Research Article
Issue Date: July/August 2021
Published Online: June 03, 2021
Updated: July 07, 2021
Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study
Author Affiliations
  • Sally Wasmuth, PhD, OTR, is Assistant Professor, Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis; swasmuth@iu.edu
  • Bethany Leonhardt, PsyD, HSPP, is Assistant Professor of Clinical Psychology, Department of Psychiatry, Indiana University School of Medicine, Indianapolis, and Clinical Psychologist, Sandra Eskenazi Community Mental Health, Eskenazi Health, Indianapolis, IN.
  • Kevin Pritchard, MS, OTR, is Predoctoral Research Fellow, Division of Rehabilitation Sciences, School of Health Professions, University of Texas Medical Branch, Galveston.
  • Chih-Ying Li, PhD, OTR, is Assistant Professor, Department of Occupational Therapy, School of Health Professions, University of Texas Medical Branch, Galveston.
  • Annie DeRolf, OTD, OTR, is Clinical Assistant Professor, Department of Occupational Therapy, School of Health and Human Sciences, Indiana University, Indianapolis.
  • Lisa Mahaffey, PhD, OTR/L, FAOTA, is Professor, Department of Occupational Therapy, College of Health Sciences, Midwestern University, Downers Grove, IL.
Article Information
Advocacy / Health and Wellness / Mental Health / Rehabilitation, Participation, and Disability / Special Issue on Occupational Therapy and Disability Studies
Research Article   |   June 03, 2021
Supporting Occupational Justice for Transgender and Gender-Nonconforming People Through Narrative-Informed Theater: A Mixed-Methods Feasibility Study
American Journal of Occupational Therapy, June 2021, Vol. 75, 7504180080. https://doi.org/10.5014/ajot.2021.045161
American Journal of Occupational Therapy, June 2021, Vol. 75, 7504180080. https://doi.org/10.5014/ajot.2021.045161
Abstract

Importance: Societal stigma gravely impedes occupational justice for transgender and gender-nonconforming (TGNC) people, producing vast health disparities for this population.

Objective: To test the feasibility of an intervention to reduce stigma and improve the well-being of TGNC people.

Design: A parallel, mixed-methods design was used to test feasibility in the areas of acceptability, demand, and limited efficacy.

Setting: Community.

Participants: Forty-two audience members and 5 TGNC interviewees.

Intervention: Virtual, narrative-informed play reading and moderated discussion about gender diversity and affirmative care.

Outcomes and Measures: The valid and reliable Acceptance and Action Questionnaire–Stigma was used to assess stigma beliefs. An open-ended, qualitative question assessed TGNC interviewees’ experiences.

Results: Recruitment and participant responses to the intervention indicated feasibility in the areas of acceptability, demand, and limited efficacy. However, future efforts at obtaining a diverse TGNC sample are needed.

Conclusions and Relevance: The intervention decreased stigma beliefs in audience members and offered a positive experience for TGNC participants. Feasibility outcomes warrant future efficacy testing.

What This Article Adds: This article adds an innovative intervention for promoting occupational justice to support the health and well-being of TGNC people. The community-based intervention facilitates change in societal attitudes and stigmatizing beliefs.