支持寻求阴道整形的跨性别和非二进制个体 (STRIVE) 研究:国家随机实证试验的协议
Liz Sage1, Elijah Hart2, Nolan Meyer2
1Urology, University of Washington, Seattle, Washington, USA lizsage@uw.edu.
BMJ open
|February 13, 2026
概括
同行支持可能会改善经历阴道整形手术的跨性别个人的应对自我效能. STRIVE研究评估了一项同行支持干预措施,以加强对寻求性别确认手术的跨性别和非二进制个人的护理.
科学领域:
- 跨性别者健康研究研究
- 外科手术的结果
- 心理健康干预措施 心理健康干预
背景情况:
- 变性人和性别多元的人面临着对性别肯定护理的重大障碍,影响心理健康和生活质量.
- 变性女性非常希望进行阴道整形,但由于外科医生的可用性和漫长的等待时间而受到限制.
- 同行支持表明,它有望改善边缘化群体的结果,但其在阴道整形术术前期的疗效尚未研究.
研究的目的:
- 对寻求阴道整形手术的患者进行集中式同行支持和教育干预的有效性进行评估.
- 为解决经过性别肯定性生殖器手术的个体的术后护理的关键缺口.
- 通过多方利益相关者参与,建立在通过多方利益相关者参与确定优先事项的基础上.
主要方法:
- 一个务实的,多站点随机对照试验 (STRIVE研究) 招募寻求阴道整形的跨性别成年人.
- 参与者随机分配到增强的常规护理或方便的小组干预.
- 主要结果:在6个月时应对自我有效性;次要结果:手术准备. 通过治疗意图和线性混合效应建模进行分析.
主要成果:
- 主要分析使用意图治疗方法与线性混合效应建模.
- 可行性数据将通过定性访谈进行主题分析.
- 该研究已注册 (NCT06436560) 并获得IRB批准 (STUDY00026957).
结论:
- 这项STRIVE研究旨在评估对阴道整形手术患者的同行支持干预措施的有效性.
- 调查结果将解决跨性别和非二进制个体的术后护理中的关键差距.
- 结果将通过开放获取期刊和普通语言格式传播.
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