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Developing a mobile application for gender-affirming voice training: A community-engaged approach.

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Summary

This study developed a voice and communication modification training (VCMT) app for transgender and gender-nonconforming (TGNC) individuals using a community-based approach. The process highlighted the value of community involvement in digital health tool development.

Keywords:
communication modificationcommunity‐based participatory researchgender‐affirming voicemobile application developmentspeech language pathologytransgender voice

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Area of Science:

  • Digital Health
  • Speech-Language Pathology
  • Transgender Health

Background:

  • Voice and communication modification training (VCMT) for transgender and gender-nonconforming (TGNC) individuals has not been rigorously explored using digital technology.
  • Developing accessible and inclusive digital VCMT tools requires a community-centered approach.

Purpose of the Study:

  • To evaluate and describe the iterative process of developing a mobile VCMT app for TGNC individuals.
  • To assess the application of community-based participatory research (CBPR) principles in digital health tool development for TGNC populations.

Main Methods:

  • An interprofessional team, including TGNC community members on a Community Advisory Board (CAB), collaborated on app design, content, and user experience.
  • Iterative cycles of content creation and feedback were employed, with ongoing evaluation of CBPR principles.

Main Results:

  • The iterative development process led to significant improvements in app functionality, inclusivity, accessibility, and design.
  • Successful outcomes included dedicated CAB member recruitment and effective interprofessional collaboration.
  • Challenges involved integrating diverse expertise, ensuring ethical community participation, and budget constraints.

Conclusions:

  • The study demonstrates the significant value of incorporating a CAB in designing digital VCMT platforms for TGNC individuals.
  • This approach suggests a viable model for applying CBPR in speech-language pathology and laryngology, fields where its adoption has been limited.