TY - JOUR AU - Bauermeister, Jose AU - Choi, Seul Ki AU - Bruehlman-Senecal, Emma AU - Golinkoff, Jesse AU - Taboada, Arianna AU - Lavra, Joshua AU - Ramazzini, Lionel AU - Dillon, Fred AU - Haritatos, Jana PY - 2022 DA - 2022/8/1 TI -一个身份确认的网络应用程序，帮助性和性别少数青年应对少数群体压力:试点随机对照试验JO - J医学互联网Res SP - e39094 VL - 24 IS - 8千瓦-女同性恋，男同性恋，双性恋，变性人，酷儿和其他性和性别少数群体KW - LGBTQ+ KW -青年KW -青少年KW -歧视KW -少数民族压力KW -心理健康KW -弹性KW -性和性别少数群体KW - SGM KW -交叉性AB -背景:针对性少数群体和性别少数群体青年的有效心理健康干预措施覆盖面有限，因为这些干预措施是以面对面的密集时间会议形式提供的。基于互联网的干预措施可能有助于接触到性少数和性别少数青年;然而，很少有研究检验它们的功效。目的:本研究旨在描述imi的试点随机对照试验结果，imi是一种网络应用程序，旨在通过支持女同性恋、男同性恋、双性恋、变性人、酷儿和其他性和性别少数群体的身份肯定，应对自我效能感和应对技能实践来改善心理健康。方法:通过Instagram广告招募13 - 19岁(平均16.5岁，标准差1.5岁)生活在美国的性少数和性别少数青年(N=270)。大约78%(210/270)的样本被确定为种族或少数民族。参与者以1:1的方式随机进入完整的imi干预web应用程序(治疗;135/270, 50%)或imi网站的资源页面版本(控制; 135/270, 50%). The imi application covered four topical areas: gender identity; lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority identity; stress and coping; and internalized homophobia and transphobia. Participants explored these areas by engaging with informational resources, exercises, and peer stories at a self-guided pace. Both arms were assessed via web-based surveys at baseline and 4-week follow-up for intervention satisfaction, stress appraisals (ie, challenge, threat, and resource), coping skills (ie, instrumental support, positive reframing, and planning), and mental health symptoms among other outcomes. Main intent-to-treat analyses compared the arms at week 4, controlling for baseline values on each outcome. Results: Survey retention was 90.4% (244/270) at week 4. Participants in the treatment arm reported greater satisfaction with the intervention than participants in the control arm (t241=–2.98; P=.003). The treatment arm showed significantly greater improvement in challenge appraisals (ie, belief in one’s coping abilities) than the control (Cohen d=0.26; P=.008). There were no differences between the arms for threat (d=0.10; P=.37) or resource (d=0.15; P=.14) appraisals. The treatment arm showed greater increases in coping skills than the control arm (instrumental support: d=0.24, P=.005; positive reframing: d=0.27, P=.02; planning: d=0.26, P=.02). Mental health symptoms improved across both the treatment and control arms; however, there were no differences between arms. Within the treatment arm, higher engagement with imi (≥5 sessions, >10 minutes, or >10 pages) predicted greater improvement in stress appraisals (all P values <.05). Conclusions: The results provide initial evidence that asynchronous psychosocial interventions delivered via a web application to sexual and gender minority youth can support their ability to cope with minority stress. Further research is needed to examine the long-term effects of the imi application. Trial Registration: ClinicalTrials.gov NCT05061966; https://clinicaltrials.gov/ct2/show/NCT05061966 SN - 1438-8871 UR - //www.mybigtv.com/2022/8/e39094 UR - https://doi.org/10.2196/39094 UR - http://www.ncbi.nlm.nih.gov/pubmed/35916700 DO - 10.2196/39094 ID - info:doi/10.2196/39094 ER -