Mental Health, Drug, and Violence Interventions for Sexual/Gender Minorities: A Systematic Review

Coulter, Robert W. S.; Egan, James E.; Kinsky, Suzanne; Friedman, M. Reuel; Eckstrand, Kristen; Frankeberger, Jessica; Folb, Barbara; Mair, Christina; Marković, Nina; Silvestre, Anthony J.; Stall, Ron; Miller, Elizabeth

doi:10.1542/peds.2018-3367

Cited by 74 publications

(52 citation statements)

References 74 publications

(310 reference statements)

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“…Knight et al [ 54 ] recently reviewed web-based interventions for HIV or sexually transmitted infection (STI) risk reduction in young men who have sex with men (MSM); however, this review did not capture digital health interventions that are delivered through other digital modalities (eg, mobile apps), those that address other health issues, or those that target women, gender-diverse individuals, or individuals with intersex variations. There have also been several recent reviews focused on the mental health of LGBTIQ+ young people [ 55 , 56 ] and adults [ 57 ], which have referenced a combined total of 4 digital interventions for this population. However, these reviews were not explicitly focused on the use of digital technology nor did they consider interventions designed to improve a broad range of health outcomes in this population.…”

Section: Introductionmentioning

confidence: 99%

Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

Gilbey¹,

Morgan²,

Lin³

et al. 2020

J Med Internet Res

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Background Young people (aged 12-25 years) with diverse sexuality, gender, or bodily characteristics, such as those who identify as lesbian, gay, bisexual, transgender, intersex, or queer (LGBTIQ+), are at substantially greater risk of a range of mental, physical, and sexual health difficulties compared with their peers. Digital health interventions have been identified as a potential way to reduce these health disparities. Objective This review aims to summarize the characteristics of existing evidence-based digital health interventions for LGBTIQ+ young people and to describe the evidence for their effectiveness, acceptability, and feasibility. Methods A systematic literature search was conducted using internet databases and gray literature sources, and the results were screened for inclusion. The included studies were synthesized qualitatively. Results The search identified 38 studies of 24 unique interventions seeking to address mental, physical, or sexual health–related concerns in LGBTIQ+ young people. Substantially more evidence-based interventions existed for gay and bisexual men than for any other population group, and there were more interventions related to risk reduction of sexually transmitted infections than to any other health concern. There was some evidence for the effectiveness, feasibility, and acceptability of these interventions overall; however, the quality of evidence is often lacking. Conclusions There is sufficient evidence to suggest that targeted digital health interventions are an important focus for future research aimed at addressing health difficulties in LGBTIQ+ young people. Additional digital health interventions are needed for a wider range of health difficulties, particularly in terms of mental and physical health concerns, as well as more targeted interventions for same gender–attracted women, trans and gender-diverse people, and people with intersex variations. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42020128164; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=128164

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Section: Introductionmentioning

confidence: 99%

Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

Gilbey¹,

Morgan²,

Lin³

et al. 2020

J Med Internet Res

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“…13 The 2011 Institute of Medicine (now the National Academy of Medicine) report on LGBTQ health and the new National Institutes of Health Sexual and Gender Minority Research Office have led to an increase in funded studies. 1 However, these studies will not be sufficient to meet the research needs highlighted by this review by Coulter et al 2 Strategies to achieve health equity among SGMY need to be informed by a larger research agenda and require increased funding across federal agencies, private entities, and health care institutions. Future research should include strengths-based and resiliency approaches rather than an isolated focus on risk, include the voices of SGMY and their parents, and be grounded in a developmental framework.…”

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confidence: 99%

Urgent Need for Research to Achieve Health Equity for Sexual and Gender Minority Youth

Dowshen

Ford

2019

Pediatrics

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Sexual and gender minority youth (SGMY) face multiple challenges to their mental and physical well-being, including higher rates of suicide, substance use, and victimization when compared with heterosexual and cisgender youth. 1 This is not due to their being lesbian, gay, bisexual, transgender, or queer and/or questioning (LGBTQ), but rather is a result of shame and stigma imposed by others because of their identity. In this issue of Pediatrics, Coulter et al 2 review interventions that attempt to address these health inequities for SGMY in their article titled "Mental Health, Drug, and Violence Interventions for Sexual/Gender Minorities: A Systematic Review." Among their most important findings are that only 9 interventions met criteria for inclusion.

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Section: Introductionmentioning

confidence: 99%

“…Despite researchers and national agencies calling for interventions to reduce ARA among SGMY [ 9 - 11 ], there exist few evidence-based interventions addressing this public health inequity [ 9 , 12 ]. While there are several efficacious interventions for reducing ARA for the entire adolescent population [ 13 ], a 2019 systematic review revealed that there were no evidence-based ARA interventions specifically for SGMY at that time [ 12 ]. More recently, one study examined the efficacy of a universal intervention for reducing ARA among sexual minority youth; for sexual minority youth, this intervention reduced stalking victimization but not sexual violence, sexual harassment, and physical dating violence victimization [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Generating Intervention Concepts for Reducing Adolescent Relationship Abuse Inequities Among Sexual and Gender Minority Youth: Protocol for a Web-Based, Longitudinal, Human-Centered Design Study

Coulter¹,

Prangley²,

Smallwood³

et al. 2021

JMIR Res Protoc

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Background Sexual and gender minority youth (SGMY; eg, lesbian, gay, bisexual, and transgender youth) are at greater risk than their cisgender heterosexual peers for adolescent relationship abuse (ARA; physical, sexual, or psychological abuse in a romantic relationship). However, there is a dearth of efficacious interventions for reducing ARA among SGMY. To address this intervention gap, we designed a novel web-based methodology leveraging the field of human-centered design to generate multiple ARA intervention concepts with SGMY. Objective This paper aims to describe study procedures for a pilot study to rigorously test the feasibility, acceptability, and appropriateness of using web-based human-centered design methods with SGMY to create novel, stakeholder-driven ARA intervention concepts. Methods We are conducting a longitudinal, web-based human-centered design study with 45-60 SGMY (aged between 14 and 18 years) recruited via social media from across the United States. Using MURAL (a collaborative, visual web-based workspace) and Zoom (a videoconferencing platform), the SGMY will participate in four group-based sessions (1.5 hours each). In session 1, the SGMY will use rose-thorn-bud to individually document their ideas about healthy and unhealthy relationship characteristics and then use affinity clustering as a group to categorize their self-reported ideas based on similarities and differences. In session 2, the SGMY will use rose-thorn-bud to individually critique a universal evidence-based intervention to reduce ARA and affinity clustering to aggregate their ideas as a group. In session 3, the SGMY will use a creative matrix to generate intervention ideas for reducing ARA among them and force-rank the intervention ideas based on their potential ease of implementation and potential impact using an importance-difficulty matrix. In session 4, the SGMY will generate and refine intervention concepts (from session 3 ideations) to reduce ARA using round robin (for rapid iteration) and concept poster (for fleshing out ideas more fully). We will use content analyses to document the intervention concepts. In a follow-up survey, the SGMY will complete validated measures about the feasibility, acceptability, and appropriateness of the web-based human-centered design methods (a priori benchmarks for success: means >3.75 on each 5-point scale). Results This study was funded in February 2020. Data collection began in August 2020 and will be completed by April 2021. Conclusions Through rigorous testing of the feasibility of our web-based human-centered design methodology, our study may help demonstrate the use of human-centered design methods to engage harder-to-reach stakeholders and actively involve them in the co-creation of relevant interventions. Successful completion of this project also has the potential to catalyze intervention research to address ARA inequities for SGMY. Finally, our approach may be transferable to other populations and health topics, thereby advancing prevention science and health equity. International Registered Report Identifier (IRRID) DERR1-10.2196/26554

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Mental Health, Drug, and Violence Interventions for Sexual/Gender Minorities: A Systematic Review

Cited by 74 publications

References 74 publications

Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

Effectiveness, Acceptability, and Feasibility of Digital Health Interventions for LGBTIQ+ Young People: Systematic Review

Urgent Need for Research to Achieve Health Equity for Sexual and Gender Minority Youth

Generating Intervention Concepts for Reducing Adolescent Relationship Abuse Inequities Among Sexual and Gender Minority Youth: Protocol for a Web-Based, Longitudinal, Human-Centered Design Study

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