Telehealth Versus In-Person Injection Instruction for Adolescents and Young Adults Initiating Gender-Affirming Testosterone Therapy
Year: 2024
Type: article
Study design: Observational Study
Abstract: Purpose: The purpose of this study was to compare the clinical acceptability of testosterone levels, time to treatment, and postinstruction questions/problems between in-person and telehealth injection teaching for adolescents and young adults (AYA) initiating gender-affirming testosterone therapy. Methods: A retrospective cohort study was conducted using electronic medical record data from a large pediatric gender health clinic. Patients who received subcutaneous testosterone prescriptions between March 15, 2018, and March 14, 2022, were included. The study compared patients receiving in-person versus telehealth injection teaching. Data were collected on demographics, testosterone levels at 3 and 6 months, time from prescription to treatment, and post-instruction contacts. Statistical analyses included t -tests, chi-square tests, logistic regression, linear regression, and zero-inflated negative binomial. Results: The study included 278 patients, with 136 (48.9%) receiving in-person teaching and 142 (51.1%) receiving telehealth teaching. There were no significant differences in baseline characteristics between groups. Clinical effectiveness, indicated by testosterone levels at 3 and 6 months, revealed no significant difference between instruction methods ( p = 0.768 and p = 0.350). Time to treatment initiation was comparable (in-person: 15.34 days; telehealth: 18.02 days), with no significant difference in adjusted analysis ( p = 0.204). Post-instruction contacts were slightly higher in the telehealth group (2.87 vs. 2.42, p = 0.040), but injection-related questions were rare and similar between groups ( p = 0.650). Conclusion: Telehealth instruction for testosterone injection is as effective as in-person teaching methods for AYA initiating gender-affirming care. The findings support the continued use of telehealth to enhance access to gender-affirming care, particularly in light of its clinical efficacy and patient acceptability.
Source: Transgender Health
Authors: Kira J. Nightingale, Scott K. Jelinek, Caleb Jones, Linda M. Bevington, Kaja Darien, Alexander Ding, Andi Fu, Kevin Su, Linda S. Kocent, Miriam D. Langer, Nadia Dowshen
Language: English
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W4404048172