Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts)
Sexual and gender minority and racialized populations experienced heightened vulnerability during the Covid-19 pandemic. Marginalization due to structural homophobia, transphobia and racism, and resulting adverse social determinants of health that contribute to health disparities among these populat...
Gespeichert in:
| Veröffentlicht in: | PloS one 2024-05, Vol.19 (5), p.e0280710-e0280710 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | e0280710 |
|---|---|
| container_issue | 5 |
| container_start_page | e0280710 |
| container_title | PloS one |
| container_volume | 19 |
| creator | Newman, Peter A Chakrapani, Venkatesan Massaquoi, Notisha Williams, Charmaine C Tharao, Wangari Tepjan, Suchon Roungprakhon, Surachet Forbes, Joelleann Sebastian, Sarah Akkakanjanasupar, Pakorn Aden, Muna |
| description | Sexual and gender minority and racialized populations experienced heightened vulnerability during the Covid-19 pandemic. Marginalization due to structural homophobia, transphobia and racism, and resulting adverse social determinants of health that contribute to health disparities among these populations, were exacerbated by the Covid-19 pandemic and public health measures to control it. We developed and tested a tailored online intervention (#SafeHandsSafeHearts) to support racialized lesbian, gay, bisexual, transgender, queer, and other persons outside of heteronormative and cisgender identities (LGBTQ+) in Toronto, Canada during the pandemic.
We used a quasi-experimental pre-test post-test design to evaluate the effectiveness of a 3-session, peer-delivered eHealth intervention in reducing psychological distress and increasing Covid-19 knowledge and protective behaviors. Individuals ≥18-years-old, resident in Toronto, and self-identified as sexual or gender minority were recruited online. Depressive and anxiety symptoms, and Covid-19 knowledge and protective behaviors were assessed at baseline, 2-weeks postintervention, and 2-months follow-up. We used generalized estimating equations and zero-truncated Poisson models to evaluate the effectiveness of the intervention on the four primary outcomes.
From March to November 2021, 202 participants (median age, 27 years [Interquartile range: 23-32]) were enrolled in #SafeHandsSafeHearts. Over half (54.5%, n = 110) identified as cisgender lesbian or bisexual women or women who have sex with women, 26.2% (n = 53) cisgender gay or bisexual men or men who have sex with men, and 19.3% (n = 39) transgender or nonbinary individuals. The majority (75.7%, n = 143) were Black and other racialized individuals. The intervention led to statistically significant reductions in the prevalence of clinically significant depressive (25.4% reduction, p < .01) and anxiety symptoms (16.6% reduction, p < .05), and increases in Covid-19 protective behaviors (4.9% increase, p < .05), from baseline to postintervention.
We demonstrated the effectiveness of a brief, peer-delivered eHealth intervention for racialized LGBTQ+ communities in reducing psychological distress and increasing protective behaviors amid the Covid-19 pandemic. Implementation through community-based organizations by trained peer counselors supports feasibility, acceptability, and the importance of engaging racialized LGBTQ+ communities in pandemic response preparedness. |
| doi_str_mv | 10.1371/journal.pone.0280710 |
| format | Article |
| fullrecord | <record><control><sourceid>gale_plos_</sourceid><recordid>TN_cdi_plos_journals_3069284963</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A792484182</galeid><doaj_id>oai_doaj_org_article_0d82513e98d8476f868e89608734e54b</doaj_id><sourcerecordid>A792484182</sourcerecordid><originalsourceid>FETCH-LOGICAL-c586t-793cb16a1698208afff8dfddca034edbb470f85c04616f52c894858cbaf5c3a03</originalsourceid><addsrcrecordid>eNqNk81uEzEQgFcIREvhDRBYqoTaQ4L3z-vlFpVCI1WKRKFXy2uPNy7OOrW9JeGdeQe8SVo1qAe0h7Xs75sZ2TNJ8jbF4zSv0o83tncdN-Ol7WCMM4qrFD9LDtM6z0Ykw_nzR-uD5JX3NxiXOSXkZXKQ0wqnuCoOkz_nSoEI-g468B5ZhXiH4AK4CXOkuwAungRtO6SsQw5kL3TXoqVfi7k1ttWCGyS1D27QeSejJBxwP1Bns-vp51Fao5-d_WVAtrAhls6GbU7UwJzfaeuiurDRcFxobvRvkMjDqo-xB6GFToJDC91Zp8Macdmb4D-hCbrtY6YRrJbg9CIWGgUferlGJ8dXXMFFtP1mAdwFf_o6eaG48fBm9z9Kfnw5_352MbqcfZ2eTS5HoqQkjKo6F01KeEpqmmHKlVJUKikFx3kBsmmKCitaClyQlKgyE7QuaElFw1Up8ggdJe-3cZfGerZ7Kc9yTOqMFjXJIzHdEtLyG7aM1XO3ZpZrttmwrmWxYi0MMCxpVqY51FTSoiKKEgq0JphWsZiyaGKsk102Z2978IEttBdgDO_A9kPaEtexZfIyosf_oE8Xt6NaHvPrTtkQH2YIyiZVnRW0SGkWqfETVPwkLLSIXal03N8TTveEyARYhZb33rPp1bf_Z2fX--yHR-x807vemn5oW78PFltQOOu9A_Vw8Slmw1Dd3wYbhorthipq73aX1jcLkA_S_RTlfwFxtyBX</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3069284963</pqid></control><display><type>article</type><title>Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts)</title><source>MEDLINE</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><source>Sociological Abstracts</source><source>Public Library of Science (PLoS)</source><creator>Newman, Peter A ; Chakrapani, Venkatesan ; Massaquoi, Notisha ; Williams, Charmaine C ; Tharao, Wangari ; Tepjan, Suchon ; Roungprakhon, Surachet ; Forbes, Joelleann ; Sebastian, Sarah ; Akkakanjanasupar, Pakorn ; Aden, Muna</creator><creatorcontrib>Newman, Peter A ; Chakrapani, Venkatesan ; Massaquoi, Notisha ; Williams, Charmaine C ; Tharao, Wangari ; Tepjan, Suchon ; Roungprakhon, Surachet ; Forbes, Joelleann ; Sebastian, Sarah ; Akkakanjanasupar, Pakorn ; Aden, Muna</creatorcontrib><description>Sexual and gender minority and racialized populations experienced heightened vulnerability during the Covid-19 pandemic. Marginalization due to structural homophobia, transphobia and racism, and resulting adverse social determinants of health that contribute to health disparities among these populations, were exacerbated by the Covid-19 pandemic and public health measures to control it. We developed and tested a tailored online intervention (#SafeHandsSafeHearts) to support racialized lesbian, gay, bisexual, transgender, queer, and other persons outside of heteronormative and cisgender identities (LGBTQ+) in Toronto, Canada during the pandemic.
We used a quasi-experimental pre-test post-test design to evaluate the effectiveness of a 3-session, peer-delivered eHealth intervention in reducing psychological distress and increasing Covid-19 knowledge and protective behaviors. Individuals ≥18-years-old, resident in Toronto, and self-identified as sexual or gender minority were recruited online. Depressive and anxiety symptoms, and Covid-19 knowledge and protective behaviors were assessed at baseline, 2-weeks postintervention, and 2-months follow-up. We used generalized estimating equations and zero-truncated Poisson models to evaluate the effectiveness of the intervention on the four primary outcomes.
From March to November 2021, 202 participants (median age, 27 years [Interquartile range: 23-32]) were enrolled in #SafeHandsSafeHearts. Over half (54.5%, n = 110) identified as cisgender lesbian or bisexual women or women who have sex with women, 26.2% (n = 53) cisgender gay or bisexual men or men who have sex with men, and 19.3% (n = 39) transgender or nonbinary individuals. The majority (75.7%, n = 143) were Black and other racialized individuals. The intervention led to statistically significant reductions in the prevalence of clinically significant depressive (25.4% reduction, p < .01) and anxiety symptoms (16.6% reduction, p < .05), and increases in Covid-19 protective behaviors (4.9% increase, p < .05), from baseline to postintervention.
We demonstrated the effectiveness of a brief, peer-delivered eHealth intervention for racialized LGBTQ+ communities in reducing psychological distress and increasing protective behaviors amid the Covid-19 pandemic. Implementation through community-based organizations by trained peer counselors supports feasibility, acceptability, and the importance of engaging racialized LGBTQ+ communities in pandemic response preparedness. This trial is registered with ClinicalTrials.gov, number NCT04870723.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0280710</identifier><identifier>PMID: 38701074</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Adult ; Anxiety ; Behavior ; Bisexuality ; Canada - epidemiology ; Care and treatment ; Chronic obstructive pulmonary disease ; Cisgender ; Clinical significance ; Clinical trials ; Community organizations ; Counseling ; COVID-19 ; COVID-19 - epidemiology ; COVID-19 - prevention & control ; COVID-19 - psychology ; COVID-19 diagnostic tests ; Depression - prevention & control ; Diagnosis ; Disease transmission ; Effectiveness ; Emergency preparedness ; Evaluation ; Female ; Gays & lesbians ; Gender ; Health aspects ; Health behavior ; Health Knowledge, Attitudes, Practice ; Heteronormativity ; Heterosexuality ; Homophobia ; Homosexuality ; Humans ; Identities ; Intervention ; Knowledge ; Lesbianism ; LGBTQ people ; Male ; Marginalized groups ; Men ; Men who have sex with men ; Mens health ; Mental depression ; Mental health ; Methods ; Middle Aged ; Minority & ethnic groups ; Non-binary gender ; Online instruction ; Pandemics ; Pandemics - prevention & control ; Populations ; Psychological aspects ; Psychological Distress ; Psychological stress ; Public health ; Racial differences ; Racialization ; Racism ; Research ethics ; SARS-CoV-2 ; Self evaluation ; Sexual and Gender Minorities - psychology ; Sexual behavior ; Sexual minorities ; Social aspects ; Social exclusion ; Social isolation ; Statistical analysis ; Stress ; Stress (Psychology) ; Symptoms ; Telemedicine ; Telemedicine - methods ; Transgender persons ; Women ; Young Adult</subject><ispartof>PloS one, 2024-05, Vol.19 (5), p.e0280710-e0280710</ispartof><rights>Copyright: © 2024 Newman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>COPYRIGHT 2024 Public Library of Science</rights><rights>2024 Newman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2024 Newman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c586t-793cb16a1698208afff8dfddca034edbb470f85c04616f52c894858cbaf5c3a03</cites><orcidid>0000-0003-0444-5915</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0280710&type=printable$$EPDF$$P50$$Gplos$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0280710$$EHTML$$P50$$Gplos$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,2096,2915,23845,27321,27901,27902,33751,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38701074$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Newman, Peter A</creatorcontrib><creatorcontrib>Chakrapani, Venkatesan</creatorcontrib><creatorcontrib>Massaquoi, Notisha</creatorcontrib><creatorcontrib>Williams, Charmaine C</creatorcontrib><creatorcontrib>Tharao, Wangari</creatorcontrib><creatorcontrib>Tepjan, Suchon</creatorcontrib><creatorcontrib>Roungprakhon, Surachet</creatorcontrib><creatorcontrib>Forbes, Joelleann</creatorcontrib><creatorcontrib>Sebastian, Sarah</creatorcontrib><creatorcontrib>Akkakanjanasupar, Pakorn</creatorcontrib><creatorcontrib>Aden, Muna</creatorcontrib><title>Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts)</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>Sexual and gender minority and racialized populations experienced heightened vulnerability during the Covid-19 pandemic. Marginalization due to structural homophobia, transphobia and racism, and resulting adverse social determinants of health that contribute to health disparities among these populations, were exacerbated by the Covid-19 pandemic and public health measures to control it. We developed and tested a tailored online intervention (#SafeHandsSafeHearts) to support racialized lesbian, gay, bisexual, transgender, queer, and other persons outside of heteronormative and cisgender identities (LGBTQ+) in Toronto, Canada during the pandemic.
We used a quasi-experimental pre-test post-test design to evaluate the effectiveness of a 3-session, peer-delivered eHealth intervention in reducing psychological distress and increasing Covid-19 knowledge and protective behaviors. Individuals ≥18-years-old, resident in Toronto, and self-identified as sexual or gender minority were recruited online. Depressive and anxiety symptoms, and Covid-19 knowledge and protective behaviors were assessed at baseline, 2-weeks postintervention, and 2-months follow-up. We used generalized estimating equations and zero-truncated Poisson models to evaluate the effectiveness of the intervention on the four primary outcomes.
From March to November 2021, 202 participants (median age, 27 years [Interquartile range: 23-32]) were enrolled in #SafeHandsSafeHearts. Over half (54.5%, n = 110) identified as cisgender lesbian or bisexual women or women who have sex with women, 26.2% (n = 53) cisgender gay or bisexual men or men who have sex with men, and 19.3% (n = 39) transgender or nonbinary individuals. The majority (75.7%, n = 143) were Black and other racialized individuals. The intervention led to statistically significant reductions in the prevalence of clinically significant depressive (25.4% reduction, p < .01) and anxiety symptoms (16.6% reduction, p < .05), and increases in Covid-19 protective behaviors (4.9% increase, p < .05), from baseline to postintervention.
We demonstrated the effectiveness of a brief, peer-delivered eHealth intervention for racialized LGBTQ+ communities in reducing psychological distress and increasing protective behaviors amid the Covid-19 pandemic. Implementation through community-based organizations by trained peer counselors supports feasibility, acceptability, and the importance of engaging racialized LGBTQ+ communities in pandemic response preparedness. This trial is registered with ClinicalTrials.gov, number NCT04870723.</description><subject>Adult</subject><subject>Anxiety</subject><subject>Behavior</subject><subject>Bisexuality</subject><subject>Canada - epidemiology</subject><subject>Care and treatment</subject><subject>Chronic obstructive pulmonary disease</subject><subject>Cisgender</subject><subject>Clinical significance</subject><subject>Clinical trials</subject><subject>Community organizations</subject><subject>Counseling</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>COVID-19 - prevention & control</subject><subject>COVID-19 - psychology</subject><subject>COVID-19 diagnostic tests</subject><subject>Depression - prevention & control</subject><subject>Diagnosis</subject><subject>Disease transmission</subject><subject>Effectiveness</subject><subject>Emergency preparedness</subject><subject>Evaluation</subject><subject>Female</subject><subject>Gays & lesbians</subject><subject>Gender</subject><subject>Health aspects</subject><subject>Health behavior</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Heteronormativity</subject><subject>Heterosexuality</subject><subject>Homophobia</subject><subject>Homosexuality</subject><subject>Humans</subject><subject>Identities</subject><subject>Intervention</subject><subject>Knowledge</subject><subject>Lesbianism</subject><subject>LGBTQ people</subject><subject>Male</subject><subject>Marginalized groups</subject><subject>Men</subject><subject>Men who have sex with men</subject><subject>Mens health</subject><subject>Mental depression</subject><subject>Mental health</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Minority & ethnic groups</subject><subject>Non-binary gender</subject><subject>Online instruction</subject><subject>Pandemics</subject><subject>Pandemics - prevention & control</subject><subject>Populations</subject><subject>Psychological aspects</subject><subject>Psychological Distress</subject><subject>Psychological stress</subject><subject>Public health</subject><subject>Racial differences</subject><subject>Racialization</subject><subject>Racism</subject><subject>Research ethics</subject><subject>SARS-CoV-2</subject><subject>Self evaluation</subject><subject>Sexual and Gender Minorities - psychology</subject><subject>Sexual behavior</subject><subject>Sexual minorities</subject><subject>Social aspects</subject><subject>Social exclusion</subject><subject>Social isolation</subject><subject>Statistical analysis</subject><subject>Stress</subject><subject>Stress (Psychology)</subject><subject>Symptoms</subject><subject>Telemedicine</subject><subject>Telemedicine - methods</subject><subject>Transgender persons</subject><subject>Women</subject><subject>Young Adult</subject><issn>1932-6203</issn><issn>1932-6203</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><sourceid>BHHNA</sourceid><sourceid>DOA</sourceid><recordid>eNqNk81uEzEQgFcIREvhDRBYqoTaQ4L3z-vlFpVCI1WKRKFXy2uPNy7OOrW9JeGdeQe8SVo1qAe0h7Xs75sZ2TNJ8jbF4zSv0o83tncdN-Ol7WCMM4qrFD9LDtM6z0Ykw_nzR-uD5JX3NxiXOSXkZXKQ0wqnuCoOkz_nSoEI-g468B5ZhXiH4AK4CXOkuwAungRtO6SsQw5kL3TXoqVfi7k1ttWCGyS1D27QeSejJBxwP1Bns-vp51Fao5-d_WVAtrAhls6GbU7UwJzfaeuiurDRcFxobvRvkMjDqo-xB6GFToJDC91Zp8Macdmb4D-hCbrtY6YRrJbg9CIWGgUferlGJ8dXXMFFtP1mAdwFf_o6eaG48fBm9z9Kfnw5_352MbqcfZ2eTS5HoqQkjKo6F01KeEpqmmHKlVJUKikFx3kBsmmKCitaClyQlKgyE7QuaElFw1Up8ggdJe-3cZfGerZ7Kc9yTOqMFjXJIzHdEtLyG7aM1XO3ZpZrttmwrmWxYi0MMCxpVqY51FTSoiKKEgq0JphWsZiyaGKsk102Z2978IEttBdgDO_A9kPaEtexZfIyosf_oE8Xt6NaHvPrTtkQH2YIyiZVnRW0SGkWqfETVPwkLLSIXal03N8TTveEyARYhZb33rPp1bf_Z2fX--yHR-x807vemn5oW78PFltQOOu9A_Vw8Slmw1Dd3wYbhorthipq73aX1jcLkA_S_RTlfwFxtyBX</recordid><startdate>20240503</startdate><enddate>20240503</enddate><creator>Newman, Peter A</creator><creator>Chakrapani, Venkatesan</creator><creator>Massaquoi, Notisha</creator><creator>Williams, Charmaine C</creator><creator>Tharao, Wangari</creator><creator>Tepjan, Suchon</creator><creator>Roungprakhon, Surachet</creator><creator>Forbes, Joelleann</creator><creator>Sebastian, Sarah</creator><creator>Akkakanjanasupar, Pakorn</creator><creator>Aden, Muna</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7QO</scope><scope>7RV</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TG</scope><scope>7TM</scope><scope>7U4</scope><scope>7U9</scope><scope>7X2</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHHNA</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>COVID</scope><scope>D1I</scope><scope>DWI</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB.</scope><scope>KB0</scope><scope>KL.</scope><scope>L6V</scope><scope>LK8</scope><scope>M0K</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>P64</scope><scope>PATMY</scope><scope>PDBOC</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>WZK</scope><scope>7X8</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0444-5915</orcidid></search><sort><creationdate>20240503</creationdate><title>Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts)</title><author>Newman, Peter A ; Chakrapani, Venkatesan ; Massaquoi, Notisha ; Williams, Charmaine C ; Tharao, Wangari ; Tepjan, Suchon ; Roungprakhon, Surachet ; Forbes, Joelleann ; Sebastian, Sarah ; Akkakanjanasupar, Pakorn ; Aden, Muna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c586t-793cb16a1698208afff8dfddca034edbb470f85c04616f52c894858cbaf5c3a03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Anxiety</topic><topic>Behavior</topic><topic>Bisexuality</topic><topic>Canada - epidemiology</topic><topic>Care and treatment</topic><topic>Chronic obstructive pulmonary disease</topic><topic>Cisgender</topic><topic>Clinical significance</topic><topic>Clinical trials</topic><topic>Community organizations</topic><topic>Counseling</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>COVID-19 - prevention & control</topic><topic>COVID-19 - psychology</topic><topic>COVID-19 diagnostic tests</topic><topic>Depression - prevention & control</topic><topic>Diagnosis</topic><topic>Disease transmission</topic><topic>Effectiveness</topic><topic>Emergency preparedness</topic><topic>Evaluation</topic><topic>Female</topic><topic>Gays & lesbians</topic><topic>Gender</topic><topic>Health aspects</topic><topic>Health behavior</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Heteronormativity</topic><topic>Heterosexuality</topic><topic>Homophobia</topic><topic>Homosexuality</topic><topic>Humans</topic><topic>Identities</topic><topic>Intervention</topic><topic>Knowledge</topic><topic>Lesbianism</topic><topic>LGBTQ people</topic><topic>Male</topic><topic>Marginalized groups</topic><topic>Men</topic><topic>Men who have sex with men</topic><topic>Mens health</topic><topic>Mental depression</topic><topic>Mental health</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Minority & ethnic groups</topic><topic>Non-binary gender</topic><topic>Online instruction</topic><topic>Pandemics</topic><topic>Pandemics - prevention & control</topic><topic>Populations</topic><topic>Psychological aspects</topic><topic>Psychological Distress</topic><topic>Psychological stress</topic><topic>Public health</topic><topic>Racial differences</topic><topic>Racialization</topic><topic>Racism</topic><topic>Research ethics</topic><topic>SARS-CoV-2</topic><topic>Self evaluation</topic><topic>Sexual and Gender Minorities - psychology</topic><topic>Sexual behavior</topic><topic>Sexual minorities</topic><topic>Social aspects</topic><topic>Social exclusion</topic><topic>Social isolation</topic><topic>Statistical analysis</topic><topic>Stress</topic><topic>Stress (Psychology)</topic><topic>Symptoms</topic><topic>Telemedicine</topic><topic>Telemedicine - methods</topic><topic>Transgender persons</topic><topic>Women</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newman, Peter A</creatorcontrib><creatorcontrib>Chakrapani, Venkatesan</creatorcontrib><creatorcontrib>Massaquoi, Notisha</creatorcontrib><creatorcontrib>Williams, Charmaine C</creatorcontrib><creatorcontrib>Tharao, Wangari</creatorcontrib><creatorcontrib>Tepjan, Suchon</creatorcontrib><creatorcontrib>Roungprakhon, Surachet</creatorcontrib><creatorcontrib>Forbes, Joelleann</creatorcontrib><creatorcontrib>Sebastian, Sarah</creatorcontrib><creatorcontrib>Akkakanjanasupar, Pakorn</creatorcontrib><creatorcontrib>Aden, Muna</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Meteorological & Geoastrophysical Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>Virology and AIDS Abstracts</collection><collection>Agricultural Science Collection</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Collection</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Sociological Abstracts</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>Coronavirus Research Database</collection><collection>ProQuest Materials Science Collection</collection><collection>Sociological Abstracts</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Materials Science Database</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Meteorological & Geoastrophysical Abstracts - Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newman, Peter A</au><au>Chakrapani, Venkatesan</au><au>Massaquoi, Notisha</au><au>Williams, Charmaine C</au><au>Tharao, Wangari</au><au>Tepjan, Suchon</au><au>Roungprakhon, Surachet</au><au>Forbes, Joelleann</au><au>Sebastian, Sarah</au><au>Akkakanjanasupar, Pakorn</au><au>Aden, Muna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts)</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-05-03</date><risdate>2024</risdate><volume>19</volume><issue>5</issue><spage>e0280710</spage><epage>e0280710</epage><pages>e0280710-e0280710</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Sexual and gender minority and racialized populations experienced heightened vulnerability during the Covid-19 pandemic. Marginalization due to structural homophobia, transphobia and racism, and resulting adverse social determinants of health that contribute to health disparities among these populations, were exacerbated by the Covid-19 pandemic and public health measures to control it. We developed and tested a tailored online intervention (#SafeHandsSafeHearts) to support racialized lesbian, gay, bisexual, transgender, queer, and other persons outside of heteronormative and cisgender identities (LGBTQ+) in Toronto, Canada during the pandemic.
We used a quasi-experimental pre-test post-test design to evaluate the effectiveness of a 3-session, peer-delivered eHealth intervention in reducing psychological distress and increasing Covid-19 knowledge and protective behaviors. Individuals ≥18-years-old, resident in Toronto, and self-identified as sexual or gender minority were recruited online. Depressive and anxiety symptoms, and Covid-19 knowledge and protective behaviors were assessed at baseline, 2-weeks postintervention, and 2-months follow-up. We used generalized estimating equations and zero-truncated Poisson models to evaluate the effectiveness of the intervention on the four primary outcomes.
From March to November 2021, 202 participants (median age, 27 years [Interquartile range: 23-32]) were enrolled in #SafeHandsSafeHearts. Over half (54.5%, n = 110) identified as cisgender lesbian or bisexual women or women who have sex with women, 26.2% (n = 53) cisgender gay or bisexual men or men who have sex with men, and 19.3% (n = 39) transgender or nonbinary individuals. The majority (75.7%, n = 143) were Black and other racialized individuals. The intervention led to statistically significant reductions in the prevalence of clinically significant depressive (25.4% reduction, p < .01) and anxiety symptoms (16.6% reduction, p < .05), and increases in Covid-19 protective behaviors (4.9% increase, p < .05), from baseline to postintervention.
We demonstrated the effectiveness of a brief, peer-delivered eHealth intervention for racialized LGBTQ+ communities in reducing psychological distress and increasing protective behaviors amid the Covid-19 pandemic. Implementation through community-based organizations by trained peer counselors supports feasibility, acceptability, and the importance of engaging racialized LGBTQ+ communities in pandemic response preparedness. This trial is registered with ClinicalTrials.gov, number NCT04870723.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>38701074</pmid><doi>10.1371/journal.pone.0280710</doi><tpages>e0280710</tpages><orcidid>https://orcid.org/0000-0003-0444-5915</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2024-05, Vol.19 (5), p.e0280710-e0280710 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_3069284963 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Free Full-Text Journals in Chemistry; Sociological Abstracts; Public Library of Science (PLoS) |
| subjects | Adult Anxiety Behavior Bisexuality Canada - epidemiology Care and treatment Chronic obstructive pulmonary disease Cisgender Clinical significance Clinical trials Community organizations Counseling COVID-19 COVID-19 - epidemiology COVID-19 - prevention & control COVID-19 - psychology COVID-19 diagnostic tests Depression - prevention & control Diagnosis Disease transmission Effectiveness Emergency preparedness Evaluation Female Gays & lesbians Gender Health aspects Health behavior Health Knowledge, Attitudes, Practice Heteronormativity Heterosexuality Homophobia Homosexuality Humans Identities Intervention Knowledge Lesbianism LGBTQ people Male Marginalized groups Men Men who have sex with men Mens health Mental depression Mental health Methods Middle Aged Minority & ethnic groups Non-binary gender Online instruction Pandemics Pandemics - prevention & control Populations Psychological aspects Psychological Distress Psychological stress Public health Racial differences Racialization Racism Research ethics SARS-CoV-2 Self evaluation Sexual and Gender Minorities - psychology Sexual behavior Sexual minorities Social aspects Social exclusion Social isolation Statistical analysis Stress Stress (Psychology) Symptoms Telemedicine Telemedicine - methods Transgender persons Women Young Adult |
| title | Effectiveness of an eHealth intervention for reducing psychological distress and increasing COVID-19 knowledge and protective behaviors among racialized sexual and gender minority adults: A quasi-experimental study (#SafeHandsSafeHearts) |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T14%3A36%3A06IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_plos_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Effectiveness%20of%20an%20eHealth%20intervention%20for%20reducing%20psychological%20distress%20and%20increasing%20COVID-19%20knowledge%20and%20protective%20behaviors%20among%20racialized%20sexual%20and%20gender%20minority%20adults:%20A%20quasi-experimental%20study%20(%23SafeHandsSafeHearts)&rft.jtitle=PloS%20one&rft.au=Newman,%20Peter%20A&rft.date=2024-05-03&rft.volume=19&rft.issue=5&rft.spage=e0280710&rft.epage=e0280710&rft.pages=e0280710-e0280710&rft.issn=1932-6203&rft.eissn=1932-6203&rft_id=info:doi/10.1371/journal.pone.0280710&rft_dat=%3Cgale_plos_%3EA792484182%3C/gale_plos_%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3069284963&rft_id=info:pmid/38701074&rft_galeid=A792484182&rft_doaj_id=oai_doaj_org_article_0d82513e98d8476f868e89608734e54b&rfr_iscdi=true |