Our findings support the need for researchers to continue to examine the risk correlates of IPV among transgender individuals and to examine how the relationship between IPV and minority stressors may relate to coping strategies and mental health outcomes. Our findings have important implications for domestic violence service providers and other health professionals and highlight that providers should be trained to support survivors with histories of abuse and victimization related to gender identity and/or expression.
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Citing articles: 2 View citing articlesGender identity and sexual orientation development among young adult transgender men sexually active with cisgender men: 'I had completely ignored my sexuality … that's for a different time to figure out'
Background
Young transgender women (YTW) are a key population for HIV-related risk reduction, yet very few interventions have been developed to meet their needs. Mobile health interventions with the potential for both efficacy and wide reach are a promising strategy to reduce HIV risk among YTW.
Objective
This study aims to adapt an efficacious group-based intervention to a mobile app, Project LifeSkills, to reduce HIV risk among YTW, and to test its acceptability and usability.
Methods
The group-based intervention was adapted to a mobile app, LifeSkills Mobile, with input from an expert advisory group and feedback from YTW collected during user-centered design sessions. A beta version of the app was then tested in a usability evaluation using a think-aloud protocol with debriefing interviews, recordings of screen activity, and assessments of usability via the Post-Study System Usability Questionnaire (PSSUQ) and the Health Information Technology Usability Evaluation Scale (Health-ITUES).
Results
YTW (n=8; age: mean 24 years, SD 3 years; racial or ethnic minority: 7/8, 88%) provided feedback on the app prototype in design sessions and then tested a beta version of the app in a usability trial (n=10; age: mean 24 years, SD 3 years; racial or ethnic minority: 8/10, 80%). Both usability ratings (Health-ITUES: mean 4.59, SD 0.86; scale range: 1-5) and ratings for satisfaction and accessibility (PSSUQ: mean 4.64, SD 0.90; scale range 1-5) were in the good to excellent range. No functional bugs were identified, and all mobile activities were deployed as expected. Participant feedback from the usability interviews indicated very good salience of the intervention content among the focal population. Participants’ suggestions to further increase app engagement included adding animation, adding audio, and reducing the amount text.
Conclusions
We conclude that the LifeSkills Mobile app is a highly usable and engaging mobile app for HIV prevention among YTW.
Addressing mass incarceration through smart decarceration initiatives is one of the Grand Challenges for Social Work named by the American Academy of Social Work Welfare and Research. The exponential growth of the U.S. prison system is largely due to legislation that targets marginalized communities, including people of color, poor people, people with mental illness, and those living with disabilities, as well as lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people of all ages. In this article, we seek to complicate the current conversation on smart decarceration by arguing that social workers committed to addressing mass incarceration should engage abolitionist theory, politics, and organizing in their work in order to effectively address the root causes driving the buildup of the prison nation. We engage feminist and queer theories as two theoretical interventions that can guide this work. We next describe how LGBTQ+ youth enter the criminal legal system, highlighting how normative systems of gender and sexuality subject LGBTQ+ youth to punitive policing, surveillance, and discipline. Finally, we share three models of prison abolitionist organizing led by LGBTQ+ people of color as case studies. By examining how these organizations embrace queer and feminist abolitionist frameworks, we identify concrete ways that social workers can adopt abolitionist principles and practices in their work to address mass incarceration.
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