Lahari A Telang, Hezreen Shaik Daud, Aoife G Cotter, Abdul Rashid
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引用次数: 0
Abstract
Background: Transgender women in Malaysia face marginalization and experience barriers to accessing healthcare. Formative research conducted by the research team has identified low utilization of dental services, alongside gaps in knowledge and a perceived low risk of STI transmission through oral sexual practices. Tailored educational interventions that address the specific needs of transgender women in Malaysia are essential for bridging these gaps.
Methods: A focus group discussion (FGD) was conducted with patient and public involvement and engagement (PPIE) advisors, and the use of a social media-based mHealth educational intervention to create awareness was discussed. The ADDIE (Analyze, Design, Develop, Implement, and Evaluate) instructional design was employed alongside the transgender community involvement in designing and developing the "Ms. Radiance" intervention. PPIE was crucial for presenting the educational material as artistic bilingual posts, stories, and reels that were peer-reviewed and culturally sensitive. The feasibility and acceptability of the intervention were assessed among transgender women (n = 30) through a three-week pilot launch on Instagram. An online pretest/post-test questionnaire was utilized to evaluate the intervention's impact on condom use for oral sex, oral hygiene practices, and dental service utilization.
Results: The themes derived from the FGD were Content of the Educational Intervention, Social media as a mode of delivery, Community engagement and Sustainability of the intervention. Ms. Radiance demonstrated feasibility, achieving 100% retention and a 93% post-intervention completion rate. It was considered acceptable, as shown by positive post-intervention feedback, with 79% of participants indicating they would recommend the intervention to others.
Conclusion: A first-of-its-kind intervention for transgender women in Malaysia was designed and developed with PPIE and pilot-tested. The pilot's feedback will help improve the intervention for a scaled-up version of the study.
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