Physiotherapists vary in their knowledge of and approach to working with patients who are LGBTQIA+: a qualitative study

Ross, Megan H.; Setchell, Jenny

doi:10.1016/j.jphys.2023.02.012

Cited by 7 publications

(2 citation statements)

References 44 publications

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“…Many Australian physical therapists hold largely egalitarian attitudes towards LGBTIQA+ patients. 46 However, we found that physical therapists may inadvertently misgender and do not always create safe spaces. Challenging therapist cisnormativity through educational training would provide a mechanism for changing physical therapy culture to be more inclusive of gender diversity.…”

Section: Discussionmentioning

confidence: 81%

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

Aird,

Walters,

Ker

et al. 2023

Preprint

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Objective: To explore physical therapy experiences and identify barriers and facilitators of access to physical therapy for people who identify as trans, non-binary, or gender diverse (TGD). Methods: A qualitative descriptive design was employed using semi-structured interviews conducted in New Zealand. Participants were individuals aged 12 years or older, who self-identified as TGD, and had accessed physical therapy at a New Zealand clinic that provided a gender-affirming service. Participants were recruited via email invitation to the clinic database. Interview data were analysed using reflexive thematic analysis. Demographics are reported descriptively. Results: Seventeen individuals participated. Four themes identified during analysis. Barriers to and facilitators of care were identified at policy, environmental, clinic and therapist levels. All participants reported physical therapy experiences relating to one or more of the following themes: challenging cisnormativity at policy, environmental, clinic and therapist levels; safety and trust throughout the clinical experience- including clinic credibility for being a safe provider, clinic displays of TGD-inclusivity, implementation of safe clinic processes, and respectful therapist interactions; inclusive experiences in a clinic which provided affordable care and took active steps to understand and affirm TGD identities, and physical therapists with a high level of knowledge of TGD-specific health issues and a biopsychosocial approach to care; and sensitivity to body discomfort or dysphoria triggers. Conclusions: People who identify as TGD face challenges to accessing safe and culturally sensitive physical therapy. However, there are achievable areas for improvement at policy, environmental, clinic and physical therapist level to gain trust and engagement in care for the TGD-community. Impact Statement: This study provides nuanced exploration of TGD physical therapy experiences and identifies specific areas of improvement for TGD physical therapy care to provide clinicians and physical therapy clinics insights into the provision of safe and culturally sensitive physical therapy.

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Section: Discussionmentioning

confidence: 81%

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

Aird,

Walters,

Ker

et al. 2023

Preprint

Self Cite

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“…Enrolled students from these groups are reported to experience more negative experiences during training and more limited later career opportunities afterwards (19,20). The General Medical Council (GMC) recently set new targets to improve access and outcomes for students from UrGs (21) as lack of diversity and limited cultural awareness among practitioners from different healthcare professions also impacts the quality and outcomes of healthcare for patients from UrGs (12,22,23). The Council of Deans recently published a report on how to build an inclusive environment which highlights issues that affect students from minority ethnic groups in Allied Health Professions (24).Patients from UrG experience substantial health disparities in the UK and across the globe due to structural and interpersonal discrimination (25, 26).…”

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confidence: 99%

Overcoming barriers to equality, diversity, inclusivity, and sense of belonging in healthcare education: the Underrepresented Groups’ Experiences in Osteopathic Training (UrGEnT) mixed methods study.

Draper-Rodi,

Abbey,

Hammond

et al. 2024

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Background Individuals from minority groups have historically faced social injustices. Those from underrepresented groups have been less likely to access both healthcare services and higher education. Little is known about the experiences of underrepresented students during their undergraduate studies in osteopathy in the UK. The aim of this project was to evaluate osteopathic students' awareness of cultural diversity and their beliefs about patients from underrepresented backgrounds, as well as their preparedness to manage them. The project also aimed to investigate the educational experiences of students from underrepresented backgrounds during their training and their opinions on changes that could support better levels of recruitment and achievement. The findings were disseminated to stakeholders through interactive workshops with the aim to develop recommendations for action and change.Methods A transformative action research paradigm informed this mixed methods project. It included: 1/ a survey of students from all seven osteopathic educational providers in the UK using the Multidimensional Cultural Humility Scale (MCHS); 2/ a series of focus groups with students from underrepresented groups (women, students with disabilities, students from minority ethnic backgrounds, and students identifying as LGBTQIA+); and 3/ a workshop forum to discuss findings.Results A total of 202 participants completed the MCHS and demographic questionnaire and seven focus groups were conducted. A model was developed to describe participants' training experiences comprising two main themes: institutional contextual obstacles (with four sub-themes) and underrepresented students' conceptual understanding of Equity, Diversity and Inclusion (EDI). Recommendations for change identified in the workshops were based on three topics: institutions, staff, and students.Conclusion Our findings suggest that staff education is urgently needed to create and maintain equitable, inclusive environments in osteopathic educational institutions in the UK to support all students, particularly those from underrepresented groups. Institutional EDI processes and policies also need to be clarified or modified to ensure their usefulness, accessibility, and implementation.

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Occupational Therapists in Australia Vary in Their Knowledge, Skills and Clinical Practices to Meet the Health Needs of the LGBTQIA+ Community

Brown,,

Ross,

2024

Occupational Therapy In Health Care

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Physiotherapists vary in their knowledge of and approach to working with patients who are LGBTQIA+: a qualitative study

Cited by 7 publications

References 44 publications

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

Overcoming barriers to equality, diversity, inclusivity, and sense of belonging in healthcare education: the Underrepresented Groups’ Experiences in Osteopathic Training (UrGEnT) mixed methods study.

Occupational Therapists in Australia Vary in Their Knowledge, Skills and Clinical Practices to Meet the Health Needs of the LGBTQIA+ Community

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Physiotherapists vary in their knowledge of and approach to working with patients who are LGBTQIA+: a qualitative study

Cited by 7 publications

References 44 publications

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

People who identify as trans, non-binary or gender diverse can experience inclusive, culturally sensitive physical therapy while attending a gender-affirming clinic: qualitative study

Overcoming barriers to equality, diversity, inclusivity, and sense of belonging in healthcare education: the Underrepresented Groups’ Experiences in Osteopathic Training (UrGEnT) mixed methods study.

Occupational Therapists in Australia Vary in Their Knowledge, Skills and Clinical Practices to Meet the Health Needs of the LGBTQIA+ Community

Contact Info

Product

Resources

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Overcoming barriers to equality, diversity, inclusivity, and sense of belonging in healthcare education: the Underrepresented Groups’ Experiences in Osteopathic Training (UrGEnT) mixed methods study.