![]() 2020ĭevotion, another Euphoria.LGBT app, is a lightweight app that provides routine affirmations intended for TGE users. 2021Ĭlarity, a Euphoria.LGBT offering, is a standalone app that permits users to fix their present sense of gender identity, expression, and attractions toward others along a linear female-to-male continuum represented by touch sliders. No formative, UX, or outcomes research available (“none available” hereafter)īehavioral self-monitoring Password protection TGE-curated informative resourcesĮuphoria.LGBT, Inc. Examples include “Buying a dress,” with a range of cost estimates derived from web sources and “Start (Estrogen+),” with links to Plume’s subscription offerings ![]() platform, automatically directs a predetermined proportion of a TGE user’s income toward self-assigned gender-affirmation goals (which closely mirror those of Solace). These VC-backed services are compared in detail atop ( Table 1).īliss, a Euphoria.LGBT, Inc. The amounts invested toward their eventual profitability are non-trivial: $29,400,000 to Folx Health across seed, venture, and Series A funding rounds $14,000,000 raised by Plume in a Series A round and $580,000 to Euphoria.LGBT in pre-seed and crowdfunding, according to the competitor-intelligence platform Crunchbase ( 6). ( 1), is now the flagship offering of VC-backed Euphoria.LGBT Inc., which is developing a suite of TGE-tailored apps. Forgoing any brick-and-mortar presence, both offer GAHT initiation, maintenance ( 4), and wraparound care tailored for sexually and gender-diverse patients, for the cost of a monthly out-of-pocket subscription fee: $100/month, approximately, not including the cost of medication ( 5). Exemplifying this turn are the telehealth services Folx and Plume. ![]() Where TGE eHealth in the COVID era departs most radically from the past is in its abrupt, recent, turn toward venture capital (VC)-backed commercialization. Emerging evidence shows promise in the acceptability, usability, patient satisfaction, and cost-effectiveness of gender-affirming telehealth, particularly among TGE youth who feel unsupported by their parents ( 3, 4). And an “either/or” approach to such questions overlooks the possibility of telehealth-supported specialist consultations and similar hybrid models ( 4). Presently, telehealth cannot replace key aspects of in-person (particularly pre-surgical) consultation ( 3), which most TGE youth prefer for GAHT initiation ( 4). ![]() These changes vastly expanded access to telemedicine, permitting TGE young people to access primary care, counseling, and GAHT initiation virtually, or via hybrid models of care, typically extensions of established providers ( 3, 4). Federal regulations that had restricted reimbursement for telehealth services and barred cross-state practice were relaxed ( 3, 4). In the U.S., the Centers for Disease Control and Prevention recommended the suspension of in-person appointments. surveyed transgender and nonbinary respondents across 76 countries from April–August 2020, 55% of whom reported diminished access to gender-affirming care due to the pandemic 38% were less able or unable to live in accord with their genders at all ( 2). Most can be traced to the COVID pandemic, which disproportionately burdened marginalized subpopulations. Since the initial, July 2020, publication of that scoping review ( 1), upheavals have occurred within TGE mHealth, with implications for mHealth self-sustainability, broadly. ( 1), these interventions can be classified along distinct lineages: (I) academic medicine, often via NIH-funded clinical trials (II) human-computer interaction, user experience (UX) design, and adjacent subfields and (III) TGE-led community technologies, often developed via hackathons and crowdfunding. A diverse, innovative range of ICT interventions serves the gender-affirmation needs of TGE users. This is particularly true of TGE youth, who may lack autonomy or in-person support ( 1). ICTs permit socially isolated users to transcend the limitations of their physical environments, in which TGE social bonds, gender-affirming hormone therapy (GAHT) providers, or physical safety, may be lacking. mHealth interventions intended for TGE users are situated within-and, increasingly, informed by-this rich online milieu. Interactive communications technologies (ICTs) are key sites of self-discovery, community formation, health education, and creative expression among the 0.7–3.2% of young people who identify as transgender and gender-expansive (TGE).
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