Tuesday, November 18, 2025 11/18/2025

Modeling Resilience as a Multidimensional Protective Factor for Transgender Health Disparities: Measure Development and Longitudinal Evaluation of Resilience

Award Number: R01MD018051
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/25/2022
PERIOD OF PERFORMANCE END DATE: 06/30/2026

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Modeling Resilience as a Multidimensional Protective Factor for Transgender Health Disparities: Measure Development and Longitudinal Evaluation of Resilience - ABSTRACT The proposed research will focus on understanding the role of resilience in addressing mental health disparities for transgender and gender diverse (TGD) individuals. Clinical and scientific understandings of TGD health have been conceptualized primarily through the minority stress model (Brooks, 1981; Meyer, 1995; 2003; Testa et al., 2015) which disproportionately focuses on deficit and risk. In contrast, resilience moves beyond risk identification and has the potential to inform the development of interventions to help protect TGD people from minority stressors and heal from the consequent harm (Meyer, 2015). Matsuno & Israel (2018) recently proposed the Transgender Resilience Intervention Model (TRIM) as an expanded version of the minority stress model (Meyer, 2003; Testa et al., 2015). TRIM presents a promising theoretical framework from which to understand the role of resilience in mitigating the impact of minority stressors on mental health for TGD individuals. However, current measures do not provide a comprehensive way to assess TGD resilience as outlined in the TRIM. Our preliminary work significantly broadens the conceptualization of resilience and provides an important starting point from which to develop items for our proposed Multidimensional TGD- Resilience Scale. We incorporate findings from our review (Puckett et al., 2022) with recent research and preliminary data from each of the MPIs in order to map onto NIMHD’s health disparities research framework. We will use this framework as a conceptual map for developing initial items for our Multidimensional TGD- Resilience Scale that reflect individual, interpersonal, community, and societal levels of influence. In order to broaden the utility of our measure to address the unique needs of TGD POC, we propose a fifth level of influence related to intersectional resilience. In this 4-year MPI project, Drs. Puckett, Matsuno, and Galupo will work with expert and community panelists to develop and evaluate initial scale items for our Multidimensional TGD-Resilience Scale (Aim 1), psychometrically investigate our novel measure (Aim 2), and investigate the protective function of resilience in relation to TGD health disparities using a longitudinal design (Aim 3). This project is poised to broaden our conceptualization and measurement practices for TGD Resilience, reframe the overall approach to TGD health to incorporate a strengths-based focus, and inform the development of targeted mental health interventions to bolster resilience. This application is in response to PAR-22-072, which calls for research on measures and methods to advance research on minority health and health disparities- related constructs. The factors influencing TGD health disparities are under-researched and there are no measures that reflect multidimensional manifestations of resilience or the unique characteristics of resilience for TGD people. Our focus on protective factors directly aligns with NIMHD’s areas of interest and our community-participatory approach provides an avenue for future research to better reflect TGD people’s lives.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $533,549 )
2025	2025	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	003	4	7/14/2025	NON-COMPETING CONTINUATION	$533,549
2025	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	002	3	7/9/2025	NON-COMPETING CONTINUATION	$0
2025	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	000	3	3/20/2025	NON-COMPETING CONTINUATION	$0
2025	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	001	3	7/5/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $533,549

Issue Date FY: 2024 ( Subtotal = $534,452 )
2024	2024	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	002	3	6/23/2024	NON-COMPETING CONTINUATION	$534,452
2024	2023	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	001	2	1/18/2024	NON-COMPETING CONTINUATION	$0
2024	2023	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	000	2	10/26/2023	NON-COMPETING CONTINUATION	$0
														Subtotal = $534,452

Issue Date FY: 2023 ( Subtotal = $576,080 )
2023	2023	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	001	2	6/2/2023	NON-COMPETING CONTINUATION	$576,080
2023	2022	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	002	1	6/5/2023	NEW	$0
2023	2022	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	000	1	11/3/2022	NEW	$0
														Subtotal = $576,080

Issue Date FY: 2022 ( Subtotal = $611,963 )
2022	2022	MICHIGAN STATE UNIVERSITY	426 AUDITORIUM RD RM 2	EAST LANSING	MI	48824	INGHAM	USA	Minority Health and Health Disparities Research	000	1	9/26/2022	NEW	$611,963
														Subtotal = $611,963

Grand Total All Awards = $2,256,044

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Modeling Resilience as a Multidimensional Protective Factor for Transgender Health Disparities: Measure Development and Longitudinal Evaluation of Resilience

Award Number: R01MD018051

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/25/2022

PERIOD OF PERFORMANCE END DATE: 06/30/2026

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