Peer Support + Financial Education for Psychological Distress

(CARES Trial)

JW
TC
Overseen ByTonia C Poteat, PhD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Duke University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial explores whether small financial grants and peer mentoring can improve mental health for transgender individuals facing financial difficulties. Participants will be divided into three groups to determine if microgrants, with or without peer support, can reduce stress and enhance community connections. Additionally, some participants will receive financial education videos to assess their impact on psychological distress. The trial seeks transgender individuals experiencing financial hardship who have access to a mobile phone or email. As an unphased trial, this study offers a unique opportunity to contribute to innovative research aimed at enhancing mental well-being in the transgender community.

Will I have to stop taking my current medications?

The trial information does not specify whether you need to stop taking your current medications.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that learning about money can improve mental health. Understanding finances may reduce stress and increase control over money. Thus, the financial education videos in this study are likely safe and might enhance mental well-being.

Previous studies have found that microgrants, small amounts of money given to individuals, can alleviate financial problems. This can also increase financial security, thereby improving mental health. No known safety concerns exist with receiving microgrants.

Peer mentoring, where individuals receive support from someone with similar experiences, is generally well-received. Studies have shown that peer mentoring can help reduce anxiety and depression. Participants usually report positive experiences without major side effects.

Overall, the activities in this trial—financial education, microgrants, and peer mentoring—are considered safe and have the potential to improve mental health without known risks.12345

Why are researchers excited about this trial?

Researchers are excited about this trial because it explores a novel approach to addressing psychological distress by combining financial education and support with peer mentoring and microgrants. Unlike traditional treatments that often focus solely on therapy or medication, this trial offers a holistic method that addresses the financial stressors contributing to mental health issues. The unique elements include monthly microgrants to alleviate immediate financial burdens, continuous financial education to improve long-term financial literacy, and peer mentoring to provide emotional and experiential support. This integrated approach might not only improve psychological well-being but also empower participants to manage their financial challenges more effectively.

What evidence suggests that this trial's treatments could be effective for improving mental health among transgender people experiencing material hardship?

This trial will evaluate different approaches to improving mental health by addressing financial issues and providing community support. Participants in one arm will receive monthly financial education videos and a one-time microgrant. Another arm will provide monthly financial education videos along with monthly microgrants. A third arm will combine monthly financial education videos, monthly microgrants, and peer mentoring support. Research has shown that learning about money can boost financial knowledge and lead to better money habits, potentially lowering financial stress, which can negatively affect mental health. Studies on small financial grants, called microgrants, have shown they can ease money troubles and possibly improve mental health by reducing stress related to finances. Peer mentoring has been found to boost mental health by increasing happiness, self-esteem, and coping skills. Combining these methods might improve mental health by tackling financial issues and offering community support.14678

Who Is on the Research Team?

TC

Tonia C. Poteat, PhD

Principal Investigator

Duke University

Are You a Good Fit for This Trial?

This trial is for transgender individuals over the age of 18 who are experiencing material hardship. Participants must have a gender identity different from their sex assigned at birth, access to mobile phone or email, and score above zero on the material hardship index.

Inclusion Criteria

You have an index score greater than 0 on the material hardship scale.
You have access to a cellular device or electronic mail.
My gender identity is different from the sex assigned at birth.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive small grants and/or peer support along with monthly financial education videos

6 months
Monthly visits (virtual)

Follow-up

Participants are monitored for changes in psychological distress and substance use

6 months
2 visits (virtual)

What Are the Treatments Tested in This Trial?

Interventions

  • Financial education videos
  • Microgrant
  • Peer mentoring
Trial Overview The study tests if small grants and peer support can improve mental health among transgender people in need. It compares three groups: one receiving a single grant and financial education videos; another getting monthly grants and videos for six months; and a third adding peer mentoring to the monthly grants and videos.
How Is the Trial Designed?
3Treatment groups
Active Control
Group I: Usual CareActive Control2 Interventions
Group II: Monthly micrograntsActive Control2 Interventions
Group III: Monthly microgrants plus peer mentoringActive Control3 Interventions

Find a Clinic Near You

Who Is Running the Clinical Trial?

Duke University

Lead Sponsor

Trials
2,495
Recruited
5,912,000+

National Institute on Minority Health and Health Disparities (NIMHD)

Collaborator

Trials
473
Recruited
1,374,000+

Published Research Related to This Trial

The pilot Patient Safety Presentation process, implemented in a psychiatry residency program, significantly improved residents' knowledge and engagement in patient safety practices, as evidenced by pre- and post-presentation surveys involving 32 residents.
All participating residents expressed satisfaction with the presentation, highlighting its effectiveness as a model for enhancing patient safety education in residency programs.
Development and Pilot of a Process for Regularly Sharing Summary Patient Safety Data.Kim, B., Grech, SM., Rembisz, AE., et al.[2023]
The 'Buddy Study' program, which includes a seminar and peer support for healthcare professionals after adverse events, received positive feedback from participants, with 91.6% satisfied with the seminar content and 69.1% feeling it helped them manage their emotional responses.
The program fostered a compassionate culture and attentiveness to colleagues' wellbeing, although it highlighted the need for ongoing support and visibility to maintain its effectiveness, suggesting that while valuable, peer support should complement other forms of support rather than replace them.
Evaluation of'the Buddy Study', a peer support program for second victims in healthcare: a survey in two Danish hospital departments.Schrøder, K., Bovil, T., Jørgensen, JS., et al.[2022]
Near-peer learning (NPL) in rural community-based medical education significantly enhances psychological safety and engagement among medical trainees, as shown by qualitative interviews with 58 participants including medical students and residents.
Implementing NPL fosters self-regulated learning and increases motivation, which can help address the resource limitations in rural medical education and improve the sustainability of healthcare training in these areas.
Psychological safety and self-regulated learning through near-peer learning for the sustainability of rural community-based medical education: grounded theory approach.Ohta, R., Katsube, T., Sano, C.[2023]

Citations

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