TransgenderismNCT04969003
Reducing Transphobia Among Adolescents Through a Brief Video Intervention
A study testing Short videos in people with Transgenderism and Depression, run by Yale University at 2 sites in United States.
Trial summary
The purposes of this new study are to test among adolescent viewers the utility of brief video-based interventions to: 1. reduce transphobia; 2. reduce depression-related stigma and increase likelihood of treatment-seeking; and 3. Read more about this study
- Who is it for?
- Ages 14 to 18 yearsHealthy volunteers can take part
- Conditions the study is for
- Transgenderism, Depression
- What is being tested?
- Short videos
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 200 participants
- Where
- 2 sitesUnited States
- Study dates
- 1 Mar 2022to 20 Apr 2022
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 14 to 18 years
- All sexes
- Healthy volunteers accepted
- Child, Adult
Who may be able to join
- English-speaking
- Living in the US
- Ages 14 - 18
Who cannot join
- None
Trial locations and contacts
2 sites in 1 country.
United States2 sites
Yale Child Center
New Haven, Connecticut, 06510
Yale Child Study Center
New Haven, Connecticut, 06510
About this study
The purposes of this new study are to test among adolescent viewers the utility of brief video-based interventions to:
- reduce transphobia;
- reduce depression-related stigma and increase likelihood of treatment-seeking; and
- examine the role of viewer's sex (male / female / non-binary), race (Black vs non-Black), and sexual orientation (straight vs LGBQ) as independent factors on the outcomes of interest.
Read the detailed description
Intervention videos will each be of ~100-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression. They will describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of the illness, as well as how being transgender may have had an impact on it. The four actors will include two males (one trans, one cis) and tow females (one trans, one cis).
Assessments will occur at baseline and post-intervention, and will include:
- Demographics (baseline only);
- Primary outcome:
- Attitudes toward Transgender Men and Women (ATTMW) scale.
- Secondary outcome:
- Transgender attitudes: feelings thermometer, modeled after Norton et al 2013.
- Depression-related stigma (Depression Stigma Scale [DSS]);and
- Help-seeking (General Help-Seeking Questionnaire [GHSQ]).
For each of study we intend to randomly assign ~1,000 individuals aged 14-18 as follows:
Randomized, in equal proportions, and stratified by sex and race, to view one of four ~100-second videos:
- Transgender male;
- Cis-gender male);
- Transgender female;
- Cis-gender female.
- Conditions
- Transgenderism, Depression
- Being tested
- Short videos
- Medical subject headings
- Transsexualism, Depression
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Short videosBehavioural
Intervention videos will each be of 90-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression and describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of their illness. The actors will include a transgender male, a cis-gender male, a transgender female, and a cis-gender female.
| Study group | Role | What they receive |
|---|---|---|
| Transgender male (TM) | Active comparator | ~90-second video of depressed transgender male Receives: Behavioral: Short videos |
| Cis-gender male (CM) | Active comparator | ~90-second video of depressed cis-gender male Receives: Behavioral: Short videos |
| Transgender female (TF) | Active comparator | ~90-second video of depressed transgender female Receives: Behavioral: Short videos |
| Cis-gender female (CF) | Active comparator | ~90-second video of depressed cis-gender female Receives: Behavioral: Short videos |
What is being measured
The primary outcome is the main question the study is designed to answer.
Attitudes toward Transgender Men and Women (ATTMW) scale
Attitudes toward Transgender Men and Women (ATTMW; Billard, 2018) is a scale to measure transphobic attitudes. It is a 24-item scale consisting of two similar but non-identical 12-item subscales, one for transgender males (ATTM), and one for women (ATTW). In this study, the study team will assign only one of the two subscales, according to the condition that subjects as randomly assigned to: those viewing the transgender adolescent male will be assigned to the ATTM; those to the female, to the ATTW. The results of both subscales are compatible with each other and can be merged into a single ATMW score. Each of the items is a statement on which participants are asked to rate their agreement on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
The first 9 items are the same for the ATTM and AATW. Items 10-12 are unique for each of the two scales. These
Measured: Before / after viewing videos (within 10 minutes)
Secondary outcomes (47)
Change in transgender attitudes: feelings thermometer
This study will utilize a scale called feelings thermometer, modeled after Norton and Herek, 2013:
"Using a scale from zero to 100, please tell us your personal feelings toward each of the following groups of friends, teachers, or colleagues. As you do this task, think of an imaginary thermometer. The warmer or more favorable you feel toward the group, the higher the number you should give it. The colder or less favorable you feel, the lower the number. If you feel neither warm nor cold toward the group, rate it 50." To familiarize respondents with the response format, they will be first presented with thermometers for "Men in general" and "Women in general," with each respondent rating her or his own sex first. Next, they rate different gender groups (transgender males, transgender females). Higher ratings (maximum 100) indicate warmer, more favorable feelings toward the target whereas lower ratings (minimum 0) indicate colder, more negative feelings.
Measured: Before / after viewing videos (within 10 minutes)
Change in Depression-related stigma (Depression Stigma Scale [DSS]; Personal component only): TOTAL SCORE
The DSS (Christensen, Jorm, Evans, \& Groves, 2004) is a self-report instrument composed of two 9-item subscales. The first subscale measures the participants' own/ personal attitudes, and the second measures participants' beliefs about the attitudes of others ('Depression is sign of weakness' vs. 'Most people believe that depression is a sign of weakness'). The Personal subscale (DSS-Personal) will be used in this study. The DSS has a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). The total score comprises the sum of its item scores, and a higher score indicates more stigma (worse outcome). The DSS-Personal subscale has shown adequate psychometric properties: 0.71 test-retest reliability, 0.76 internal consistency (Griffiths et al., 2004). In our earlier study (Amsalem and Martin, 2021), Cronbach's a was .83.
Measured: Before / after viewing videos (within 10 minutes)
Change in Help-seeking (General Help-Seeking Questionnaire [GHSQ]; Emotional and Suicide components): MEAN SCORE
The General Help-Seeking Questionnaire (GHSQ) (Wilson, Deane, Marshall, \& Dalley, 2008) was developed to measure help-seeking intentions from different sources (friend, parent, mental health professional, and others) and is divided into personal-emotional problems and suicidal thoughts (Ibrahim et al., 2019). The instrument consists of 10 items for each part, each rated on a 0 (extremely unlikely) to 7 (extremely likely)Likert scale. Higher scores on this scale indicate more help seeking (better outcome).
General stem:
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 1
DDS Item #1: People with depression could snap out of it if they wanted.
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5)
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 2
DDS Item #2: Depression is a sign of personal weakness
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 3
DDS Item #3: Depression is not a real medical illness
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 4
DDS Item #4: People with depression are dangerous
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 5
DDS Item #5: It is best to avoid people with depression, so you don't become depressed yourself
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 6
DDS Item #6: People with depression are unpredictable
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 7
DDS Item #7: If I had depression, I would not tell anyone
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 8
DDS Item #8 : I would not employ someone if I knew they had been depressed
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in DSS Item 9
DDS Item #9: I would not vote for a politician if I knew they had been depressed
Scored on a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5). A higher score indicates more stigma (worse outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 1
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Intimate partner (e.g., girlfriend, boyfriend)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 2
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Friend (not related to you)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 3
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Parent
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 4
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Other relative/family member
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 5
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Mental health professional (e.g., psychologist, social worker, counselor)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 6
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Phone helpline (e.g., lifeline)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 7
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Doctor/GP
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 8
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Minister or religious leader (e.g., Priest, Rabbi, Chaplain)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 9
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
I would not seek help from anyone
REVERSE SCORED ITEM Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). LOWER scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 10
If you were having a personal or emotional problem, how likely is it that you would seek help from the following people?
Emotional Item # 10: I would seek help from another not listed above
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 1
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Intimate partner (e.g., girlfriend, boyfriend)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 2
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Friend (not related to you)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 3
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Parent
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 4
Other relative/family member
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 5
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Mental health professional (e.g., psychologist, social worker, counselor)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 6
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Phone helpline (e.g., lifeline)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 7
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Doctor/GP
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 8
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
Minister or religious leader (e.g., Priest, Rabbi, Chaplain)
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 9
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
GHSQ Item# 9: I would not seek help from anyone
REVERSE SCORED ITEM Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). LOWER scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 10
If you were having suicidal thoughts, how likely is it that you would seek help from the following people?
GHSQ Item# 10:I would seek help from another not listed above
Measured with a 7-point Likert scale ranging from 1 (extremely unlikely) to 7 (extremely likely). Higher scores on this item indicate more help seeking (better outcome).
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 1
ATTMW Item#1: Transgender men/women will never really be men/women
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 2
ATTMW Item#2:Transgender men/women are not really men/women
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 3
ATTMW Item#3:Transgender men/women are only able to look like men/women, but not be men/women
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 4
ATTMW Item#4:Transgender men/women are unable to accept who they really are
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 5
ATTMW Item#5:Transgender men/women are trying to be someone they're not
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 6
Transgender adolescent men/women are denying their DNA
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 7
ATTMW Item #8:Transgender men/women cannot just "identify" as men/women
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTM** Item 11
ATTM Item #11: Transgender men are misguided
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 8
ATTMW Item #10:Transgender men/women are unnatural
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 9
ATTMW Item #11:Transgender men/women don't really understand what it means to be a man/woman
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTM** Item 11
ATTMW Item #11:Transgender men are emotionally unstable
Score on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTW** Item 11
Transgender women are defying their nature.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTM** Item 10
Transgender men seem absolutely normal to me (R)
(R) = REVERSE-SCORED
Scored on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTW** Item 10
Transgender women only think they are females
Scored on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Change in **ATTW** Item 12
There is something unique about being a woman that transgender adolescent females can never experience
Scored on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice.
Measured: Before / after viewing videos (within 10 minutes)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jul 2021
- Study start1 Mar 2022
- Primary completion20 Apr 2022
- Study completion20 Apr 2022
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (5)Papers the sponsor has linked to this study.
- Other trials for TransgenderismStudies of the same condition, open and under way.
- More trials run by Yale UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 200 participants (actual)
Sponsor and investigators
- Lead sponsor
- Yale University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04969003
- Sponsor's protocol ID
- 2000028980_a
- Status last verified
- May 2022
- First submitted
- 8 Jul 2021
- Last updated
- 3 May 2022
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry. 2004 Oct;185:342-9. doi: 10.1192/bjp.185.4.342.
PubMed 15458995Wilson CJ, Deane FP, Marshall KL, Dalley A. Adolescents' suicidal thinking and reluctance to consult general medical practitioners. J Youth Adolesc. 2010 Apr;39(4):343-56. doi: 10.1007/s10964-009-9436-6. Epub 2009 Jul 15.
PubMed 20229227Norton AT, Herek GM. Heterosexuals' attitudes toward transgender people: findings from a national probability sample of US Adults. Sex Roles. 2013;68(11-12):738-753. doi:10.1007/s11199-011-0110-6
Billard TJ. Attitudes Toward Transgender Men and Women: Development and Validation of a New Measure. Front Psychol. 2018 Apr 3;9:387. doi: 10.3389/fpsyg.2018.00387. eCollection 2018.
PubMed 29666595Amsalem D, Halloran J, Penque B, Celentano J, Martin A. Effect of a Brief Social Contact Video on Transphobia and Depression-Related Stigma Among Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220376. doi: 10.1001/jamanetworkopen.2022.0376.
PubMed 35212749
Study at a glance
From the registry record, last updated by the sponsor on 3 May 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Reducing Transphobia Among Adolescents Through a Brief Video Intervention
- ClinicalTrials.gov ID
- NCT04969003
- Acronym / sponsor ID
- 2000028980_a
- Conditions
- Transgenderism, Depression
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 200 participants (actual)
- Lead sponsor
- Yale UniversityUniversity, hospital or other
- Study start
- 1 Mar 2022 (actual)
- Primary completion
- 20 Apr 2022 (actual)
- Study completion
- 20 Apr 2022 (actual)
- First posted
- 20 Jul 2021 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purposes of this new study are to test among adolescent viewers the utility of brief video-based interventions to:
- reduce transphobia;
- reduce depression-related stigma and increase likelihood of treatment-seeking; and
- examine the role of viewer's sex (male / female / non-binary), race (Black vs non-Black), and sexual orientation (straight vs LGBQ) as independent factors on the outcomes of interest.
Detailed description
Intervention videos will each be of ~100-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression. They will describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of the illness, as well as how being transgender may have had an impact on it. The four actors will include two males (one trans, one cis) and tow females (one trans, one cis).
Assessments will occur at baseline and post-intervention, and will include:
- Demographics (baseline only);
- Primary outcome:
- Attitudes toward Transgender Men and Women (ATTMW) scale.
- Secondary outcome:
- Transgender attitudes: feelings thermometer, modeled after Norton et al 2013.
- Depression-related stigma (Depression Stigma Scale [DSS]);and
- Help-seeking (General Help-Seeking Questionnaire [GHSQ]).
For each of study we intend to randomly assign ~1,000 individuals aged 14-18 as follows:
Randomized, in equal proportions, and stratified by sex and race, to view one of four ~100-second videos:
- Transgender male;
- Cis-gender male);
- Transgender female;
- Cis-gender female.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 4
| Arm | Type | Receives |
|---|---|---|
| Transgender male (TM) | Active comparator | Behavioral: Short videos~90-second video of depressed transgender male |
| Cis-gender male (CM) | Active comparator | Behavioral: Short videos~90-second video of depressed cis-gender male |
| Transgender female (TF) | Active comparator | Behavioral: Short videos~90-second video of depressed transgender female |
| Cis-gender female (CF) | Active comparator | Behavioral: Short videos~90-second video of depressed cis-gender female |
Who may qualify
- Ages
- 14 to 18 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult
Key inclusion criteria (3 listed)
- English-speaking
- Living in the US
- Ages 14 - 18
Key exclusion criteria (1 listed)
- None
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Short videosIntervention videos will each be of 90-second duration and feature four underage professionals (ages 16) acting as simulated patients. All videos will focus on an empowered presenter with depression sharing their personal story regarding depression and describe how social supports from family, friends, and community, as well as professional help assisted them in overcoming symptoms of their illness. The actors will include a transgender male, a cis-gender male, a transgender female, and a cis-gender female. | Behavioural | Cis-gender female (CF), Cis-gender male (CM), Transgender female (TF), Transgender male (TM) |
Primary outcome
Attitudes toward Transgender Men and Women (ATTMW) scale
Time frame: Before / after viewing videos (within 10 minutes)
Attitudes toward Transgender Men and Women (ATTMW; Billard, 2018) is a scale to measure transphobic attitudes. It is a 24-item scale consisting of two similar but non-identical 12-item subscales, one for transgender males (ATTM), and one for women (ATTW). In this study, the study team will assign only one of the two subscales, according to the condition that subjects as randomly assigned to: those viewing the transgender adolescent male will be assigned to the ATTM; those to the female, to the ATTW. The results of both subscales are compatible with each other and can be merged into a single ATMW score. Each of the items is a statement on which participants are asked to rate their agreement on a 7-point Likert-type scale: from 1 (strongly disagree) to 7 (strongly agree). Higher scores indicate greater anti-transgender prejudice, while lower scores indicate less prejudice. The first 9 items are the same for the ATTM and AATW. Items 10-12 are unique for each of the two scales. These
47 secondary outcomes
Change in transgender attitudes: feelings thermometer
Time frame: Before / after viewing videos (within 10 minutes)
Change in Depression-related stigma (Depression Stigma Scale [DSS]; Personal component only): TOTAL SCORE
Time frame: Before / after viewing videos (within 10 minutes)
Change in Help-seeking (General Help-Seeking Questionnaire [GHSQ]; Emotional and Suicide components): MEAN SCORE
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 1
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 2
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 3
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 4
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 5
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 6
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 7
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 8
Time frame: Before / after viewing videos (within 10 minutes)
Change in DSS Item 9
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 1
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 2
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 3
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 4
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 5
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 6
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 7
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 8
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 9
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Emotional Item 10
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 1
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 2
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 3
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 4
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 5
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 6
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 7
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 8
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 9
Time frame: Before / after viewing videos (within 10 minutes)
Change in GHSQ Suicide Item 10
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 1
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 2
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 3
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 4
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 5
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 6
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTMW Item 7
Time frame: Before / after viewing videos (within 10 minutes)
Change in ATTM Item 11
Time frame: Before / after viewing videos (within 10 minutes)
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 May 2022.
- Background: PubMed 15458995Griffiths KM, Christensen H, Jorm AF, Evans K, Groves C. Effect of web-based depression literacy and cognitive-behavioural therapy interventions on stigmatising attitudes to depression: randomised controlled trial. Br J Psychiatry. 2004 Oct;185:342-9. doi: 10.1192/bjp.185.4.342.
- Background: PubMed 20229227Wilson CJ, Deane FP, Marshall KL, Dalley A. Adolescents' suicidal thinking and reluctance to consult general medical practitioners. J Youth Adolesc. 2010 Apr;39(4):343-56. doi: 10.1007/s10964-009-9436-6. Epub 2009 Jul 15.
- BackgroundNorton AT, Herek GM. Heterosexuals' attitudes toward transgender people: findings from a national probability sample of US Adults. Sex Roles. 2013;68(11-12):738-753. doi:10.1007/s11199-011-0110-6
- Background: PubMed 29666595Billard TJ. Attitudes Toward Transgender Men and Women: Development and Validation of a New Measure. Front Psychol. 2018 Apr 3;9:387. doi: 10.3389/fpsyg.2018.00387. eCollection 2018.
- Derived from this study: PubMed 35212749Amsalem D, Halloran J, Penque B, Celentano J, Martin A. Effect of a Brief Social Contact Video on Transphobia and Depression-Related Stigma Among Adolescents: A Randomized Clinical Trial. JAMA Netw Open. 2022 Feb 1;5(2):e220376. doi: 10.1001/jamanetworkopen.2022.0376.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Short videos in people with Transgenderism and Depression, run by Yale University at 2 sites in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 3 May 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Attitudes toward Transgender Men and Women (ATTMW) scale (time frame: Before / after viewing videos (within 10 minutes)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04969003, which also lists 5 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2022.