREMY THOMAS · 2019 to 2020
$468k
Measuring Stress Among Diverse AdolescentsR21HD082813 · NICHD · UNIVERSITY OF SOUTHERN CALIFORNIA · PI GOLDBACH, JEREMY THOMAS, SCHRAGER, SHEREE MICHELLE · 2014 to 2015
$467k
NICHD NIH HHS R21 HD082813NIMHD NIH HHS R21 MD013971
6 · The paper itself

Abstract

backgroundMinority stress may lead to poorer mental health for sexual and gender minority adolescents, yet no interventions have been tested through an RCT to address these concerns.

methodsWe report on an RCT of an intervention-Proud & Empowered-with four high schools. Measures assess the intervention's impact on mental health symptoms.

resultsCompared to the control, participants in the treatment condition reported significant differences in minority stress, anxiety, and depressive symptoms. Moderation analyses showed that the intervention significantly moderated the relationship between minority stress and PTSD (b = -1.28, p = .032), depression (b = -0.79, p = .023), and suicidality (b = 0.14, p = .012) symptoms; those in the intervention condition had mitigated relationships between measures of stress and health outcomes compared to those in the control condition.

conclusionsResults suggest that Proud & Empowered help reduce mental health symptoms and exposure to minority stressors and build coping strategies.

trial registrationThe intervention was registered on clinicaltrials.gov on August 1, 2019 under Trial # NCT04041414 .

Indexed as

Anxiety DisordersSexual and Gender MinoritiesAdolescentBehavioral SymptomsDepressionHumansMental HealthSuicidal IdeationAdolescentInterventionLGBTMental healthRandomized controlled trial

Identifiers

PMID34949171
PMCPMC8696968
OpenAlexW4200405306

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.