Introduction
Transgender and gender diverse individuals experience a variety of barriers to accessing
culturally responsive care across different types of health services. This study develops
and validates a scale to assess for trans-inclusive healthcare practices, which may
be used in a variety of ways.
Methods
The authors and community partners developed 34 initial practices indicating provider
inclusivity of transgender and gender diverse patients. Data were collected in 2018,
using an online survey of transgender and gender diverse adults in Michigan (n=626), analyzed in 2019.
Results
An exploratory factor analysis was conducted. The following 6 components were retained
with 27 items: trans-inclusive messaging, name/pronoun usage, outreach, gender-affirming
practice, referral comfort, and inclusive intake forms. Full sample analysis showed
Cronbach's α to be 0.91. The sample was split in half to run 2 sets of cases in a
principal components analysis, Sample A (n=323) and Sample B (n=303). Percentage of variance explained and Cronbach's α were consistent across samples,
giving evidence to reliability and validity.
Conclusions
Findings suggest that the Trans-Inclusive Provider Scale may be useful in identifying
providers’ behaviors regarding inclusivity of transgender and gender diverse patients
and provide growth opportunities at both individual and practice levels. It could
also guide improvements after trainings or be used as a micro-intervention, allowing
providers to assess behaviors and identify opportunities to improve.
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Article info
Publication history
Published online: February 08, 2020
Identification
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© 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
