A metric treatment score as an alternative to predefined treatment stages - How to acknowledge individual treatment requests in research with trans individuals in need of transition related medical interventions


To date, the majority of research with trans individuals in need of transition -related medical interventions (TRMI) assumes a pre-defined clinical pathway, starting with mental health counseling and concluding with genital... [ view full abstract ]


Even though a majority of trans individuals in need of TRMI might require both hormonal treatment and genital surgery, a generalization of this understanding seems to be an inadequate reflection of the heterogeneous treatment... [ view full abstract ]


Therefore, a newly developed metric score illustrating the individual treatment progress could be superior to the traditionally used pre-defined treatment phases. [ view full abstract ]

Main Outcome Measures

The individual treatment progress score (ITS) is calculated based on the number of undergone interventions standardized with the total number of planned interventions (already undergone interventions+ future interventions). [ view full abstract ]


The ITS has already been used in recent studies and achieved good results (Eyssel et al., submitted; Koehler et al., in prep.). It has been shown that the ITS explained a significant amount of variance and was superior to... [ view full abstract ]


Since the ITS does not assume a pre-defined end of TRMI, it opens up the possibility to examine individual requests with regard to transition-related care in a comparable way. As it does not need preconceptions of a... [ view full abstract ]


  1. Andreas Koehler (University Medical Center Hamburg-Eppendorf)
  2. Jana Eyssel (University Medical Center Hamburg-Eppendorf)
  3. Timo O. Nieder (University Medical Center Hamburg-Eppendorf)

Topic Area

Oral & Poster Topics: Mental health


PS-3 » E-Posters Mental Health (2) (16:30 - Thursday, 6th April, Mediterranean)

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