Aggression, Alcohol Consumption, Stress, Psychological, Violence, Domestic
Conditions
Keywords
sexual minority, gender minority
Brief summary
We will recruit sexual and gender minority couples to complete 56 days of daily surveys in order to evaluate (1) the impact of COVID-19 stress and sexual and gender minority stress on heavy episodic drinking and intimate partner violence (IPV) perpetration, and (2) a brief, mobile-phone delivered text messaging intervention to mitigate the effects of these stressors. This project has high potential to inform how pandemic stress contributes to etiological models of alcohol-related IPV perpetration in sexual and gender minority couples and inform a culturally-sensitive, low burden, and easy to disseminate intervention to mitigate these effects critical during a pandemic when access to care is limited.
Interventions
BEHAVIORALCBT Text Messaging
Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order, with content equally distributed across the four content areas (i.e., psychoeducation regarding effects of stress, distress tolerance, emotion regulation, alcohol reduction).
BEHAVIORALAttention Control Text Messaging
Over a 14 day period, participants will receive two text messages per day (one at 8 a.m. and one at 4 p.m.). They will receive hourly reminders for four hours or until the message is read. Participants receive the same messages in the same order. All texts will be supportive messages which express empathy and unconditional positive regard and provide support for dealing with stressors. These messages will be nondirective and will not include any CBT skill suggestions.
Sponsors
Georgia State University
University at Buffalo
University of Louisville
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
Participants will be enrolled into a measurement burst daily diary design comprised of four 14-day bursts of daily surveys with three 14-day intervals that do not include daily surveys. There are three intervention conditions: (A) no intervention; (B) attention-control text messaging; or (C) CBT text messaging intervention. Between bursts 1 and 2 (Interval 1), all participants will be assigned to condition A (no intervention) such that all will complete the first two bursts (28 days) before receiving an intervention. Between bursts 2 and 3 (Interval 2) and bursts 3 and 4 (Interval 3), couples will be randomized to one of the following eight patterns of conditions: AA, AB, AC, BA, BB, BC, CA, or CB. There is no CC condition because the CBT intervention is not intended to be given in multiple two-week intervals.
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
(applies to both partners): * Both partners must identify as cisgender and sexual minority or at least one partner must identify as a gender minority (i.e., one's gender identity is non-congruent with their sex assigned at birth) * 21 years or older * In an intimate relationship lasting at least one month in which there are at least 2 days of face-to-face contact each week * Consumption of 4 (assigned female at birth) or 5 (assigned male at birth) alcoholic drinks on at least three days in the past year
Exclusion criteria
* Seeking treatment or being in recovery for an alcohol or substance use disorder. * Endorsement of severe physical IPV (e.g., use of a weapon) in the past year. * Women who self-report that they are trying to get pregnant, that they are currently pregnant, or that they are currently breastfeeding .
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Alcohol Use (Burst 1) | Burst 1, Daily for 14 days | Proportion of reporting days on which alcohol was consumed |
| Alcohol Use (Burst 2) | Burst 2, Daily for 14 days | Proportion of reporting days on which alcohol was consumed |
| Alcohol Use (Burst 3) | Burst 3, Daily for 14 days | Proportion of reporting days on which alcohol was consumed |
| Alcohol Use (Burst 4) | Burst 4, Daily for 14 days | Proportion of reporting days on which alcohol was consumed |
| Intimate Partner Violence (IPV) Perpetration (Burst 1) | Burst 1, Daily for 14 days | Proportion of reporting days on which IPV perpetration occurred |
| IPV Perpetration (Burst 2) | Burst 2, Daily for 14 days | Proportion of reporting days on which IPV perpetration occurred |
| IPV Perpetration (Burst 3) | Burst 3, Daily for 14 days | Proportion of reporting days on which IPV perpetration occurred |
| IPV Perpetration (Burst 4) | Burst 4, Daily for 14 days | Proportion of reporting days on which IPV perpetration occurred |
| Alcohol Use --> IPV Perpetration (Pre-Intervention) | Bursts 1 and 2 (daily for 14 x 2 days) | Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2). |
| Alcohol Use --> IPV Perpetration (Post-Intervention) | Bursts 3 and 4 (daily for 14 x 2 days) | Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| COVID Stress (Burst 3) | Burst 3, Daily for 14 days | Average daily count of COVID stress (CS) indicators |
| Sexual Minority Stress (Burst 1) | Burst 1, Daily for 14 days | Total daily count across 15 daily sexual minority stress (SMS) indicators |
| COVID Stress (Burst 4) | Burst 4, Daily for 14 days | Average daily count of COVID stress (CS) indicators |
| Sexual Minority Stress (Burst 2) | Burst 2, Daily for 14 days | Total daily count across 15 daily sexual minority stress (SMS) indicators |
| Sexual Minority Stress (Burst 3) | Burst 3, Daily for 14 days | Total daily count across 15 daily sexual minority stress (SMS) indicators |
| Sexual Minority Stress (Burst 4) | Burst 4, Daily for 14 days | Total daily count across 15 daily sexual minority stress (SMS) indicators |
| Gender Minority Stress (Burst 1) | Burst 1, Daily for 14 days | Total daily count across 14 daily gender minority stress (GMS) indicators |
| Gender Minority Stress (Burst 2) | Burst 2, Daily for 14 days | Total daily count across 14 daily gender minority stress (GMS) indicators |
| Gender Minority Stress (Burst 3) | Burst 3, Daily for 14 days | Total daily count across 14 daily gender minority stress (GMS) indicators |
| Gender Minority Stress (Burst 4) | Burst 4, Daily for 14 days | Total daily count across 14 daily gender minority stress (GMS) indicators |
| COVID Stress (Burst 1) | Burst 1, Daily for 14 days | Average daily count of COVID stress (CS) indicators |
| COVID Stress (Burst 2) | Burst 2, Daily for 14 days | Average daily count of COVID stress (CS) indicators |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| No Intervention, No Intervention (AA) Participants do not receive text messages during Interval 2 or Interval 3. | 36 |
| No Intervention, Attention-Control Texts (AB) Participants do not receive text messages during Interval 2. Participants receive attention control text messages during Interval 3. | 36 |
| No Intervention, CBT Texts (AC) Participants do not receive text messages during Interval 2. Participants receive CBT text messages during Interval 3. | 70 |
| Attention-Control Texts, No Intervention (BA) Participants receive attention control text messages during Interval 2. Participants do not receive text messages during Interval 3. | 36 |
| Attention-Control Texts, Attention-Control Texts (BB) Participants receive attention control text messages during Interval 2. Participants receive attention control text messages during Interval 3. | 36 |
| Attention-Control Texts, CBT Texts (BC) Participants receive attention control text messages during Interval 2. Participants receive CBT text messages during Interval 3. | 78 |
| CBT Texts, No Intervention (CA) Participants receive CBT text messages during Interval 2. Participants do not receive text messages during Interval 3. | 80 |
| CBT Texts, Attention-Control Texts (CB) Participants receive CBT text messages during Interval 2. Participants receive attention control text messages during Interval 3. | 80 |
| Total | 452 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 | FG003 | FG004 | FG005 | FG006 | FG007 |
|---|---|---|---|---|---|---|---|---|---|
| Overall Study | Death | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Overall Study | Lost to Follow-up | 2 | 2 | 1 | 0 | 0 | 2 | 0 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 0 | 4 | 4 | 4 | 0 | 0 | 0 |
Baseline characteristics
| Characteristic | Total | CBT Texts, Attention-Control Texts (CB) | CBT Texts, No Intervention (CA) | No Intervention, No Intervention (AA) | Attention-Control Texts, CBT Texts (BC) | Attention-Control Texts, Attention-Control Texts (BB) | Attention-Control Texts, No Intervention (BA) | No Intervention, CBT Texts (AC) | No Intervention, Attention-Control Texts (AB) |
|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | 29.21 Years STANDARD_DEVIATION 7.85 | 28.25 Years STANDARD_DEVIATION 6.87 | 30.36 Years STANDARD_DEVIATION 8.66 | 32.69 Years STANDARD_DEVIATION 10.92 | 28.86 Years STANDARD_DEVIATION 7.04 | 28.61 Years STANDARD_DEVIATION 9.77 | 27.47 Years STANDARD_DEVIATION 5.07 | 29.81 Years STANDARD_DEVIATION 7.92 | 27.28 Years STANDARD_DEVIATION 4.41 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 53 Participants | 9 Participants | 9 Participants | 4 Participants | 10 Participants | 3 Participants | 4 Participants | 9 Participants | 5 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 399 Participants | 71 Participants | 71 Participants | 32 Participants | 68 Participants | 33 Participants | 32 Participants | 61 Participants | 31 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Gender minority status Cisgender | 307 Participants | 56 Participants | 56 Participants | 26 Participants | 53 Participants | 23 Participants | 25 Participants | 45 Participants | 23 Participants |
| Gender minority status Gender minority | 145 Participants | 24 Participants | 24 Participants | 10 Participants | 25 Participants | 13 Participants | 11 Participants | 25 Participants | 13 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 2 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 1 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 23 Participants | 4 Participants | 1 Participants | 6 Participants | 4 Participants | 2 Participants | 2 Participants | 2 Participants | 2 Participants |
| Race (NIH/OMB) Black or African American | 75 Participants | 12 Participants | 16 Participants | 11 Participants | 17 Participants | 6 Participants | 3 Participants | 5 Participants | 5 Participants |
| Race (NIH/OMB) More than one race | 18 Participants | 3 Participants | 4 Participants | 0 Participants | 4 Participants | 4 Participants | 2 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 1 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 0 Participants | 1 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 4 Participants | 0 Participants | 0 Participants | 0 Participants | 2 Participants | 0 Participants | 1 Participants | 0 Participants | 1 Participants |
| Race (NIH/OMB) White | 329 Participants | 61 Participants | 59 Participants | 19 Participants | 51 Participants | 24 Participants | 26 Participants | 62 Participants | 27 Participants |
| Sex: Female, Male Female | 327 Participants | 59 Participants | 52 Participants | 29 Participants | 60 Participants | 23 Participants | 25 Participants | 54 Participants | 25 Participants |
| Sex: Female, Male Male | 125 Participants | 21 Participants | 28 Participants | 7 Participants | 18 Participants | 13 Participants | 11 Participants | 16 Participants | 11 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk | EG003 affected / at risk | EG004 affected / at risk | EG005 affected / at risk | EG006 affected / at risk | EG007 affected / at risk |
|---|---|---|---|---|---|---|---|---|
| deaths Total, all-cause mortality | 1 / 40 | 0 / 38 | 0 / 76 | 0 / 40 | 0 / 40 | 0 / 80 | 0 / 80 | 0 / 80 |
| other Total, other adverse events | 0 / 40 | 0 / 38 | 0 / 76 | 0 / 40 | 0 / 40 | 0 / 80 | 0 / 80 | 0 / 80 |
| serious Total, serious adverse events | 1 / 40 | 0 / 38 | 0 / 76 | 0 / 40 | 0 / 40 | 0 / 80 | 0 / 80 | 0 / 80 |
Outcome results
Primary
Alcohol Use (Burst 1)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 1, Daily for 14 days
Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use (Burst 1) | .45 Proportion of reporting days | Standard Deviation 0.29 |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use (Burst 1) | .40 Proportion of reporting days | Standard Deviation 0.23 |
| No Intervention, CBT Texts (AC) | Alcohol Use (Burst 1) | .41 Proportion of reporting days | Standard Deviation 0.3 |
| Attention-Control Texts, No Intervention (BA) | Alcohol Use (Burst 1) | .31 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, Attention-Control Texts (BB) | Alcohol Use (Burst 1) | .45 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, CBT Texts (BC) | Alcohol Use (Burst 1) | .41 Proportion of reporting days | Standard Deviation 0.23 |
| CBT Texts, No Intervention (CA) | Alcohol Use (Burst 1) | .44 Proportion of reporting days | Standard Deviation 0.31 |
| CBT Texts, Attention-Control Texts (CB) | Alcohol Use (Burst 1) | .42 Proportion of reporting days | Standard Deviation 0.28 |
Primary
Alcohol Use (Burst 2)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 2, Daily for 14 days
Population: Only 448 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use (Burst 2) | .49 Proportion of reporting days | Standard Deviation 0.31 |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use (Burst 2) | .42 Proportion of reporting days | Standard Deviation 0.21 |
| No Intervention, CBT Texts (AC) | Alcohol Use (Burst 2) | .41 Proportion of reporting days | Standard Deviation 0.29 |
| Attention-Control Texts, No Intervention (BA) | Alcohol Use (Burst 2) | .30 Proportion of reporting days | Standard Deviation 0.26 |
| Attention-Control Texts, Attention-Control Texts (BB) | Alcohol Use (Burst 2) | .42 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, CBT Texts (BC) | Alcohol Use (Burst 2) | .38 Proportion of reporting days | Standard Deviation 0.24 |
| CBT Texts, No Intervention (CA) | Alcohol Use (Burst 2) | .48 Proportion of reporting days | Standard Deviation 0.32 |
| CBT Texts, Attention-Control Texts (CB) | Alcohol Use (Burst 2) | .42 Proportion of reporting days | Standard Deviation 0.29 |
Primary
Alcohol Use (Burst 3)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 3, Daily for 14 days
Population: Only 429 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use (Burst 3) | .45 Proportion of reporting days | Standard Deviation 0.31 |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use (Burst 3) | .41 Proportion of reporting days | Standard Deviation 0.24 |
| No Intervention, CBT Texts (AC) | Alcohol Use (Burst 3) | .42 Proportion of reporting days | Standard Deviation 0.3 |
| Attention-Control Texts, No Intervention (BA) | Alcohol Use (Burst 3) | .35 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, Attention-Control Texts (BB) | Alcohol Use (Burst 3) | .39 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, CBT Texts (BC) | Alcohol Use (Burst 3) | .39 Proportion of reporting days | Standard Deviation 0.29 |
| CBT Texts, No Intervention (CA) | Alcohol Use (Burst 3) | .43 Proportion of reporting days | Standard Deviation 0.32 |
| CBT Texts, Attention-Control Texts (CB) | Alcohol Use (Burst 3) | .36 Proportion of reporting days | Standard Deviation 0.28 |
Primary
Alcohol Use (Burst 4)
Proportion of reporting days on which alcohol was consumed
Time frame: Burst 4, Daily for 14 days
Population: Only 435 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use (Burst 4) | .45 Proportion of reporting days | Standard Deviation 0.35 |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use (Burst 4) | .43 Proportion of reporting days | Standard Deviation 0.26 |
| No Intervention, CBT Texts (AC) | Alcohol Use (Burst 4) | .41 Proportion of reporting days | Standard Deviation 0.32 |
| Attention-Control Texts, No Intervention (BA) | Alcohol Use (Burst 4) | .34 Proportion of reporting days | Standard Deviation 0.27 |
| Attention-Control Texts, Attention-Control Texts (BB) | Alcohol Use (Burst 4) | .40 Proportion of reporting days | Standard Deviation 0.29 |
| Attention-Control Texts, CBT Texts (BC) | Alcohol Use (Burst 4) | .34 Proportion of reporting days | Standard Deviation 0.24 |
| CBT Texts, No Intervention (CA) | Alcohol Use (Burst 4) | .41 Proportion of reporting days | Standard Deviation 0.36 |
| CBT Texts, Attention-Control Texts (CB) | Alcohol Use (Burst 4) | .36 Proportion of reporting days | Standard Deviation 0.29 |
Primary
Alcohol Use --> IPV Perpetration (Post-Intervention)
Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).
Time frame: Bursts 3 and 4 (daily for 14 x 2 days)
Population: The Study Aims, as funded, sought to compare combinations of intervention arms. Thus, per this proposed analytic strategy, arms corresponding to control or intervention status were combined as appropriate to permit the analysis of hypothesized intervention main effects.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use --> IPV Perpetration (Post-Intervention) | 1.48 Odds Ratio |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use --> IPV Perpetration (Post-Intervention) | 1.06 Odds Ratio |
Comparison: Multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2) with interaction between alcohol use and CBT Intervention.~Testing the difference in odds ratio between groups 1 (No Intervention and Attention Control ) and 2 (CBT Texts Intervention) H0: OR1 = OR2p-value: 0.21Multilevel logistic regression
Primary
Alcohol Use --> IPV Perpetration (Pre-Intervention)
Odds ratio (OR) of IPV perpetration corresponding to alcohol use (versus non-use). Estimated using a multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2).
Time frame: Bursts 1 and 2 (daily for 14 x 2 days)
Population: The Study Aims, as funded, sought to compare combinations of intervention arms. Thus, per this proposed analytic strategy, arms corresponding to control or intervention status were combined as appropriate to permit the analysis of hypothesized intervention main effects.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| No Intervention, No Intervention (AA) | Alcohol Use --> IPV Perpetration (Pre-Intervention) | 1.26 Odds Ratio |
| No Intervention, Attention-Control Texts (AB) | Alcohol Use --> IPV Perpetration (Pre-Intervention) | 1.32 Odds Ratio |
Comparison: Multilevel logistic regression of daily IPV perpetration on alcohol use (Level 1) nested within participant (Level 2) with interaction between alcohol use and CBT Intervention.~Testing the difference in odds ratio between groups 1 (No Intervention and Attention Control ) and 2 (CBT Texts Intervention) H0: OR1 = OR2p-value: 0.869Multilevel logistic regression
Primary
Intimate Partner Violence (IPV) Perpetration (Burst 1)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 1, Daily for 14 days
Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .019 Proportion of reporting days | Standard Deviation 0.034 |
| No Intervention, Attention-Control Texts (AB) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .035 Proportion of reporting days | Standard Deviation 0.066 |
| No Intervention, CBT Texts (AC) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .031 Proportion of reporting days | Standard Deviation 0.058 |
| Attention-Control Texts, No Intervention (BA) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .031 Proportion of reporting days | Standard Deviation 0.062 |
| Attention-Control Texts, Attention-Control Texts (BB) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .017 Proportion of reporting days | Standard Deviation 0.036 |
| Attention-Control Texts, CBT Texts (BC) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .024 Proportion of reporting days | Standard Deviation 0.05 |
| CBT Texts, No Intervention (CA) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .022 Proportion of reporting days | Standard Deviation 0.051 |
| CBT Texts, Attention-Control Texts (CB) | Intimate Partner Violence (IPV) Perpetration (Burst 1) | .041 Proportion of reporting days | Standard Deviation 0.07 |
Primary
IPV Perpetration (Burst 2)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 2, Daily for 14 days
Population: Only 448 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | IPV Perpetration (Burst 2) | .047 Proportion of reporting days | Standard Deviation 0.113 |
| No Intervention, Attention-Control Texts (AB) | IPV Perpetration (Burst 2) | .013 Proportion of reporting days | Standard Deviation 0.039 |
| No Intervention, CBT Texts (AC) | IPV Perpetration (Burst 2) | .015 Proportion of reporting days | Standard Deviation 0.041 |
| Attention-Control Texts, No Intervention (BA) | IPV Perpetration (Burst 2) | .026 Proportion of reporting days | Standard Deviation 0.057 |
| Attention-Control Texts, Attention-Control Texts (BB) | IPV Perpetration (Burst 2) | .018 Proportion of reporting days | Standard Deviation 0.038 |
| Attention-Control Texts, CBT Texts (BC) | IPV Perpetration (Burst 2) | .026 Proportion of reporting days | Standard Deviation 0.046 |
| CBT Texts, No Intervention (CA) | IPV Perpetration (Burst 2) | .025 Proportion of reporting days | Standard Deviation 0.05 |
| CBT Texts, Attention-Control Texts (CB) | IPV Perpetration (Burst 2) | .035 Proportion of reporting days | Standard Deviation 0.066 |
Primary
IPV Perpetration (Burst 3)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 3, Daily for 14 days
Population: Only 429 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | IPV Perpetration (Burst 3) | .042 Proportion of reporting days | Standard Deviation 0.101 |
| No Intervention, Attention-Control Texts (AB) | IPV Perpetration (Burst 3) | .049 Proportion of reporting days | Standard Deviation 0.081 |
| No Intervention, CBT Texts (AC) | IPV Perpetration (Burst 3) | .018 Proportion of reporting days | Standard Deviation 0.043 |
| Attention-Control Texts, No Intervention (BA) | IPV Perpetration (Burst 3) | .019 Proportion of reporting days | Standard Deviation 0.056 |
| Attention-Control Texts, Attention-Control Texts (BB) | IPV Perpetration (Burst 3) | .015 Proportion of reporting days | Standard Deviation 0.05 |
| Attention-Control Texts, CBT Texts (BC) | IPV Perpetration (Burst 3) | .021 Proportion of reporting days | Standard Deviation 0.05 |
| CBT Texts, No Intervention (CA) | IPV Perpetration (Burst 3) | .014 Proportion of reporting days | Standard Deviation 0.041 |
| CBT Texts, Attention-Control Texts (CB) | IPV Perpetration (Burst 3) | .053 Proportion of reporting days | Standard Deviation 0.139 |
Primary
IPV Perpetration (Burst 4)
Proportion of reporting days on which IPV perpetration occurred
Time frame: Burst 4, Daily for 14 days
Population: Only 435 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | IPV Perpetration (Burst 4) | .042 Proportion of reporting days | Standard Deviation 0.135 |
| No Intervention, Attention-Control Texts (AB) | IPV Perpetration (Burst 4) | .020 Proportion of reporting days | Standard Deviation 0.039 |
| No Intervention, CBT Texts (AC) | IPV Perpetration (Burst 4) | .017 Proportion of reporting days | Standard Deviation 0.048 |
| Attention-Control Texts, No Intervention (BA) | IPV Perpetration (Burst 4) | .014 Proportion of reporting days | Standard Deviation 0.032 |
| Attention-Control Texts, Attention-Control Texts (BB) | IPV Perpetration (Burst 4) | .045 Proportion of reporting days | Standard Deviation 0.139 |
| Attention-Control Texts, CBT Texts (BC) | IPV Perpetration (Burst 4) | .026 Proportion of reporting days | Standard Deviation 0.069 |
| CBT Texts, No Intervention (CA) | IPV Perpetration (Burst 4) | .011 Proportion of reporting days | Standard Deviation 0.036 |
| CBT Texts, Attention-Control Texts (CB) | IPV Perpetration (Burst 4) | .033 Proportion of reporting days | Standard Deviation 0.07 |
Secondary
COVID Stress (Burst 1)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 1, Daily for 14 days
Population: 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | COVID Stress (Burst 1) | 1.88 Average daily count of CS indicators | Standard Deviation 1.11 |
| No Intervention, Attention-Control Texts (AB) | COVID Stress (Burst 1) | 2.07 Average daily count of CS indicators | Standard Deviation 1.07 |
| No Intervention, CBT Texts (AC) | COVID Stress (Burst 1) | 1.81 Average daily count of CS indicators | Standard Deviation 0.83 |
| Attention-Control Texts, No Intervention (BA) | COVID Stress (Burst 1) | 1.87 Average daily count of CS indicators | Standard Deviation 1 |
| Attention-Control Texts, Attention-Control Texts (BB) | COVID Stress (Burst 1) | 1.61 Average daily count of CS indicators | Standard Deviation 0.99 |
| Attention-Control Texts, CBT Texts (BC) | COVID Stress (Burst 1) | 1.69 Average daily count of CS indicators | Standard Deviation 0.85 |
| CBT Texts, No Intervention (CA) | COVID Stress (Burst 1) | 1.72 Average daily count of CS indicators | Standard Deviation 0.98 |
| CBT Texts, Attention-Control Texts (CB) | COVID Stress (Burst 1) | 1.84 Average daily count of CS indicators | Standard Deviation 1.01 |
Secondary
COVID Stress (Burst 2)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 2, Daily for 14 days
Population: Only 447 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | COVID Stress (Burst 2) | 1.88 Average daily count of CS indicators | Standard Deviation 1.11 |
| No Intervention, Attention-Control Texts (AB) | COVID Stress (Burst 2) | 2.07 Average daily count of CS indicators | Standard Deviation 1.07 |
| No Intervention, CBT Texts (AC) | COVID Stress (Burst 2) | 1.81 Average daily count of CS indicators | Standard Deviation 0.83 |
| Attention-Control Texts, No Intervention (BA) | COVID Stress (Burst 2) | 1.88 Average daily count of CS indicators | Standard Deviation 1 |
| Attention-Control Texts, Attention-Control Texts (BB) | COVID Stress (Burst 2) | 1.61 Average daily count of CS indicators | Standard Deviation 0.99 |
| Attention-Control Texts, CBT Texts (BC) | COVID Stress (Burst 2) | 1.69 Average daily count of CS indicators | Standard Deviation 0.85 |
| CBT Texts, No Intervention (CA) | COVID Stress (Burst 2) | 1.72 Average daily count of CS indicators | Standard Deviation 0.98 |
| CBT Texts, Attention-Control Texts (CB) | COVID Stress (Burst 2) | 1.84 Average daily count of CS indicators | Standard Deviation 1.01 |
Secondary
COVID Stress (Burst 3)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 3, Daily for 14 days
Population: Only 427 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | COVID Stress (Burst 3) | 2.20 Average daily count of CS indicators | Standard Deviation 1.22 |
| No Intervention, Attention-Control Texts (AB) | COVID Stress (Burst 3) | 1.93 Average daily count of CS indicators | Standard Deviation 0.99 |
| No Intervention, CBT Texts (AC) | COVID Stress (Burst 3) | 1.80 Average daily count of CS indicators | Standard Deviation 0.79 |
| Attention-Control Texts, No Intervention (BA) | COVID Stress (Burst 3) | 1.88 Average daily count of CS indicators | Standard Deviation 1.06 |
| Attention-Control Texts, Attention-Control Texts (BB) | COVID Stress (Burst 3) | 1.64 Average daily count of CS indicators | Standard Deviation 0.97 |
| Attention-Control Texts, CBT Texts (BC) | COVID Stress (Burst 3) | 1.70 Average daily count of CS indicators | Standard Deviation 0.88 |
| CBT Texts, No Intervention (CA) | COVID Stress (Burst 3) | 1.77 Average daily count of CS indicators | Standard Deviation 1.01 |
| CBT Texts, Attention-Control Texts (CB) | COVID Stress (Burst 3) | 1.85 Average daily count of CS indicators | Standard Deviation 1.03 |
Secondary
COVID Stress (Burst 4)
Average daily count of COVID stress (CS) indicators
Time frame: Burst 4, Daily for 14 days
Population: Only 432 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | COVID Stress (Burst 4) | 2.09 Average daily count of CS indicators | Standard Deviation 1.25 |
| No Intervention, Attention-Control Texts (AB) | COVID Stress (Burst 4) | 2.00 Average daily count of CS indicators | Standard Deviation 1.03 |
| No Intervention, CBT Texts (AC) | COVID Stress (Burst 4) | 1.87 Average daily count of CS indicators | Standard Deviation 0.91 |
| Attention-Control Texts, No Intervention (BA) | COVID Stress (Burst 4) | 1.82 Average daily count of CS indicators | Standard Deviation 1.03 |
| Attention-Control Texts, Attention-Control Texts (BB) | COVID Stress (Burst 4) | 1.65 Average daily count of CS indicators | Standard Deviation 0.97 |
| Attention-Control Texts, CBT Texts (BC) | COVID Stress (Burst 4) | 1.65 Average daily count of CS indicators | Standard Deviation 0.8 |
| CBT Texts, No Intervention (CA) | COVID Stress (Burst 4) | 1.71 Average daily count of CS indicators | Standard Deviation 0.99 |
| CBT Texts, Attention-Control Texts (CB) | COVID Stress (Burst 4) | 1.87 Average daily count of CS indicators | Standard Deviation 1.02 |
Secondary
Gender Minority Stress (Burst 1)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 1, Daily for 14 days
Population: Only 162 of 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Gender Minority Stress (Burst 1) | .80 Average daily count of GMS indicators | Standard Deviation 0.79 |
| No Intervention, Attention-Control Texts (AB) | Gender Minority Stress (Burst 1) | .73 Average daily count of GMS indicators | Standard Deviation 0.5 |
| No Intervention, CBT Texts (AC) | Gender Minority Stress (Burst 1) | 1.17 Average daily count of GMS indicators | Standard Deviation 1.04 |
| Attention-Control Texts, No Intervention (BA) | Gender Minority Stress (Burst 1) | 1.13 Average daily count of GMS indicators | Standard Deviation 0.88 |
| Attention-Control Texts, Attention-Control Texts (BB) | Gender Minority Stress (Burst 1) | .73 Average daily count of GMS indicators | Standard Deviation 0.44 |
| Attention-Control Texts, CBT Texts (BC) | Gender Minority Stress (Burst 1) | 1.09 Average daily count of GMS indicators | Standard Deviation 0.87 |
| CBT Texts, No Intervention (CA) | Gender Minority Stress (Burst 1) | .94 Average daily count of GMS indicators | Standard Deviation 2.17 |
| CBT Texts, Attention-Control Texts (CB) | Gender Minority Stress (Burst 1) | 1.14 Average daily count of GMS indicators | Standard Deviation 0.99 |
Secondary
Gender Minority Stress (Burst 2)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 2, Daily for 14 days
Population: Only 162 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Gender Minority Stress (Burst 2) | .82 Average daily count of GMS indicators | Standard Deviation 1.04 |
| No Intervention, Attention-Control Texts (AB) | Gender Minority Stress (Burst 2) | .64 Average daily count of GMS indicators | Standard Deviation 0.48 |
| No Intervention, CBT Texts (AC) | Gender Minority Stress (Burst 2) | 1.05 Average daily count of GMS indicators | Standard Deviation 1.09 |
| Attention-Control Texts, No Intervention (BA) | Gender Minority Stress (Burst 2) | .73 Average daily count of GMS indicators | Standard Deviation 1.07 |
| Attention-Control Texts, Attention-Control Texts (BB) | Gender Minority Stress (Burst 2) | .91 Average daily count of GMS indicators | Standard Deviation 0.74 |
| Attention-Control Texts, CBT Texts (BC) | Gender Minority Stress (Burst 2) | .95 Average daily count of GMS indicators | Standard Deviation 0.85 |
| CBT Texts, No Intervention (CA) | Gender Minority Stress (Burst 2) | .97 Average daily count of GMS indicators | Standard Deviation 2.14 |
| CBT Texts, Attention-Control Texts (CB) | Gender Minority Stress (Burst 2) | .95 Average daily count of GMS indicators | Standard Deviation 0.92 |
Secondary
Gender Minority Stress (Burst 3)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 3, Daily for 14 days
Population: Only 145 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Gender Minority Stress (Burst 3) | .50 Average daily count of GMS indicators | Standard Deviation 0.77 |
| No Intervention, Attention-Control Texts (AB) | Gender Minority Stress (Burst 3) | .80 Average daily count of GMS indicators | Standard Deviation 0.82 |
| No Intervention, CBT Texts (AC) | Gender Minority Stress (Burst 3) | .77 Average daily count of GMS indicators | Standard Deviation 1.02 |
| Attention-Control Texts, No Intervention (BA) | Gender Minority Stress (Burst 3) | .73 Average daily count of GMS indicators | Standard Deviation 1.16 |
| Attention-Control Texts, Attention-Control Texts (BB) | Gender Minority Stress (Burst 3) | .73 Average daily count of GMS indicators | Standard Deviation 0.63 |
| Attention-Control Texts, CBT Texts (BC) | Gender Minority Stress (Burst 3) | .98 Average daily count of GMS indicators | Standard Deviation 1.06 |
| CBT Texts, No Intervention (CA) | Gender Minority Stress (Burst 3) | .89 Average daily count of GMS indicators | Standard Deviation 2.13 |
| CBT Texts, Attention-Control Texts (CB) | Gender Minority Stress (Burst 3) | .87 Average daily count of GMS indicators | Standard Deviation 0.98 |
Secondary
Gender Minority Stress (Burst 4)
Total daily count across 14 daily gender minority stress (GMS) indicators
Time frame: Burst 4, Daily for 14 days
Population: Only 153 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Gender Minority Stress (Burst 4) | .24 Average daily count of GMS indicators | Standard Deviation 0.42 |
| No Intervention, Attention-Control Texts (AB) | Gender Minority Stress (Burst 4) | .46 Average daily count of GMS indicators | Standard Deviation 0.59 |
| No Intervention, CBT Texts (AC) | Gender Minority Stress (Burst 4) | .70 Average daily count of GMS indicators | Standard Deviation 0.7 |
| Attention-Control Texts, No Intervention (BA) | Gender Minority Stress (Burst 4) | .41 Average daily count of GMS indicators | Standard Deviation 0.53 |
| Attention-Control Texts, Attention-Control Texts (BB) | Gender Minority Stress (Burst 4) | .76 Average daily count of GMS indicators | Standard Deviation 0.81 |
| Attention-Control Texts, CBT Texts (BC) | Gender Minority Stress (Burst 4) | .93 Average daily count of GMS indicators | Standard Deviation 1.52 |
| CBT Texts, No Intervention (CA) | Gender Minority Stress (Burst 4) | .88 Average daily count of GMS indicators | Standard Deviation 2.33 |
| CBT Texts, Attention-Control Texts (CB) | Gender Minority Stress (Burst 4) | .65 Average daily count of GMS indicators | Standard Deviation 0.73 |
Secondary
Sexual Minority Stress (Burst 1)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 1, Daily for 14 days
Population: Only 451 of 452 participants, across all arms, had reported outcome for Burst 1. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Sexual Minority Stress (Burst 1) | .48 Average daily count of SMS indicators | Standard Deviation 0.53 |
| No Intervention, Attention-Control Texts (AB) | Sexual Minority Stress (Burst 1) | .54 Average daily count of SMS indicators | Standard Deviation 0.56 |
| No Intervention, CBT Texts (AC) | Sexual Minority Stress (Burst 1) | .55 Average daily count of SMS indicators | Standard Deviation 0.71 |
| Attention-Control Texts, No Intervention (BA) | Sexual Minority Stress (Burst 1) | .59 Average daily count of SMS indicators | Standard Deviation 0.64 |
| Attention-Control Texts, Attention-Control Texts (BB) | Sexual Minority Stress (Burst 1) | .32 Average daily count of SMS indicators | Standard Deviation 0.37 |
| Attention-Control Texts, CBT Texts (BC) | Sexual Minority Stress (Burst 1) | .42 Average daily count of SMS indicators | Standard Deviation 0.57 |
| CBT Texts, No Intervention (CA) | Sexual Minority Stress (Burst 1) | .50 Average daily count of SMS indicators | Standard Deviation 1.23 |
| CBT Texts, Attention-Control Texts (CB) | Sexual Minority Stress (Burst 1) | .58 Average daily count of SMS indicators | Standard Deviation 0.82 |
Secondary
Sexual Minority Stress (Burst 2)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 2, Daily for 14 days
Population: Only 447 of 452 participants, across all arms, had reported outcome for Burst 2. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Sexual Minority Stress (Burst 2) | .39 Average daily count of SMS indicators | Standard Deviation 0.46 |
| No Intervention, Attention-Control Texts (AB) | Sexual Minority Stress (Burst 2) | .32 Average daily count of SMS indicators | Standard Deviation 0.4 |
| No Intervention, CBT Texts (AC) | Sexual Minority Stress (Burst 2) | .53 Average daily count of SMS indicators | Standard Deviation 0.62 |
| Attention-Control Texts, No Intervention (BA) | Sexual Minority Stress (Burst 2) | .42 Average daily count of SMS indicators | Standard Deviation 0.65 |
| Attention-Control Texts, Attention-Control Texts (BB) | Sexual Minority Stress (Burst 2) | .32 Average daily count of SMS indicators | Standard Deviation 0.36 |
| Attention-Control Texts, CBT Texts (BC) | Sexual Minority Stress (Burst 2) | .36 Average daily count of SMS indicators | Standard Deviation 0.69 |
| CBT Texts, No Intervention (CA) | Sexual Minority Stress (Burst 2) | .43 Average daily count of SMS indicators | Standard Deviation 1.26 |
| CBT Texts, Attention-Control Texts (CB) | Sexual Minority Stress (Burst 2) | .37 Average daily count of SMS indicators | Standard Deviation 0.49 |
Secondary
Sexual Minority Stress (Burst 3)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 3, Daily for 14 days
Population: Only 428 of 452 participants, across all arms, had reported outcome for Burst 3. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Sexual Minority Stress (Burst 3) | .31 Average daily count of SMS indicators | Standard Deviation 0.39 |
| No Intervention, Attention-Control Texts (AB) | Sexual Minority Stress (Burst 3) | .29 Average daily count of SMS indicators | Standard Deviation 0.35 |
| No Intervention, CBT Texts (AC) | Sexual Minority Stress (Burst 3) | .41 Average daily count of SMS indicators | Standard Deviation 0.69 |
| Attention-Control Texts, No Intervention (BA) | Sexual Minority Stress (Burst 3) | .42 Average daily count of SMS indicators | Standard Deviation 0.65 |
| Attention-Control Texts, Attention-Control Texts (BB) | Sexual Minority Stress (Burst 3) | .31 Average daily count of SMS indicators | Standard Deviation 0.44 |
| Attention-Control Texts, CBT Texts (BC) | Sexual Minority Stress (Burst 3) | .30 Average daily count of SMS indicators | Standard Deviation 0.59 |
| CBT Texts, No Intervention (CA) | Sexual Minority Stress (Burst 3) | .31 Average daily count of SMS indicators | Standard Deviation 1.02 |
| CBT Texts, Attention-Control Texts (CB) | Sexual Minority Stress (Burst 3) | .30 Average daily count of SMS indicators | Standard Deviation 0.53 |
Secondary
Sexual Minority Stress (Burst 4)
Total daily count across 15 daily sexual minority stress (SMS) indicators
Time frame: Burst 4, Daily for 14 days
Population: Only 434 of 452 participants, across all arms, had reported outcome for Burst 4. Results data were pre-specified according to the Study Protocol and Statistical Analysis Plan to be assessed in the per-sequence Arms/Groups (e.g., No Intervention, No Intervention (AA), Attention-Control Texts, Attention-Control Texts (BB), CBT Texts, Attention-Control Texts (CB)). Thus, no arms are combined and all results are reported for each arm separately.
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| No Intervention, No Intervention (AA) | Sexual Minority Stress (Burst 4) | .34 Average daily count of SMS indicators | Standard Deviation 0.63 |
| No Intervention, Attention-Control Texts (AB) | Sexual Minority Stress (Burst 4) | .37 Average daily count of SMS indicators | Standard Deviation 0.44 |
| No Intervention, CBT Texts (AC) | Sexual Minority Stress (Burst 4) | .34 Average daily count of SMS indicators | Standard Deviation 0.48 |
| Attention-Control Texts, No Intervention (BA) | Sexual Minority Stress (Burst 4) | .32 Average daily count of SMS indicators | Standard Deviation 0.53 |
| Attention-Control Texts, Attention-Control Texts (BB) | Sexual Minority Stress (Burst 4) | .39 Average daily count of SMS indicators | Standard Deviation 0.72 |
| Attention-Control Texts, CBT Texts (BC) | Sexual Minority Stress (Burst 4) | .33 Average daily count of SMS indicators | Standard Deviation 0.74 |
| CBT Texts, No Intervention (CA) | Sexual Minority Stress (Burst 4) | .26 Average daily count of SMS indicators | Standard Deviation 1.16 |
| CBT Texts, Attention-Control Texts (CB) | Sexual Minority Stress (Burst 4) | .30 Average daily count of SMS indicators | Standard Deviation 0.38 |