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Accepted for/Published in: JMIR Formative Research

Date Submitted: Jul 18, 2024
Open Peer Review Period: Jul 18, 2024 - Sep 12, 2024
Date Accepted: Mar 12, 2025
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

The Healing Through Ongoing Psychological Empowerment Telehealth Intervention With Two Spirit, Transgender, and Nonbinary Clients of Color in the United States: Open Clinical Trial Feasibility and Implementation Analysis

Budge SL, Tebbe EA, Lee J, Dominguez S Jr, Matsuno E, Lindley L

The Healing Through Ongoing Psychological Empowerment Telehealth Intervention With Two Spirit, Transgender, and Nonbinary Clients of Color in the United States: Open Clinical Trial Feasibility and Implementation Analysis

JMIR Form Res 2025;9:e64477

DOI: 10.2196/64477

PMID: 40354621

PMCID: 12088614

Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.

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

  • Stephanie Lynne Budge; 
  • Elliot Aaron Tebbe; 
  • Joonwoo Lee; 
  • Sergio Dominguez Jr; 
  • Em Matsuno; 
  • Louis Lindley

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


 Citation

Please cite as:

Budge SL, Tebbe EA, Lee J, Dominguez S Jr, Matsuno E, Lindley L

The Healing Through Ongoing Psychological Empowerment Telehealth Intervention With Two Spirit, Transgender, and Nonbinary Clients of Color in the United States: Open Clinical Trial Feasibility and Implementation Analysis

JMIR Form Res 2025;9:e64477

DOI: 10.2196/64477

PMID: 40354621

PMCID: 12088614

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