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NCT03794986

Peer Online Motivational Interviewing for Sexual and Gender Minority Male Survivors

Completed NA Results posted Last updated 22 April 2024
What this trial tests

NA trial testing Trauma-informed SGM affirmative care in Sexual Abuse in 356 participants. Completed in 30 November 2021.

Timeline
1 April 2019
Primary endpoint
30 November 2021
30 November 2021

Quick facts

Lead sponsorYale University
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposesupportive care
Enrollment356
Start date1 April 2019
Primary completion30 November 2021
Estimated completion30 November 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Yale University

Who can join

18 and older, male only, with Sexual Abuse. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Who Engage in Mental Health Treatment Primary · Post-intervention (immediately following last online group), 60-day follow-up, and 120-day follow-up.

The number of participants who initiated mental health treatment/reinitiated mental health treatment versus those who did not. Mental health treatment engagement will be operationally defined as having ≥1 visit(s) or scheduled appointments to any mental health services within 120 days of the last online group.

Post-Intervention
GroupValue95% CI
Motivational Interviewing23
MI With Trauma-informed SGM Affirmative Care18
60-day follow-up
GroupValue95% CI
Motivational Interviewing31
MI With Trauma-informed SGM Affirmative Care26
120-day follow-up
GroupValue95% CI
Motivational Interviewing28
MI With Trauma-informed SGM Affirmative Care31
Center for Epidemiological Studies Depression Scale Primary · Baseline (pre-intervention), Post-intervention (immediately following last online group), 60-day follow-up, and 120-day follow-up.

This is a 20-item questionnaire that asks about experience and frequency of depressive symptoms over the past week. Possible range of scores is 0-60, with the higher scores indicating the presence of more symptomatology. A score of 16 or higher identifies those individuals who are at risk for major depression (which is equivalent to endorsing at least 6 out of 20 symptoms for depression. Researchers will be looking for scores to reduce to below 16, indicating a lack of criteria being met for major depressive disorder.

Baseline
GroupValue95% CI
Motivational Interviewing30.50± .67
MI With Trauma-informed SGM Affirmative Care30.70± .67
Post-intervention
GroupValue95% CI
Motivational Interviewing24.04± .75
MI With Trauma-informed SGM Affirmative Care22.87± .73
60-day follow-up
GroupValue95% CI
Motivational Interviewing27.33± .77
MI With Trauma-informed SGM Affirmative Care25.46± .75
120-day follow-up
GroupValue95% CI
Motivational Interviewing24.01± .79
MI With Trauma-informed SGM Affirmative Care23.74± .77
Post Traumatic Stress Disorder Secondary · Baseline (immediately pre-intervention), Post-intervention (immediately following last online group), 60-day follow-up, and 120-day follow-up.

PTSD Checklist for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) , DSM-5 (PCL-5; Weathers et al., 2013) is a 20-item instrument that corresponds to the current psychiatric diagnostic criteria for PTSD. Participants respond on a Likert scale ranging from 0 (not at all) to 4 (extremely). A provisional PTSD diagnosis can be made by treating each item rated as 2 (moderately) or higher as a symptom endorsed, then following the DSM-5 diagnostic rule which requires at least: 1 Criterion B item (Intrusion symptoms; questions 1-5), 1 Criterion C item (Avoidance symptoms;

Baseline
GroupValue95% CI
Motivational Interviewing36.26± .97
MI With Trauma-informed SGM Affirmative Care36.45± .97
Post-intervention
GroupValue95% CI
Motivational Interviewing29.30± 1.10
MI With Trauma-informed SGM Affirmative Care27.84± 1.06
60-day follow-up
GroupValue95% CI
Motivational Interviewing32.22± 1.12
MI With Trauma-informed SGM Affirmative Care29.21± 1.10
120-day follow-up
GroupValue95% CI
Motivational Interviewing27.47± 1.14
MI With Trauma-informed SGM Affirmative Care25.57± 1.12
Psychosocial Functioning Secondary · Baseline (immediately pre-intervention), Post-intervention (immediately following last online group), 60-day follow-up, and 120-day

Inventory of Psychosocial Functioning (IPF-B; Rodriguez, Holowka, \& Marx, 2012) is a brief 7-item scale that assesses functional impairment or quality of life related to trauma and PTSD. Questions assess for impairment in romantic relationships, family relationships, work, friendships and socializing, parenting, academic pursuits, and self-care. Higher scores indicate greater functional impairment. Respondents answer each item by using a 7-point scale ranging from 1 ("never") to 7 ("always"). The IPF yields an overall functional impairment score.

Baseline
GroupValue95% CI
Motivational Interviewing45.64± 1.36
MI With Trauma-informed SGM Affirmative Care44.71± 1.37
Post-intervention
GroupValue95% CI
Motivational Interviewing39.88± 1.56
MI With Trauma-informed SGM Affirmative Care38.51± 1.52
60-day follow-up
GroupValue95% CI
Motivational Interviewing39.97± 1.58
MI With Trauma-informed SGM Affirmative Care34.05± 1.56
120-day follow-up
GroupValue95% CI
Motivational Interviewing39.69± 1.62
MI With Trauma-informed SGM Affirmative Care38.72± 1.60
Substance Abuse Secondary · Baseline (immediately pre-intervention)

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is an 8-item measure of use of alcohol, tobacco products, and other drugs across the lifespan and in the past 3 months. The test has been shown to be a valid indicator of active substance use with adequate construct validity. Scores are summed across for each drug category separately with a maximum score for tobacco = 31 and a maximum score for each of the other drug categories = 39. A Global Continuum of Risk Score can also be calculated by summing all items for all drug classes together with a maximum score of 414. Scores

Tobacco
GroupValue95% CI
Motivational Interviewing5.77± .28
MI With Trauma-informed SGM Affirmative Care5.83± .28
Alcohol
GroupValue95% CI
Motivational Interviewing8.83± .35
MI With Trauma-informed SGM Affirmative Care8.93± .35
Marijuana
GroupValue95% CI
Motivational Interviewing6.44± .33
MI With Trauma-informed SGM Affirmative Care6.53± .33
Cocaine
GroupValue95% CI
Motivational Interviewing1.58± .17
MI With Trauma-informed SGM Affirmative Care1.69± .17
Amphetamine/ Stimulant
GroupValue95% CI
Motivational Interviewing2.51± .23
MI With Trauma-informed SGM Affirmative Care2.55± .23
Inhalants
GroupValue95% CI
Motivational Interviewing.96± .15
MI With Trauma-informed SGM Affirmative Care1.06± .15
Sedatives
GroupValue95% CI
Motivational Interviewing2.00± .23
MI With Trauma-informed SGM Affirmative Care1.84± .23
Hallucinogens
GroupValue95% CI
Motivational Interviewing.98± .15
MI With Trauma-informed SGM Affirmative Care.98± .15
Substance Abuse Secondary · Post-intervention (immediately following last online group)

The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is an 8-item measure of use of alcohol, tobacco products, and other drugs across the lifespan and in the past 3 months. The test has been shown to be a valid indicator of active substance use with adequate construct validity. Scores are summed across for each drug category separately with a maximum score for tobacco = 31 and a maximum score for each of the other drug categories = 39. A Global Continuum of Risk Score can also be calculated by summing all items for all drug classes together with a maximum score of 414. Scores

Tobacco
GroupValue95% CI
Motivational Interviewing4.92± .32
MI With Trauma-informed SGM Affirmative Care4.75± .31
Alcohol
GroupValue95% CI
Motivational Interviewing7.71± .40
MI With Trauma-informed SGM Affirmative Care8.26± .39
Marijuana
GroupValue95% CI
Motivational Interviewing5.89± .38
MI With Trauma-informed SGM Affirmative Care5.69± .36
Cocaine
GroupValue95% CI
Motivational Interviewing1.39± .20
MI With Trauma-informed SGM Affirmative Care1.04± .19
Amphetamine/ Stimulant
GroupValue95% CI
Motivational Interviewing2.16± .26
MI With Trauma-informed SGM Affirmative Care2.11± .27
Inhalants
GroupValue95% CI
Motivational Interviewing1.06± .16
MI With Trauma-informed SGM Affirmative Care.90± .17
Sedatives
GroupValue95% CI
Motivational Interviewing1.67± .26
MI With Trauma-informed SGM Affirmative Care2.21± .25
Hallucinogens
GroupValue95% CI
Motivational Interviewing.88± .17
MI With Trauma-informed SGM Affirmative Care.98± .17

Adverse events — posted to ClinicalTrials.gov

Time frame: From baseline to 120-day follow-up, approximately 170 days.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Motivational Interviewing
Serious: 2/178 (1%)
Deaths: 0/178
MI With Trauma-informed SGM Affirmative Care
Serious: 0/178 (0%)
Deaths: 0/178

Serious adverse events (2 terms)

ReactionSystemMotivational InterviewingMI With Trauma-informed SG…
Psychiatric hospitalizationPsychiatric disorders
Sexual AssaultPsychiatric disorders
Other adverse events (1 terms — click to expand)

ReactionSystemMotivational InterviewingMI With Trauma-informed SG…
High SuicidalityPsychiatric disorders

Most-reported serious reactions: Psychiatric hospitalization, Sexual Assault.

Data from ClinicalTrials.gov NCT03794986 adverse events section.

Sponsor's own description

The study will conduct a randomized comparative effectiveness trial of peer-facilitated, online, 6-week group Motivational Interviewing (MI) vs. Motivational Interviewing (MI) with a trauma-informed Sexual and Gender Minority (SGM) affirmative care approach.

Publications & conference data

3 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Psychosocial interventions for survivors of rape and sexual assault experienced during adulthood.
    O'Doherty L, Whelan M, Carter GJ, Brown K, et al · · 2023 · cited 21× · PMID 37795783 · DOI 10.1002/14651858.cd013456.pub2
  2. Sex Differences in Suicide, Lethal Means, and Years of Potential Life Lost Among Veterans With Substance Use Disorder.
    Mandavia AD, Banducci AN, Simpson TL, Marx BP, et al · · 2025 · cited 1× · PMID 40113455 · DOI 10.1016/j.whi.2025.02.002
  3. How masculinity and treatment impact posttraumatic stress disorder recovery in sexual minority men with sexual trauma: Findings from a randomized clinical trial.
    Nomamiukor FO, Collazo EN, Harper KL, Neilson EC, et al · · 2025 · PMID 41641008 · DOI 10.1037/sgd0000894

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