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| Name | Class |
|---|---|
| Gendered Intelligence | UNKNOWN |
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Gender diverse (e.g. trans or non-binary) young people are at higher risk of self-harm and may be more likely to access support through gender-diverse-specific 3rd sector charities. Dialectical behavioural therapy (DBT) is a transdiagnostic intervention targeting emotion dysregulation, self-harm and suicidality and is recommended by best-practice clinical guidelines; There is developing evidence that DBT skills training can be offered as an effective stand-alone intervention.The current study, therefore, aims to evaluate the feasibility, acceptability and early indicators of effectiveness of a DBT-informed skills group intervention in a gender diverse charity setting. The intervention will be co-facilitated with a gender-diverse support worker from the charity to develop the therapeutic skills of the charity staff working with the young people, whilst they provide specialist knowledge and valuable lived experience.
Research questions
Participants will attend a 16-week group intervention. They will complete questionnaire to assess acceptability at the end of the intervention. Attrition rates, training time, and questionnaires will be used to assess feasibility. Outcome measures will also be completed by the participants every three weeks to indicate possible effectiveness of the intervention. The outcomes will include emotion dysregulation, coping skills, anxiety, depression and suicidal behaviours.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental | Attend DBT-informed skills group intervention |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dialectical behavioural therapy (DBT)-informed skills group | Behavioral | 16 week 1.5hr DBT-informed skills group facilitated by the lead researcher and two charity facilitators |
|
| Measure | Description | Time Frame |
|---|---|---|
| Acceptability of intervention | 1. Short, bespoke feedback questionnaire completed at the end of each session regarding content and delivery. | 16 weeks |
| Acceptability of intervention | 2. Client Satisfaction Questionnaire will be completed post-intervention. | 16 weeks |
| Feasibility of intervention | 1. Eligibility rates at screening | 16 weeks |
| Feasibility of intervention | 2. Attrition rates at each stage of recruitment - initial number of participants identified by Gendered Intelligence, number of participants approached, number of participants who consented to discuss the project with the researcher, number of participants who consented to take part, number of participants who completed treatment. | 16 weeks |
| Feasibility of intervention | 3. Attendance and completion rates of the intervention 4. Cost and time to train a charity support worker 5. Number of clinician hours to deliver the intervention and outcome monitoring 6. Number of hours from charity to deliver the intervention 7. How feasible the intervention was to attend (via self-report questionnaire) 8. How feasible the intervention was to deliver (via self-report questionnaire completed by the co-facilitators) | 16 weeks |
| Feasibility of intervention | 4. Cost and time to train a charity support worker | 16 weeks |
| Feasibility of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Emotion dysregulation | The Difficulties in Emotion Regulation Scale. Higher scores indicate more severe emotion dysregulation difficulties. | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| Use of DBT coping skills |
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Inclusion Criteria:
Exclusion Criteria:
Identify as gender diverse- Gender diversity refers to the representation of people whose gender identity does not conform to socially defined norms. This includes (but is not restricted to) transgender people (whose gender identity does not correspond with their assigned sex at birth) and non-binary people (whose gender identity does not fit within the gender binary of male or female).
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| Name | Affiliation | Role |
|---|---|---|
| Megan Stock | King's College London | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| King's College London | London | SE5 8AN | United Kingdom |
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16-week LGBTQ+ -adapted DBT skills group
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5. Number of clinician hours to deliver the intervention and outcome monitoring 6. Number of hours from charity to deliver the intervention 7. How feasible the intervention was to attend (via self-report questionnaire) 8. How feasible the intervention was to deliver (via self-report questionnaire completed by the co-facilitators) |
| 16 weeks |
| Feasibility of intervention | 6. Number of hours from charity to deliver the intervention | 16 weeks |
| Feasibility of intervention | 7. How feasible the intervention was to attend (via self-report questionnaire) 8. How feasible the intervention was to deliver (via self-report questionnaire completed by the co-facilitators) | 16 weeks |
| Feasibility of intervention | 8. How feasible the intervention was to deliver (via self-report questionnaire completed by the co-facilitators) | 16 weeks |
The DBT Ways of Coping Checklist |
| Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| Anxiety | Generalised Anxiety Disorder Assessment. Higher scores indicate higher levels of anxiety. | Every 2 weeks for 4 weeks, and then again after 16 weeks. |
| Depression | Patient Health Questionnaire. Higher scores indicate higher levels of depression. | Every 2 weeks for 4 weeks, and then again after 16 weeks. |
| Internalised transphobia | Gender Minority Stress and Resilience Measure. Higher scores indicate higher internalised transphobia. | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| Gender-related negative future expectations | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-related negative future expectations. | Every 2 weeks for 4 weeks, and then again after 16 weeks. |
| Gender-related community connectedness | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-related community connectedness. | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| Gender-specific pride | Gender Minority Stress and Resilience Measure. Higher scores indicate higher gender-specific pride | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| Suicidal behaviours | Frequencies of self-harm, suicidal behaviours, A&E attendances, and inpatient bed days. | Every 2 weeks for 4 weeks, and then every three weeks for 16 weeks once the intervention begins. |
| ID | Term |
|---|---|
| D000080103 | Emotional Regulation |
| ID | Term |
|---|---|
| D000068356 | Self-Control |
| D012919 | Social Behavior |
| D001519 | Behavior |
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