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Approaching Trans Healthcare Competency : = the Implementation of Trans Health Education for Medical Providers in Appalachia.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Approaching Trans Healthcare Competency :/
Reminder of title:	the Implementation of Trans Health Education for Medical Providers in Appalachia.
Author:	Altschuler, Rebecca.
Description:	1 online resource (97 pages)
Notes:	Source: Dissertations Abstracts International, Volume: 84-02, Section: B.
Contained By:	Dissertations Abstracts International84-02B.
Subject:	Violence. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29277373click for full text (PQDT)
ISBN:	9798841570684

Approaching Trans Healthcare Competency : = the Implementation of Trans Health Education for Medical Providers in Appalachia.
Altschuler, Rebecca.

Approaching Trans Healthcare Competency :the Implementation of Trans Health Education for Medical Providers in Appalachia. - 1 online resource (97 pages)

Source: Dissertations Abstracts International, Volume: 84-02, Section: B.

Thesis (Ph.D.)--East Tennessee State University, 2023.

Includes bibliographical references

Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer et al., 2016). Many providers endorse a median of only five hours of trans healthcare training across their entire medical school curriculum (Hughto et al., 2015), and in some cases, as little as 45 minutes per year (Sawning et al., 2017). Primary care clinics should be the place in which general health and wellbeing are addressed for trans patients, as has been true for cisgender people. Primary care providers should be competent in assessing eligibility for Hormone Replacement Therapy (HRT) and surgery (Wylie et al., 2016), as well as providing necessary preventative care. Thus, this makes primary care the ideal setting for the proposed medical education implementation project. The current study aimed to develop and implement a training program for medical residents in primary care in rural South Central Appalachia. A six-stage development and implementation study is described. The intervention was evaluated for pedagogical outcomes including sustainability for future use, usefulness to residents, and accessibility. Evaluation of effectiveness included analyses of changes in providers' self-reported competency, awareness of discriminatory experiences, and attitudes towards treating trans patients. There were no significant differences in pre-post competency scores (r=22, M=33.29[SD=5.96]; r=31, M=37.33[SD=1.02], SD=8.00) or in pre-post attitudes scores (r=15, M=32.76[SE=0.8], SD=4.69; r=13, M=34.7273[SE=1.00], SD=4.692). Accessibility and sustainability were measured qualitatively and included data such as resident attendance and ease of use of material for future behavioral health provider trainers. These outcomes were found to be satisfactory based on stakeholder feedback. Usefulness included three data points (satisfaction, helpfulness, value of training).

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2023

Mode of access: World Wide Web

ISBN: 9798841570684Subjects--Topical Terms:

528323
Violence.
Index Terms--Genre/Form:

542853
Electronic books.

Approaching Trans Healthcare Competency : = the Implementation of Trans Health Education for Medical Providers in Appalachia.
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300 $a 1 online resource (97 pages)
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500 $a Source: Dissertations Abstracts International, Volume: 84-02, Section: B.
500 $a Advisor: Stinson, Jill ; Gouge, Natasha ; Mann, Abbey ; Moore, Kelly ; Williams, Stacey.
502 $a Thesis (Ph.D.)--East Tennessee State University, 2023.
504 $a Includes bibliographical references
520 $a Barriers to competent and safe healthcare disproportionately impact people who are marginalized because of their race, ethnicity, gender, or socioeconomic status. It is well documented that transgender patients in particular experience barriers to both accessing care and receiving high quality, non-discriminatory care (Hatzenbuehler & Pachankis, 2016; James et al., 2016; Rahman et al., 2019; Safer et al., 2016). This lack of access to culturally competent healthcare services contributes to health disparities that disproportionately impact the trans community. Literature on barriers to competent care for trans patients indicates that providers experience discomfort related to their ability to provide competent care (Safer et al., 2016). Many providers endorse a median of only five hours of trans healthcare training across their entire medical school curriculum (Hughto et al., 2015), and in some cases, as little as 45 minutes per year (Sawning et al., 2017). Primary care clinics should be the place in which general health and wellbeing are addressed for trans patients, as has been true for cisgender people. Primary care providers should be competent in assessing eligibility for Hormone Replacement Therapy (HRT) and surgery (Wylie et al., 2016), as well as providing necessary preventative care. Thus, this makes primary care the ideal setting for the proposed medical education implementation project. The current study aimed to develop and implement a training program for medical residents in primary care in rural South Central Appalachia. A six-stage development and implementation study is described. The intervention was evaluated for pedagogical outcomes including sustainability for future use, usefulness to residents, and accessibility. Evaluation of effectiveness included analyses of changes in providers' self-reported competency, awareness of discriminatory experiences, and attitudes towards treating trans patients. There were no significant differences in pre-post competency scores (r=22, M=33.29[SD=5.96]; r=31, M=37.33[SD=1.02], SD=8.00) or in pre-post attitudes scores (r=15, M=32.76[SE=0.8], SD=4.69; r=13, M=34.7273[SE=1.00], SD=4.692). Accessibility and sustainability were measured qualitatively and included data such as resident attendance and ease of use of material for future behavioral health provider trainers. These outcomes were found to be satisfactory based on stakeholder feedback. Usefulness included three data points (satisfaction, helpfulness, value of training).
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2023
538 $a Mode of access: World Wide Web
650 4 $a Violence. $3 528323
650 4 $a Hormone replacement therapy. $3 3562671
650 4 $a Gender identity. $3 523751
650 4 $a Intervention. $3 3435307
650 4 $a Endocrinology. $3 610914
650 4 $a Gender studies. $3 2122708
650 4 $a Health care management. $3 2122906
650 4 $a Health education. $3 559086
650 4 $a Medicine. $3 641104
650 4 $a Therapy. $3 3343697
655 7 $a Electronic books. $2 lcsh $3 542853
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690 $a 0733
690 $a 0769
690 $a 0680
690 $a 0454
690 $a 0564
690 $a 0212
710 2 $a ProQuest Information and Learning Co. $3 783688
710 2 $a East Tennessee State University. $3 1017802
773 0 $t Dissertations Abstracts International $g 84-02B.
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29277373 $z click for full text (PQDT)