Gender and Population Studies (GAPS) in Health

TRANSforming Primary Care Practice Project

TRANSforming Alberta Primary Care Practice: Development and Evaluation of Self-directed Trans-Health Practice Resources for Primary Care Practitioners in Alberta

Primary Investigator: Peter Kellett PhD RN, Assistant Professor, Faculty of Health Sciences, University of Lethbridge. Primary Investigator for the TRANSforming Rural Primary Care project, team member, and research mentor for the Transgender Reproductive Health (TRH) study. www.gapsinhealth.com

Co-Investigators:

Tammy Troute-Wood MN RN, Alberta Health Services (Calgary Zone), permanent staff resource member of the AHS Sexual Orientation and Gender Identity and Expression (SOGIE) Patient Advisory Council, Team Lead of the TRH study (www.trhstudy.com )  (user of research)

Wendi Lokanc-Diluzio PhD RN. Sexual and Reproductive Health Specialist AHS (Calgary Zone), TRH study research mentor and user of research

Jillian Demontigny MD, General Practitioner, Bigelow Fowler Clinic East, Lethbridge. User of research and primary care provider (PCP) for many transgender and gender non-conforming (TGNC) clients

Mark Horne MD, General Practitioner, Bigelow Fowler Clinic East, Lethbridge. User of research and PCP for TGNC clients.

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Collaborators:

Alec Moorji BScN RN, Trans Health Advisor, Edmonton Men’s Health Collective (EMHC), Coordinator/Implementation Lead for Trans Wellness Initiative. User of research/community partner.

Ren Braul BSc RN, Trans Health Navigator, Trans Wellness Initiative

Julia Carter MD CCFP, Medical Director, Sexual & Reproductive Health. AHS (Calgary Zone)

Background: The TRANSforming AB Primary Care Practice project plans to build on the findings of the TRANSforming Rural Primary Care project, which documented the often-challenging experiences of TGNC individuals with primary care services in rural southern Alberta. The findings from this recent Alberta study are congruent with the well-documented pattern of stigma, discrimination, and limited primary care provider knowledge surrounding TNGC health [1-8]. These pervasive issues also contribute to fear among TGNC people surrounding accessing primary and emergency care, and a reluctance to disclose important medical or gender/sexual information for fear of discrimination [9-12]. Barriers to appropriate primary care for TGNC people are magnified by other vulnerable intersectional identities including racialization, age, refugee/immigrant status, disability, rurality, poverty, and ethnicity [13, 14]. Furthermore, there is a reluctance among some primary care practitioners to care for TGNC people, because of a perception that medical care of TGNC people is specialist care, despite the reality that most care for TGNC people is well within the scope of primary care [3, 15].  The proposed project seeks to close the gap in primary care practitioner knowledge and comfort in terms of providing evidence-informed, affirmative, and safe primary care to TGNC communities, utilizing a focused micro-learning approach that acknowledges that PCP time to engage in continuing education is limited.

Research Question: Does primary care provider’s engagement with micro-learning sessions, covering evidence-informed TGNC primary health care, improve their knowledge, confidence, and efficacy to provide evidence-informed, client-centred, affirming care to TGNC clients?