{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T04:33:42Z","timestamp":1792989222795,"version":"4.5.0"},"reference-count":55,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T00:00:00Z","timestamp":1788825600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aus Occup Therapy J"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Autistic transgender and gender diverse (TGD) adults often report additional barriers to health\u2010care access and occupational participation. Gender\u2010affirming hormone therapy (GAHT) consists of hormonal medications a person may choose to take to increase alignment of physical features with their gender identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Consumer and Community Involvement<\/jats:title>\n                    <jats:p>This research project was conducted in response to patient and clinician feedback; however, no consumers were involved in the setup or analysis of the study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Six autistic TGD adults undergoing GAHT at a statewide tertiary gender endocrinology clinic participated in in\u2010depth semi\u2010structured interviews and underwent an Adolescent\/Adult Sensory Profile (AASP) assessment. Secondary analysis of qualitative data utilised thematic analysis and triangulation with AASP results through the lens of the doing, being, becoming, belonging framework to understand how autistic TGD adults achieve occupational identity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Autistic TGD adults experienced improved quality of life, mental health, and occupational identity outcomes as a result of GAHT. Being TGD and autistic posed unique challenges for autistic TGD adults in doing tasks associated with GAHT, including navigating health\u2010care and social environments. Gender\u2010affirming physical changes and experiences increased participants' engagement in gendered occupations and roles.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For autistic TGD adults who choose to medically transition, GAHT can be an important gender\u2010affirming occupation in enabling occupational identity acquisition. The results of this study highlight a role for occupational therapists within gender\u2010affirming care settings to enhance patient care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1440-1630.70121","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T04:14:44Z","timestamp":1788927284000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Experiences of autistic transgender and gender diverse adults undergoing gender\u2010affirming hormone therapy and the influence on occupational identity outcomes"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-5166-5165","authenticated-orcid":false,"given":"Sarah Louise","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Occupational Therapy Monash University Peninsula Campus  Frankston Victoria Australia"},{"name":"Adult Mental Health Services Monash Health  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9064-3274","authenticated-orcid":false,"given":"Helen","family":"Bourke\u2010Taylor","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy Monash University Peninsula Campus  Frankston Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1756-7241","authenticated-orcid":false,"given":"Karen","family":"Dixon","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Monash Health  Frankston and Clayton Victoria Australia"},{"name":"Department of Occupational Therapy Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8326-7015","authenticated-orcid":false,"given":"Rita","family":"Upreti","sequence":"additional","affiliation":[{"name":"Gender Endocrinology Clinic and Reproductive Biology Unit Monash Health  Clayton Victoria Australia"},{"name":"Adjunct Senior Lecturer, Department of Obstetrics and Gynaecology Monash University  Clayton Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,8]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/andr.12884"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2023-107852"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/0008417416635346"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/0008417413484450"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2012.659169"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2024.050485"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2024.102849"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-69909-7_3470-2"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2016.701002"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2018.1509370"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0020472"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/09687599.2020.1755233"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2022.2100644"},{"key":"e_1_2_13_16_1","volume-title":"Participatory and inclusive autism research practice guides","author":"Houting J.","year":"2021"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1300\/J236v08n01_05"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.3109\/09540261.2015.1115753"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2018.1561382"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1177\/0160597618782582"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10508-022-02443-z"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2023.0042"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0008417413520489"},{"key":"e_1_2_13_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-017-3274-2"},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1210\/jc.2017-01658"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1080\/11038128.2020.1726454"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.3109\/07380577.2014.898114"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/07380577.2014.898115"},{"key":"e_1_2_13_29_1","unstructured":"James S. E. Herman J. L. Rankin S. Keisling M. Mottet L. &Anafi M.(2016).The report of the 2015 U.S. Transgender Survey.Washington DC.National Center for Transgender Equality."},{"key":"e_1_2_13_30_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803-022-05517-y"},{"key":"e_1_2_13_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/15691861231204896"},{"key":"e_1_2_13_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361316687987"},{"key":"e_1_2_13_33_1","volume-title":"A model of human occupation: Theory and application","author":"Kielhofner G.","year":"1985"},{"key":"e_1_2_13_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(15)00277-1"},{"key":"e_1_2_13_35_1","doi-asserted-by":"publisher","DOI":"10.1037\/cou0000639"},{"key":"e_1_2_13_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2020.1804439"},{"key":"e_1_2_13_37_1","doi-asserted-by":"publisher","DOI":"10.1210\/clinem\/dgag364"},{"key":"e_1_2_13_38_1","doi-asserted-by":"publisher","DOI":"10.1037\/sgd0000130"},{"key":"e_1_2_13_39_1","first-page":"24","volume-title":"Model of human occupation: Theory and application","author":"O'Brien J. C.","year":"2017"},{"key":"e_1_2_13_40_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.48020"},{"key":"e_1_2_13_41_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2024.078301"},{"key":"e_1_2_13_42_1","unstructured":"Pearson. (2019).Adolescent\/adult sensory profile \u2013 Technical report.Pearson Education.https:\/\/www.pearsonassessments.com\/content\/dam\/school\/global\/clinical\/us\/assets\/sensory\u2010profile\/aasp\u2010technical\u2010report.pdf"},{"key":"e_1_2_13_43_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42413-024-00231-2"},{"key":"e_1_2_13_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-019-3205-y"},{"key":"e_1_2_13_45_1","doi-asserted-by":"publisher","DOI":"10.1080\/14427591.2018.1550726"},{"key":"e_1_2_13_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2024.102427"},{"key":"e_1_2_13_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/07380577.2023.2243333"},{"key":"e_1_2_13_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/15374416.2016.1228462"},{"key":"e_1_2_13_49_1","doi-asserted-by":"publisher","DOI":"10.1177\/03080226211034422"},{"key":"e_1_2_13_50_1","doi-asserted-by":"publisher","DOI":"10.1080\/07380577.2016.1270479"},{"key":"e_1_2_13_51_1","doi-asserted-by":"publisher","DOI":"10.1177\/0891243287001002002"},{"key":"e_1_2_13_52_1","volume-title":"An occupational perspective of health","author":"Wilcock A.","year":"2006"},{"key":"e_1_2_13_53_1","volume-title":"An occupational perspective of health","author":"Wilcock A. A.","year":"2015"},{"key":"e_1_2_13_54_1","unstructured":"Williams C.(2018 April 9).Is there a link between \u201cgender dysphoria\u201d & autism?LGBTQ Nation.https:\/\/www.lgbtqnation.com\/2018\/04\/link-gender-dysphoria-autism\/"},{"key":"e_1_2_13_55_1","doi-asserted-by":"publisher","DOI":"10.1080\/26895269.2020.1753136"},{"key":"e_1_2_13_56_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03084-7"}],"container-title":["Australian Occupational Therapy Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.70121","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1440-1630.70121","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1440-1630.70121","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T03:57:30Z","timestamp":1792987050000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1440-1630.70121"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,8]]},"references-count":55,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/1440-1630.70121"],"URL":"https:\/\/doi.org\/10.1111\/1440-1630.70121","archive":["Portico"],"relation":{},"ISSN":["0045-0766","1440-1630"],"issn-type":[{"value":"0045-0766","type":"print"},{"value":"1440-1630","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,8]]},"assertion":[{"value":"2026-01-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-11","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-08","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70121"}}