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      Q Chat Space: Assessing the Feasibility and Acceptability of an Internet-Based Support Program for LGBTQ Youth

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          Abstract

          There are few psychosocial support programs specifically designed to meet the unique developmental and health needs of LGBTQ youth. Even when available, many youth face significant barriers to accessing LGBTQ-specific services for fear of being “outed” to parents, peers, and community members. The current study assessed the utility, feasibility, and acceptability of a synchronous, adult-facilitated, chat-based Internet community support program for LGBTQ youth aged 13–19. Chat transcripts were analyzed to examine how LGBTQ youth used the chat-based platform to connect with peers and trusted adults. A separate user satisfaction survey was collected to assess the personal (e.g., sexual orientation, gender identity, age) and contextual (e.g., geography, family environment) characteristics of youth engaging in the platform, their preferred topics of discussion, and their satisfaction with the program focus and facilitators. Qualitative data analysis demonstrated the degree to which LGBTQ youth were comfortable disclosing difficult and challenging situations with family, friends, and in their community and in seeking support from peers and facilitators online. Youth also used the platform to explore facets of sexual and gender identity/expression and self-acceptance. Overall, users were very satisfied with the platform, and participants accurately reflect the program’s desired populations for engagement (e.g., LGBTQ youth of color, LGBTQ youth in the South). Together, findings support the feasibility and acceptability of synchronous, adult-facilitated, chat-based Internet programs to connect and support LGBTQ youth, which encourage future research and innovation in service delivery.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s11121-021-01291-y.

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          Most cited references34

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            In this article the author reviews research evidence on the prevalence of mental disorders in lesbians, gay men, and bisexuals (LGBs) and shows, using meta-analyses, that LGBs have a higher prevalence of mental disorders than heterosexuals. The author offers a conceptual framework for understanding this excess in prevalence of disorder in terms of minority stress--explaining that stigma, prejudice, and discrimination create a hostile and stressful social environment that causes mental health problems. The model describes stress processes, including the experience of prejudice events, expectations of rejection, hiding and concealing, internalized homophobia, and ameliorative coping processes. This conceptual framework is the basis for the review of research evidence, suggestions for future research directions, and exploration of public policy implications.
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                Author and article information

                Contributors
                jnfish@umd.edu
                Journal
                Prev Sci
                Prev Sci
                Prevention Science
                Springer US (New York )
                1389-4986
                1573-6695
                6 September 2021
                : 1-12
                Affiliations
                [1 ]GRID grid.164295.d, ISNI 0000 0001 0941 7177, Department of Family Science, School of Public Health, , University of Maryland, ; 1142 Valley Drive, College Park, MD 20740 USA
                [2 ]GRID grid.261331.4, ISNI 0000 0001 2285 7943, College of Social Work, , The Ohio State University, ; Stillman Hall, 1947 College Road, Columbus, OH 43210 USA
                [3 ]GRID grid.266515.3, ISNI 0000 0001 2106 0692, School of Social Welfare, , University of Kansas, ; 1545 Lilac Ln, 313 Twente Hall, Lawrence, KS 66045 USA
                [4 ]GRID grid.253615.6, ISNI 0000 0004 1936 9510, Milken Institute School of Public Health, , The George Washington University, ; 950 New Hampshire Ave, Washington DC, NW 20052 USA
                [5 ]GRID grid.164295.d, ISNI 0000 0001 0941 7177, Department of Biology, College of Computer, Math, and Natural Sciences, , University of Maryland, ; College Park, MD 20740 USA
                [6 ]GRID grid.477710.2, ISNI 0000 0001 0260 6020, Planned Parenthood Federation of America, ; New York, NY 10038 USA
                [7 ]CenterLink: The Community of LGBT Centers, P.O. Box 24490, Fort Lauderdale, FL 33307 USA
                Author information
                http://orcid.org/0000-0001-9280-6156
                Article
                1291
                10.1007/s11121-021-01291-y
                8420963
                34490582
                bcd39974-45f9-4759-9eb2-eb540ac893e9
                © Society for Prevention Research 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 14 August 2021
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/100000030, Centers for Disease Control and Prevention;
                Award ID: U48DP006382
                Award Recipient :
                Funded by: FundRef http://dx.doi.org/10.13039/100000071, National Institute of Child Health and Human Development;
                Award ID: P2CHD041041
                Funded by: FundRef http://dx.doi.org/10.13039/100000867, Robert Wood Johnson Foundation;
                Categories
                Article

                Medicine
                lgbtq,sexual minority youth,gender minority youth,intervention,prevention,mental health,substance use,internet

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