TransHealthGUIDE: Digital support for gender-diverse young adults and their caregivers
Official title: THE GUIDE: Transforming Health for Young Adults Using Interventions to Drive Engagement
Run by Boston Children's Hospital · NCT06177600 · Data updated 2026-11-12
This trial tests an interactive educational app to support transgender and gender-diverse young adults ages 18-29 and their caregivers and see if using it improves mental health outcomes.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 29 Years |
| Sex | All |
| Enrollment | 500 (estimated) |
| Sponsor | Boston Children's Hospital Academic / other |
| Locations | 1 site (Boston, Massachusetts) |
| Status | Recruiting |
| Started | April 23, 2025 |
| Main results expected | August 31, 2027 |
| Study ends | August 31, 2027 |
| Registry record updated | September 9, 2026 |
| Trial ID | NCT06177600 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are English-speaking transgender or gender-diverse individuals aged 18-29 and their caregivers who live in California, Oregon, Illinois, Maryland, the District of Columbia, Vermont, Connecticut, Massachusetts, Michigan, New Jersey, or New York and who have a device with internet access.
✕Probably not a fit
People who cannot read or speak English, lack a device with internet access, or live outside the listed states would be ineligible and unlikely to benefit from this intervention.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This randomized controlled trial assigns transgender and gender-diverse young adults (ages 18-29) and their caregivers to immediate access to an interactive educational app plus usual care or to a deferred-access usual care arm. The digital platform delivers educational modules and supportive resources and is available to participants for six months with continued observation through 12 months. The primary outcome is reduction in suicidal ideation; secondary outcomes include psychological distress, anxiety, and measures of caregiver support and communication, with assessments at baseline, 3, 6, and 12 months. Analyses follow intention-to-treat and the investigators plan for at least 80% retention to detect a clinically meaningful change in suicidal ideation.
Why it matters
Potential benefit: If successful, the app could reduce suicidal thoughts and improve mental health and caregiver communication for transgender and gender-diverse young adults.
How similar studies have gone: Prior digital mental-health programs and family-support interventions for LGBTQ+ youth have shown promise, but rigorous randomized evidence specifically for transgender and gender-diverse young adults is limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Gender diverse individuals aged 18-29 years residing in California, Oregon, Illinois, Maryland, District of Columbia, Vermont, Connecticut, Massachusetts, Michigan, New Jersey, or New York * Caregivers of gender diverse individuals aged 18-29 years residing in California, Oregon, Illinois, Maryland, District of Columbia, Vermont, Connecticut, Massachusetts, Michigan, New Jersey, or New York Exclusion Criteria: * Inability to speak, read, and write English * Lack of device with Internet access * Current residence in location other than California, Oregon, Illinois, Maryland, District of Columbia, Vermont, Connecticut, Massachusetts, Michigan, New Jersey, or New York
Where it's running
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Boston Children's Hospital
Boston, Massachusetts, United States Recruiting
Study contacts
- Principal investigator: Rena Xu — Boston Children's Hospital
- Study coordinator: Cassandra Program Manager
- Email: theguide@childrens.harvard.edu
- Phone: 617-919-1369
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.