A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals

Abstract Transgender and gender diverse (TGD) individuals face significant healthcare barriers, resulting in inequities and unmet needs. Mobile health (mHealth) applications offer promising solutions by providing accessible, cost-effective, personalized, and gender-affirming care. This systematic re...

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Main Authors: Marina Bonato, Andrea Garolla, Marina Miscioscia
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:npj Digital Medicine
Online Access:https://doi.org/10.1038/s41746-025-01668-1
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author Marina Bonato
Andrea Garolla
Marina Miscioscia
author_facet Marina Bonato
Andrea Garolla
Marina Miscioscia
author_sort Marina Bonato
collection DOAJ
description Abstract Transgender and gender diverse (TGD) individuals face significant healthcare barriers, resulting in inequities and unmet needs. Mobile health (mHealth) applications offer promising solutions by providing accessible, cost-effective, personalized, and gender-affirming care. This systematic review, conducted using PRISMA 2020 guidelines and the PICO framework, screened 5005 records from 4 databases and included 11 articles. The review aimed to identify key features of mHealth apps developed for TGD individuals, focusing on theoretical frameworks, design strategies, and their approaches to addressing healthcare barriers. Key challenges in developing mHealth apps include implementing systemic changes in healthcare settings to combat stigma and discrimination, grounding app development in TGD-specific theoretical frameworks, adequately addressing stressors and protective factors, and overcoming methodological limitations that hinder the evaluation of health outcomes. Overcoming these challenges requires rigorous research methodologies, inclusive designs, reliance on evidence-based TGD frameworks, and stronger collaboration among researchers, healthcare providers, and TGD communities.
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spelling doaj-art-73b1ace548e643c29263eac76db98b802025-08-20T03:48:19ZengNature Portfolionpj Digital Medicine2398-63522025-05-018111610.1038/s41746-025-01668-1A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individualsMarina Bonato0Andrea Garolla1Marina Miscioscia2Department of Developmental Psychology and Socialization, University of PaduaVeneto Regional Reference Center of Gender Incongruence, University Hospital of PadovaDepartment of Developmental Psychology and Socialization, University of PaduaAbstract Transgender and gender diverse (TGD) individuals face significant healthcare barriers, resulting in inequities and unmet needs. Mobile health (mHealth) applications offer promising solutions by providing accessible, cost-effective, personalized, and gender-affirming care. This systematic review, conducted using PRISMA 2020 guidelines and the PICO framework, screened 5005 records from 4 databases and included 11 articles. The review aimed to identify key features of mHealth apps developed for TGD individuals, focusing on theoretical frameworks, design strategies, and their approaches to addressing healthcare barriers. Key challenges in developing mHealth apps include implementing systemic changes in healthcare settings to combat stigma and discrimination, grounding app development in TGD-specific theoretical frameworks, adequately addressing stressors and protective factors, and overcoming methodological limitations that hinder the evaluation of health outcomes. Overcoming these challenges requires rigorous research methodologies, inclusive designs, reliance on evidence-based TGD frameworks, and stronger collaboration among researchers, healthcare providers, and TGD communities.https://doi.org/10.1038/s41746-025-01668-1
spellingShingle Marina Bonato
Andrea Garolla
Marina Miscioscia
A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
npj Digital Medicine
title A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
title_full A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
title_fullStr A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
title_full_unstemmed A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
title_short A systematic review of developments in mHealth smartphone applications for Transgender and Gender Diverse individuals
title_sort systematic review of developments in mhealth smartphone applications for transgender and gender diverse individuals
url https://doi.org/10.1038/s41746-025-01668-1
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