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1.
Journal of Adolescent Health ; 70(4):S30, 2022.
Article in English | EMBASE | ID: covidwho-1936666

ABSTRACT

Purpose: Compared to cisgender peers, gender diverse youth (GDY) face significant mental health disparities. Parent affirmation reduces these disparities, but there are few evidence-based support programs for parents of GDY and none centered on 1:1 parent peer support, which has shown promise in other pediatric settings. This study aimed to evaluate a 1:1 peer mentor program for parents of GDY, the Parent Outreach Program (POP). Methods: We created anonymous online surveys consisting of open-ended questions about the POP distributed via email to program mentors (parents providing support) and mentees (parents receiving support). Participants were asked why they became involved, benefits and challenges, and how this program compared to others they had participated in. Open-ended responses were coded by two authors using two iteratively developed codebooks (one each for mentors and mentees);codes were adjudicated to consensus and key themes were identified for both participant types. Results: In total, 20 participants (6 mentors, 14 mentees) completed parallel surveys. Themes identified for mentors included feeling giving back was important, their mentoring experience, challenges, and personal growth resulting from being a mentor. Mentors wanted to help other families, “[POP was] rewarding in knowing that by helping the parents you can ultimately help the kids”. They shared logistical challenges like “coordinating schedules” as well as the potential for conversations to be triggering;“Sometimes it brings up a memory of my own family that evokes an emotion”. Mentors also noted their participation was a positive experience: “[POP] offers us the opportunity to grow in our knowledge and feelings in regard to our own child”. Themes identified for mentees included the importance of finding community through the POP, receiving education, relating to their mentors, practical considerations, and qualities of a good mentor. Parent mentees shared relief in finding a “sense of community”;as one mentee said, “It was a lifeline to some sanity”. They also noted that the POP gave them specialized information and that they connected with mentors based on shared experiences: “We craved parents with a true understanding of the many feelings, changes, activities…”. They addressed practical considerations like the intimacy of 1:1 support and that recommendations from a provider mattered to them: “This [program] is more intimate and focused on our stories;” “When the social worker offered it, I had no doubt.” Mentees stressed that mentors “being non-judgmental, willing to listen” was critical. All mentees noted that they would recommend POP to other parents. Conclusions: Both parent mentors and mentees shared that 1:1 peer support was valuable and allowed mentors to give back and experience personal growth, while providing community and resources to mentees who were struggling to understand and support their GDY’s journey. The POP also provides an alternative to large support groups given the ongoing COVID-19 pandemic. This program and others offering 1:1 parent peer support may fill an important gap in supporting parents of GDY, ultimately improving mental health outcomes for their young people. Sources of Support: Dr. Kidd was supported by the National Center for Advancing Translational Science of the NIH, Award Number TL1TR001858.

2.
Journal of Adolescent Health ; 70(4):S25, 2022.
Article in English | EMBASE | ID: covidwho-1936664

ABSTRACT

Purpose: The demand for pediatric gender-affirming care has increased throughout the COVID-19 pandemic, highlighting the need for telehealth-based specialist-to-primary care provider (PCP) consultative support. Accordingly, the purpose of this study was to identify PCPs’ perspectives on receiving training and consultation in pediatric gender-affirming care using three telehealth modalities, with the larger goal of informing the development of future consultative support offerings. Methods: PCPs who had previously reached out to the Seattle Children’s Gender Clinic for a gender care consultation were invited to participate in a semi-structured, one-hour Zoom interview. During the interview, three different telehealth modalities (tele-education, electronic consultation, telephonic consultation) were described and participants were asked to share their perspectives on 1) the benefits and drawbacks of each modality, 2) which modality would be most effective in supporting them in providing gender-affirming care in the primary care setting, and 3) factors that would make a consultation platform successful. Interviews were transcribed and analyzed using an inductive thematic analysis framework by two authors using Dedoose qualitative analysis software. All participants provided informed consent and all study procedures were approved by the Seattle Children’s Institutional Review Board. Results: Interviews were completed with 15 PCPs. For the tele-education platform, PCPs most often identified continuing medical education (67%) and the community or network it creates (47%) as benefits and the commitment required (73%) and scheduling difficulties (40%) as drawbacks. For the electronic consultation model, timeliness of response (67%) and convenience (53%) were cited as benefits and electronic medical record system requirements (60%) and difficulty conveying the message electronically (53%) were considered the main drawbacks. For the telephonic consultation, PCPs identified the ability to have a conversation (80%) and the timeliness of response (60%) as the main benefits and phone-tag (87%) and finding time to make the initial call (40%) as the main drawbacks. Regarding the most effective platform, responses were mixed: 27% endorsed the electronic consultation, 27% the tele-education platform, and 20% the telephonic consultation, with the remaining 27% suggesting a hybrid of the three models. Finally, responses regarding what would make a platform successful were much more varied across participants, with the most common responses including being non-judgmental and supportive (33%) and flexible with the ability to pivot to other platforms as needed (27%). Conclusions: With the increasing demand to provide gender-affirming care in the primary care setting, further training and support is necessary for pediatric PCPs to deliver this time-sensitive care. The results of this study indicate the need for a more flexible suite of gender-focused specialist-to-PCP telehealth-based consultative services to facilitate the provision of pediatric gender-affirming care. Sources of Support: This project was supported by the Seattle Children's Research Institute and AHRQ (K12HS026393-03;PI: Sequeira) and a grant from Pivotal Ventures.

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