This proposed pilot study aims to evaluate the "EmbraceMe", a self-compassion intervention to improve positive body image and mental health among transgender and gender-diverse (TGD) people in Hong Kong.
aged 18 years or above;
self-identified as a transgender and gender-diverse (TGD) individual;
sufficient comprehension of Cantonese;
currently livein Hong Kong;
currently experiencing psychosis;
having an intellectual disability;
experiencing current suicidal ideation (score ≥ 4) as measured using the Columbiasuicide severity rating scale
currently enrolled in or have previously received similarservices or interventions.
Parallel
"Embraceme" self-compassion intervention
Other interventionParticipants in the "EmbraceMe" intervention group will receive group-based self-compassion intervention comprising five consecutive weekly sessions, with each session lasting 2 hours (totaling 10 hours). Each session will include an introduction, guided exercises, group discussions and home practice.
Feasibility outcomes
Completion rate: In each group, the completion rate is defined as the number of participants who complete outcome measurements at immediate post-intervention and 3-month follow-up divided by those who are randomized.
Acceptability
The acceptability of the intervention will be assessed using a self-developed online acceptancequestionnaire. It consists of 10 items rated on a 5-point Likert scale (1 = very dissatisfied, 5 = very satisfied). Furthermore, semi-structured individual interviews will be conducted to explore the participants' experiences of the intervention.
Self-compassion
Self-compassion will be measured using the short version of the self-compassion scale. It has 12 items. The total score ranges from 12 to 60, with higher scores indicating a higher level of self-compassion.
Internalized stigma
Internalized stigma will be measured by the Chinese version of the self-stigma scale. It has 9 items. The total score ranges from 9 to 36, with higher scores indicating a higher level of internalized stigma.
Self-esteem
Self-esteem will be assessed by the Rosenberg Self-esteem Scale (RES). It has 10 items. The total score ranges from 10 to 40, with higher scores indicating highlevels of self-esteem.
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