Table 4.
Suitability and understandability of terms for the assessment of gender expression.
| How important is assessing the gender of patients or participants in clinical research independent of the research questions? | ||||||||
|---|---|---|---|---|---|---|---|---|
| Terms | First survey | Second survey | ||||||
| Answer Scale | ||||||||
| Very suitable n (%) |
Suitable n (%) |
Less suitable n (%) |
Not suitable n (%) |
Very suitable n (%) |
Suitable n (%) | Less suitable n (%) |
Not suitable n (%) |
|
| Femalea | 1 (5.9) | 3 (17.6) | 3 (17.6) | 10 (58.8) | – | – | – | – |
| Malea | 1 (5.9) | 3 (17.6) | 3 (17.6) | 10 (58.8) | – | – | – | – |
| Intersexa | 1 (5.9) | 1 (5.9) | 1 (5.9) | 14 (82.4) | – | – | – | – |
| Diverseb | 2 (12.5) | 4 (25.0) | 4 (25.0) | 6 (37.5) | 2 (20.0) | 1 (10.0) | 3 (30.0) | 4 (40.0) |
| Womanb | 5 (29.4) | 6 (35.3) | 2 (11.8) | 4 (23.5) | 2 (20.0) | 1 (10.0) | 2 (20.0) | 5 (50.0) |
| Manb | 5 (29.4) | 6 (35.3) | 2 (11.8) | 4 (23.5) | 2 (20.0) | 1 (10.0) | 2 (20.0) | 5 (50.0) |
| Transgenderb | 2 (11.8) | 5 (29.4) | 4 (23.5) | 6 (35.3) | – | – | 4 (40.0) | 6 (60.0) |
| Trans womanb | 2 (11.8) | 8 (47.1) | 2 (11.8) | 5 (29.4) | 1 (10.0) | – | 3 (30.0) | 6 (60.0) |
| Trans manb | 2 (11.8) | 8 (47.1) | 2 (11.8) | 5 (29.4) | 1 (10.0) | – | 3 (30.0) | 6 (60.0) |
| Trans-masculine | 2 (11.8) | 7 (41.2) | 4 (23.5) | 4 (23.5) | 2 (20.0) | 2 (20.0) | 2 (20.0) | 4 (40.0) |
| Trans-feminine | 2 (11.8) | 7 (41.2) | 4 (23.5) | 4 (23.5) | 2 (20.0) | 2 (20.0) | 2 (20.0) | 4 (40.0) |
| Nonbinary | 3 (17.6) | 5 (29.4) | 6 (35.3) | 3 (17.6) | 4 (40.0) | 3 (30.0) | – | 3 (30.0) |
| Genderqueer | 3 (17.6) | 7 (41.2) | 3 (17.6) | 4 (23.5) | – | 6 (60.0) | 2 (20.0) | 2 (20.0) |
| Genderfluid b | 3 (17.6) | 7 (41.2) | 2 (11.8) | 5 (29.4) | – | 7 (70.0) | 1 (10.0) | 2 (20.0) |
| Agenderb | 3 (17.6) | 5 (29.4) | 3 (17.6) | 6 (35.3) | 1 (10.0) | 2 (20.0) | 4 (40.0) | 3 (30.0) |
| Something other than male or femalea | 2 (11.8) | 3 (17.6) | 1 (5.9) | 11 (64.7) | – | – | – | – |
| Sometimes male, sometimes femalea | 3 (17.6) | 2 (11.8) | 3 (17.6) | 9 (52.9) | – | – | – | – |
| Androgynousb,c | – | – | – | – | 6 (60.0) | 3 (30.0) | – | 1 (10.0) |
| Mostly feminineb,c | – | – | – | – | 7 (70.0) | 2 (20.0) | 1 (10.0) | – |
| Mostly masculineb,c | – | – | – | – | 7 (70.0) | 2 (20.0) | 1 (10.0) | – |
| Somewhat feminineb,c | – | – | – | – | 7 (70.0) | 2 (20.0) | 1 (10.0) | – |
| Somewhat masculineb,c | – | – | – | – | 7 (70.0) | 2 (20.0) | 1 (10.0) | – |
| Neither feminine nor masculineb,c | – | – | – | – | 6 (60.0) | 2 (20.0) | 2 (20.0) | – |
| How easy to understand are the following terms when assessing gender? | ||||||||
| Answer Scale | ||||||||
| Very easy n (%) |
Moderately easy n (%) |
Moderately difficult n (%) |
Very difficult n (%) | Very easy n (%) |
Moderately easy n (%) |
Moderately difficult n (%) |
Very difficult n (%) | |
| Femalea | 2 (13.3) | 2 (13.3) | 4 (26.7) | 7 (46.7) | – | – | – | – |
| Malea | 2 (13.3) | 2 (13.3) | 4 (26.7) | 7 (46.7) | – | – | – | – |
| Intersexa | – | 2 (13.3) | 1 (6.7) | 12 (80.0) | – | – | – | – |
| Diverseb | 1 (6.7) | 4 (26.7) | 3 (20.0) | 7 (46.7) | – | 2 (20.0) | 3 (30.0) | 5 (50.0) |
| Womana | 6 (40.0) | 5 (33.3) | 1 (6.7) | 3 (20.0) | – | – | – | – |
| Mana | 6 (40.0) | 5 (33.3) | 1 (6.7) | 3 (20.0) | – | – | – | – |
| Transgenderb | 1 (6.7) | 6 (40.0) | 1 (6.7) | 7 (46.7) | – | 1 (10.0) | 4 (40.0) | 5 (50.0) |
| Trans womanb | 3 (20.0) | 4 (26.7) | 4 (26.7) | 4 (26.7) | 1 (10.0) | 1 (10.0) | 5 (50.0) | 3 (30.0) |
| Trans manb | 3 (20.0) | 4 (26.7) | 4 (26.7) | 4 (26.7) | 1 (10.0) | 1 (10.0) | 5 (50.0) | 3 (30.0) |
| Trans-masculine | 1 (6.7) | 5 (33.3) | 6 (40.0) | 3 (20.0) | 1 (10.0) | 4 (40.0) | 3 (30.0) | 2 (20.0) |
| Trans-feminine | 1 (6.7) | 5 (33.3) | 6 (40.0) | 3 (20.0) | 1 (10.0) | 4 (40.0) | 3 (30.0) | 2 (20.0) |
| Nonbinary | 2 (13.3) | 4 (26.7) | 5 (33.3) | 4 (26.7) | 1 (10.0) | 3 (30.0) | 5 (50.0) | 1 (10.0) |
| Genderqueer | – | 5 (33.3) | 6 (40.0) | 4 (26.7) | 1 (10.0) | 4 (40.0) | 4 (40.0) | 1 (10.0) |
| Genderfluid | 2 (13.3) | 4 (26.7) | 5 (33.3) | 4 (26.7) | 1 (10.0) | 5 (50.0) | 3 (30.0) | 1 (10.0) |
| Agenderb | – | 5 (33.3) | 3 (20.0) | 7 (46.7) | – | 2 (20.0) | 5 (50.0) | 3 (30.0) |
| Something other than male or femalea | 1 (6.7) | 2 (13.3) | 4 (26.7) | 8 (53.3) | – | – | – | – |
| Sometimes male, sometimes female | 1 (6.7) | 4 (26.7) | 2 (13.3) | (53.3) | 1 (10.0) | 4 (40.0) | 4 (40.0) | 1 (10.0) |
Terms in bold achieved a consensus of >70% in one of the two surveys, aterms reached a consensus in survey 1 and were not queried again, bterms reached a consensus in survey 2, cterms were requested by the experts and newly introduced in the 2nd survey.