Enabling and hindering aspects of the i²TransHealth e-health intervention for transgender and gender diverse people in Germany: a qualitative process evaluation
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View abstract on PubMed
Summary
This summary is machine-generated.E-health interventions improve access to gender-affirming care for transgender and gender diverse (TGD) individuals in remote areas. However, integrating digital health with in-person services is crucial for complex cases and sustainability.
Area Of Science
- Digital Health
- Telemedicine
- Transgender Healthcare
Background
- Transgender and gender diverse (TGD) individuals in remote areas face significant barriers to accessing specialized, interdisciplinary gender-affirming care.
- These barriers include limited specialized services, a scarcity of TGD-informed professionals, extensive travel requirements, and inadequate local crisis support.
Purpose Of The Study
- To evaluate the i²TransHealth e-health intervention designed to address healthcare access gaps for TGD individuals in remote regions.
- To identify enabling and hindering factors for the intervention's implementation to inform future improvements and scalability.
Main Methods
- A qualitative process evaluation using four online focus groups with service users, study therapists, general practitioners, and psychiatrists.
- Participants (n=174) were part of a randomized controlled trial in northern Germany.
- Data were collected via semi-structured interviews and analyzed using thematic text analysis.
Main Results
- i²TransHealth improved access to TGD-informed healthcare, though challenges like time constraints and limited specialist referrals persisted.
- Participants reported flexibility and support from study therapists, leading to reduced distress and increased well-being.
- Video consultations aided access but posed challenges for non-verbal cues and highly distressed individuals; platform usability and therapist workload were also noted.
Conclusions
- E-health interventions can significantly enhance access to TGD-informed care in underserved remote areas.
- Integration with in-person services is essential for managing complex cases and highly distressed individuals.
- Sustained impact requires expanded training, strengthened professional networks, and refined digital tools.
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