Associations of LGBTQ+ Identities With Acceptability and Efficacy of Online Single-Session Youth Mental Health Interventions

McDanal, Riley; Rubin, Alex; Fox, Kathryn; Schleider, Jessica L.

doi:10.1016/j.beth.2021.10.004

Cited by 21 publications

(15 citation statements)

References 35 publications

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“…Additionally, the proportions of full-completers were similar irrespective of TGD status and LGBQ+ status, suggesting adolescents with sexual and gender minority identities were not at higher risk of dropout. This finding aligns with previous research demonstrating that adolescents with sexual and gender minority identities report positive attitudes towards brief online mental health interventions ( McDanal et al, 2021 ). This result is encouraging, given the barriers to traditional (face-to-face) mental health treatment that TGD and LGBQ+ adolescents often face ( Cwinn et al, 2021 ; Sims and Nolen, 2021 ; Gridley et al, 2016 ; Rees et al, 2021 ; White and Fontenot, 2019 ; Williams and Chapman, 2011 ).…”

Section: Discussionsupporting

confidence: 91%

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Cohen

Schleider

2022

Internet Interventions

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Section: Discussionsupporting

confidence: 91%

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Cohen

Schleider

2022

Internet Interventions

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“…Digital mental health supports in particular may help to fill this gap, especially during the COVID-19 pandemic, when many in-person mental health services have been rendered unavailable. In fact, some freely-available, online mental health are equally acceptable and useful for LGBTQ+ adolescents experiencing depression and similar difficulties (McDanal et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Structural Correlates of Mental Health Support Access among Sexual Minority Youth of Color during COVID-19

Roulston

McKetta

Price

et al. 2022

Journal of Clinical Child & Adolescent Psychology

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Objective: Many youth with mental health needs cannot access treatment, with multiply-marginalized youth, such as sexual minority youth of Color (SMYoC), experiencing both structural and identity-related barriers to care. The COVID-19 pandemic threatens to exacerbate multi-level treatment access barriers facing SMYoC youth nationwide. However, little large-scale research has examined access to mental health care among SMYoC across the United States, either during or prior to the pandemic. Such work is critical to understanding and ameliorating barriers in this domain. Methods: Using data from adolescents who self-identified as SMYoC and who endorsed a desire for mental health support during the COVID-19 pandemic (N=470, ages 13-16, from 43 U.S. states), we examined associations between state-level, structural factors (income inequality; mental healthcare provider shortage; anti-Black racism; homophobia; and the interaction between anti-Black racism and homophobia) and SMYoC mental health treatment access. Results: Multinomial logistic regressions revealed state-level mental healthcare provider shortage as the only significant predictor of SMYoC reporting they never (versus always) accessed mental health support during the COVID-19 pandemic. SMYoC living in areas with both lower homophobia and lower anti-Black racism were more likely to report always (versus sometimes) accessing mental health treatment. Conclusions: Results highlight the critical importance of considering diverse structural factors and applying an intersectional lens when exploring barriers to mental health treatment among multiply-marginalized youth. In locations where provider shortages are less severe, cultural stigma-including anti-Black racism and homophobia-may still pose challenges for SMYoC in need of mental health care.

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“…the use of very brief digital interventions such as single session rather than multiple sessions) should be evaluated. 42 , 43 Finally, judicious use of technology for trial procedures and the use of hybrid approaches, which include in-person interaction at school, may help to conduct evaluations. 44 …”

Section: Discussionmentioning

confidence: 99%

Pilot randomised controlled trial of a remotely delivered online intervention for adolescent mental health problems in India: lessons learned about low acceptability and feasibility during the COVID-19 pandemic

et al. 2022

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Background ‘POD Adventures’ is a gamified problem-solving intervention delivered via smartphone app, and supported by non-specialist counsellors for a target population of secondary school students in India during the COVID-19 pandemic. Aims To evaluate the feasibility and acceptability of undertaking a randomised controlled trial of POD Adventures when delivered online with telephone support from counsellors. Method We conducted a parallel, two-arm, individually randomised pilot-controlled trial with 11 secondary schools in Goa, India. Participants received either the POD Adventures intervention delivered over 4 weeks or usual care comprising information about local mental health services and national helplines. Outcomes were assessed at two timepoints: baseline and 6 weeks post-randomisation. Results Seventy-nine classroom sensitisation sessions reaching a total of 1575 students were conducted. Ninety-two self-initiated study referrals (5.8%) were received, but only 11 participants enrolled in the study. No intervention arm participants completed the intervention. Outcomes at 6 weeks were not available for intervention arm participants (n = 5), and only four control arm participants completed outcomes. No qualitative interviews or participant satisfaction measures were completed because participants could not be reached by the study team. Conclusions Despite modifications to address barriers arising from COVID-19 restrictions, online delivery was not feasible in the study context. Low recruitment and missing feasibility and acceptability data make it difficult to draw conclusions about intervention engagement and indicative clinical outcomes. Prior findings showing high uptake, adherence and engagement with POD Adventures when delivered in a school-based context suggest that an online study and delivery posed the biggest barriers to study participation and engagement.

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Associations of LGBTQ+ Identities With Acceptability and Efficacy of Online Single-Session Youth Mental Health Interventions

Cited by 21 publications

References 35 publications

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Adolescent dropout from brief digital mental health interventions within and beyond randomized trials

Structural Correlates of Mental Health Support Access among Sexual Minority Youth of Color during COVID-19

Pilot randomised controlled trial of a remotely delivered online intervention for adolescent mental health problems in India: lessons learned about low acceptability and feasibility during the COVID-19 pandemic

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