Trans Collaborations Clinical Check-In (TC3): Initial Validation of a Clinical Measure for Transgender and Gender Diverse Adults Receiving Psychological Services

Holt, Natalie R.; Huit, T. Zachary; Shulman, Grant P.; Meza, Jane L.; Smyth, Jolene D.; Woodruff, Nathan; Mocarski, Richard; Puckett, Jae A.; Hope, Debra A.

doi:10.1016/j.beth.2019.04.001

Cited by 15 publications

(15 citation statements)

References 46 publications

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“…Our second hypothesis regarding the convergent validity of the TC 3 with other TGD-specific measures was mostly supported. These findings reflect many of the same relationships found in the original validation study (Holt et al, 2019). Some correlations that were significant in the previous study were nonsignificant in this sample but that is likely attributable to the small sample size of the current study.…”

Section: Discussionsupporting

confidence: 83%

“…1 The following serves as a general overview for the development of the TC 3 . More detailed accounts of the processes involved in the scale development for this measure can be found in the original validation study (Holt et al, 2019). This brief 18-item measure covers a range of areas such as social support, body dysphoria, comfort with identity expression, and coping with stigma and discrimination.…”

Section: Hypothesesmentioning

confidence: 99%

“…To address this gap in assessment methods with TGD individuals, the Trans Collaborations Clinical Check-In (TC 3 ) was created to serve as a routine clinical monitoring measure to broadly assess constructs relevant to TGD care, rather than gender dysphoria or any other single construct alone (Holt et al, 2019). 1 The following serves as a general overview for the development of the TC 3 .…”

mentioning

confidence: 99%

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Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Huit¹,

Holt²,

Farquhar-Leicester³

et al. 2024

Psychology of Sexual Orientation and Gender Diversity

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The current study aimed to examine the test–retest reliability and sensitivity of the Trans Collaborations Clinical Check-In (TC3) in a 3-month period with four assessment points at baseline, 1, 2, and 3 months to examine its utility as a clinical progress monitoring measure. This study builds on the initial validation study conducted by Holt et al. (2019). The sample of 32 transgender and gender diverse (TGD) participants were chosen who met screening for at least modest depression and anxiety, and did not have other significant risk factors (e.g., mania, self-harm). Participants completed a battery of measures that assessed mood, well-being, and gender-related constructs at each of the time points in addition to demographic questionnaires. Overall, the TC3 exhibited excellent test–retest reliability. While there was no systematic change in scores, there was some random variation of scores around the mean; and large, within-person correlations between time points. The TC3 also demonstrated convergence with many of the gender-related constructs, and to a lesser degree demonstrated criterion validity with mental health constructs. Further longitudinal study with larger samples in addition to study within intervention frameworks are necessary next steps to understand the utility of the TC3 for assessing systematic change over time. Overall, the current study highlights the initial utility of the TC3 to measure aspects of gender-related well-being across time, such as during health or behavioral health services.

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Section: Discussionsupporting

confidence: 83%

Section: Hypothesesmentioning

confidence: 99%

mentioning

confidence: 99%

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Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Huit¹,

Holt²,

Farquhar-Leicester³

et al. 2024

Psychology of Sexual Orientation and Gender Diversity

Self Cite

View full text Add to dashboard Cite

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“…The PANAS was originally validated with presumed cisgender male and female college students. While it has not been validated in gender-expansive samples, it has been used in research with transgender adults (e.g., Holt et al, 2019; McLemore, 2015). The PANAS had high internal consistency in the current sample (0.95).…”

Section: Methodsmentioning

confidence: 99%

Inclusive dissonance-based body image interventions for college students: Two randomized-controlled trials of the EVERYbody Project.

Ciao

Munson

Pringle

et al. 2021

Journal of Consulting and Clinical Psychology

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Objectives: Two randomized-controlled studies explored the feasibility, acceptability, and efficacy of the EVERYbody Project, a gender-inclusive, diversity-focused, dissonance-based body image intervention for college students. Method: Trial 1 (N = 98; 80% female, 14% male, and 6% gender-expansive) piloted the two-session intervention delivered by an expert (faculty or staff) and peer cofacilitators compared to a waitlist control. Trial 2 (N = 141; 79% female, 15% male, and 6% gender-expansive) utilized peer leaders, comparing the EVERYbody Project to a video and expressive writing intervention. Around half of the participants in both trials self-identified in one or more specific marginalized identity category. Changes in eating disorder symptoms and risk factors were assessed through 1-month follow-up. Trial 1 also assessed the intervention's impact on students with marginalized identities through qualitative interviews. Results: In Trial 1, the EVERYbody Project produced greater reductions in eating disorder symptoms, internalized appearance norms, body dissatisfaction, and negative affect compared to the waitlist control through 1-month follow-up, with medium effect sizes. The impact was similar in students with marginalized and majority identities, and qualitative interviews suggested specific positives of the intervention. In Trial 2, there were significant changes in two of four outcomes for participants in the EVERYbody Project compared to the video and expressive writing intervention, but overall, the intervention impact was modest. Conclusions: The EVERYbody Project is a feasible and acceptable inclusive dissonance-based body image program. It appears to be beneficial when delivered via experts, but research is needed to establish whether the program can be delivered using peer leaders with greater impact. Public Health SignificanceA dissonance-based body image program that is inclusive of all college students appears to be beneficial when diversity in cultural body image pressures is directly discussed and groups are led by at least one expert. Additional research is needed to assess whether college peer facilitators can successfully deliver inclusive body image programs.

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“…The Trans Collaborations Clinical Check-In (TC3; Holt et al, 2019) is an 18-item measure of an adult’s adjustment and comfort with their gender. The underlying factors of the TC3 that assess constructs related to gender dysphoria include acceptance/confidence, comfort with public perceptions, and social support/voice and body comfort (e.g., “Currently, how many people that you care about know about your gender identity?”).…”

Section: Resultsmentioning

confidence: 99%

Assessing gender dysphoria: A systematic review of patient-reported outcome measures.

Bowman¹,

Casey²,

McAloon³

et al. 2022

Psychology of Sexual Orientation and Gender Diversity

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Over the last decade, the manner in which gender dysphoria is defined has changed significantly, as have the presentations of transgender clients to specialist gender services. Although the use of patientreported outcome measures (PROMs) to assess gender dysphoria is widespread, there is a lack of literature that assesses the methodological quality of these measures. To address the limits of the existing literature, the aim of the current study was to conduct a systematic review of PROMs that assess gender dysphoria. The systematic review was performed in accordance with the PRISMA and COSMIN methodologies. Five measurement studies met inclusion criteria. Results suggested that none of the measures could be recommended for use without further development. Poor content validity was evident across all measures and internal validity and construct validity were mixed, ranging from inadequate to very good. Measures that show promise for the future include the Gender Congruence and Life Satisfaction Scale, Gender Identity Reflection and Rumination Scale, Gender Preoccupation and Stability Questionnaire, and Transgender Adaptation and Integration Measure. A need to develop reliable and valid measures that are appropriate for use with adolescent samples experiencing gender dysphoria was also identified. Public Significance StatementFor clinicians, the study highlights the strengths and weaknesses of existing measures of gender dysphoria. For researchers, the study identifies additional research necessary to improve the methodological quality and measurement properties of the identified measures.

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Trans Collaborations Clinical Check-In (TC3): Initial Validation of a Clinical Measure for Transgender and Gender Diverse Adults Receiving Psychological Services

Cited by 15 publications

References 46 publications

Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Test–retest reliability and sensitivity of a brief clinical monitoring measure for transgender and gender diverse adults: The Trans Collaborations Clinical Check-In (TC³).

Inclusive dissonance-based body image interventions for college students: Two randomized-controlled trials of the EVERYbody Project.

Assessing gender dysphoria: A systematic review of patient-reported outcome measures.

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