{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T14:08:38Z","timestamp":1790690918525,"version":"4.1.0"},"reference-count":43,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"University of Minnesota Clinical and Translational Science Institute"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Am J Health Promot"],"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>As a preliminary step in developing a physical activity (PA) intervention for trans and gender diverse (TGD) adolescents, we aimed to understand healthcare professionals\u2019 perspectives on the benefits of and barriers to PA among TGD patients. Furthermore, we sought their advice on creating a PA intervention that addresses the mental and social health concerns that disproportionately affect this population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative descriptive study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Conducted on Zoom with participants in the Midwest U.S.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Healthcare professionals serving TGD youth (N = 17).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>Individual, semi-structured interviews were analyzed via template analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Professionals observed limited organized PA involvement among TGD patients, expressing concern with their under-involvement. Many perceived existing organized PA opportunities to be scarce, naming barriers to organized PA that were universal, and gender-specific barriers like binary gendered teams and structures, TGD adolescents\u2019 fears of harassment, and PA environments exacerbating body-consciousness. All professionals thought organized PA could benefit TGD adolescent patients through improving disease risk factors, mental health outcomes, and social connections. Regarding PA intervention components, professionals recommended emphasizing social opportunities, including TGD\/queer staff, training staff in biases and trauma TGD adolescents can experience in PA environments, and avoiding social comparison or weight-centrism.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Healthcare professionals recognize value in social organized PA opportunities and desire a tailored PA intervention for their patients, especially one developed with TGD adolescents\u2019 personal insights.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/08901171261491555","type":"journal-article","created":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T11:01:43Z","timestamp":1790506903000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Healthcare Professionals\u2019 Insights on Physical Activity for Trans and Gender Diverse Adolescents: A Qualitative Exploration"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3265-3155","authenticated-orcid":false,"given":"Samantha J.","family":"Adler","sequence":"first","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katheen K.","family":"Miller","sequence":"additional","affiliation":[{"name":"University of Minnesota"},{"name":"Adolescent Medicine, Children\u2019s Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iris W.","family":"Borowsky","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hana-May","family":"Eadeh","sequence":"additional","affiliation":[{"name":"University of Minnesota"},{"name":"Hennepin Healthcare Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Nic","family":"Rider","sequence":"additional","affiliation":[{"name":"University of Minnesota Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kuo","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah M.","family":"Kaja","sequence":"additional","affiliation":[{"name":"University of Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12160-013-9570-y"},{"key":"e_1_3_7_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2024.01.029"},{"key":"e_1_3_7_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2024.06.025"},{"key":"e_1_3_7_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.annepidem.2024.11.004"},{"key":"e_1_3_7_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.mhpa.2024.100576"},{"key":"e_1_3_7_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000560"},{"key":"e_1_3_7_8_2","doi-asserted-by":"crossref","first-page":"e032492","DOI":"10.1161\/JAHA.123.032492","article-title":"Do children\u2019s health behaviors buffer the impact of cumulative environmental stress on emerging cardiometabolic risk?","volume":"13","author":"Kunin-Baston AS","year":"2024","unstructured":"Kunin-Baston AS, Crain LA, Sherwood NE, et al. Do children\u2019s health behaviors buffer the impact of cumulative environmental stress on emerging cardiometabolic risk? J Am Heart Assoc. 2024;13:e032492.","journal-title":"J Am Heart Assoc"},{"key":"e_1_3_7_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2016.09.006"},{"key":"e_1_3_7_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2020.101107"},{"key":"e_1_3_7_11_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2023.3266"},{"key":"e_1_3_7_12_2","doi-asserted-by":"publisher","DOI":"10.1159\/000355235"},{"key":"e_1_3_7_13_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-3992"},{"key":"e_1_3_7_14_2","doi-asserted-by":"publisher","DOI":"10.1123\/jpah.2024-0336"},{"key":"e_1_3_7_15_2","doi-asserted-by":"publisher","DOI":"10.1186\/1479-5868-10-98"},{"key":"e_1_3_7_16_2","doi-asserted-by":"publisher","DOI":"10.1177\/1744987119880234"},{"key":"e_1_3_7_17_2","doi-asserted-by":"publisher","DOI":"10.4278\/0890-1171-10.4.282"},{"key":"e_1_3_7_18_2","volume-title":"NIMHD Research Framework","author":"National Institute on Minority Health and Health Disparities","year":"2025","unstructured":"National Institute on Minority Health and Health Disparities. NIMHD Research Framework. National Institute on Minority Health and Health Disparities; 2025. https:\/\/www.nimhd.nih.gov\/resources\/research-framework\/nimhd-research-framework-details"},{"key":"e_1_3_7_19_2","doi-asserted-by":"publisher","DOI":"10.5771\/9780759123212"},{"key":"e_1_3_7_20_2","doi-asserted-by":"publisher","unstructured":"St George SM Harkness AR Rodriguez-Diaz CE Weinstein ER Pavia V Hamilton AB. Applying rapid qualitative analysis for health equity: lessons learned using \u201cEARS\u201d with Latino communities. Int J Qual Methods. 2023;22. doi:10.1177\/16094069231164938.","DOI":"10.1177\/16094069231164938"},{"key":"e_1_3_7_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.112516"},{"key":"e_1_3_7_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.glmedi.2024.100051"},{"key":"e_1_3_7_23_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsep.2023-0104"},{"key":"e_1_3_7_24_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-1683"},{"key":"e_1_3_7_25_2","doi-asserted-by":"publisher","DOI":"10.1080\/10401331003656512"},{"key":"e_1_3_7_26_2","doi-asserted-by":"publisher","DOI":"10.1177\/08901171221113317"},{"key":"e_1_3_7_27_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph182111222"},{"key":"e_1_3_7_28_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2013.2144"},{"key":"e_1_3_7_29_2","doi-asserted-by":"publisher","DOI":"10.1177\/1559827613520120"},{"key":"e_1_3_7_30_2","doi-asserted-by":"publisher","DOI":"10.1080\/10474412.2018.1482217"},{"key":"e_1_3_7_31_2","doi-asserted-by":"publisher","DOI":"10.1249\/FIT.0000000000000942"},{"key":"e_1_3_7_32_2","first-page":"139","article-title":"Demarginalizing the intersection of race and sex: a Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist policies","volume":"1","author":"Crenshaw K","year":"1989","unstructured":"Crenshaw K. Demarginalizing the intersection of race and sex: a Black feminist critique of antidiscrimination doctrine, feminist theory and antiracist policies. Univ Chicago Leg Forum. 1989;1:139-167.","journal-title":"Univ Chicago Leg Forum"},{"key":"e_1_3_7_33_2","doi-asserted-by":"publisher","DOI":"10.1123\/jsep.2018-0090"},{"key":"e_1_3_7_34_2","first-page":"97","article-title":"It is not a checking off of boxes: creating LGBTQ inclusive spaces and policies in community sport","author":"Nelson L","year":"2021","unstructured":"Nelson L, Potrac P, Gale L, et al. It is not a checking off of boxes: creating LGBTQ inclusive spaces and policies in community sport. Comm Sport Coach: Policies Pract. 2021;97-111.","journal-title":"Comm Sport Coach: Policies Pract"},{"key":"e_1_3_7_35_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40337-023-00806-y"},{"key":"e_1_3_7_36_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41467-020-17794-1"},{"key":"e_1_3_7_37_2","doi-asserted-by":"publisher","DOI":"10.1080\/07303084.2021.1844539"},{"key":"e_1_3_7_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bodyim.2023.07.006"},{"key":"e_1_3_7_39_2","doi-asserted-by":"publisher","DOI":"10.1002\/aur.1955"},{"key":"e_1_3_7_40_2","volume-title":"The Routledge Handbook of Youth Physical Activity","author":"Brusseau TA","year":"2015","unstructured":"Brusseau TA, Fairclough SJ, Lubans DR, eds. The Routledge Handbook of Youth Physical Activity. London, UK: Routledge; 2015."},{"key":"e_1_3_7_41_2","unstructured":"MAP. Snapshot: LGBTQ equality by state. 2025. https:\/\/www.lgbtmap.org\/equality-maps"},{"key":"e_1_3_7_42_2","doi-asserted-by":"publisher","DOI":"10.1080\/27703371.2025.2600297"},{"key":"e_1_3_7_43_2","doi-asserted-by":"publisher","DOI":"10.1080\/02614367.2026.2628571"},{"key":"e_1_3_7_44_2","doi-asserted-by":"publisher","unstructured":"O\u2019Brien BC Harris IB Beckman TJ Reed DA Cook DA. Standards for reporting qualitative research: a synthesis of recommendations. Acad Med. 2014;89(9):1245-1251. doi:10.1097\/ACM.0000000000000388.","DOI":"10.1097\/ACM.0000000000000388"}],"container-title":["American Journal of Health Promotion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171261491555","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08901171261491555","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08901171261491555","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T13:49:12Z","timestamp":1790689752000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08901171261491555"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,27]]},"references-count":43,"alternative-id":["10.1177\/08901171261491555"],"URL":"https:\/\/doi.org\/10.1177\/08901171261491555","relation":{},"ISSN":["0890-1171","2168-6602"],"issn-type":[{"value":"0890-1171","type":"print"},{"value":"2168-6602","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,27]]},"article-number":"08901171261491555"}}