关键词: Delphi-study research priorities thematic analysis trans health transgender

Mesh : Humans Delphi Technique Female Male Surveys and Questionnaires Research France Adult Transgender Persons Middle Aged Adolescent Health Priorities

来  源:   DOI:10.3389/fpubh.2024.1307531   PDF(Pubmed)

Abstract:
Progress has been made in understanding trans health needs, but research priorities are often set by policy or healthcare professionals without trans input, which may not reflect public needs. Our study sought to identify trans health research priorities in France from both researchers and the trans community.
Expert stakeholders (health and social sciences professionals, trans individuals, and their families) answered a three-round Delphi survey on trans health research priorities. The first round involved an open-ended questionnaire, analyzed qualitatively. In the second round, participants ranked research propositions from round one using a Likert scale. The study\'s second phase involved a two-hour workshop with experts and trans individuals.
53 participants (32% trans individuals/relatives, 60% health professionals) contributed 217 responses to open-ended questions, leading to 44 research priorities. After the two voting rounds, a total of five proposals reached a strong consensus cut-off and were considered as the main research priorities: evaluation of the effect of puberty blocker use in trans children and adolescents (95%), evaluation of the effect of supporting trans children and adolescents (92%), study of the support systems available for trans youth and their parents (86%), persistence of trans identity around puberty (prevalence, persistent persons characteristics) (86%), and needs assessment survey of the support for adolescents and their families (83%). Thirteen other proposals were considered moderate priorities.
The main consensus in our French study concerned research on trans-youth care and support needs. Our results may guide further trans-health research that meets the public\'s needs and desires.
摘要:
在了解跨性别健康需求方面取得了进展,但是研究重点通常是由政策或医疗保健专业人员设定的,没有反式输入,这可能无法反映公众的需求。我们的研究试图从研究人员和跨性别社区中确定法国的跨性别健康研究重点。
专家利益相关者(健康和社会科学专业人员,跨性别个体,及其家人)回答了关于跨健康研究优先事项的三轮Delphi调查。第一轮涉及一份不限成员名额的问卷,定性分析。在第二轮中,参与者使用李克特量表对第一轮的研究命题进行排名。该研究的第二阶段涉及与专家和跨性别人士进行的两个小时的研讨会。
53名参与者(32%的跨性别者/亲属,60%的卫生专业人员)对开放式问题做出了217份答复,导致44个研究重点。两轮投票后,共有五项提案达成了强有力的共识,并被视为主要研究重点:评估跨性别儿童和青少年使用青春期阻滞剂的效果(95%),支持跨性别儿童和青少年的效果评估(92%),研究跨性别青年及其父母可用的支持系统(86%),青春期前后跨性别认同的持续存在(患病率,持续的人的特征)(86%),和对青少年及其家庭的支持的需求评估调查(83%)。其他13项建议被认为是中等优先事项。
我们法国研究的主要共识是关于跨青年护理和支持需求的研究。我们的研究结果可以指导进一步的跨健康研究,以满足公众的需求和愿望。
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