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Current Research Studies

We have a variety of studies active and ongoing. Below you can learn more about each of our studies. To read more about the papers we've written based on our research, you can also check out our Publications page.

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Trans Resilience & Health in Sociopolitical Contexts

A collaborative study of how place and sociopolitical events relate to health and resilience for transgender individuals.

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Researchers: This study is co-led by Drs. Jae Puckett at MSU and Zachary DuBois at the University of Oregon. We also have site leaders in Nebraska and research teams that have been involved across Nebraska and Tennessee. 

 

Overall Aims: The overall aims of this study were to understand and document how place and sociopolitical context relates to health and resilience for transgender and gender diverse people. 

 

What's included in this study? We gathered data with 158 transgender people across the U.S. in the states of OR, MI, TN, and NE, places that substantially vary in their supports for transgender individuals. There was a baseline visit where we conducted hour long interviews about living in this area, recent sociopolitical events, and definitions of resilience; a variety of surveys on topics like social support, mental/physical health, and resilience; and finally a series of physiological measurements that reflect stress and health outcomes. We then surveyed participants monthly for a year. At the end of the year, we conducted another interview with participants and repeated the physiological measurements from baseline. 

 

What's the current status of this study? We completed data collection fall 2021. While we have published a number of findings from this project, we are actively continuing to analyze and publish data from this project given the depth of data collection.

 

What are the findings from this study?

We are still in the process of analyzing data from this large study. A few key findings so far: 

  • Check out the summary report for a big picture overview of the study findings. 

  • Dr. Jae Puckett presenting about participants' experiences of therapy.

  • Drs. Zachary DuBois and Jae Puckett presenting about resilience and health during COVID-19 pandemic.

  • Drs. Jae Puckett and Zachary DuBois present their poster on structural stigma and mental health.

  • This publication presents data regarding participants' experiences of mask wearing during the pandemic and how this was experienced differently across gender groups. 

  • Here we describe how the effects of perceptions of local context on mental health were partially explained by enacted stigma and internalized stigma

  • This publication covers information related to engagement in mental health services and perceptions of therapists' competence and knowledge. 

  • This publication explores the positive benefits of legal gender affirmation, including decreased exposure to enacted stigma and better mental and physical health. 

  • Here we explore trans and nonbinary participants' experiences of minority stress, mental health, and resilience leading up to, during, and after the 2020 presidential election. 

  • This publication examines the associations between distal minority stress and cortisol profiles. 

  • Here we discuss participants' experiences and reactions to a few sociopolitical events, including the 2016 and 2020 presidential elections. 

  • This publication explores helpful and unhelpful responses from therapists when working with trans and nonbinary clients in relation to sociopolitical events. 

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Study Website: https://transresiliencestudy.com/ 

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Minority Stress Measure Development 

A study to develop measures of stress and resilience that accurately reflect the lived experiences of transgender and gender diverse people. 

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Researchers: This study was co-led by Drs. Jae Puckett, Kaston Anderson, and Heather McCauley at MSU and Dr. Zachary DuBois at the University of Oregon also collaborated with us on this study.

 

Overall Aims: The overall aims of this study were to develop measures based directly on the experiences of transgender and gender diverse people to assess minority stressors. We led this study because there are hardly any measures developed with transgender people in mind and most research instead forces transgender people's experiences into models or measures made for cis LGB people. 

 

What's included in this study? We first developed items for these scales from data we've gathered in past research. After we developed the potential items, we conducted cognitive interviews with transgender and nonbinary participants to make sure the items were easy to understand and speak to the unique experiences of transgender and nonbinary individuals. Next we had a panel of experts in trans health research review the items and provide feedback. We also had the Trans-ilience Community Board provide feedback on the scales. After this iterative process of revision, we conducted a large survey to evaluate the reliability and validity of the measures. 

 

What's the current status of this study? This project began September 2020. We developed 8 novel scales to measure unique forms of minority stress for transgender and nonbinary people. In 2023, we finished a large-scale measure validation survey. We have published the main scales that were created and are continuing to publish from other parts of this data set. 

 

What are the findings from this study?

We are still in the process of analyzing data from this large study. A few key findings so far: 

  • This publication includes the validation analyses for our new measures of novel forms of minority stress that trans and nonbinary people experience. 

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Funders: This study is funded by the Office Of The Director, National Institutes Of Health; National Institute On Minority Health And Health Disparities (NIMHD); and the National Cancer Institute (NCI)

Color Prism Transparent

Modeling Resilience as a Multidimensional Protective Factor in Transgender Health Disparities

This is a large, multi-phase study where we are developing a novel measure of resilience for transgender and nonbinary participants and validating this measure. We are using this measure in a longitudinal study to evaluate whether resilience, as understood from the experiences of trans and nonbinary communities, buffers the effects of stressors and promotes better health outcomes. 

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Researchers: This study is led by Dr. Jae Puckett, Dr. Em Matsuno (Arizona State University), and Dr. Paz Galupo (Wash U, St. Louis).

 

Overall Aims: The primary aims of this study were to develop and validate a novel measure of resilience for trans and nonbinary participants and to explore whether resilience buffers the impact of minority stressors or promotes better health outcomes when measured with this scale. Past research has largely attempted to fit trans and nonbinary people's experiences into cisgender frameworks, including areas such as resilience research. As such, we see that many of the measures in the literature do not adequately reflect the experiences of trans and nonbinary people. Because of this, research is limited in terms of what can be accurately measured when it comes to resilience. 

 

What's included in this study? We started by developing the measure based on our prior data collection efforts and a review of the resilience literature. We then gathered community input using participatory research methods, as well as input from experts in transgender health research and the Trans-ilience Community Board. After this, we validated the measure in a large study and we are now following participants' experiences for 2.5 years to understand what role resilience, as measured with this new scale, plays in health outcomes. 

 

What's the current status of this study? This study began winter 2022 and is ongoing. We have developed the measure through an iterative, community-engaged process and refined it extensively. The measure was developed initially based on a review of 10 years of qualitative research on resilience, along with data from our past research studies on resilience. We then gathered input from our community advisory board and from a series of 5 focus groups, finished in the Fall 2023, as well as from experts in trans health research. We have completed gathering data from four of our five timepoints, with data collection projected to end July 2026. 

 

What are the findings from this study? We are still in the process of conducting this study and will share more updates as things progress. Here are a few papers we have published from this work so far: 

  • This paper details findings from our focus groups regarding how trans and nonbinary people experience resilience and their feedback on our framework and measure. ​​

  • This paper focused on the scale validation analyses for the Multidimensional Transgender and Nonbinary Resilience Scale. 

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Funders: This study is funded by the National Institute on Minority Health and Health Disparities (NIMHD).

Agreement or affair between a group of colleagues or collaborators.Diversity People who ex

Gathering Community Input  from Transgender and Nonbinary Individuals on the Minority Stress Model

Many studies with trans and nonbinary communities include an emphasis on minority stressors. Even so, this model was initially developed with cisgender LGB people in mind, leaving many gaps when applied to other communities. Past research shows a number of other stressors that trans and nonbinary people may experience that need to be integrated into the minority stress model to better reflect the lives of these communities. This study sought to gather community input on the minority stress model and recent advances in the literature to better inform an adapted version of the minority stress model for application to trans and nonbinary communities. 

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Researchers: This study was led by Dr. Jae Puckett.

 

Overall Aims: The primary aim of this study was to gather input from transgender and nonbinary participants on the minority stress model and recent advances in the literature to produce an adaptation that better reflects the lives of these communities. From this adaptation, future research will be better equipped to measure the types of stressors that trans and nonbinary people experience rather than continuing to attempt to fit this community's experiences into cisgender frameworks. 

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What's included in this study? We gathered community input using participatory research methods, as well as input from our community advisory board. 

 

What's the current status of this study? We are in the process of data analysis at this time. 

 

What are the findings from this study? We are still in the process of data analysis but are looking forward to sharing findings as soon as we have them! Please check back with us.

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Funders: This study was funded by the Lesbian Health Fund.

Connected group concept as many different ropes tied and linked together as an unbreakable

Resilience Research: Reviewing Research with Transgender and Nonbinary Communities 

We have two reviews we are conducting that will help to shed light on areas for improvement in resilience research with trans and nonbinary communities. 

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Researchers: This study is led by Dr. Jae Puckett. The review of measures of resilience was conducted in collaboration with Dr. Em Matsuno (Arizona State University) and Sergio Domínguez (University of Wisconsin-Madison). 

 

Overall Aims: There has been a growth in research on resilience in transgender and nonbinary people and communities. Even so, there have been significant issues related to measurement and conceptualization of resilience. This work entails two reviews: 1) a review of the past 10 years of research on resilience with transgender and gender diverse participants in which we compared qualitative findings on how trans and nonbinary people described their experiences of resilience to quantitative research and how these studies measured resilience in their scales; and 2) a scoping review of quantitative research on resilience to understand what relationships have been examined and what gaps remain. 

 

What's the current status of this study? The review related to the measurement of resilience has been published. We are in the process of data extraction for our scoping review. 

 

What are the findings from this study? We found that there are many discrepancies between how transgender people describe experiences of resilience and the ways that researchers have measured resilience. Check out our paper here for more details. We are still in process of the scoping review. â€‹

Image by Patrick Perkins

Trans and Nonbinary Perspectives on Structural Stigma

This qualitative study uses interviews with trans and nonbinary people living in states with anti-trans legislation to understand their experiences with negative community attitudes and discriminatory legislation, and how these factors affect their wellbeing.

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Researchers: This study is led by Devon Kimball, MA (doctoral candidate), supported by their advisor, Dr. Jae Puckett.

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Overall Aims: The overall research focus driving this study is on how trans ad nonbinary young adults see structural stigma as a factor in their own lives and experiences. 

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What's included in this study? This study included interviews with 17 trans or nonbinary people aged 18-24 from states with anti-trans legislation. Interviews asked about their experiences with structural stigma in the form of community attitudes towards trans and nonbinary people and anti-trans legislation.

 

What's the current status of this study? Data analysis is nearing completion and findings from this study will be available later in 2026. 

 

What are the findings from this study? No publications or finalized findings yet. We will share more as this project progresses. â€‹

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Funders: This study was funded by Michigan State University Department of Psychology (Graduate Student Justice, Diversity, Equity, or Inclusion Research Grant) and Michigan State University Consortium for Sexual & Gender Minority Health (Sexual and Gender Minority Health Seed Grant)

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Sexual Minority People of Color’s Experience of Power and Privilege in Romantic Relationships

A study to explore the ways power and privilege influence how sexual minority people of color navigate lived experiences and the impact on their relationship satisfaction.

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Researchers: This study is led by Kalei Glozier, MA (doctoral candidate), supported by his advisor, Dr. Jae Puckett.

 

Overall Aims: The aim of this study is to explore how sexual minority people of color (SM POC) experience satisfaction in their romantic relationships and how their intersecting identities shape those experiences. Using an intersectional lens, the study examines how systems of power, privilege, discrimination, and broader sociopolitical contexts influence relationship dynamics. Through individual interviews with a diverse group of SM POC adults currently in romantic relationships, the project gathered narratives about relationship satisfaction, challenges, and strengths. Guided by critical constructivist grounded theory, the research aims to deepen understanding of the relational experiences of SM POC and illuminate how intersectional identities and structural forces shape relationship satisfaction and wellbeing. 

 

What's included in this study? Kalei conducted 15 in-depth interviews with SMPOC who were currently in a romantic relationship. The interviews focused on participants’ experiences in their relationships, including areas of satisfaction, challenges, and growth. 

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What's the current status of this study? This study began in Spring of 2025 and data collection and analysis has been completed. The results and implications are currently being written and the main findings will be shared on the Trans-ilience website later in 2026. 

 

What are the findings from this study? We are still in the process of describing the final results and will share more updates as things progress.​

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Funders: This study was funded by the Michigan State University Sexual and Gender Minority Health Consortium Seed Grant.

Group Hug Outdoors

Exploring Sibling Support for Trans and Nonbinary Youth

A study to explore what supportive sibling relationships look like between trans and nonbinary youth and cisgender siblings.

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Researchers: This study is led by Noelle Martin (Graduate Student), supported by their advisor, Dr. Jae Puckett, and team member Mihael MacBeth.

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Overall Aims: The aims of this study are to characterize what a supportive relationship looks like between trans and nonbinary youth and cisgender siblings, to examine this relationship in the context of the family system, and to gather information that can be used to create resources for cisgender siblings on how to better support their trans and nonbinary siblings. We are doing this because siblings are often overlooked in research on support systems for trans and nonbinary youth and there are basically no resources currently directed towards cisgender siblings of trans and nonbinary youth.

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What's included in this study? We are conducting five focus groups with trans and nonbinary youth and five focus groups with cisgender siblings of trans and nonbinary youth. In these groups, participants will first respond to three prompts that were developed in conjunction with the Trans-ilience Team’s Community Advisory Board.  Following the generation of their responses, the groups are taught the basics of data analysis. The participants are then supported as they collaboratively engage in within-group analysis of their own responses.  Upon the completion of data collection and cross-group analysis, we will reach back out to participants to get their feedback before we translate our findings into both academic and community centered outputs.

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What's the current status of this study? This study began in fall of 2025  and is ongoing. We have completed conducting focus groups with trans and nonbinary siblings and are currently still recruiting cisgender siblings. 

 

What are the findings from this study? We are still in the process of conducting this study and will share more updates as things progress.​

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Funders: This study is funded by the Society for Community Research and Action Student Research Grant; Michigan State University Department of Psychology Graduate Student Justice, Diversity, Equity, or Inclusion Research Grant; and Michigan State University Consortium for Sexual & Gender Minority Health Seed Grant.

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