French, Harper ASSESSING GENDER-INCLUSIVE CARE PRACTICES AMONG SPEECH-LANGUAGE PATHOLOGISTS ACROSS DISCIPLINES, LIFESPANS, AND GEOGRAPHIC REGIONS. 2026. Radford University, Thesis. Radford University Scholars' Repository.
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Abstract
Speech-language pathology (SLP) governing bodies require SLPs to provide culturally responsive and affirming care in clinical practice and research. However, clinicians are not provided with specific implementation guidelines to support gender-inclusive care. This was a mixed-methods study conducted as a survey, incorporating quantitative analysis of survey responses and thematic analysis of free-text responses. This survey explored how SLPs and clinical fellows are trained to provide care to transgender and gender-diverse (TGD) individuals, current attitudes towards this treatment, knowledge of barriers TGD individuals face when seeking speech therapy, and the profession’s preparedness to meet the diverse needs of the TGD community. An online survey was distributed globally to licensed and practicing SLPs and clinical fellows (CFs). Quantitative and qualitative analyses provided a more comprehensive understanding of the data. Analyses included responses from 112 participants with the majority being licensed SLPs. Across specialties, clinicians reported inconsistent intake and management practices for TGD clients. Qualitative analysis included 529 responses, which were coded into the following themes: training, intake, treatment, barriers of care, and observations of care. Participants reflected upon limited training and resources, inconsistent intake practices, and feeling unsupported in clinical decision-making for TGD clients, citing a mismatch between ethical intent and ethical capacity. By identifying gaps in preparedness and highlighting clinician experiences, the findings aim to inform curriculum development, support ethical and inclusive care, and promote systemic change across clinical and academic settings.
| Item Type: | Thesis |
|---|---|
| Advisors Names: | UNSPECIFIED |
| Subjects: | H Social Sciences > H Social Sciences (General) |
| Divisions: | Radford University > Waldron College of Health and Human Services > Department of Communication Sciences and Disorders |
| Date Deposited: | 24 May 2026 15:15 |
| URI: | http://wagner.radford.edu/id/eprint/1342 |
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