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Using telehealth to improve access to gender-affirming care for BIPOC and rural gender diverse youth

Award Number: K08HS029028
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 04/01/2023
PERIOD OF PERFORMANCE END DATE: 03/31/2026

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Using telehealth to improve access to gender-affirming care for BIPOC and rural gender diverse youth - PROJECT SUMMARY This proposal aims to improve the care of specific populations included in the special emphasis notice (NOT- HS-21-014) to advance health equity by increasing health services research involving transgender and gender diverse youth, youth who identify as Black, Indigenous, or People of Color (BIPOC), and youth living in rural communities. Gender diverse youth (GDY) who identify BIPOC, as well as those living in rural communities, are more likely to experience depression and anxiety than their peers.1-5 Additionally, BIPOC and rural GDY are disproportionately underrepresented in pediatric gender clinics,6-8 limiting their access to pediatric gender- affirming care, which has been shown to improve mental health outcomes.9,10 One proposed solution for improving access to gender-affirming care, which is currently provided in large academic medical centers, is facilitating its delivery in the community setting. Prior research suggests both GDY and community pediatric providers are interested in community-based care delivery models, especially those that incorporate technology-based support from gender specialists;11,12 however, additional stakeholder-engaged research is needed to ensure interventions meet the needs of GDY and their families. Given few providers have received training in this area13-15 and most lack opportunities to consult with transgender specialists, telehealth modalities like telemedicine and electronic consultation show great potential in facilitating the provision of community-based gender-affirming care. Unfortunately, little is known about whether existing models provide necessary psychosocial support to GDY and their families. In this K08 proposal, Dr. Sequeira will build on her existing research with GDY, their families, and community pediatric providers to: 1) identify existing barriers BIPOC and rural GDY experience to receiving gender-affirming care and explore design and implementation considerations for facilitating access to care via telehealth, 2) develop a Technology-based Enhanced Gender Support (TEGS) platform to facilitate comprehensive gender-affirming care provision in the community pediatric setting, and 3) conduct a pilot study to determine the feasibility and acceptability of TEGS platform use in the community setting. In addition, this K08 award will provide the necessary skills and preliminary data to inform the development and submission of a future R01 proposal to conduct a randomized trial to evaluate the efficacy of TEGS platform use on GDY’s mental health and perceived care needs as well as community provider knowledge and behavior.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $143,057 )
2025	2025	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	4/23/2025	NON-COMPETING CONTINUATION	$143,057
														Subtotal = $143,057

Issue Date FY: 2024 ( Subtotal = $142,182 )
2024	2024	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Research on Healthcare Costs, Quality and Outcomes	001	2	3/20/2024	NON-COMPETING CONTINUATION	$142,182
2024	2023	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/20/2024	NEW	$0
														Subtotal = $142,182

Issue Date FY: 2023 ( Subtotal = $143,057 )
2023	2023	SEATTLE CHILDREN'S HOSPITAL	4800 SAND POINT WAY NE	SEATTLE	WA	98105	KING	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/23/2023	NEW	$143,057
														Subtotal = $143,057

Grand Total All Awards = $428,296

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Using telehealth to improve access to gender-affirming care for BIPOC and rural gender diverse youth

Award Number: K08HS029028

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 04/01/2023

PERIOD OF PERFORMANCE END DATE: 03/31/2026

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