Parents' reflective functioning and their agreement on treatment goals in attachment‐based family for sexual and gender minority young adults and their nonaccepting parents

2022 ◽  
Author(s):  
Yotam Strifler ◽  
Tamar Zisenwine ◽  
Gary M. Diamond
Keyword(s):  
Young Adults ◽  
Reflective Functioning ◽  
Treatment Goals ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

Daily stressors and diurnal cortisol among sexual and gender minority young adults.

2020 ◽  
Author(s):  
Wilson S. Figueroa ◽  
Peggy M. Zoccola ◽  
Andrew W. Manigault ◽  
Katrina R. Hamilton ◽  
Matt C. Scanlin ◽  
...  
Keyword(s):  
Young Adults ◽  
Daily Stressors ◽  
Diurnal Cortisol ◽  
Gender Minority ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals An Avatar-Led Digital Smoking Cessation Program for Sexual and Gender Minority Young Adults: Intervention Development and Results of a Single-Arm Pilot Trial (Preprint)

2021 ◽  
Author(s):  
Jaimee L Heffner ◽  
Noreen L Watson ◽  
Edit Serfozo ◽  
Megan M Kelly ◽  
Erin D Reilly ◽  
...  
Keyword(s):  
Young Adults ◽  
Pilot Trial ◽  
Intervention Development ◽  
Targeted Interventions ◽  
Gender Minority ◽  
Tobacco Treatment ◽  
Acceptance And Commitment ◽  
Sexual And Gender Minority ◽  
Biochemical Testing ◽  
And Gender

BACKGROUND Sexual and gender minority young adults have a high prevalence of smoking and unique barriers to accessing tobacco treatment. OBJECTIVE To address these challenges as well as their preferences for sexual and gender minority–targeted interventions and digital programs, we developed and evaluated the acceptability, preliminary efficacy, and impact on theory-based change processes of an acceptance and commitment therapy–based digital program called Empowered, Queer, Quitting, and Living (EQQUAL). METHODS Participants (n=22) of a single-arm trial conducted to evaluate the program were young adults, age 18 to 30 years, who self-identified as sexual and gender minority individuals and smoked at least one cigarette per day. All participants received access to the EQQUAL program. Participants completed web-based surveys at baseline and at a follow-up 2 months after enrollment. We verified self-reported smoking abstinence with biochemical testing; missing data were counted as smoking or using tobacco. RESULTS For young adults who logged in at least once (n=18), the mean number of log-ins was 5.5 (SD 3.6), mean number of sessions completed was 3.1 (SD 2.6), and 39% (7/18) completed all 6 sessions. Overall, 93% of participants (14/15) were satisfied with the EQQUAL program, 100% (15/15) found it easy to use, and 100% (15/15) said it helped them be clearer about how to quit. Abstinence from smoking or using tobacco was confirmed with biochemical testing for 23% of participants (5/22). Both quantitative and qualitative results suggested a positive overall response to the avatar guide, with areas for future improvement largely centered on the avatar’s appearance and movements. CONCLUSIONS Treatment acceptability of EQQUAL was very promising. The rate of abstinence, which was biochemically confirmed, was 3 times higher than that of the only other digital program to date that has targeted sexual and gender minority young adults and 6 to 13 times higher than those of nontargeted digital smoking interventions among sexual and gender minority young adults. Planned improvements for the next iteration of the program include making the avatar’s movements more natural; offering multiple avatar guides with different on characteristics such as race, ethnicity, and gender identity from which to choose; and providing a support forum for users to connect anonymously with peers.

scholarly journals Smoking cessation intervention trial outcomes for sexual and gender minority young adults.

2019 ◽  
Vol 38 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Erin A. Vogel ◽  
Johannes Thrul ◽  
Gary L. Humfleet ◽  
Kevin L. Delucchi ◽  
Danielle E. Ramo
Keyword(s):  
Smoking Cessation ◽  
Young Adults ◽  
Smoking Cessation Intervention ◽  
Intervention Trial ◽  
Gender Minority ◽  
Cessation Intervention ◽  
Trial Outcomes ◽  
Sexual And Gender Minority ◽  
And Gender

scholarly journals Efficacy of affirmative cognitive behavioural group therapy for sexual and gender minority adolescents and young adults in community settings in Ontario, Canada

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Shelley L. Craig ◽  
Andrew D. Eaton ◽  
Vivian W. Y. Leung ◽  
Gio Iacono ◽  
Nelson Pang ◽  
...  
Keyword(s):  
Young Adults ◽  
Adolescents And Young Adults ◽  
Post Intervention ◽  
Community Based ◽  
Stress Appraisal ◽  
Gender Minority ◽  
Minority Adolescents ◽  
Cognitive Behavioural ◽  
Sexual And Gender Minority ◽  
And Gender

Abstract Objective This study tested the efficacy of AFFIRM, a brief affirmative cognitive-behavioural group intervention tailored to reduce psychosocial distress and improve coping among sexual and gender minority adolescents and young adults (SGMY). Method SGMY (n = 138; M age = 22.44) were allocated to immediate 8-week AFFIRM intervention delivered at 12 community-based organisations or an 8-week waitlisted control. At baseline, post-intervention or post-waitlist, participants completed self-reported assessments of depression, hope, coping, and stress appraisal. Implementation outcomes of feasibility and acceptability were also assessed. Results Compared to waitlist, SGMY in the intervention condition significantly reduced their depressive symptoms (b = − 5.79, p = .001) as well as increased reports of hope (agency: b = 0.84, p = .001; pathway: b = 0.79, p = .001), and coping by emotional support (b = 0.59, p < .001), instrumental support (b = 0.67, p < .001), positive framing (b = 0.59, p < .001), humour (b = 0.36, p = .014), planning (b = 0.49, p < .001) as well as reflective coping (b = 0.27, p = .009). Intervention participants were also less likely to perceive stress as a threat (b = − 0.43, p = .001), and more likely to perceive stress as challenge (b = 0.67, p < .001) and have the resources to deal with that stress (b = 0.38, p = .016) in comparison to waitlisted control participants. All outcomes had medium to large effect sizes. AFFIRM participants reported low attrition (8.5%) and high levels of engagement and acceptability (e.g. 99% agreed intervention was relevant to their lives). Over 63% of the community organizations that participated in the training hosted AFFIRM at least once during the study. Conclusions Results demonstrate efficacy for the community-based implementation of an affirmative clinical intervention designed for SGMY to address depression and foster coping with universal and minority stressors.

scholarly journals An Avatar-Led Digital Smoking Cessation Program for Sexual and Gender Minority Young Adults: Intervention Development and Results of a Single-Arm Pilot Trial

10.2196/30241 ◽  
2021 ◽  
Vol 5 (7) ◽  
pp. e30241
Author(s):  
Jaimee L Heffner ◽  
Noreen L Watson ◽  
Edit Serfozo ◽  
Megan M Kelly ◽  
Erin D Reilly ◽  
...  
Keyword(s):  
Young Adults ◽  
Pilot Trial ◽  
Intervention Development ◽  
Targeted Interventions ◽  
Gender Minority ◽  
Tobacco Treatment ◽  
Acceptance And Commitment ◽  
Sexual And Gender Minority ◽  
Biochemical Testing ◽  
And Gender

Background Sexual and gender minority young adults have a high prevalence of smoking and unique barriers to accessing tobacco treatment. Objective To address these challenges as well as their preferences for sexual and gender minority–targeted interventions and digital programs, we developed and evaluated the acceptability, preliminary efficacy, and impact on theory-based change processes of an acceptance and commitment therapy–based digital program called Empowered, Queer, Quitting, and Living (EQQUAL). Methods Participants (n=22) of a single-arm trial conducted to evaluate the program were young adults, age 18 to 30 years, who self-identified as sexual and gender minority individuals and smoked at least one cigarette per day. All participants received access to the EQQUAL program. Participants completed web-based surveys at baseline and at a follow-up 2 months after enrollment. We verified self-reported smoking abstinence with biochemical testing; missing data were counted as smoking or using tobacco. Results For young adults who logged in at least once (n=18), the mean number of log-ins was 5.5 (SD 3.6), mean number of sessions completed was 3.1 (SD 2.6), and 39% (7/18) completed all 6 sessions. Overall, 93% of participants (14/15) were satisfied with the EQQUAL program, 100% (15/15) found it easy to use, and 100% (15/15) said it helped them be clearer about how to quit. Abstinence from smoking or using tobacco was confirmed with biochemical testing for 23% of participants (5/22). Both quantitative and qualitative results suggested a positive overall response to the avatar guide, with areas for future improvement largely centered on the avatar’s appearance and movements. Conclusions Treatment acceptability of EQQUAL was very promising. The rate of abstinence, which was biochemically confirmed, was 3 times higher than that of the only other digital program to date that has targeted sexual and gender minority young adults and 6 to 13 times higher than those of nontargeted digital smoking interventions among sexual and gender minority young adults. Planned improvements for the next iteration of the program include making the avatar’s movements more natural; offering multiple avatar guides with different on characteristics such as race, ethnicity, and gender identity from which to choose; and providing a support forum for users to connect anonymously with peers.

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