Evidence map›Paper›PMID 41688114›Full record

ArticleBMJ open2026

Support for Transgender and Nonbinary Individuals Seeking Vaginoplasty (STRIVE) study: protocol for a national randomised pragmatic trial.

Liz Sage, Elijah Hart, Nolan Meyer, Olivia Hnilicka, Amy Penkin, Tonia C Poteat, Rodrigo Aguayo-Romero, Bryan A Comstock, STRIVE Publications Committee, Geolani W Dy

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06436560 (Support for Transgender and Non-Binary Individuals Seeking Vaginoplasty), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06436560 naenrolling by invitationnot on this map

Support for Transgender and Non-Binary Individuals Seeking Vaginoplasty (STRIVE) Study

TypeinterventionalSponsorOregon Health and Science UniversityRan2024 to 2028Enrolled290ConditionsGender Affirmation Surgery, Perioperative Care, Transgender HealthArmsSTRIVE Peer Support Intervention
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Liz SageUrology, University of Washington, Seattle, Washington, USA lizsage@uw.edu.ORCID http://orcid.org/0000-0003-1700-7113
Elijah HartDepartment of Surgery, Division of Plastic Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Nolan MeyerDepartment of Surgery, Division of Plastic Surgery, Oregon Health & Science University, Portland, Oregon, USA.
Olivia HnilickaTransgender Health Program, Oregon Health & Science University, Portland, OR, USA.
Amy PenkinTransgender Health Program, Oregon Health & Science University, Portland, OR, USA.
Tonia C PoteatSchool of Nursing, Duke University, Durham, North Carolina, USA.
Rodrigo Aguayo-RomeroWhitman-Walker Institute, Washington, DC, USA.
Bryan A ComstockBiostatistics, University of Washington, Seattle, Washington, USA.
STRIVE Publications Committee
Geolani W DyUrology, University of Washington, Seattle, Washington, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTransgender and gender-diverse individuals often face significant barriers to accessing gender-affirming care, such as hormones and/or surgery, leading to poorer mental health, lower quality of life, and higher rates of substance use and suicidal ideation. Vaginoplasty, the most commonly sought genital gender-affirming surgery (GGAS), is desired by over half of all trans women but has been performed in only a minority. This is due largely to limited surgeon availability and long wait times. Peer support has been shown to improve health outcomes and reduce stigma in marginalised populations, including trans communities, but has never been studied for efficacy during the perioperative period of GGAS. Building on priorities identified by multi-stakeholder engagement from the Transgender & Non-Binary Surgery Allied Research Collective, the Support for Transgender and Nonbinary Individuals Seeking Vaginoplasty (STRIVE) study aims to evaluate the efficacy of a centralised peer support and education intervention for patients seeking vaginoplasty, addressing a critical gap in perioperative care. METHODS AND ANALYSIS: The STRIVE Study is a pragmatic, multi-site randomised controlled trial enrolling trans adults seeking full depth vaginoplasty. Participants are randomised to one of two arms; enhanced usual care, or a facilitated group intervention. The primary outcome is coping self-efficacy at 6 months, with a secondary outcome of surgical readiness. Primary analysis uses an intention-to-treat approach with linear mixed effects modelling, adjusting for selected baseline values and site. The feasibility evaluation data collected via qualitative interviews will be analysed thematically. ETHICS AND DISSEMINATION: Approvals were granted by the primary site's Institutional Review Board on 10 May 2024 (STUDY00026957). The trial was registered on 24 May 2024. Results will be published in open access journals and made available to community members in plain language formats. TRIAL REGISTRATION NUMBER: NCT06436560.

Indexed as

Gender-Affirming SurgerySocial SupportTransgender PersonsVaginaFemaleGender-Nonconforming PersonsHumansMalePeer GroupPragmatic Clinical Trials as TopicQuality of LifeRandomized Controlled Trials as TopicClinical TrialCommunity-Based Participatory ResearchHealth Services for Transgender PersonsImplementation SciencePatient Reported Outcome MeasuresPeer Group

Identifiers

PMID41688114
PMCPMC12911827

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.