Diverse Experiences Research Articles

The AFFIRM Framework for gender-affirming care: qualitative findings from the Transgender and Gender Diverse Health Equity Study

BackgroundTransgender, nonbinary, and gender diverse (TGD) people experience stigma in healthcare settings impacting healthcare utilization, including avoidance of care due to anticipated discrimination. Gender-affirming care refers to care for medical gender affirmation, such as gender-affirming hormones and surgery, as well as general care that affirms and respects TGD patients. This study sought to explore the experiences of TGD adults to inform gender-affirming care delivery and develop an actionable framework for practice.MethodsBetween May–October 2021, one-time individual in-depth interviews were conducted with 27 TGD adults receiving any healthcare in the greater Boston Massachusetts area to gather data about gender-affirming care. Interviews were semi-structured, explored prior and current experiences in healthcare and ideal gender-affirming care models, and conducted virtually via a secure Zoom platform. Analyses were conducted using immersion crystallization and reflexive thematic analysis; interview transcripts were double coded by two coders.ResultsParticipants had a mean age of 28.5, ranging 18–45 years, and were: 7 transgender men, 6 transgender women, 8 nonbinary, 3 genderqueer, 1 agender, and 2 gender not specified. Themes about gender-affirming care coalesced into the acronym AFFIRM: (1) Affirms in individual interactions: Participants called for affirmation of TGD identity, lived expertise, and competent TGD providers and staff. (2) Flexible and accessible: Participants expressed the need for gender-affirming care to be available beyond urban population-specific clinics, in a timely fashion without long wait lists, and in a community-centered manner such as offering non-traditional times and settings. (3) Fights systemic oppression: Participants emphasized the need for providers and health systems to eliminate gatekeeping practices for gender-affirming care and create care models that resist intersecting oppressive systems such as racism and cisgenderism. (4) Interacts with community: Patients desired intentional interaction with TGD community to holistically address health and unmet gender affirmation needs. (5) Retains patients in care: Patients shared the need to collaboratively identify and problem-solve obstacles to gender-affirming care with providers and healthcare systems to optimize TGD-specific retention strategies. (6) Multidisciplinary: Patients called for interdisciplinary teams with co-located services such as primary care and mental healthcare with letter-writing for surgical care, and incorporation of peer navigators to meet the broader social, health, and well-being needs of TGD people.ConclusionsFindings from this study and the AFFIRM Framework which emerged from TGD patient narratives can be applied to improve current care and set benchmarks for high-quality gender-affirming care delivery and practice.

“What does ‘often’ even mean?” Revising and validating the Comprehensive Autistic Trait Inventory in partnership with autistic people

BackgroundIn this study, we revised the comprehensive autistic trait inventory (CATI)—a self-report inventory of autistic traits, in collaboration with autistic people and provided preliminary evidence for its validity as a self-report measure of autistic traits in the general population. An established strength of the CATI is its ability to capture female autistic traits. Our project aimed to extend this further, to increase the inventory’s accessibility, and to minimise stigma induced by deficit-based representations of autistic experience.MethodsTogether with 22 individuals from the autism and autistic communities, we created the Revised Comprehensive Autistic Trait Inventory (CATI-R). Revisions included rewording items to increase clarity or reduce stigma and expanding items to capture diverse autistic experiences. We also present a series of guidelines for developing self-report inventories of subclinical neurodivergent traits. We validated the CATI-R within a large sample (n = 1439), comprising people with a self-reported autism diagnosis (n = 331), people who self-identified as autistic (n = 44), and non-autistic participants (n = 1046).ResultsWe successfully validated a revision of the CATI. A confirmatory factor analysis supported the six-subscale structure (two-factor bifactors model: Chi-squared = 2705.73, p < .001, RMSEA = .04, SRMR = .03, CFI = .95, TLI = .94). Spearman’s rank correlations showed positive relationships between all subscales (all rs > .56, ps < .001). Convergent validity was demonstrated by significant correlations between the CATI-R and two contemporary inventories of autistic traits: the AQ (rho = .86, p < .01) and BAPQ (rho = .82, p < .01). Finally, a measurement invariance analysis indicated that total-scale scores can be compared across genders.LimitationsOur study presents only initial evidence for the validity of the CATI-R that should be enriched with further analyses and types of data, including a larger number of participants who do not identify as male or female.ConclusionsThis project provides a revised trait inventory that resonates with actual autistic experience, along with guidelines for creating self-report measures that are sensitive, accessible, and non-stigmatising.

How Does Age Matter? Investigating Financial Strain, Health, and Well-Being among Adults Who Need Long-Term Services and Supports.

Being or becoming disabled over the life course can have profound effects on one's financial well-being and health-related quality of life. Adults of different ages and abilities who need long-term services and supports (LTSS) may perceive and experience financial strain and its impact on their health and well-being differently. Yet research on LTSS has typically studied defined age groups separately. This study explores how age may differentiate the associations between disability status, financial strain, and the subjective health and well-being of adults with LTSS needs in California. Using representative population-level data from the 2019-2020 California Long-Term Services and Supports survey, merged with data from the California Health Interview Survey (N = 2,030), descriptive and conditional process analyses were applied to answer the primary research questions. Findings indicate that young and middle-aged adults with LTSS needs struggled more than older adults to make financial ends meet. Middle-aged and older adults reported worse self-rated health, while younger adults were more likely to experience serious psychological distress. The indirect effects of difficulty in performing instrumental activities of daily living and the experience of serious psychological distress through financial strain were significant for young and middle-aged adults but not significant for older adults. These findings suggest the need to calibrate services to be more responsive to diverse experiences of disability, and to reset aging and disability silos to create coordinated LTSS networks for people with disabilities of all ages.

From print to perspective: A mixed-method analysis of the convergence and divergence of COVID-19 topics in newspapers and interviews.

In the face of the unprecedented COVID-19 pandemic, various government-led initiatives and individual actions (e.g., lockdowns, social distancing, and masking) have resulted in diverse pandemic experiences. This study aims to explore these varied experiences to inform more proactive responses for future public health crises. Employing a novel "big-thick" data approach, we analyze and compare key pandemic-related topics that have been disseminated to the public through newspapers with those collected from the public via interviews. Specifically, we utilized 82,533 U.S. newspaper articles from January 2020 to December 2021 and supplemented this "big" dataset with "thick" data from interviews and focus groups for topic modeling. Identified key topics were contextualized, compared and visualized at different scales to reveal areas of convergence and divergence. We found seven key topics from the "big" newspaper dataset, providing a macro-level view that covers public health, policies and economics. Conversely, three divergent topics were derived from the "thick" interview data, offering a micro-level view that focuses more on individuals' experiences, emotions and concerns. A notable finding is the public's concern about the reliability of news information, suggesting the need for further investigation on the impacts of mass media in shaping the public's perception and behavior. Overall, by exploring the convergence and divergence in identified topics, our study offers new insights into the complex impacts of the pandemic and enhances our understanding of key issues both disseminated to and resonating with the public, paving the way for further health communication and policy-making.

Navigating Patriarchies: Postcolonial Complexity in Riḥla ilā Ḥadāʾiq Jahannam by Mohamed Doublali

This article studies forms of patriarchy in Riḥla ilā Ḥadāʾiq Jahannam by Mohamed Doublali (2020). The author, I argue, challenges conventional depictions of patriarchy in both the Eastern and Western worlds. The central argument posits that Doublali offers a complex postcolonial representation of patriarchy as a construct influenced by both Eastern and Western paradigms. This construct is enacted by individuals across gender and generational lines. Through exploring the theme of migration from Morocco to Italy, Doublali presents a plural voice that encapsulates diverse expressions and experiences of patriarchy. Using postcolonial theory as the analytical framework, this study uncovers the multifaceted and hybrid nature of patriarchal structures within the novel. The analysis attempts to expose how Doublali's work transcends monolithic understandings of patriarchy, offering a critical reflection on its pervasive and evolving nature in a postcolonial context.

Differential associations between race-based traumatic stress and major, everyday, and vicarious racial discrimination among young adults of color.

Race-based traumatic stress (RBTS) is a psychological response to racial discrimination among individuals with marginalized racial/ethnic identities, but the literature about how different forms of racial discrimination contribute to RBTS is lacking. We compared the effects of major, everyday, and vicarious racial discrimination on RBTS and evaluated the associations between ethnic-racial identity (ERI) and RBTS. Analyses used cross-sectional survey data from Black, Asian, and Latine young adults (N = 1,342, Mage = 25.9 years) collected in 2022. Demographic variables; major, everyday, and vicarious racial discrimination; ERI commitment and exploration; and RBTS were assessed. Hierarchical multiple regression was used to identify correlates of RBTS. Everyday, β =.37, p <.001; vicarious, β =.16, p <.001; and major racial discrimination, β =.16, p =.004, predicted RBTS. Neither ERI commitment nor ERI exploration was significantly associated with RBTS. Race did not moderate the associations between major, everyday, or vicarious discrimination and RBTS, highlighting that Black, Asian, and Latine young adults appear to be equally at risk. As most vicarious racial discrimination and RBTS research has focused on Black samples, we expand the literature by including Latine and Asian young adults. Our observation that vicarious racial discrimination was a similarly strong predictor of RBTS compared to everyday and major racial discrimination underscores the importance of its inclusion in research focused on discrimination and mental health. Taken together, clinical assessment should focus on questions related to diverse experiences of racial discrimination for individuals with marginalized racial identities.

Nurses’ Perspectives on the Sleep Quality of Hospitalized Patients in Al Ahsa, Saudi Arabia

Background: Sleep quality is crucial for patient recovery and well-being, yet hospitalized patients often suffer from poor sleep due to environmental disruptions, clinical routines, and psychosocial stressors. While these challenges are well-documented, qualitative insights into nurses’ perspectives—essential frontline providers shaping the sleep environment—are scarce, especially within rapidly evolving healthcare systems like Saudi Arabia’s. This study explores nurses’ perceptions of factors influencing patient sleep quality in a private hospital in Al Ahsa, Saudi Arabia, and identifies strategies for improvement. Methods: We conducted a qualitative, cross-sectional study using semi-structured interviews with 14 registered nurses from diverse nationalities, specialties (Obstetrics/Gynecology, Medical-Surgical, Pediatrics, Intensive Care, Orthopedics, Bariatrics), and experience levels. Interviews were conducted in Arabic or English, audio-recorded, transcribed, and thematically analyzed using ATLAS.ti software. Roy’s Adaptation Model guided the examination of environmental, patient-specific, and systemic factors affecting sleep. Findings: Four primary themes emerged: (1). Environmental Factors: noise from alarms, equipment, family presence, and late-night activities, along with abrupt lighting changes, consistently disrupted sleep. (2). Patient-Specific Factors: pain, emotional distress, cultural expectations, and family involvement influenced sleep experiences. (3). Systemic and Contextual Factors: language barriers, infrastructural disparities between private and governmental hospitals, and limited resources can impeded effective sleep-promoting strategies. (4). Role of Health Technology: nurses recognized the potential of innovations like smart lighting and wearable monitors to enhance sleep quality but faced challenges in implementation due to knowledge gaps and limited familiarity. Roy’s Adaptation Model highlighted how effective adaptation through physiological and cognitive–emotional pathways, as observed by nurses, was facilitated or hindered by these factors. Conclusions: Enhancing in-hospital sleep quality requires a holistic, culturally sensitive approach that integrates environmental modifications, patient-centered care, and systemic improvements. Strategic investments in staff communication training, infrastructural upgrades, language support services, and the adoption of health technologies can promote adaptive responses and optimize patient rest. By leveraging theory-driven insights and context-specific strategies, healthcare systems—particularly those undergoing rapid development—can better support nurses in fostering restorative sleep environments as a fundamental component of patient-centered care, thereby enhancing patient recovery, satisfaction, and overall well-being.

Living standards and forced labour: A comparative study of colonial Africa, 1918–74

AbstractDespite significant advances in the quantitative study of African history, the Portuguese colonial empire remains an underexplored topic. This paper provides the first quantitative assessment of worker living standards in Angola and Mozambique, contextualized within a broader comparison of colonial African empires. Using the barebones subsistence basket method to construct welfare ratios, as well as focusing specifically on the African mining sector, this research offers a comprehensive cross‐temporal and cross‐geographical analysis. Key findings reveal two major patterns: until 1960, welfare ratios in the Portuguese empire were notably lower than in other territories, with this disparity widening after the Second World War. However, starting in the 1960s, welfare ratios in Angola and Mozambique began to rapidly and consistently increase, closing the gap that had widened in the post‐war period and achieving improvements in living standards within a few years that typically took decades to achieve elsewhere. The findings are then interpreted through an in‐depth case study approach, demonstrating how the persistence of forced labour systems under the Portuguese Empire contributed to the consistently low living standards of workers. The unexpected abolition of these coercive systems in 1961 marked the beginning of rapid improvements in living standards, underscoring the critical role of institutional changes within history. This research enhances our understanding of the functioning of coercive labour markets as well as of Africa's diverse colonial experiences.

Changes and their effects on working and daily life time use allocation between work-from-home and office work days during the telework period: insights from the survey in Japan

IntroductionThe rapid adoption of telework, accelerated by advancements in ICT and the COVID-19 pandemic, offers potential benefits for wellbeing and environmental impact. However, telework’s effects on work productivity, work-life balance, and social connectedness remain complex, particularly within hybrid models combining work-from-home (WFH) and in office days.MethodsThis study assessed telework’s impact by comparing WFH and office days. A survey of 1,500 full-time workers in Japan’s Tokyo Metropolitan Region focused on daily time allocation, and telework preferences during telework periods. Principal component and cluster analyses were used to identify groups with distinct work and lifestyle patterns.ResultsSix telework-related groups emerged, reflecting diverse experiences in productivity and daily life. Groups such as the “Overall Increase” and “Housework and Rest Increase” reported gains in leisure and family time, positively impacting wellbeing. In contrast, the “Unsuitable for WFH” group faced increased office-day workloads and reduced WFH productivity, indicating that telework’s effectiveness depends on job and individual characteristics.ConclusionThe findings highlight telework’s potential to enhance wellbeing and sustainability but also underscore the need for tailored policies that address diverse job requirements and personal characteristics. This study contributes to sustainable telework strategies by offering insights into effective support systems that balance flexibility, productivity, and environmental sustainability, aiming both for an enhanced personal life and societal benefits.

Amplifying Women's Voices in Menopause Research: The Importance of Inclusive Perspectives.

Menopause, a significant life transition for half the global population, intersects biological, cultural and social dimensions. Despite its universal occurrence, menopause research has historically been dominated by biomedical perspectives, often neglecting women's voices and diverse experiences. This article highlights the importance of including women's perspectives in menopause research to ensure relevance, accuracy and equity. It explores cultural variations in menopause experiences, the impact of socioeconomic status and the often-overlooked emotional and psychological dimensions. This article advocates for participatory approaches, emphasising that women's involvement enhances research design, implementation and policy development. Evidence-based interventions that are tailored to the individual can better address the diverse needs of menopausal women. The discussion extends to addressing health disparities, calling for inclusive research and policies to ensure equitable access to care. Ultimately, empowering women through co-designed research and inclusive policies can transform the menopause journey into an enriching life phase, promoting resilience and inclusivity across communities. This paradigm shift in menopause research and policy highlights the need for diversity, collaboration and evidence-based approaches to improve health outcomes and quality of life for all women. PATIENT OR PUBLIC CONTRIBUTION: This article has been informed by a menopause service user group who discuss their experiences of menopause. The group was formed because of initial qualitative research and now meet on a regular basis to co-design and co-produce activities that inform ongoing research for the menopause taskforce.

Youth Are Not All the Same: On the Appropriateness and Limits of Participatory Methods in Youth Research

The field of youth studies has traditionally promoted participatory methods, assuming that young people prefer creativity over standard methods like traditional ethnography or one-to-one interviews. However, my experience in Medellín, Colombia, reveals complications. While youth with strong ties to civil society and activism found comfort in participatory methods, youth who were out of school or in conflict with the law felt alienated by formalized processes and institutional spaces. Too often, participatory techniques homogenize youth perspectives, taking the views of socially engaged youth as representative of all youth. Researchers should instead acknowledge diverse youth experiences and employ different methods for different youth groups.

COVID-19 status and utilisation of essential maternal and child healthcare services during the pandemic in Ahmedabad, India

BackgroundAccess to essential healthcare services is pertinent to the achievement of universal health coverage in any nation. The COVID-19 lockdown was used to mitigate the spread of the pandemic. Consequently, there was a reduction in the Utilisation of Basic Healthcare Services (UBHS) in diverse dimensions. However, variation existed in the UBHS by COVID-19 status, but the extent of this disparity has not been extensively addressed in Ahmedabad, India. Therefore, this study explores the relationship between COVID-19 status and utilisation of essential maternal and child healthcare services during the pandemic in Ahmedabad, India.MethodsA mixed-method approach was used for the data (both quantitative and qualitative) collection from November 2021 to October 2022. Four zones were purposefully selected from the 6 zones in Ahmedabad. The quantitative part of the study included pregnant women or those who had a baby delivery from April 2020 to October 2021 (n = 278), while 10 of these women participated in the qualitative part. Data were analysed using descriptive statistics, Chi-square test, and binomial logistic regression (α = 0.05). A deductive approach was used to analyse the qualitative data.ResultsOf the total 278, almost 43% of the women were infected with COVID-19 during their pregnancy. Women who tested positive availed lesser antenatal care (ANC), and Postnatal care (PNC). There were diverse experiences documented regarding access to essential maternal and child healthcare services during the pandemic. Women without COVID-19 are more likely to receive maternal healthcare services, such as visits of any healthcare workers [aOR = 2.59 (1.03- 6.49)], counseling services [aOR = 1.92 (0.61- 6.06)], delivery at the planned place [aOR = 1.98 (0.99- 3.92)] as compared to those who are positive. Women without COVID-19 were more likely to be accompanied by healthcare workers during labor ([aOR = 2.91(1.04- 8.11) and to receive appropriate birth spacing counselling [aOR = 1.38 (0.7–2.71)].ConclusionUtilisation of essential maternal and child healthcare services was lower among women who were COVID-19 positive compared to those who were not. Social and health system determinants for disrupting healthcare services during the pandemic were fear of infection and unavailability of the health workforce. Health planners and policymakers are encouraged to take into consideration of these findings while building resilient health care for managing future pandemics.

The Rise of Aging Influencers: Exploring Aging, Representation, and Agency in Social Media Spaces

Objective: This study investigates the rise of aging influencers on social media, aiming to understand their roles in reshaping societal perceptions of aging, promoting inclusivity, and bridging generational divides. Theoretical Framework: The research is grounded in theories of ageism, the social construction of aging, and the attention economy. These frameworks provide a robust foundation for analyzing how digital platforms mediate representations of aging and influence societal narratives. Method: A systematic literature review was conducted using databases such as Scopus, Google Scholar, and CNKI. The review synthesizes findings from 10 studies published between 2015 and 2024. Thematic analysis identified recurring patterns in content strategies, representation, and audience engagement. Results and Discussion: Aging influencers challenge ageist stereotypes by emphasizing vitality, creativity, and resilience, while also facing pressures from commercialization and algorithm-driven visibility. Cultural variations reveal that Western influencers often highlight individuality, while those in collectivist societies emphasize family and community values. Challenges include marginalizing diverse experiences of aging and ethical concerns regarding influencer autonomy. Research Implications: The study highlights the potential for aging influencers to advocate for systemic change, promote healthy aging, and inspire intergenerational dialogue. It suggests practical applications in policy development, marketing strategies, and public health initiatives. Originality/Value: By synthesizing current research, this study contributes to the emerging discourse on aging influencers, emphasizing their unique role in fostering age inclusivity and redefining digital engagement across generations.

Working Women in the Unorganised Sector in Delhi: An Epistemological Inquiry through Anthropology Application

This paper critically analyzes the condition of working women in the unorganised sector in Delhi, by detailing out different sets of challenges they face in their respective professions. However, significant research gaps remain in high areas such as the discourse of power, the lack of documentation from a phenomenological perspective, and the exploration of agency and resistance.The research uses various range of key methods, including ethnographic fieldwork, participant observation, phenomenology, and feminist epistemology. These methodologies uncover the axis of power that influences decision-making processes in the everyday lives of women. Furthermore, the ontological turn has provided deep walled insights into the diverse everyday experiences and different sets of challenges faced by women in the unorganised sector. The paper also includes a comprehensive literature review that explores existing research on the unorganised sector. However, this paper critically analyses these issues through an epistemological inquiry grounded in anthropological applications. It presents a fine blended epistemology of ground realities faced by women in the unorganised sector and offers innovative social policy suggestions to address these everyday challenges effectively.

Understanding What Makes Them Stay: Retention in the Frontline Workforce for Those Unhoused

Soaring rates of physical and mental health among the homeless population demand a workforce with increasingly sophisticated treatment knowledge and skills to address their complex experiences and socio-behavioral needs. However, the retention of frontline workers in this industry is a rising concern. More information is needed to understand how frontline workers within homeless services experience their daily work and their motivations for continuing in this field. The current study reports findings from 11 frontline worker interviews on what facilitates workforce retention in two homeless service agencies in Florida, where homelessness has increased in recent years. The themes identified in this study (a culture of caring for workers, empathetic attunement, and a commitment to agency mission) highlight the importance of organizational culture for continuing in these agencies despite low wages and insufficient intervention options for this population. Recommendations include increasing efforts to prepare frontline workers during onboarding trainings for this work and supporting supervisors to respond to the diverse client experiences frontline workers face. Future research should explore if job embeddedness factors, differences in supervisory support, and resources available in different locations to assist those unhoused impact retention of frontline workers.

Dead in Life: Narratives About Circumstances Prior to Suicide in Rural Western Spain

Background: In rural contexts, meanings of suicide are part of the intimate heritage of those closest to the suicidal person. They are also constructed through a social process. Over time, the community creates meanings, shares notions, and experiences common emotions. In this process, the boundaries between the life and death of the suicidal person are blurred. Methods: An ethnographic study was carried out with more than six months of fieldwork in a rural locality of Extremadura, Spain. This research included narratives that delved into the historical memory of suicides from 1922 to 2023. Results: In the narratives, the following categories emerged in the consideration of the suicidal person at the moment of death: trance as a transition/connection towards death, the appearance of being detached from life, the possibility of resurrection, and the premonitory appearance. These categories were interrelated and shared close symbolic meanings. Conclusions: The nature of the results and their contrast with diverse theories and experiences show that the earthly and otherworldly planes are intertwined. This allows us to affirm that, in the narratives about suicides, individuals perceive themselves as simultaneously alive and dead at the moment of taking their own lives.

Exploring the clinical, psychological, and social relevance of menopause for trans and gender diverse people: a qualitative study.

The aim of this study was to explore the meanings and experiences of menopause for trans and gender diverse (TGD) people and how menopause affects clinical practice. For this qualitative study in 2021-2022, a scoping literature review informed interview schedule development. Following email invitations, online semi-structured interviews were conducted in March-April 2021 in Australia with three prominent TGD community leaders (trans male, trans female, nonbinary person) and three experienced medical practitioners (general practitioner, endocrinologist, psychiatrist), which were audio-recorded and transcribed. Inductive, iterative thematic analysis of transcripts was conducted. A further literature search was completed in 2024. Themes identified included the following: (1) no consensus on the definition of menopause for TGD individuals; (2) diverse menopause experiences existing in the TGD community; (3) large variations present regarding perimenopausal hormone therapy for older TGD patients: maintain dose, taper to low dose, or cease hormones; and (4) minimal support for TGD people to discuss menopause and concerns around aging. Saturation was not reached with the sample size. There is a paucity of relevant research and no consensus on definitions, management, or impacts of menopause for TGD people. Therefore, current management approaches should be individually tailored and guided by clinical expertise. To formulate practical and realistic recommendations for clinical practice, future research could include the following: (1) a broader literature review into varied gender-affirming hormone treatment (GAHT) regimens among aging TGD people; (2) utilizing the Delphi technique to achieve expert consensus regarding GAHT in older TGD individuals; and (3) a prospective study design of TGD participants on different GAHT regimens over time.

Social inclusion programming for older adults living in age-friendly cities: a scoping review

ObjectivesCreating age-friendly cities (AFCs) is essential for supporting older adults’ well-being. The WHO’s 2007 guide outlines key features of AFCs, including social inclusion. Despite increasing numbers of AFC programmes, diverse...

Popular music pedagogy in music teacher education: A literature review

Higher education music education programmes that prioritize Eurocentric perspectives related to the western classical canon may limit future music educators’ ability to connect students’ in-school and out-of-school music experiences. Growing interest in diverse and inclusive approaches to music education has led to increased attention on the inclusion of popular music pedagogy in music teacher education. Drawing on culturally responsive pedagogies as a theoretical framework, in this review of literature, I examined research related to popular music pedagogy in music teacher education. Researchers suggest that incorporating popular music in music classrooms may connect students’ in-school and out-of-school music experiences, resulting in greater student engagement and promoting lifelong musical involvement. Based on significant findings in this research, music educators might consider reimagining music teacher education programmes to reflect the changing landscape of music education and prepare future music educators with the skills necessary to acknowledge and value the diverse musical experiences and cultural contexts of students.

Developing Trans Wellness, Trans Brilliance: A Virtual Peer-Support Wellness Intervention by and for Trans/Gender Diverse Michiganders.

The U.S. trans/gender diverse (TGD) community experiences considerable mental health disparities and barriers to health care. To address these challenges, Trans Wellness, Trans Brilliance (TWTB) was developed to advance the resilience, self-compassion, and community connectedness of TGD people in Michigan. Designed by TGD people for TGD people, this community-based research project was a joint partnership between a local trans community care organization and a large Midwestern research institution, supported by state foundation funding. The construction of TWTB was sequential and iterative. The project concept originally emerged from previous research, which identified a need for a program to enhance resilience, capacity, and emotional well-being in the broader Michigan TGD community. This led to the innovative idea of designing an intervention that was both virtually accessible and capable of being implemented by any community advocate, regardless of professional training. Interviews were conducted with community stakeholders statewide to identify the needs, desired skills, and objectives for such a skill-based program. Findings from these interviews were used to design the online intervention. Community members further shaped the intervention through a focus group, which assessed the desirability and anticipated effectiveness of the curriculum. The final product was TWTB: an 8-week, peer-support, virtual wellness intervention.