Feasibility and Implementation of the Healing through Ongoing Psychological Empowerment (HOPE) Intervention with Two Spirit, Transgender, and Nonbinary Clients of Color: An Open Clinical Trial (Preprint)

Author:

Budge Stephanie LynneORCID,Tebbe Elliot Aaron,Lee Joonwoo,Dominguez Jr Sergio,Matsuno Em,Lindley Louis

Abstract

BACKGROUND

Background: There is a notable lack of psychotherapeutic services tailored to the needs of Black, Brown, People of Color (BBPOC) who are Two Spirit, transgender, and nonbinary (2STNB); research indicates that 2STNB BBPOC clients report a lack of competence and cultural humility on the part of their therapists.

OBJECTIVE

Objective: The purpose of this study was to report the feasibility and acceptability of the Healing through Ongoing Psychological Empowerment (HOPE) Intervention using deductive content analysis.

METHODS

Method: At baseline, 51 clients were enrolled in the open clinical trial, with 49 BBPOC 2STNB clients starting and completing HOPE Intervention. Clients completed up to 15 free virtual therapy sessions that were provided by nine BBPOC 2STNB therapists. Feasibility and acceptability interviews were conducted at prior to the intervention, immediately following the intervention, and 6-month after completing the intervention.

RESULTS

Results: The HOPE intervention demonstrated high feasibility and acceptability, specifically regarding data collection, psychometric adequacy, interventionist recruitment/training/retention, delivery of the intervention, acceptability of the intervention to clients, and client engagement with the intervention.

CONCLUSIONS

Conclusion: These findings propose HOPE as a potentially feasible, culturally specific therapeutic approach for the BBPOC 2STNB community. Future randomized controlled trials comparing HOPE to existing evidence-based treatments are needed.

CLINICALTRIAL

Trial registration: The registration number for this clinical trial is ClinicalTrials.Gov: NCT 05140174.

Publisher

JMIR Publications Inc.

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