NCT05541406

Efficacy of a Multi-level School Intervention for LGBTQ Youth

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 228 (actual)
• Sponsor: Washington University School of Medicine · Academic / Other
• Sex: All
• Age: 12 Years – 20 Years
• Healthy volunteers: Accepted

Summary

Efficacy of a Multi-level School Intervention for LGBTQ Youth

Detailed description

The goal of this R01 grant is to test the efficacy of a theoretically informed, LGBTQ-affirming intervention (Proud \& Empowered; P\&E) alongside a school climate intervention (Make Space). Sexual and gender minority adolescents (SGMA) experience victimization in schools at much higher rates than their peers, and although SGMA experience disparities in behavioral health outcomes compared to their heterosexual peers, interventions are scarce. The investigators P\&E intervention aims to allow youth participants to discuss their experiences of bullying and victimization, to build coping skills and to plan stress management strategies, while the investigators Make Space intervention is an indirect, environmental strategy aimed at improving overall school climate. The investigators goal will be achieved by completing three specific aims: 1) Determine participant-level efficacy of the intervention in an RCT with 24 schools (6-10 schools each year over 4 years); 2) Determine the school-wide intervention effects on (a) reporting of minority stress and behavioral health outcomes among all SGMA students and (b) perceptions of school climate (norms, attitudes, beliefs, bullying behaviors toward SGM youth, policies) among all students, and; 3) Examine factors that may affect intervention success (e.g., fidelity of implementation, barriers or facilitators to implementation, school or student characteristics) to prepare the intervention for future dissemination. This intervention has been tested in a previous, smaller, Feasibility study with 4 high schools.

Conditions

• Depression
• Anxiety
• Post Traumatic Stress Disorder
• Coping Behavior
• Sexual Minority Stress
• Suicidality
• Substance Use
• Bullying
• Harassment

Interventions

Type	Name	Description
BEHAVIORAL	Proud & Empowered	Proud \& Empowered! is a school-based intervention to decrease sexual minority stress and improve coping among LGBTQ students. It is administered by school counselors and trained social workers.

Timeline

• Start date: 2022-09-14
• Primary completion: 2025-07-01
• Completion: 2025-07-01
• First posted: 2022-09-15
• Last updated: 2025-11-13

Locations

21 sites across 1 country: United States