{"id":"https://openalex.org/W4387537059","doi":"https://doi.org/10.31219/osf.io/pcnu9","title":"Implementation Strategies to Reduce anti-Transgender Stigma and Increase Gender-Affirming Practice Adoption in Mental Health Care","display_name":"Implementation Strategies to Reduce anti-Transgender Stigma and Increase Gender-Affirming Practice Adoption in Mental Health Care","publication_year":2023,"publication_date":"2023-10-10","ids":{"openalex":"https://openalex.org/W4387537059","doi":"https://doi.org/10.31219/osf.io/pcnu9"},"language":"en","primary_location":{"id":"doi:10.31219/osf.io/pcnu9","doi":"https://doi.org/10.31219/osf.io/pcnu9","is_oa":true,"landing_page_url":"https://doi.org/10.31219/osf.io/pcnu9","pdf_url":"https://osf.io/pcnu9/download","source":{"id":"https://openalex.org/S4306401127","display_name":"OSF Preprints (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"volume":null,"type":"preprint","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://osf.io/pcnu9/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5030489370","display_name":"Kara Johansen","orcid":"https://orcid.org/0009-0009-7782-7472","observed_orcids":["https://orcid.org/0009-0009-7782-7472"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Kara Johansen","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052705954","display_name":"Marina Rakhilin","orcid":"https://orcid.org/0000-0003-0416-8399","observed_orcids":["https://orcid.org/0000-0003-0416-8399"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Marina Rakhilin","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":null,"display_name":"Sue Woodward","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Sue Woodward","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5063416978","display_name":"Beth A. Jerskey","orcid":"https://orcid.org/0009-0006-5003-8340","observed_orcids":["https://orcid.org/0009-0006-5003-8340"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Beth Jerskey","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113414755","display_name":"Lyndsey Moran","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Lyndsey Moran","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"middle","author":{"id":"https://openalex.org/A5104181482","display_name":"Katie Roeder","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Katie Roeder","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]},{"author_position":"last","author":{"id":"https://openalex.org/A5010249064","display_name":"Maggi A. Price","orcid":"https://orcid.org/0000-0001-9825-6925","observed_orcids":["https://orcid.org/0000-0001-9825-6925"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Maggi Price","raw_affiliation_strings":[],"raw_orcid":"https://orcid.org/0000-0001-9825-6925","affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10156","display_name":"LGBTQ Health, Identity, and Policy","score":0.9901999831199646,"subfield":{"id":"https://openalex.org/subfields/3207","display_name":"Social Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10629","display_name":"Health Policy Implementation Science","score":0.00800000037997961,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.00019999999494757503,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/mental-health-professionals","display_name":"mental health professionals","score":0.7390000224113464},{"id":"https://openalex.org/keywords/implementation-strategies","display_name":"implementation strategies","score":0.7649999856948853},{"id":"https://openalex.org/keywords/practice-adoption","display_name":"practice adoption","score":0.8240000009536743},{"id":"https://openalex.org/keywords/provider-training","display_name":"provider training","score":0.8259999752044678},{"id":"https://openalex.org/keywords/continuing-education-credits","display_name":"continuing education credits","score":0.7979999780654907},{"id":"https://openalex.org/keywords/online-training","display_name":"online training","score":0.5550000071525574},{"id":"https://openalex.org/keywords/gender-identity-assessment","display_name":"gender identity assessment","score":0.8899999856948853},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5920000076293945}],"concepts":[{"id":"https://openalex.org/C2779671885","wikidata":"https://www.wikidata.org/wiki/Q189125","display_name":"Transgender","level":2,"score":0.8476264476776123},{"id":"https://openalex.org/C155911762","wikidata":"https://www.wikidata.org/wiki/Q422321","display_name":"Blueprint","level":2,"score":0.7570189833641052},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.7236919403076172},{"id":"https://openalex.org/C184356942","wikidata":"https://www.wikidata.org/wiki/Q830382","display_name":"Best practice","level":2,"score":0.5224441885948181},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.5084249377250671},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.45872873067855835},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.4442645311355591},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3915106952190399},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.3525608777999878},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.19327476620674133},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.16836407780647278},{"id":"https://openalex.org/C127413603","wikidata":"https://www.wikidata.org/wiki/Q11023","display_name":"Engineering","level":0,"score":0.0},{"id":"https://openalex.org/C11171543","wikidata":"https://www.wikidata.org/wiki/Q41630","display_name":"Psychoanalysis","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C78519656","wikidata":"https://www.wikidata.org/wiki/Q101333","display_name":"Mechanical engineering","level":1,"score":0.0}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.31219/osf.io/pcnu9","doi":"https://doi.org/10.31219/osf.io/pcnu9","is_oa":true,"landing_page_url":"https://doi.org/10.31219/osf.io/pcnu9","pdf_url":"https://osf.io/pcnu9/download","source":{"id":"https://openalex.org/S4306401127","display_name":"OSF Preprints (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},{"id":"pmh:oai:share.osf.io:dc440404-fcc4-434c-ac3c-22320b7299f5","doi":null,"is_oa":true,"landing_page_url":"https://osf.io/pcnu9","pdf_url":null,"source":{"id":"https://openalex.org/S4306401127","display_name":"OSF Preprints (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Preprint"}],"best_oa_location":{"id":"doi:10.31219/osf.io/pcnu9","doi":"https://doi.org/10.31219/osf.io/pcnu9","is_oa":true,"landing_page_url":"https://doi.org/10.31219/osf.io/pcnu9","pdf_url":"https://osf.io/pcnu9/download","source":{"id":"https://openalex.org/S4306401127","display_name":"OSF Preprints (OSF Preprints)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2799848540","host_organization_name":"Center for Open Science","host_organization_lineage":["https://openalex.org/I2799848540"],"host_organization_lineage_names":[],"type":"repository"},"license":"public-domain","license_id":"https://openalex.org/licenses/public-domain","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"posted-content"},"sustainable_development_goals":[{"score":0.9537000060081482,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"},{"score":0.7578999996185303,"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities"},{"score":0.6025999784469604,"id":"https://metadata.un.org/sdg/5","display_name":"Gender equality"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387537059.pdf","grobid_xml":"https://content.openalex.org/works/W4387537059.grobid-xml"},"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W4416594762","https://openalex.org/W7116882514","https://openalex.org/W6943784371","https://openalex.org/W4399814890","https://openalex.org/W4388830537","https://openalex.org/W4220721781","https://openalex.org/W4404067483","https://openalex.org/W2268369714","https://openalex.org/W4225540762","https://openalex.org/W4412512367"],"abstract_inverted_index":{"Introduction:":[0],"Anti-transgender":[1],"stigma":[2],"contributes":[3],"to":[4,34,46,68,215,225,234,248,256,283,289,299],"the":[5,70,93,152,156,172,194,199,202,227,245],"disproportionately":[6],"high":[7],"rates":[8],"of":[9,49,57,72,95,128,155,201,287],"mental":[10,39,114,136],"health":[11,40,115,137,304],"problems":[12],"faced":[13],"by":[14],"transgender":[15],"and":[16,64,113,121,143,184,229,261],"gender":[17,237],"diverse":[18],"youth":[19],"(TGDY).":[20],"TGDY":[21],"benefit":[22],"when":[23],"their":[24,111],"providers":[25,41],"use":[26,42],"gender-affirming":[27,43,96,258],"practices":[28,32,44,74],"(i.e.,":[29],"supportive":[30],"clinical":[31,120],"tailored":[33],"TGDY\u2019s":[35],"needs).":[36],"However,":[37],"few":[38],"due":[45],"a":[47,58,66,119,134,212,285],"dearth":[48],"implementation":[50,77,83,88,148,175,189,250],"strategies":[51,149,190,251,288,295],"supporting":[52],"practice":[53,165,259,276,292],"adoption.":[54,166,277,293],"As":[55],"part":[56],"larger":[59],"study":[60,130,247],"focused":[61],"on":[62,169],"developing":[63],"piloting":[65],"training":[67,173,203,217,269],"support":[69],"adoption":[71,94,260],"these":[73],"(our":[75],"primary":[76],"strategy),":[78],"we":[79,160],"identified":[80,146,192],"several":[81,147],"secondary":[82,188],"strategies.":[84],"We":[85],"propose":[86],"an":[87],"strategy":[89],"blueprint":[90],"for":[91,151,275],"promoting":[92],"practices.":[97],"Methods:":[98],"The":[99,125],"Gender-Affirming":[100],"Psychotherapy":[101],"(GAP)":[102],"Training":[103],"was":[104,131,177],"systematically":[105],"developed":[106],"via":[107],"collaboration":[108],"with":[109,118,204,222],"TGDY,":[110],"caregivers,":[112],"providers,":[116],"coupled":[117],"empirical":[122],"literature":[123],"review.":[124],"pilot":[126,195],"phase":[127],"this":[129,243],"conducted":[132],"in":[133,139,193],"multisite":[135],"clinic":[138,144,223],"New":[140],"England.":[141],"Researchers":[142],"leaders":[145],"necessary":[150,255,282],"successful":[153],"rollout":[154],"GAP":[157],"Training,":[158],"which":[159],"believe":[161],"will":[162],"promote":[163,226,290],"long-term":[164],"Results:":[167],"Based":[168],"community":[170],"input,":[171],"(primary":[174],"strategy)":[176],"online,":[178],"self-paced,":[179],"comprised":[180],"10":[181],"learning":[182],"modules,":[183],"8-hours":[185],"long.":[186],"Four":[187],"were":[191],"phase:":[196],"1)":[197],"incentivizing":[198],"completion":[200],"CE":[205],"credits,":[206],"2)":[207],"using":[208],"pre-pilot":[209],"feedback":[210],"from":[211],"pilot-site":[213],"provider":[214],"tailor":[216],"content":[218],"3)":[219],"frequent":[220],"meetings":[221],"\u201cchampions\u201d":[224],"training,":[228],"4)":[230],"updating":[231],"intake":[232],"forms":[233],"inclusively":[235],"assess":[236],"identity.":[238],"Discussion:":[239],"To":[240],"our":[241],"knowledge,":[242],"is":[244],"first":[246],"identify":[249],"that":[252,267],"may":[253,271,280,296],"be":[254,273,281,297],"enhance":[257],"reduce":[262],"providers\u2019":[263],"stigma.":[264],"Results":[265],"suggest":[266],"online":[268],"alone":[270],"not":[272],"sufficient":[274],"Rather,":[278],"it":[279],"employ":[284],"suite":[286],"sustainable":[291],"Identified":[294],"generalizable":[298],"other":[300],"populations":[301],"experiencing":[302],"significant":[303],"disparities.":[305]},"counts_by_year":[],"updated_date":"2026-11-09T13:22:03.289127","created_date":"2023-10-12T00:00:00"}
