Detransition Measure

Abstract

The Detransition Measure (Pullen Sansfaçon et al., 2023) is a specialized survey instrument developed for an international online study focusing on providers working directly with Trans and Nonbinary Youth (TNBY). Its primary objective is to evaluate the characteristics, attitudes, and experiences of these healthcare professionals regarding youth who have discontinued or reversed aspects of a gender transition. The instrument’s constructs were uniquely developed by the research team to address the specific topic of discontinuation. It is important to note that, as of the initial publication, formal psychometric data regarding the reliability or validity of the scale items were not available.

Keywords

Detransition Measure, Detransition, Trans and Nonbinary Youth (TNBY), Provider Perspectives, Health Personnel Attitudes, Discontinuation of Transitions, Gender Nonconforming, Provider Characteristics, Beliefs About Discontinuation, Gender Transition.

Authors

Pullen Sansfaçon, Annie; Planchat, Tommly; Gelly, Morgane A.; Baril, Alexandre; Susset, Françoise; Millette, Mélanie

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Purpose

The core purpose of the Detransition Measure survey is to gather comprehensive data on the experiences of youth who have discontinued a gender transition, as observed and managed by the healthcare providers who work directly with them. This focus allows researchers to capture the professional perspectives, challenges, and beliefs of clinicians in the specialized field of trans health care regarding the phenomenon of discontinuation.

Construct

The instrument measures several distinct, yet related, psychological and professional constructs relevant to trans health care providers and the phenomenon of detransitioning among youth. These constructs were developed by the research team based on their understanding of the complexities surrounding discontinuation.

The main constructs assessed include:

• Provider Characteristics: Demographic and professional background information of the respondents.
• Attitudes and Beliefs About Gender Transition: General views held by providers regarding the process and outcomes of gender transition.
• Discontinuation of Transitions: Detailed professional experiences and observations regarding youth who have stopped or reversed a transition process.
• Beliefs About Discontinuation: Subjective beliefs and hypotheses held by providers concerning the causes, motivations, and consequences associated with detransition.

Validity

No formal data is currently available regarding the validity of the Detransition Measure. As an original survey designed for a specific international study, formal validation studies (e.g., content validity, criterion validity, or construct validity testing) have not yet been reported for these items.

Reliability

No formal data is currently available regarding the reliability of the Detransition Measure. Standard reliability metrics, such as internal consistency (e.g., Cronbach’s alpha) or test-retest reliability, were not included in the initial publication concerning the scale’s development.

Factor Analysis

No formal data is currently available regarding the factor structure of the Detransition Measure. The constructs were developed conceptually by the research team, and no exploratory or confirmatory factor analysis results have been reported to date.

Instrument

Test Type: Original Survey

Format: The Detransition Measure is structured into several sections utilizing various response formats. The assessment of provider characteristics relies on multiple-choice and closed-ended questions. Attitudes and beliefs regarding gender transition are captured using 18 items primarily based on a four-point Likert scale (strongly agree, agree, uncertain, disagree). Responses concerning the discontinuation of transitions are measured via 36 statements using a more nuanced Likert scale (yes: describes the situation well; a bit: somewhat describes the situation; no: does not describe the situation; not applicable/I don’t know). Finally, beliefs about discontinuation are assessed across 19 statements using the standard four-point Likert scale (strongly agree, agree, uncertain, disagree). The administration method for the study was electronic (online survey).

Language Available: English; French

Population Group: Human; Male; Female (referencing the providers surveyed)

Age Group: Adulthood (18 yrs & older)

Population Details: The respondents surveyed using the Detransition Measure were healthcare providers who actively work with Trans and Nonbinary Youth (TNBY). The study collected data internationally, including participants from Australia, Canada, France, Italy, Switzerland, the United Kingdom, and the United States.

Test Methodology: The instrument was created for a large-scale, international online survey designed to capture data from English- and French-speaking trans health care providers. The items and constructs were developed by the research team based on their deep understanding of gender transition discontinuation and the corresponding clinical challenges.

Keywords

Provider Perspectives, Health Care Personnel Measures, Psychology of Sexual Orientation and Gender Diversity, Transgender Attitudes, Gender Identity, Discontinuation, Clinical Experience, International Survey.

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Authors

Author ORCID Identifier: Pullen Sansfaçon, Annie: http://orcid.org/0000-0003-2286-8997

Affiliation Email addresses:

• Pullen Sansfaçon, Annie: Université de Montréal, School of Social Work
• Planchat, Tommly: Université de Montréal, School of Social Work
• Gelly, Morgane A.: Université de Montréal, School of Social Work
• Baril, Alexandre: University of Ottawa, School of Social Work
• Susset, Françoise: Centre de santé Méraki
• Millette, Mélanie: Université du Québec à Montréal, Departement of Communication
• Email (Correspondence): [email protected]

Correspondence Address: Pullen Sansfaçon, Annie: Université de Montréal, School of Social Work, Pavilion Lionel Groulx, CP6128 Succ. Centre Ville, Montreal, Quebec, Canada, H3C3J7, [email protected]

Permissions & Fee and Test Year

The Detransition Measure is classified as a non-commercial instrument. Therefore, its use does not require any fee. The scale was developed and introduced in 2023. Permissions for use can be requested by contacting the corresponding author, Annie Pullen Sansfaçon.

Reference’s

Pullen Sansfaçon, A., Planchat, T., Gelly, M. A., Baril, A., Susset, F., & Millette, M. (2025). Understanding the experiences of youth who have discontinued a gender transition: Provider perspectives. Psychology of Sexual Orientation and Gender Diversity, 12(1), 154–164. https://doi.org/10.1037/sgd0000644

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Items of the Detransition Measure

IMPORTANT: The following scale items must be preserved in their original language and must not be changed in any way.

No data is Available regarding the specific items of the Detransition Measure.