Congdon Ardsley P, Tiene Kathryn, Price Cristofer, Dufresne Robert L
Clinical Pharmacy Specialist, Manchester Veterans Affairs Medical Center, Manchester, New Hampshire.
Clinical Pharmacy Specialist, Providence Veterans Affairs Medical Center, Providence, Rhode Island.
Ment Health Clin. 2021 Jan 8;11(1):1-5. doi: 10.9740/mhc.2021.01.001. eCollection 2021 Jan.
Patients who are transgender have unique population-specific needs and risk factors. Nationwide surveys of health profession school administrators indicate a gap in coverage of lesbian, gay, bisexual, and transgender health content in their curricula. To address this gap, a pharmacist-developed transgender-health care focused seminar was presented to medical professionals, trainees, and students accompanied by a novel education assessment scale.
The seminar was presented by a psychiatric pharmacy resident to health care professionals and trainees in various settings. Subjects covered during the seminar included terminology, diagnostic criteria and prevalence of gender dysphoria, nonhormonal treatment, gender-affirming hormone therapy, and other considerations. The Trans* Health Education Evaluation Scale (THEES) was developed to assess participants' self-perceived proficiency regarding care of patients who are transgender immediately before and after attending a seminar. Total scale scores were compared preseminar and postseminar using a repeated-measures -test, and sign tests with Bonferroni correction were used for individual scale items. Psychometric properties of this scale were examined.
Five seminars were given, and a total of 100 scales were completed by health care-associated workers and students. The majority of participants were in the pharmacy or medical professions. Attending 1 seminar significantly improved THEES total and individual item scores ( < .001). Additionally, 90% of participants felt the seminar was directly applicable to their practice, and 84% felt more confident in providing care to patients who are transgender.
A single, pharmacist-led, trans health-focused education session significantly improved the confidence level and self-perceived proficiency of health care-associated personnel as measured by THEES.
跨性别患者有独特的特定人群需求和风险因素。针对健康职业学校管理人员的全国性调查表明，他们的课程中女同性恋、男同性恋、双性恋和跨性别健康内容的覆盖存在差距。为弥补这一差距，向医学专业人员、实习生和学生举办了一场由药剂师开发的聚焦跨性别健康护理的研讨会，并伴有一个新颖的教育评估量表。
该研讨会由一名精神科药房住院医师在不同场所向医疗保健专业人员和实习生进行。研讨会涵盖的主题包括术语、性别焦虑症的诊断标准和患病率、非激素治疗、性别确认激素疗法以及其他注意事项。开发了跨性别健康教育评估量表（THEES），以评估参与者在参加研讨会前后对跨性别患者护理的自我感知能力。使用重复测量检验比较研讨会前后的量表总分，并对单个量表项目使用经邦费罗尼校正的符号检验。对该量表的心理测量特性进行了检验。
举办了五场研讨会，医疗保健相关工作人员和学生共完成了100份量表。大多数参与者从事药学或医学专业。参加一次研讨会显著提高了THEES总分和单个项目得分（<0.001）。此外，90%的参与者认为该研讨会直接适用于他们的实践，84%的参与者对为跨性别患者提供护理更有信心。
由药剂师主导的单次聚焦跨性别健康的教育课程显著提高了医疗保健相关人员的信心水平和自我感知能力，这由THEES测量得出。
