Abstract:
:Information is lacking on the role shared decision making plays in the care of transgender (trans) youth. This qualitative, descriptive study explored how trans youth, parents and health care providers engaged or did not engage in shared decision-making practices around hormone therapy initiation and what conditions supported shared decision-making approaches in clinical practice. Semi-structured interviews were conducted with 47 participants in British Columbia, Canada, and analyzed using a constructivist grounded theory approach. While formal shared decision-making models were not used in practice, many participants described elements of such approaches when asked about their health care decision-making processes. Others described health care interactions that were not conducive to a shared decision-making approach. The key finding that emerged through this analysis was a set of five conditions for supporting shared decision making when making decisions surrounding initiation of hormone therapy with trans youth. Both supportive relationships and open communication were necessary among participants to support shared decision making. All parties needed to agree regarding what decisions were to be made and what role each person would play in the process. Finally, adequate time was needed for decision-making processes to unfold. When stakeholders meet these five conditions, a gender-affirming and culturally safer shared decision-making approach may be used to support decision making about gender-affirming care. Implications for clinical practice and future research are discussed.
journal_name
Health Promot Intjournal_title
Health promotion internationalauthors
Clark BA,Virani A,Marshall SK,Saewyc EMdoi
10.1093/heapro/daaa043subject
Has Abstractpub_date
2020-06-26 00:00:00eissn
0957-4824issn
1460-2245pii
5864519pub_type
杂志文章abstract::The field of health promotion has arguably shifted over the past thirty years from being socially proactive to biomedically defensive. In many countries this has been accompanied by a gradual decline, or in some cases the almost complete removal of health promotion designated positions within Government health departm...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw051
更新日期:2018-02-01 00:00:00
abstract::Low utilization of palliative care services by Māori remains despite increases in services designed to meet Māori needs. The purpose of this study is to explore palliative care information brochures in the context of Māori principles of well-being and communication protocols, and health literacy. We examined 99 brochu...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dav067
更新日期:2016-12-01 00:00:00
abstract::The objectives of the study were to identify the professional issues that teachers perceived as important in their commitment to a health promotion (HP) programme launched in their schools and to understand their perceptions of the impact of the programme on themselves as professionals, individuals, on students, on sc...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daq076
更新日期:2011-09-01 00:00:00
abstract::Research has shown that taxi drivers are at risk for numerous health concerns, such as low back and leg pain, linked to their highly sedentary occupation, long work hours and stressors related to the job (e.g. low income, safety threats). The goal of this study was to explore occupational health risks and opportunitie...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dax082
更新日期:2019-04-01 00:00:00
abstract::Tai Chi has been widely practiced as a Chinese martial art that focuses on slow sequential movements, providing a smooth, continuous and low intensity activity. It has been promoted to improve balance and strength and to reduce falls in the elderly, especially those 'at risk'. The potential benefits in healthy younger...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dah105
更新日期:2004-03-01 00:00:00
abstract::A holistic well-being approach, understood as an approach that pays attention to the promotion of individual, relational and collective well-being in a particular context, is proposed as a way to address the fragmented nature in which mental health and well-being programmes are implemented in school communities in Sou...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz060
更新日期:2020-08-01 00:00:00
abstract:Background:In Australia, significant resources have been invested in producing health promotion best practice guidelines, frameworks and tools (herein referred to as health promotion tools) as a strategy to improve Indigenous health promotion programmes. Yet, there has been very little rigorous implementation research ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw049
更新日期:2018-02-01 00:00:00
abstract::The study explored the impact of self-rated health (SRH) and work ability on employment, and examined the effects of meaningfulness, social networks and physical activity on health and work ability with a population-based cross-sectional survey data (n = 12 729) of full-time employed and unemployed workers. SRH, perce...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daz048
更新日期:2020-06-01 00:00:00
abstract::The aim of the study was to investigate possible effects of a total smoke-ban in Norwegian bars and restaurants (introduced on June 1st 2004) on employees' job satisfaction. A national representative sample was randomly selected from the public registry of all companies in the hospitality business. A baseline survey w...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dan028
更新日期:2008-12-01 00:00:00
abstract::In spite of improvements in global health over the 20th century, health inequities are increasing. Mounting evidence suggests that reducing health inequities requires taking action on the social determinants of health (SDOH), which include income, education, employment, political empowerment and other factors. This pa...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daq049
更新日期:2011-03-01 00:00:00
abstract::An evaluation framework, called the Hong Kong Healthy Schools Award, has been developed to enable comprehensive collection and analysis of data reflecting the status of health-promoting schools (HPS) in Hong Kong. The key findings revealed a high prevalence of emotional problems, unhealthy eating habits, physical inac...
journal_title:Health promotion international
pub_type: 杂志文章,多中心研究
doi:10.1093/heapro/dam029
更新日期:2007-12-01 00:00:00
abstract::This historical analysis of the term 'health promotion' during the early 20th century in North American journal articles revealed concepts that strongly resonate with those of the 21st century. However, the lineage between these two time periods is not clear, and indeed, this paper supports contentions health promotio...
journal_title:Health promotion international
pub_type: 历史文章,杂志文章
doi:10.1093/heapro/daw039
更新日期:2017-12-01 00:00:00
abstract::This article-third in a series of three-uses theoretical frameworks described in Part 1, and empirical markers reported in Part 2, to present evidence on how power dynamics shifted during the early years of a major English community empowerment initiative. We demonstrate how the capabilities disadvantaged communities ...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa059
更新日期:2020-12-31 00:00:00
abstract::In 2003, the German Federal Centre for Health Education (BZgA) initiated the national Cooperation-Network (CN) 'Equity in Health'. The CN is constantly increasing in size and scope, supporting setting approaches aimed at reducing health inequalities. A detailed description of the CN has not yet been available in Engli...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daw069
更新日期:2018-04-01 00:00:00
abstract::Engaging men in mental health promotion can be difficult because of reticence about help-seeking, especially for gender neutral programmes. Developments in men's health research has pointed to the success of gender-sensitized programmes to increase men's engagement in healthy lifestyle interventions targeting physical...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa120
更新日期:2020-11-27 00:00:00
abstract::This article revisits our 1995 assessment of the international health promotion agenda. Then we concluded that a more radical agenda for change was required in which responses were both technically sound and infused with an appreciation of the imperative for a change in politics and power. We conclude that this messag...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dar078
更新日期:2011-12-01 00:00:00
abstract::Empowerment, a multi-level construct comprising individual, community and organizational domains, is a fundamental value and goal in health promotion. While a range of scales have been developed for the measurement of empowerment, the qualities of these have not been rigorously assessed. The aim of this study was to e...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dav059
更新日期:2016-12-01 00:00:00
abstract::Although the internet increases the availability of diabetes-related health information, health care consumers need to have different skills in order to obtain, interpret and evaluate such information. The eHealth literacy scale (eHEALS) was originally developed to assess consumers' perceived skills at using informati...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dav112
更新日期:2017-06-01 00:00:00
abstract::The article, a critical essay, presents the notion of an emancipatory promotion of health (EPH), which seeks to relate the field of public health in theoretical and practical terms with the reinvention of utopias and relevant social struggles of our time principally in the Global South, a metaphor designating the peri...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/day086
更新日期:2019-03-01 00:00:00
abstract::Intersectoral policymaking to improve public health includes integrated health promotion (HP) intervention packages that address a variety of health behavior determinants. The involvement of different partners is assumed to be necessary to implement such integrated packages. We examined how partnership diversity was a...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daaa083
更新日期:2020-08-27 00:00:00
abstract::Mental health promotion programs (MHP) seek to reduce sub-syndromal symptoms of mental distress and enhance positive mental health. This study evaluates the long-term effects of a mindfulness-based MHP program ('Life Balance') provided by health coaches in a multi-site field setting on mental distress, satisfaction wi...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/day008
更新日期:2019-06-01 00:00:00
abstract::This paper examines the factors that have enabled the Healthy Cities Noarlunga (HCN) initiative to be sustainable over 18 years (1987-2005). Sustainability related to the ability of the initiative to continue to operate continuously in a manner that indicated its existence was accorded value by the community and local...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dal023
更新日期:2006-12-01 00:00:00
abstract::Type 2 diabetes is the most common type of diabetes, with a prevalence of at least 4% in Sweden. Aiming at primary prevention of the disease, the Stockholm Diabetes Prevention Program (SDPP) was developed as a joint program between the Departments of Endocrinology, Social Medicine and Epidemiology at the Karolinska In...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/17.4.317
更新日期:2002-12-01 00:00:00
abstract:Background:Indigenous people experience poorer cancer survival outcomes compared with non-Indigenous people. Currently, there is growing awareness of poor health literacy as a determinant of cancer outcomes. However, little attention has been given to researching cancer-related health literacy amongst Indigenous people...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/daw066
更新日期:2018-04-01 00:00:00
abstract::Social determinants, or the conditions in which individuals are born, grow, live, work and age, can result in inequities in health and well-being. However, to-date little research has examined alcohol use and alcohol-related problems from an inequities and social determinants perspective. This study reviewed the evide...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dav030
更新日期:2015-09-01 00:00:00
abstract::This article reports preliminary research results on a professional development (PD) model as a mechanism for supporting absorption of the Healthy School (HS) approach into school functioning. The purpose of our study was to document the model implementation process and understand whether it influenced, or not, the ac...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dat043
更新日期:2015-06-01 00:00:00
abstract::The concept of 'health promoting schools' has been embraced internationally as an effective way of promoting the health of children, adolescents, and the wider school community. It is only recently that attempts have been made to evaluate health promoting schools. This paper reviews evaluations of health promoting sch...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dah309
更新日期:2004-09-01 00:00:00
abstract::The Health Promoting School (HPS) and Comprehensive School Health Program (CSHP) initiatives have been proposed as a means of going beyond some of the limitations associated with health promotion initiatives aimed at school-aged children. This involves moving beyond practices that rely mainly on classroom-based health...
journal_title:Health promotion international
pub_type: 杂志文章,评审
doi:10.1093/heapro/dag410
更新日期:2003-12-01 00:00:00
abstract::Children in early adolescence and their mothers were studied to clarify the association between a child's sense of coherence (SOC) and its mother's SOC, the quality of family relationships as gauged by the mother, and the child's positive life experiences at home. An anonymous self-administered group questionnaire was...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/daq081
更新日期:2012-06-01 00:00:00
abstract::The European Community Health Promotion Indicator Development Model has been developed as the basis for establishing a European set of indicators for monitoring health promotion interventions. This paper offers the model more generally as a common frame of reference for broader public health practice and indicator dev...
journal_title:Health promotion international
pub_type: 杂志文章
doi:10.1093/heapro/dak002
更新日期:2006-06-01 00:00:00