Improving correctional healthcare providers' ability to care for transgender patients: Development and evaluation of a theory-driven cultural and clinical competence intervention

Social Science & Medicine
Jaclyn M White HughtoJohn E Pachankis

Abstract

Correctional healthcare providers' limited cultural and clinical competence to care for transgender patients represents a barrier to care for incarcerated transgender individuals. The present study aimed to adapt, deliver, and evaluate a transgender cultural and clinical competence intervention for correctional healthcare providers. In the summer of 2016, a theoretically-informed, group-based intervention to improve transgender cultural and clinical competence was delivered to 34 correctional healthcare providers in New England. A confidential survey assessed providers' cultural and clinical competence to care for transgender patients, self-efficacy to provide hormone therapy, subjective norms related to transgender care, and willingness to provide gender-affirming care to transgender patients before and after (immediately and 3-months) the intervention. Linear mixed effects regression models were fit to assess change in study outcomes over time. Qualitative exit interviews assessed feasibility and acceptability of the intervention. Providers' willingness to provide gender-affirming care improved immediately post-intervention (β = 0.38; SE = 0.41, p < 0.001) and from baseline to 3-months post-intervention (β = 0.36; SE = 0.09; ...Continue Reading

Citations

Jun 21, 2019·Current Opinion in HIV and AIDS·Tonia PoteatSari Reisner
Mar 20, 2020·American Journal of Public Health·Elida Ledesma, Chandra L Ford
Oct 6, 2020·International Journal of Transgender Health·Shanna Duffy StrykerSarah Pickle
Jun 15, 2019·The Prison Journal·Jaclyn M White Hughto, Kirsty A Clark
Jan 8, 2021·Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association·Trang Thu Do, Anh T Van Nguyen
Aug 29, 2021·International Journal of Nursing Studies·Sophie LightfootAmanda Vandyk

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