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PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study

BACKGROUND: Multi-disciplinary gender-affirming care centers (GACC) are seeing increasing numbers of transgender and non-binary (TNB) youth seeking medical care. In the wake of the COVID pandemic, telemedicine use in clinical settings, including GACC, have increased. There is a paucity of research i...

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Autores principales: Inwards-Breland, David, Yeh, Debra, Richardson, T, Marinkovic, Maja, Marino-Kibbee, Bixby, Rhee, Kay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9625372/
http://dx.doi.org/10.1210/jendso/bvac150.1316
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author Inwards-Breland, David
Yeh, Debra
Richardson, T
Marinkovic, Maja
Marino-Kibbee, Bixby
Rhee, Kay
author_facet Inwards-Breland, David
Yeh, Debra
Richardson, T
Marinkovic, Maja
Marino-Kibbee, Bixby
Rhee, Kay
author_sort Inwards-Breland, David
collection PubMed
description BACKGROUND: Multi-disciplinary gender-affirming care centers (GACC) are seeing increasing numbers of transgender and non-binary (TNB) youth seeking medical care. In the wake of the COVID pandemic, telemedicine use in clinical settings, including GACC, have increased. There is a paucity of research in the provision of care by telemedicine for gender care as well as TNB youth's perspectives on its use. OBJECTIVE: To explore perspectives of TNB youth in the use of telemedicine for gender-affirming care. METHODS: Participants aged 13-21 years, who identified as TNB, were recruited from gender center at a large academic center to participate in a semi-structured interview and demographics survey. Interviews were audio-recorded and transcribed verbatim. Survey results were analyzed using descriptive statistics. Two independent coders reviewed the transcripts, developed a preliminary coding scheme, and reached consensus on discrepancies. ATLAS.ti® was used for thematic analysis. RESULTS: TNB youth (n=30) had a mean age of 17 years; 30% identified as female/trans female, 47% as male/trans male, and 23% as non-binary or gender fluid. Overall, participants favored in-person visits over telemedicine because of connection with their provider. Patients also had a lack of perceived knowledge about telemedicine despite having good working knowledge of technology. They had mixed feelings regarding clinic staff's role in telemedicine (some felt it was a waste of time, others found it helpful to orient and offer future visits). There were minimal concerns around confidentiality and having a secure line. Advantages to telemedicine included convenience (no travel time or missing school), and discussion of hormone therapy, medication changes, and lab results. However, it was not optimal for full assessment of treatment progress because there was no physical exam. CONCLUSIONS: Despite participants’ preference for in-person visits, telemedicine is a viable option for TNB youth in receiving gender-affirming medical care because of convenience and perceived confidentiality. Efforts to increase telemedicine use could center on providers and clinic staff providing education on the technical aspects of telemedicine use and promoting its availability for discussion-based visits. Presentation: Saturday, June 11, 2022 1:00 p.m. - 3:00 p.m.
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spelling pubmed-96253722022-11-14 PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study Inwards-Breland, David Yeh, Debra Richardson, T Marinkovic, Maja Marino-Kibbee, Bixby Rhee, Kay J Endocr Soc Pediatric Endocrinology BACKGROUND: Multi-disciplinary gender-affirming care centers (GACC) are seeing increasing numbers of transgender and non-binary (TNB) youth seeking medical care. In the wake of the COVID pandemic, telemedicine use in clinical settings, including GACC, have increased. There is a paucity of research in the provision of care by telemedicine for gender care as well as TNB youth's perspectives on its use. OBJECTIVE: To explore perspectives of TNB youth in the use of telemedicine for gender-affirming care. METHODS: Participants aged 13-21 years, who identified as TNB, were recruited from gender center at a large academic center to participate in a semi-structured interview and demographics survey. Interviews were audio-recorded and transcribed verbatim. Survey results were analyzed using descriptive statistics. Two independent coders reviewed the transcripts, developed a preliminary coding scheme, and reached consensus on discrepancies. ATLAS.ti® was used for thematic analysis. RESULTS: TNB youth (n=30) had a mean age of 17 years; 30% identified as female/trans female, 47% as male/trans male, and 23% as non-binary or gender fluid. Overall, participants favored in-person visits over telemedicine because of connection with their provider. Patients also had a lack of perceived knowledge about telemedicine despite having good working knowledge of technology. They had mixed feelings regarding clinic staff's role in telemedicine (some felt it was a waste of time, others found it helpful to orient and offer future visits). There were minimal concerns around confidentiality and having a secure line. Advantages to telemedicine included convenience (no travel time or missing school), and discussion of hormone therapy, medication changes, and lab results. However, it was not optimal for full assessment of treatment progress because there was no physical exam. CONCLUSIONS: Despite participants’ preference for in-person visits, telemedicine is a viable option for TNB youth in receiving gender-affirming medical care because of convenience and perceived confidentiality. Efforts to increase telemedicine use could center on providers and clinic staff providing education on the technical aspects of telemedicine use and promoting its availability for discussion-based visits. Presentation: Saturday, June 11, 2022 1:00 p.m. - 3:00 p.m. Oxford University Press 2022-11-01 /pmc/articles/PMC9625372/ http://dx.doi.org/10.1210/jendso/bvac150.1316 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of the Endocrine Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Pediatric Endocrinology
Inwards-Breland, David
Yeh, Debra
Richardson, T
Marinkovic, Maja
Marino-Kibbee, Bixby
Rhee, Kay
PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title_full PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title_fullStr PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title_full_unstemmed PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title_short PSAT116 Perceived Facilitators and Barriers Using Telemedicine for Gender-Affirming Care in Youth: A Qualitative Study
title_sort psat116 perceived facilitators and barriers using telemedicine for gender-affirming care in youth: a qualitative study
topic Pediatric Endocrinology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9625372/
http://dx.doi.org/10.1210/jendso/bvac150.1316
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