为变性青年和年轻人共同设计基于网络的互动式生育决策辅助工具,并提高其可用性。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-05-09 DOI:10.1093/jpepsy/jsae032
Diane Chen, Elaine Shen, Victoria D Kolbuck, Afiya Sajwani, Courtney Finlayson, Elisa J Gordon
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引用次数: 0

摘要

目标:通过以用户为中心的参与式设计,为变性和非二元性(TNB)青年/年轻成人及其父母开发一个以患者和家庭为中心的生育相关医疗决策援助(AFFRMED)互动网站,以促进有关生育保护干预措施的共同决策:方法:招募有兴趣或正在接受青春期抑制或性别确认激素治疗的 TNB 青年/青壮年以及符合条件的 TNB 青年/青壮年的父母参加一系列以人为本的迭代式共同设计会议,以开发 AFFRMED 的初始原型。随后,TNB青年/青少年和TNB青年/青少年的家长被招募参加可用性测试访谈,其中包括可用性测量(即情景调查问卷、净促进得分、系统可用性量表):27名参与者完成了18次迭代协同设计会议,并对10个版本的AFFRMED提供了反馈意见(16名TNB青年/青少年和11名家长)。9 名 TNB 青少年和 6 名家长完成了个人可用性测试访谈。总体而言,参与者对 AFFRMED 在可接受性、适宜性、可用性和满意度方面的评价都很高。然而,不同治疗组群的得分各不相同,对青春期抑制治疗感兴趣或正在接受治疗的 TNB 青少年的可用性得分最低:我们共同创建了一个以青少年和家庭为中心的生育决策辅助原型,以在线互动的形式提供教育和决策支持。未来的发展方向包括测试该辅助决策工具在提高生育和生育保护知识、决策自我效能和决策满意度方面的效果。
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Co-design and usability of an interactive web-based fertility decision aid for transgender youth and young adults.

Objective: To develop a patient- and family-centered Aid For Fertility-Related Medical Decisions (AFFRMED) interactive website targeted for transgender and nonbinary (TNB) youth/young adults and their parents to facilitate shared decision-making about fertility preservation interventions through user-centered participatory design.

Method: TNB youth/young adults interested in or currently receiving pubertal suppression or gender-affirming hormone treatment and parents of eligible TNB youth/young adults were recruited to participate in a series of iterative human-centered co-design sessions to develop an initial AFFRMED prototype. Subsequently, TNB youth/young adults and parents of TNB youth/young adults were recruited for usability testing interviews, involving measures of usability (i.e., After Scenario Questionnaire, Net Promotor Score, System Usability Scale).

Results: Twenty-seven participants completed 18 iterative co-design sessions and provided feedback on 10 versions of AFFRMED (16 TNB youth/young adults and 11 parents). Nine TNB youth/young adults and six parents completed individual usability testing interviews. Overall, participants rated AFFRMED highly on measures of acceptability, appropriateness, usability, and satisfaction. However, scores varied by treatment cohort, with TNB youth interested in or currently receiving pubertal suppression treatment reporting the lowest usability scores.

Conclusions: We co-created a youth- and family-centered fertility decision aid prototype that provides education and decision support in an online, interactive format. Future directions include testing the efficacy of the decision aid in improving fertility and fertility preservation knowledge, decisional self-efficacy, and decision satisfaction.

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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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