# Supporting parents of transgender, nonbinary, and gender-expansive youth: Considerations for health intervention development

**Authors:** Dalmacio Dennis Flores, Jessica Webster, Alexandra Casison, Anjelique Agudo, Seul Ki Choi, Keosha Bond, Gigi McGaughey

PMC · DOI: 10.1016/j.outlook.2025.102677 · Nursing outlook · 2026-03-05

## TL;DR

This study explores how to better support parents of transgender and gender-expansive youth through targeted health interventions.

## Contribution

The paper identifies specific barriers and intervention preferences for supporting parents of TNGE youth.

## Key findings

- Parents face informational barriers due to lack of TNGE-relevant knowledge from trusted sources.
- Education programs and support groups are suggested to improve motivation and behavioral skills.
- There is a need to expand resources for parents of TNGE youth.

## Abstract

Parental support is associated with improved health of transgender, nonbinary and gender expansive (TNGE) youth. However, parents struggle to find support in navigating gender-affirming care with their child. Nursing plays an indispensable role in these dyads’ wellbeing. This study aims to identify barriers and intervention preferences for enhancing knowledge and group-level support for parents of TNGE adolescents. Guided by the Information-Motivation-Behavioral Skills Model, we conducted four virtual focus groups with parents (n=19) of TNGE youth. Content analysis was conducted to identify themes around parent needs. Predominantly white mothers from the PA-NJ-NY area participated. Lack of TNGE-relevant knowledge from typically trusted sources and limited resources were identified as primary informational barriers. Suggested intervention components to increase motivation/behavioral skills included education programs, support groups, and expanding resources. Findings highlight gaps in supportive systems available to parents of TNGE youth. Future research could include incorporating these intervention components.

## Full-text entities

- **Diseases:** anxiety (MESH:D001007), TNGE (MESH:D019968), COVID-19 (MESH:D000086382), sexually transmitted infections (MESH:D012749), violent (MESH:D001523), breast cancer (MESH:D001943), depression (MESH:D003866)
- **Chemicals:** CRediT (-), testosterone (MESH:D013739)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12958458/full.md

## References

60 references — full list in the complete paper: https://tomesphere.com/paper/PMC12958458/full.md

---
Source: https://tomesphere.com/paper/PMC12958458