Development of a quality of life questionnaire for transgender individuals during hormone therapy (iTransQol).


Journal

Archives of gynecology and obstetrics
ISSN: 1432-0711
Titre abrégé: Arch Gynecol Obstet
Pays: Germany
ID NLM: 8710213

Informations de publication

Date de publication:
10 2022
Historique:
received: 16 02 2022
accepted: 22 06 2022
pubmed: 26 7 2022
medline: 16 9 2022
entrez: 25 7 2022
Statut: ppublish

Résumé

Quality of life (QoL) is a complex term, including mental, physical and social health, and everyone's individual environment. While transgender individuals still often report lower QoL than other individuals, they can benefit substantially from gender affirming therapy. The aim of this study was to develop a questionnaire to determine QoL in transgender individuals during gender affirming hormone therapy (GAHT). A multi-step questionnaire development process was performed. In phase 1, a list of key issues was established by reviewing relevant literature. In phase 2, n = 38 transgender individuals as well as n = 6 practitioners evaluated the questionnaire (iTransQoL) in terms of relevance, meaning, comprehensibility and redundancy. Psychometric testing of the questionnaire was performed in phase 3 with n = 40 transgender individuals. The external validity of the iTransQoL was tested by comparison with three validated health questionnaires. The exploratory factor analysis indicated an underlying four-factor solution. Psychometric testing showed acceptable to good overall reliability (α = 0.73-0.83) for the total score and the four subscales as well as good validity indices. Based on the results, a final version of the iTransQoL was established. The iTransQoL is a reliable and valid tool to evaluate QoL of transgender individuals during GAHT.

Identifiants

pubmed: 35876907
doi: 10.1007/s00404-022-06689-9
pii: 10.1007/s00404-022-06689-9
pmc: PMC9470628
doi:

Substances chimiques

Hormones 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1337-1347

Informations de copyright

© 2022. The Author(s).

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Auteurs

Katharina Feil (K)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria. katharina.feil@i-med.ac.at.

David Riedl (D)

University Clinic of Medical Psychology, Medical University of Innsbruck, 6020, Innsbruck, Austria.

Lisa Gschwentner (L)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria.

Kilian Vomstein (K)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria.

Julia Wegscheider (J)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria.

Emanuela Arnold (E)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria.

Bettina Toth (B)

Department of Gynecological Endocrinology and Reproductive Medicine, Medical University Innsbruck, Innsbruck, Austria.

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Classifications MeSH