基于网络的性别肯定治疗决策辅助对青年和护理人员:一个试点研究
Bianca Salvetti1, Kristi K Westphaln1,2, Nancy A Pike1,3
1Children's Hospital Los Angeles, Los Angeles, California.
概括
一个基于网络的决策辅助工具帮助跨性别和性别多样性青年和护理人员减少了关于性别肯定治疗 (GAT) 的决策冲突. 该工具被认为是有用的,尽管知识分数保持不变.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 医疗信息学 医疗信息学
- 青少年医学 青少年医学
背景情况:
- 跨性别和性别多样性 (TGD) 青年需要复杂的医疗信息,以便就性别肯定治疗 (GAT) 进行共享决策.
- 决策辅助工具可以提供关键信息,以支持儿童性别护理的知情选择.
研究的目的:
- 开发和评估TGD青年及其照顾者的GAT网络决策辅助工具.
- 评估决策辅助对知识,生育态度和决策冲突的影响.
主要方法:
- 带有干预前后设计的试点研究.
- 包括未接受过治疗的TGD年轻人 (13-25岁) 和护理人员 (N=10).
- 评估知识,生育态度,决策冲突和干预的可接受性.
主要成果:
- 决策援助显著减少了决策冲突 (p=.187),但没有改变知识分数.
- 大多数参与者 (80%) 认为决策辅助工具对决策有帮助.
- 许多年轻人 (66.7%) 不希望未来有孩子,但重视生育信息 (100%).
结论:
- 基于网络的决策辅助工具可以有效地减少TGD年轻人和考虑GAT的护理人员的决策冲突.
- 需要对更大,更多样化的样本进行进一步的研究来证实这些发现.
- 决策辅助在儿科性别护理环境中似乎是可以接受和有用的.
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