ArticleJournal of general internal medicine2026
What Healthcare Professionals Need to Understand About Queer Older Adult Care Experiences: A Double Diamond Design Study.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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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.
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.
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Who cites it
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Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundAs the two-spirit, lesbian, gay, bisexual, transgender, and queer (2SLGBTQ+) population ages, many face challenges accessing heteronormative healthcare systems. Healthcare professionals (HCPs) require targeted education to provide inclusive, affirming care. The objective of this study was to identify key content areas for an educational toolkit aimed at improving HCP competence in caring for queer older adults.
methodsThe Double Diamond design model is a human-centred design framework with four phases-discover, define, develop, and deliver. Employing the Double Diamond design model, two co-design workshops were conducted with queer older adults and HCPs in Saskatchewan, Canada. Workshops included storytelling, barrier identification, and solution generation activities. Data from transcripts, field notes, and participant materials were analyzed inductively, and codes were then associated with phenomena described in previous literature and renamed to align with existing terminology.
resultsThree themes were identified: (1) relational ontologies, capturing how queer older adults' health experiences are shaped by relationships, inclusive language, visibility, and recognition of chosen family; (2) institutionalized othering, describing how heteronormative policies, assumptions, and educational gaps marginalize queer identities and relationships within healthcare systems; and (3) self-protective behaviours, reflecting the strategies queer older adults use to manage disclosure, assess safety, and protect themselves from anticipated discrimination. These themes are informing core content areas of the educational toolkit currently in development.
conclusionsThese findings indicate HCP training must prioritize proactive trust building and inclusive care policies. Specifically, relational ontologies inform toolkit content on inclusive communication, chosen family, and affirming interpersonal care; institutionalized othering informs content on structural stigma, heteronormative policy critique, and system-level inclusion; and self-protective behaviours inform content on disclosure-sensitive practice, trust-building, and reducing barriers to safe engagement in care. Grounded in lived experience and design best practices, the toolkit aims to enhance HCP preparedness and advance equity in care for queer older adults.
Identifiers
42791443What OpenQuestion holds
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.