Abstract：
OBJECTIVE: The objective was to explore experiences with and identify barriers and facilitators of utilizing physical therapy for people who identify as transgender, gender diverse, and nonbinary (TGNB).
METHODS: A qualitative descriptive design was employed using semistructured interviews conducted in New Zealand. Eligible participants were individuals who were 12 years old or older, who self-identified as TGNB, and who had accessed physical therapy at a community-based clinic that also provides a gender-affirming service. Participants were recruited via email invitation to the clinic database. Interview data were analyzed using reflexive thematic analysis. Demographics are reported descriptively.
RESULTS: Seventeen individuals (15-64 years old and identifying as 11 different genders) participated. All participants reported physical therapist experiences relating to 1 or more of the following 4 themes: challenging cisnormativity at policy, environmental, clinic, and therapist levels; safety and trust throughout the clinical experience, including clinic credibility for being a safe provider, clinic displays of TGNB inclusivity, implementation of safe clinic processes, and respectful therapist interactions; inclusive experiences in a clinic that provided affordable care and took active steps to understand and affirm TGNB identities and with physical therapists who had a high level of knowledge of TGNB-specific health issues and took a biopsychosocial approach to care; and sensitivity to body discomfort or dysphoria triggers. Barriers to and facilitators of care were identified at policy, environmental, clinic, and therapist levels.
CONCLUSIONS: People who identify as TGNB face challenges to accessing safe and culturally sensitive physical therapy. However, there are achievable areas for improvement at policy, environmental, clinic, and physical therapist levels to gain trust and engagement in care for the TGNB community.
CONCLUSIONS: This study provides a detailed exploration of TGNB physical therapist experiences and identifies specific areas of improvement for TGNB physical therapy care to provide clinicians and physical therapy clinics insights into the provision of safe and culturally sensitive physical therapy.
METHODS: A qualitative descriptive design was employed using semistructured interviews conducted in New Zealand. Eligible participants were individuals who were 12 years old or older, who self-identified as TGNB, and who had accessed physical therapy at a community-based clinic that also provides a gender-affirming service. Participants were recruited via email invitation to the clinic database. Interview data were analyzed using reflexive thematic analysis. Demographics are reported descriptively.
RESULTS: Seventeen individuals (15-64 years old and identifying as 11 different genders) participated. All participants reported physical therapist experiences relating to 1 or more of the following 4 themes: challenging cisnormativity at policy, environmental, clinic, and therapist levels; safety and trust throughout the clinical experience, including clinic credibility for being a safe provider, clinic displays of TGNB inclusivity, implementation of safe clinic processes, and respectful therapist interactions; inclusive experiences in a clinic that provided affordable care and took active steps to understand and affirm TGNB identities and with physical therapists who had a high level of knowledge of TGNB-specific health issues and took a biopsychosocial approach to care; and sensitivity to body discomfort or dysphoria triggers. Barriers to and facilitators of care were identified at policy, environmental, clinic, and therapist levels.
CONCLUSIONS: People who identify as TGNB face challenges to accessing safe and culturally sensitive physical therapy. However, there are achievable areas for improvement at policy, environmental, clinic, and physical therapist levels to gain trust and engagement in care for the TGNB community.
CONCLUSIONS: This study provides a detailed exploration of TGNB physical therapist experiences and identifies specific areas of improvement for TGNB physical therapy care to provide clinicians and physical therapy clinics insights into the provision of safe and culturally sensitive physical therapy.
摘要：
目的：目的是探索使用变性人物理治疗的经验，并确定障碍和促进者，性别多样化，和非二进制(TGNB)。
方法：使用在新西兰进行的半结构化访谈采用了定性的描述性设计。符合条件的参与者是12岁或以上的个人，自称为TGNB的人，他们在一家社区诊所接受了物理治疗，该诊所还提供性别确认服务。参与者通过电子邮件邀请招募到临床数据库。访谈数据采用反身性主题分析。人口统计数据是描述性报告的。
结果：17个人（15-64岁，确定为11种不同性别）参与。所有参与者都报告了与以下4个主题中的一个或多个相关的物理治疗师经验：挑战政策中的顺规范性，环境,诊所,和治疗师水平；整个临床经验的安全性和信任，包括作为安全提供者的诊所可信度，TGNB包容性的诊所显示，实施安全的诊所流程，和尊重治疗师的互动；在提供负担得起的护理并采取积极步骤了解和确认TGNB身份的诊所中的包容性体验，以及对TGNB特定健康问题有高度了解并采取生物心理社会护理方法的物理治疗师；以及对身体不适或烦躁不安触发因素的敏感性。在政策上确定了护理的障碍和促进者，环境,诊所,和治疗师水平。
结论：确定为TGNB的人在获得安全和文化敏感的物理治疗方面面临挑战。然而,政策上有可以改善的地方，环境,诊所,和物理治疗师水平，以获得信任和参与TGNB社区的护理。
结论：本研究提供了TGNB物理治疗师经验的详细探索，并确定了TGNB物理治疗护理的具体改进领域，为临床医生和物理治疗诊所提供安全和文化敏感的物理治疗的见解。
方法：使用在新西兰进行的半结构化访谈采用了定性的描述性设计。符合条件的参与者是12岁或以上的个人，自称为TGNB的人，他们在一家社区诊所接受了物理治疗，该诊所还提供性别确认服务。参与者通过电子邮件邀请招募到临床数据库。访谈数据采用反身性主题分析。人口统计数据是描述性报告的。
结果：17个人（15-64岁，确定为11种不同性别）参与。所有参与者都报告了与以下4个主题中的一个或多个相关的物理治疗师经验：挑战政策中的顺规范性，环境,诊所,和治疗师水平；整个临床经验的安全性和信任，包括作为安全提供者的诊所可信度，TGNB包容性的诊所显示，实施安全的诊所流程，和尊重治疗师的互动；在提供负担得起的护理并采取积极步骤了解和确认TGNB身份的诊所中的包容性体验，以及对TGNB特定健康问题有高度了解并采取生物心理社会护理方法的物理治疗师；以及对身体不适或烦躁不安触发因素的敏感性。在政策上确定了护理的障碍和促进者，环境,诊所,和治疗师水平。
结论：确定为TGNB的人在获得安全和文化敏感的物理治疗方面面临挑战。然而,政策上有可以改善的地方，环境,诊所,和物理治疗师水平，以获得信任和参与TGNB社区的护理。
结论：本研究提供了TGNB物理治疗师经验的详细探索，并确定了TGNB物理治疗护理的具体改进领域，为临床医生和物理治疗诊所提供安全和文化敏感的物理治疗的见解。
