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The AFFIRM open pilot feasibility study: A brief affirmative cognitive behavioral coping skills group intervention for sexual and gender minority youth
Affiliation:1. Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, Ontario M5S 1A1, Canada;2. School of Social Work, Barry University, 11300 NE 2nd Avenue, Miami Shores, FL 33161-6695, United States;1. School of Social Work, Virginia Commonwealth University, United States;2. School of Social Work, University of North Carolina, Chapel Hill, United States;1. PolicyLab, The Children''s Hospital of Philadelphia, Philadelphia, PA, United States;2. Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States;3. Division of General Pediatrics, The Children''s Hospital of Philadelphia, Philadelphia, PA, United States;4. Healthcare Analytics Unit, The Children''s Hospital of Philadelphia, Philadelphia, PA, United States;5. Department of Pediatrics, The Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, United States;1. Trimbos Institute, PO Box 725, 3500 AS Utrecht, The Netherlands;2. Trimbos Institute, Epidemiology and National Mental Health Monitor, PO Box 725, 3500 AS Utrecht, The Netherlands;3. Utrecht University, Department of Interdisciplinary Social Science, PO Box 80140, 3508 TC Utrecht, The Netherlands;4. Utrecht University, Department of Developmental Psychology, PO Box 80140, 3508 TC Utrecht, The Netherlands
Abstract:This pilot study sought to evaluate the feasibility and effectiveness of a brief, eight module affirmative cognitive behavioral coping skills group intervention (AFFIRM) with sexual and gender minority youth (SGMY) developed through community partnerships. A diverse sample of SGMY (n = 30) participated in the AFFIRM pilot and completed reliable measures of depression, reflective coping, and stress appraisal at three time points. Over the study duration, significant reductions were found in depression and appraising stress as a threat. Significant increases were found in reflective coping and perceiving stress as a challenge. Participants found the intervention to be valuable and reported high levels of acceptability and skills acquisition. These promising findings suggest that AFFIRM has potential effectiveness as a community-based intervention for SGMY. Implications for practice and research are provided.
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